Clinical trial Recruiting at 55 sites Phase 3 Interventional Ages 18 and up

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.

More Venous Thromboembolism (VTE) trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment2000 (estimated)
SponsorRegeneron Pharmaceuticals
Industry-sponsored
Locations57 sites (La Mesa, California and 56 other locations)
StatusRecruiting
StartedNovember 24, 2025
Main results expectedMay 17, 2027
Study endsJuly 16, 2027
Registry record updatedNovember 5, 2026
Trial IDNCT07213778 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.