REGN7508 versus aspirin to prevent blood clots after single-knee replacement
Official title: 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)
Run by Regeneron Pharmaceuticals · NCT07213778 · Data updated 2026-11-12
This tests whether REGN7508 or aspirin better prevents blood clots in adults having elective single-knee replacement surgery.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Locations | 57 sites (La Mesa, California and 56 other locations) |
| Status | Recruiting |
| Started | November 24, 2025 |
| Main results expected | May 17, 2027 |
| Study ends | July 16, 2027 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT07213778 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults scheduled for a primary elective unilateral total knee arthroplasty who are in good health by protocol laboratory tests and who meet the inclusion/exclusion criteria are ideal candidates.
✕Probably not a fit
Patients with recent significant bleeding, known thromboembolic disease or thrombophilia, platelet disorders, or those receiving preoperative enoxaparin are unlikely to benefit and are excluded.
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 interventional trial compares REGN7508, acetylsalicylic acid (aspirin), and placebo for prevention of venous thromboembolism after elective unilateral total knee arthroplasty in adults. Participants judged medically fit will receive one of the study drugs and be followed for VTE events, safety, drug blood levels, and formation of anti-drug antibodies. Key exclusions include recent major bleeding, prior thromboembolic disease or thrombophilia, platelet dysfunction, and receipt of preoperative enoxaparin. The trial is sponsored by Regeneron Pharmaceuticals and is being conducted at several U.S. clinical sites.
Why it matters
Potential benefit: If successful, REGN7508 could offer an alternative to aspirin that reduces post-operative blood clots with a different safety or dosing profile.
How similar studies have gone: Aspirin and other anticoagulants are established for VTE prevention after TKA, while monoclonal antibody approaches like REGN7508 are newer and have limited large-scale Phase 3 experience to date.
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 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/ Exclusion criteria apply
Where it's running
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Horizon Clinical Research
La Mesa, California, United States Recruiting -
Eisenhower Medical Center
Rancho Mirage, California, United States Recruiting -
CARI Clinical Trials
Riverside, California, United States Recruiting -
HCA HealthONE Centennial
Englewood, Colorado, United States Recruiting -
HCA HealthONE, HCA HealthONE Sky Ridge
Lone Tree, Colorado, United States Recruiting -
South Florida Joint Replacement Center
Deerfield Beach, Florida, United States Recruiting
Show 44 more locations
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Delray Physician Care Center
Delray Beach, Florida, United States Recruiting -
Medical Research of Westchester - MPLUS Research Network
Miami, Florida, United States Recruiting -
Larkin Community Hospital South Miami
South Miami, Florida, United States Recruiting -
Phoenix Clinical Research
Tamarac, Florida, United States Recruiting -
Endeavor Health
Skokie, Illinois, United States Recruiting -
The Orthopaedic Research Foundation, Inc.
Indianapolis, Indiana, United States Recruiting -
NextStage Clinical Research, St. Francis Medical Park
Wichita, Kansas, United States Recruiting -
Velocity Clinical Research, Annapolis
Annapolis, Maryland, United States Recruiting -
Mercy Medical Center
Baltimore, Maryland, United States Recruiting -
Sinai Hospital of Baltimore, Inc.
Baltimore, Maryland, United States Recruiting -
Tufts Medical Center
Boston, Massachusetts, United States Recruiting -
Boston Medical Center
Boston, Massachusetts, United States Recruiting -
Holy Name Medical Center
Teaneck, New Jersey, United States Recruiting -
NYU Langone
New York, New York, United States Recruiting -
Northwell Orthopaedic Institute
New York, New York, United States Recruiting -
University of Rochester Medical Center
Rochester, New York, United States Recruiting -
UBMD Orthopaedics and Sports Medicine
Williamsville, New York, United States Recruiting -
Atrium Health Musculoskeletal Institute and Sports Medicine
Charlotte, North Carolina, United States Recruiting -
Duke University Health System (Duke Health), Duke University Hospital
Durham, North Carolina, United States Recruiting -
Eximia Equihealth Research-Raleigh. LLC
Raleigh, North Carolina, United States Recruiting -
The Vein and Vascular Center at Raleigh Radiology
Raleigh, North Carolina, United States Recruiting -
Coastal Vascular Institute, PA
Wilmington, North Carolina, United States Recruiting -
University of Cincinnati
Cincinnati, Ohio, United States Recruiting -
The Ohio State University Wexner Medical Center
Columbus, Ohio, United States Recruiting -
Ohio Clinical Trials
Columbus, Ohio, United States Recruiting -
Penn State Health Milton S. Hershey Medical Center
Hershey, Pennsylvania, United States Recruiting -
University of Pittsburgh
Pittsburgh, Pennsylvania, United States Recruiting -
Keystone Clinical Studies LLC, dba Flourish Research
Plymouth Meeting, Pennsylvania, United States Recruiting -
NextStage Clinical Research, All American Orthopedics and Sports Medicine
Houston, 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
St. George, Utah, United States Recruiting -
Carilion Clinic
Roanoke, Virginia, United States Recruiting -
Spokane Joint Replacement Center
Spokane, Washington, United States Recruiting -
Henry Dunant Hospital Center
Athens, Attica, Greece Recruiting -
National and Kapodistrian University of Athens, General Hospital of Nea Ionia Konstantopouleio Patision
Nea Ionia, Attica, Greece Recruiting -
Papageorgiou General Hospital of Thessaloniki
Thessaloniki, Central Macedonia, Greece Recruiting -
Sultan Abdul Halim Hospital
Sungai Petani, Kedah, Malaysia Recruiting -
Hospital Pakar Universiti Sains Malaysia
Kota Bharu, Kelantan, Malaysia Recruiting -
Universiti Malaya Medical Centre
Kuala Lumpur, Kuala Lumpur, Malaysia Recruiting -
Hospital Tengku Ampuan Afzan (HTTA)
Kuantan, Pahang, Malaysia Recruiting -
Hospital Queen Elizabeth II
Kota Kinabalu, Sabah, Malaysia Recruiting -
PMSI Emergency Medicine Institute
Chisinau, Moldova Recruiting -
Hospital Miks Ospitalea
Vitoria-Gasteiz, Araba/Alava, Spain Recruiting
+7 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
- Phone: 844-734-6643
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.