ClinicalTrials.gg
RecruitingNCT07626411ROXI-EVERESTUpdated Nov 5, 2026

Stroke and Systemic Embolism Prevention in Adult Participants With Atrial Fibrillation

A Phase 3 interventional study of REGN7508 and Apixaban in Atrial Fibrillation (AF), sponsored by Regeneron Pharmaceuticals. Recruiting at 66 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Regeneron Pharmaceuticals · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Updated Nov 5, 2026First sites in Japan and Canada36 sites added+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
15,364
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is researching an experimental drug called REGN7508 (called "study drug") and how it compares against another treatment called apixaban. The study is focused on people who have atrial fibrillation, which means that the heart beats too fast and unevenly.

The aim of the study is to see how safe and effective REGN7508 is in preventing stroke and/or systemic embolism in participants with atrial fibrillation and how it compares against participants that will receive apixaban in this study.

The study is looking at several other research questions, including:

  • What side effects may happen from taking the study drug
  • Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
02

Conditions studied

  • Atrial Fibrillation (AF)

Keywords

  • Bleeding
  • Stroke
  • Systemic embolism
  • Blood clots
03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's planned enrollment of 15,364 is above the median of 150 across 2,476 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Regeneron Pharmaceuticals is the lead sponsor of 411 studies on the registry; 90 are open to participants now.

Of its 125 completed or terminated interventional studies of FDA-regulated products, 79 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Has AF or flutter (paroxysmal or persistent), not considered to be secondary to a reversible cause, and an indication for indefinite anticoagulation treatment as described in the protocol
  2. Meets one of the following:

    1. CHA2DS2-VA [C: Congestive heart failure; H: Hypertension; A2: Age ≥75 years (double points); D: Diabetes mellitus; S2: Stroke or or Systemic embolism (double points); V: Vascular disease; A: Age 65-74 years] score ≥2 and Oral Anticoagulant (OAC) naïve OR
    2. CHA2DS2-VA score ≥3 OR
    3. CHA2DS2-VA score of 2 AND at least 1 enrichment criteria as described in the protocol
  3. Must have an (INR) \<2.5 at the time of randomization if taking warfarin or another Vitamin K Antagonist (VKA)

Key Exclusion Criteria:

  1. Has a mechanical heart valve prosthesis (Note: transcatheter aortic valve replacement is not an exclusion)
  2. Has known moderate-to-severe mitral stenosis
  3. Has had a successful ablation therapy without documented recurrent AF or a participant after Left Atrial Appendage (LAA) occlusion/exclusion or plan for ablation or LAA occlusion/exclusion within the next 6 months starting from randomization
  4. Had an ischemic stroke within 2 days prior to randomization
  5. Has persistent, uncontrolled hypertension (per investigator's discretion)
  6. Has estimated (eGFR) \<15 mL/min/1.73m2 within 30 days prior to randomization or is on dialysis or expected to be started on dialysis within the next 6 months starting from randomization

Note: Other protocol-defined Inclusion/ Exclusion criteria apply

Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
15,364 participants (estimated)

Study arms

  • Experimental
    REGN7508 + Placebo

    Drug: REGN7508 · Drug: Placebo

  • Active comparator
    Apixaban + Placebo

    Drug: Apixaban · Drug: Placebo

Interventions

  • Administered per the protocol

    Also known as: cenvacibart

  • Administered per the protocol

  • DrugPlacebo

    Administered per the protocol

06

What researchers measure

Primary outcomes

  1. Time to first occurrence of stroke (ischemic, hemorrhagic, or of unspecified type) or systemic embolism

    Time frame: Approximately 36 months

  2. Time to first occurrence of International Society on Thrombosis and Haemostasis (ISTH) major bleeding or ISTH Clinically Relevant Non-Major (CRNM) bleeding

