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REGN7508 Versus Acetylsalicylic Acid (ASA) for Venous Thromboprophylaxis After Total Knee Arthroplasty in Adult Participants

A Phase 3, Multicenter, Double-Blinded, Randomized Study to Evaluate REGN7508, a Factor XI Monoclonal Antibody, Versus Acetylsalicylic Acid for Prophylaxis of Symptomatic Venous Thromboembolism After Elective Total Knee Arthroplasty (ROXI-ASPEN)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07213778
Acronym
ROXI-ASPEN
Enrollment
2000
Registered
2025-10-09
Start date
2025-11-24
Completion date
2027-07-16
Last updated
2026-03-18

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

Conditions

Symptomatic Venous Thromboembolism (VTE)

Keywords

Total Knee Arthroplasty (TKA), Elective Unilateral TKA, Deep Vein Thrombosis (DVT), Pulmonary Embolism (PE)

Brief summary

This study is researching an experimental drug called REGN7508 versus Acetylsalicylic Acid (ASA) (each 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 compared to acetylsalicylic acid. 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

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
QUADRUPLE (Subject, Caregiver, 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 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; history of intracranial or intraocular bleeding, excessive operative or post-operative bleeding, and traumatic spinal or epidural anesthesia; history of bleeding diathesis (eg, hemophilia A or B, von Willebrand's Factor deficiency) 3. History of thromboembolic disease or thrombophilia 4. History of platelet dysfunction 5. Has received or plans to receive preoperative enoxaparin on the day prior to TKA surgery Note: Other protocol-defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Incidence of the composite endpoint of symptomatic VTE and VTE-related deathThrough day 30 visit

Secondary

MeasureTime frame
Incidence of confirmed symptomatic Deep Vein Thrombosis (DVT)Through day 30 visit
Incidence of confirmed Pulmonary Embolism (PE)Through day 30 visit
Incidence of VTE-related deathThrough day 30 visit
Time to first event of the composite endpoint of symptomatic VTE and VTE-related deathThrough day 30 visit
Time to first event of confirmed symptomatic DVTThrough day 30 visit
Time to first event of confirmed PEThrough day 30 visit
Time to VTE-related deathThrough day 30 visit
Incidence of the composite endpoint of major bleeding and Clinically Relevant Non-Major (CRNM) bleedingThrough day 30 visit
Incidence of minor bleedingThrough day 30 visit
Incidence of Treatment-Emergent Adverse Events (TEAEs)Through day 90 visit
Severity of TEAEsThrough day 90 visit
Incidence of Anti-drug Antibody (ADA) to REGN7508Through day 90 visit
Magnitude of ADA to REGN7508Through day 90 visit
Concentrations of REGN7508Through day 90 visit

Countries

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 19, 2026