Clinical trial Recruiting at 43 sites Phase 3 Interventional Ages 18 and up

REGN7508 versus apixaban and enoxaparin for preventing blood clots after total knee replacement

Official title: 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)

Run by Regeneron Pharmaceuticals · NCT07015905 · Data updated 2026-11-12

This trial will test whether REGN7508 prevents blood clots after elective one-sided total knee replacement in adults compared with apixaban, enoxaparin, or placebo.

More Venous Thromboembolism (VTE) trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment2000 (estimated)
SponsorRegeneron Pharmaceuticals
Industry-sponsored
Locations47 sites (Sheffield, Alabama and 46 other locations)
StatusRecruiting
StartedJune 25, 2025
Main results expectedFebruary 20, 2027
Study endsMay 12, 2027
Registry record updatedNovember 6, 2026
Trial IDNCT07015905 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults undergoing elective primary unilateral total knee replacement who meet protocol safety criteria (including weight ≤130 kg and acceptable kidney function) and have no recent bleeding or thromboembolic history are ideal candidates.

Probably not a fit

People with a history of thromboembolic disease or thrombophilia, recent major surgery or bleeding, or severe kidney impairment (eGFR <30 mL/min/1.73 m2) are unlikely to be eligible or to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 randomized trial compares REGN7508, an investigational Factor XI–targeting drug, with standard anticoagulants apixaban and enoxaparin (and placebo) for preventing venous thromboembolism after elective unilateral total knee arthroplasty. Adults who meet weight, renal, and lab safety criteria and are undergoing primary unilateral TKA are randomized to a treatment arm and followed for post-operative VTE events, bleeding, drug levels, and anti-drug antibodies. Key exclusions include recent major surgery or trauma, recent significant bleeding, prior thromboembolic disease or known thrombophilia, and severe renal impairment. Multiple U.S. orthopedic clinical sites are enrolling participants and collecting safety and efficacy data.

Why it matters

Potential benefit: If successful, REGN7508 could offer an effective option to prevent post-knee-replacement blood clots with a different bleeding-risk profile than current anticoagulants.

How similar studies have gone: Other Factor XI–targeting agents have shown promising phase 2 signals of VTE prevention with potentially less bleeding, but confirmatory phase 3 evidence is limited.

Who can join: the full rules

Show full inclusion / exclusion 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/ Exclusion Criteria apply

Where it's running

  • Shoals Medical Trials, Inc.
    Sheffield, Alabama, United States
    Recruiting
  • CARI Clinical Trials
    Riverside, California, United States
    Recruiting
  • Denver Metro Orthopedics, P.C. Englewood Location
    Englewood, Colorado, United States
    Recruiting
  • Delray Physician Care Center
    Delray Beach, Florida, United States
    Recruiting
  • Bioresearch Partner
    Miami, Florida, United States
    Recruiting
  • Sacred Heart Health System Inc
    Pensacola, Florida, United States
    Recruiting
Show 41 more locations
  • Gulfcoast Research Institute
    Sarasota, Florida, United States
    Recruiting
  • Phoenix Clinical Research
    Tamarac, Florida, United States
    Recruiting
  • Sinai Hospital of Baltimore, Inc.
    Baltimore, Maryland, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Curalta Clinical Trials
    Westwood, New Jersey, United States
    Recruiting
  • Duke University Health System (Duke Health), Duke University Hospital
    Durham, North Carolina, United States
    Recruiting
  • HD Research - First Surgical Hospital
    Bellaire, Texas, United States
    Recruiting
  • University of Texas (UT); Southwestern Medical Center
    Dallas, Texas, United States
    Recruiting
  • Futuro Clinical Trials
    McAllen, Texas, United States
    Recruiting
  • Flourish Research - San Antonio (Formerly Clinical Trials of Texas)
    San Antonio, Texas, United States
    Recruiting
  • DRx Clinical Research, LLC; South Texas Bone and Joint Institute
    San Antonio, Texas, United States
    Recruiting
  • DRx Clinical Research, LLC
    St. George, Utah, United States
    Recruiting
  • Multi-profile Hospital for Active Treatment Hearth and Brain EAD
    Pleven, Bulgaria
    Recruiting
  • Multiprofile Hospital for Active Treatment; Sveta Sofia EOOD (MBAL Sveta Sofia),
    Sofia, Bulgaria
    Recruiting
  • Szegedi Tudomanyegyetem; Albert Szent-Gyorgyi Clinical Center
    Szeged, Csongrad-Csanad, Hungary
    Recruiting
  • Gyor-Moson-Sopron Varmegyei Egyetemi Oktato Korhaz
    Győr, Győr-Moson-Sopron, Hungary
    Recruiting
  • University of Debrecen
    Debrecen, Hajdú-Bihar, Hungary
    Recruiting
  • Semmelweis University
    Budapest, Hungary
    Recruiting
  • Kansai Rosai Hospital
    Amagasaki-shi, Hyōgo, Japan
    Recruiting
  • Yuuai Medical Center
    Tomigusuku, Okinawa, Japan
    Recruiting
  • National Hospital Organization Osaka Minami Medical Center
    Kawachi-Nagano, Osaka, Japan
    Recruiting
  • Osaka Saiseikai Nakatsu Hospital
    Kita-Ku, Osaka, Japan
    Recruiting
  • Juntendo University Hospital
    Bunkyo-ku, Tokyo, Japan
    Recruiting
  • Saga University Hospital
    Saga, Japan
    Recruiting
  • Liepajas regionala slimnica; SIA
    Liepāja, Latvia
    Recruiting
  • Rigas 2 slimnica, SIA
    Riga, Latvia
    Recruiting
  • Hospital of Traumatology and Orthopaedics
    Riga, Latvia
    Recruiting
  • ORTO Klinika
    Riga, Latvia
    Recruiting
  • Vidzemes slimnica
    Valmiera, Latvia
    Recruiting
  • Lietuvos sveikatos mokslu universiteto Kauno ligonine
    Kaunas, Lithuania
    Recruiting
  • Lietuvos sveikatos mokslu universiteto ligonine Kauno klinik
    Kaunas, Lithuania
    Recruiting
  • Vsi Klaipedos Universitetine Ligonine
    Klaipėda, Lithuania
    Recruiting
  • Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie sp. z o.o.
    Krakow, Poland
    Recruiting
  • Samodzieny Publiczny Zaklad Opieki Zdorowotne (SP ZOZ) Centralny Szpital Kliniczny Uniwersytetu Medycznego w Lodzi - Hematology
    Lodz, Poland
    Recruiting
  • Ortopedyczno-Rehabilitacyjny Szpital Kliniczny im. Wiktora Degi Uniwersytetu Medycznego w Poznaniu
    Poznan, Poland
    Recruiting
  • Arensia Clinics S.R.L
    Bucharest, Romania
    Recruiting
  • ARENSIA Exploratory Medicine, County Hospital Cluj-Napoca
    Cluj-Napoca, Romania
    Recruiting
  • Keystone Clinical Studies LLC, dba Flourish Research
    Plymouth Meeting, Pennsylvania, United States
    Withdrawn
  • NextStage Clinical Research, All American Orthopedics and Sports Medicine
    Houston, Texas, United States
    Completed
  • University Multiprofile Hospital for Active Treatment "Prof. Dr. Stoyan Kirkovich"
    Stara Zagora, Bulgaria
    Withdrawn
  • Uniwersytecki Szpital Kliniczny nr.2 Uniwersytetu Medycznego w Lodzi
    Lodz, Poland
    Completed

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.