    Time frame: Approximately 36 months

Secondary outcomes

  1. Time to first occurrence of stroke (ischemic, hemorrhagic, or of unspecified type), systemic embolism, ISTH major bleeding, or ISTH CRNM bleeding

    Time frame: Approximately 36 months

  2. Time to first occurrence of stroke (ischemic, hemorrhagic, or of unspecified type), systemic embolism, or ISTH major bleeding

    Time frame: Approximately 36 months

  3. Time to first occurrence of stroke (ischemic, hemorrhagic, or of unspecified type), systemic embolism, ISTH major bleeding, or all-cause death

    Time frame: Approximately 36 months

  4. Time to first occurrence of ISTH major bleeding

    Time frame: Approximately 36 months

  5. Time to first occurrence of hemorrhagic stroke, intracerebral hemorrhage, or hemorrhagic transformation of an ischemic stroke

    Time frame: Approximately 36 months

  6. Time to occurrence of fatal bleeding

    Time frame: Approximately 36 months

  7. Number of ISTH major bleeding events

    Time frame: Approximately 36 months

  8. Number of ISTH CRNM bleeding events

    Time frame: Approximately 36 months

  9. Number of minor bleeding events

    Time frame: Approximately 36 months

  10. Time to all-cause death

    Time frame: Approximately 36 months

  11. Occurrence of Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Approximately 39 months

  12. Severity of TEAEs

    Time frame: Approximately 39 months

  13. Occurrence of Anti-Drug Antibodies (ADA) to REGN7508

    Time frame: Approximately 36 months

  14. Magnitude of ADA to REGN7508

    Time frame: Approximately 36 months

07

Study locations

66 of 66 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: When Regeneron has: received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry) the legal authority to share the data, and ensured the ability to protect participant privacy

