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REGN7508 Versus Apixaban and Enoxaparin for Thromboprophylaxis After Total Knee Arthroplasty in Adults

A Phase 3, Multicenter, Randomized, Open-Label, Study to Evaluate REGN7508, A Factor XI Monoclonal Antibody, Versus Apixaban and Enoxaparin for Prophylaxis of Venous Thromboembolism After Elective Total Knee Arthroplasty (ROXI-APEX)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07015905
Acronym
ROXI-APEX
Enrollment
2000
Registered
2025-06-11
Start date
2025-06-25
Completion date
2027-05-12
Last updated
2026-03-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Venous Thromboembolism (VTE)

Keywords

Unilateral Total Knee Arthroplasty (TKA), Factor XI (FXI)

Brief summary

This study is researching an experimental drug called REGN7508 (called "study drug"). The study is focused on adults undergoing elective, unilateral (one side) total knee replacement surgery. The aim of the study is to see how effective the study drug is at preventing Venous Thromboembolism (VTE) and other related diseases after total knee replacement surgery. The study is looking at several other research questions, including: * What side effects may happen from taking the study drug * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)

Interventions

Administered per the protocol

DRUGApixaban

Administered per the protocol

DRUGEnoxaparin

Administered per the protocol

DRUGPlacebo

Administered per the protocol

Sponsors

Regeneron Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: 1. Is undergoing a primary elective unilateral TKA 2. Is in good health based on laboratory safety testing as described in the protocol 3. Body weight ≤130 kg at screening visit as described in the protocol Key

Exclusion criteria

1. Any condition that, as assessed by the investigator, may confound the results of the study or pose an additional risk to the participant by study participation 2. History of bleeding in the 6 months prior to randomization requiring hospitalization or transfusion as described in the protocol 3. History of thromboembolic disease or thrombophilia 4. History of major surgery, including brain, spinal, or ocular, or major trauma within approximately the past 6 months prior to randomization 5. Has an estimated Glomerular Filtration Rate (GFR) of \<30 mL/min/1.73 m2 at the screening visit as described in the protocol Note: Other protocol-defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Incidence of the composite endpoint of asymptomatic or symptomatic Venous Thromboembolism (VTE) [including VTE-related death]Through day 12 visit, approximately 14 days

Secondary

MeasureTime frame
Time-to-first event of the composite endpoint of asymptomatic or symptomatic VTE (including VTE-related death)Through day 12 visit, approximately 14 days
Incidence of confirmed symptomatic Deep Venous Thrombosis (DVT)Through day 12 visit, approximately 14 days
Incidence of confirmed Pulmonary Embolism (PE)Through day 12 visit, approximately 14 days
Incidence of VTE-related deathThrough day 12 visit, approximately 14 days
Time-to-first event of confirmed symptomatic DVTThrough day 12 visit, approximately 14 days
Time-to-first event of confirmed PEThrough day 12 visit, approximately 14 days
Time to VTE-related deathThrough day 12 visit, approximately 14 days
Incidence of the composite endpoint of major and Clinically Relevant Non-Major (CRNM) bleedingThrough day 12 visit, approximately 14 days
Incidence of the composite endpoint of asymptomatic or symptomatic VTE (including VTE-related death)Through day 12 visit, approximately 14 days
Incidence of minor bleedingThrough day 12 visit, approximately 14 days
Incidence of Treatment Emergent Adverse Events (TEAEs)Approximately day 90
Occurrence of Anti-Drug Antibodies (ADA) to REGN7508Approximately day 90
Magnitude of ADA to REGN7508Approximately day 90
Concentrations of REGN7508Approximately day 90

Countries

Bulgaria, Hungary, Japan, Latvia, Lithuania, Poland, United States

Contacts

CONTACTClinical Trials Administrator
clinicaltrials@regeneron.com844-734-6643
STUDY_DIRECTORClinical Trial Management

Regeneron Pharmaceuticals

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 10, 2026