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REGN7508 in Adult Participants for Prevention of Cancer-Associated Thrombosis

A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Assess Efficacy and Safety of REGN7508, a Monoclonal Antibody Against FXI, for Primary Prophylaxis of Cancer-Associated Thrombosis for Participants With Solid Tumors Undergoing Cancer Treatment (ROXI-CAT-I)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07410117
Acronym
ROXI-CAT-I
Enrollment
1120
Registered
2026-02-13
Start date
2026-03-09
Completion date
2030-05-06
Last updated
2026-05-27

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

Conditions

Cancer-Associated Thrombosis (CAT)

Keywords

Venous Thromboembolism (VTE), Deep Vein Thrombosis (DVT), Pulmonary Embolism (PE), Arterial Thromboembolism (ATE), Solid tumors (cancers), Clinically Relevant Non-Major (CRNM) bleeding, International Society of Thrombosis and Hemostasis (ISTH)

Brief summary

This study is researching an experimental drug called REGN7508 (called "study drug"). The study is focused on the prevention of Cancer-Associated Thrombosis (CAT) in participants. The aim of the study is to see how effective the study drug is in preventing blood clots in participants with solid tumors who are currently receiving anticancer treatment or planning to start anticancer treatment within a month of being assigned to a study treatment, or recovering from surgery, and how the study drug compares to placebo for CAT. 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

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. Has a histologically confirmed diagnosis of malignant solid tumors which are locally advanced or metastatic as described in the protocol 2. Has a Khorana thromboembolic risk score ≥2 during screening period or harbors a somatic documented tumor genetic variant known to be associated with a similar increased risk of VTE as described in the protocol 3. Has an Eastern Cooperative Oncology Group (ECOG) Performance Status 0 to 2 at the time of screening and day 1 prior to the first dose of study intervention Key

Exclusion criteria

1. Has known bleeding conditions (eg, Hemophilia A or B, von Willebrand's disease), hemorrhagic tumor sites, or other conditions with a high risk for bleeding (eg, hepatic disease associated with coagulopathy) 2. Has a cancer diagnosis consisting solely of basal cell or squamous cell skin carcinoma 3. Has a primary brain tumor or brain metastases as described in the protocol 4. Has proximal lower extremity DVT locally detected by Compression Ultrasound (CUS) during screening period 5. Has any condition that, as judged by the investigator, may confound the results of the study or would place the participant at increased risk of harm if he/she participated in the study Note: Other Protocol Defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Time-to-first event of centrally adjudicated VTE (DVT, PE) or ATE, or thromboembolism- or ATE-related deathThrough 6 months
Time-to-first event of centrally adjudicated International Society of Thrombosis and Hemostasis (ISTH) major bleeding or Clinically Relevant Non-Major (CRNM) bleedingThrough 6 months

Secondary

MeasureTime frame
Time-to-first event of the centrally adjudicated symptomatic or incidental VTE (DVT, PE) or ATE and thromboembolism- or ATE-related deathThrough 6 months
Time-to-first event of symptomatic VTEThrough 6 months
Time-to-first event of symptomatic DVTThrough 6 months
Time-to-first event of symptomatic non-fatal PEThrough 6 months
Time-to-first event of thromboembolism-related deathThrough 6 months
Time-to-first event of incidental VTEThrough 6 months
Time-to-first event of incidental upper extremity or incidental proximal lower extremity DVTThrough 6 months
Time-to-first event of incidental non-fatal PE (in a segmental or larger pulmonary artery)Through 6 months
Time-to-first event of asymptomatic VTE (Asymptomatic DVT detected by lower extremities ultrasound)Through 6 months
Time-to-first event of ATEThrough 6 months
Time-to-first event of ATE-related deathThrough 6 months
Time-to-first event of centrally adjudicated VTE (DVT, PE), or thromboembolism-related deathThrough 6 months
Occurrence of Treatment-Emergent Adverse Events (TEAEs)Up to day 245
Severity of TEAEsUp to day 245
Occurrence of Anti-Drug Antibody (ADA) to REGN7508Up to day 245
Magnitude of ADA to REGN7508Up to day 245

Countries

Georgia, 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: May 28, 2026