Access criteria: Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Updates

4 registry updates since Sep 25, 2026
Sites
36 sites added, 2 sites removed — first sites in Japan and Canada
Show 36 added (26 United States, 7 Japan, 3 Canada)
  • National Institute of California Heart and Vein Specialists · Huntington Beach, United States
  • Healix Clinical Research · New Smyrna Beach, United States
  • Eastern Shore Research Institute · Fairhope, United States
  • Arkansas Cardiology P.A. · Little Rock, United States
  • FOMAT - Comprehensive Cardiovascular Care · Santa Maria, United States
  • South Florida Research Organization LLC · Medley, United States
  • Flourish Research, St. Johns Center for Clinical Research · Saint Augustine, United States
  • Clinical Site Partners, LLC DBA Flourish Research · Winter Park, United States
  • Cardiovascular Research of Northwest Indiana, LLC · Munster, United States
  • Peters Medical Research · High Point, United States
  • Tyler Cardiovascular Consultants · Tyler, United States
  • Alpine Research TC · Clinton, United States
  • Rakuwakai Otowa Hospital · Kyoto, Japan
  • Scottsdale Clinical Trials · Scottsdale, United States
  • Excel Medical Clinical Trials, dba Flourish Research · Boca Raton, United States
  • Nature Coast Clinical Research - Inverness · Inverness, United States
  • Advanced Medical Research · Maumee, United States
  • K2 Medical Research Providence · East Providence, United States
  • Diex Recherche Inc. · Sherbrooke, Canada
  • Hanaoka Seishu Memorial Hospital · Sapporo, Japan
  • The Veritas Hospital · Kawanishi, Japan
  • Saiseikai Yokohama-shi Nanbu Hospital · Yokohama, Japan
  • West Valley Clinical Trials · Glendale, United States
  • Valley Clinical Trials, Inc · Covina, United States
  • Alliance Clinical Los Angeles · Inglewood, United States
  • Morehouse School Of Medicine · Atlanta, United States
  • Profound Research, Advanced Cardiovascular Care + Electrophysiology Clinic · Hobart, United States
  • K2 Medical Research, Foxboro · Foxborough, United States
  • Flint Clinical Research · Flint, United States
  • Lillestol Research LLC · Fargo, United States
  • …and 6 more on the registry record
Show 2 removed
  • Sun City Clinical Research · Glendale, United States
  • K2 Medical Research Providence · East Providence, United States
across 4 updates, Sep 28, 2026 – Nov 5, 2026
Show all 4 updates
  1. Nov 5, 2026
    14 sites added, 2 sites removed
    Show 14 added (9 United States, 3 Japan, 2 Canada)
    • West Valley Clinical Trials · Glendale, United States
    • Valley Clinical Trials, Inc · Covina, United States
    • Alliance Clinical Los Angeles · Inglewood, United States
    • Morehouse School Of Medicine · Atlanta, United States
    • Profound Research, Advanced Cardiovascular Care + Electrophysiology Clinic · Hobart, United States
    • K2 Medical Research, Foxboro · Foxborough, United States
    • Flint Clinical Research · Flint, United States
    • Lillestol Research LLC · Fargo, United States
    • Monument Health Clinical Research · Rapid City, United States
    • Premiere Clinical Trial Network · Hamilton, Canada
    • Viacar Recherches Cliniques inc. · Longueuil, Canada
    • National Hospital Organization Mito Medical Center · Higashiibaraki District, Japan
    • National Hospital Organization Kasumigaura Medical Center · Tsuchiura, Japan
    • JA Tsuchiura Kyodo General Hospital · Kanagawa, Japan
    Show 2 removed
    • Sun City Clinical Research · Glendale, United States
    • K2 Medical Research Providence · East Providence, United States
    + 1 other change: verification date
  2. Oct 26, 2026
    9 sites added — first site in Canada
    Show 9 added (5 United States, 3 Japan, 1 Canada)
    • Scottsdale Clinical Trials · Scottsdale, United States
    • Excel Medical Clinical Trials, dba Flourish Research · Boca Raton, United States
    • Nature Coast Clinical Research - Inverness · Inverness, United States
    • Advanced Medical Research · Maumee, United States
    • K2 Medical Research Providence · East Providence, United States
    • Diex Recherche Inc. · Sherbrooke, Canada
    • Hanaoka Seishu Memorial Hospital · Sapporo, Japan
    • The Veritas Hospital · Kawanishi, Japan
    • Saiseikai Yokohama-shi Nanbu Hospital · Yokohama, Japan
  3. Oct 8, 2026
    11 sites added — first site in Japan
    Show 11 added (10 United States, 1 Japan)
    • Eastern Shore Research Institute · Fairhope, United States
    • Arkansas Cardiology P.A. · Little Rock, United States
    • FOMAT - Comprehensive Cardiovascular Care · Santa Maria, United States
    • South Florida Research Organization LLC · Medley, United States
    • Flourish Research, St. Johns Center for Clinical Research · Saint Augustine, United States
    • Clinical Site Partners, LLC DBA Flourish Research · Winter Park, United States
    • Cardiovascular Research of Northwest Indiana, LLC · Munster, United States
    • Peters Medical Research · High Point, United States
    • Tyler Cardiovascular Consultants · Tyler, United States
    • Alpine Research TC · Clinton, United States
    • Rakuwakai Otowa Hospital · Kyoto, Japan
    + 1 other change: verification date
  4. Sep 28, 2026
    2 sites added
    Show 2 added (2 United States)
    • National Institute of California Heart and Vein Specialists · Huntington Beach, United States
    • Healix Clinical Research · New Smyrna Beach, United States

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07626411
Responsible party
Sponsor
First posted
Jun 4, 2026
Start date
Aug 10, 2026
Primary completion
Sep 11, 2029 (estimated)
Completion
Dec 10, 2029 (estimated)
Last update
Nov 5, 2026

Study contacts

Clinical Trials Administrator
Contact
clinicaltrials@regeneron.com
844-734-6643
Clinical Trial Management
study director · Regeneron Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Cenvacibart

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