Three antibodies plus heparin in adults with end-stage kidney disease on dialysis
Official title: A Master Protocol for a Phase 1b Double-Blind, Randomized Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of REGN9933 and REGN7508, Factor XI Monoclonal Antibodies, and REGN9533, a Factor XII Monoclonal Antibody, in Participants With End-Stage Kidney Disease on Hemodialysis
Run by Regeneron Pharmaceuticals · NCT07759167 · Data updated 2026-11-12
This study tests three investigational antibodies (REGN9933, REGN7508, REGN9533) in adults with end-stage kidney disease on hemodialysis who are already using heparin to prevent clots.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 36 (estimated) |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Locations | 1 site (Ghent, Oost-Vlaanderen) |
| Status | Recruiting |
| Started | September 17, 2026 |
| Main results expected | April 2, 2027 |
| Study ends | April 2, 2027 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07759167 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with end-stage kidney disease on regular hemodialysis, receiving heparin during dialysis, and without recent major bleeding or high-bleeding risk conditions.
✕Probably not a fit
Patients with recent major bleeding, known bleeding disorders, current use of oral anticoagulants or certain antiplatelet therapies, or heart failure may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional, phase 1 study evaluates the safety and pharmacokinetics of three investigational monoclonal antibodies (REGN9933, REGN7508, REGN9533) in adults undergoing hemodialysis for end-stage kidney disease and receiving standard anticoagulation with heparin. Participants will be monitored for side effects and how the drugs behave in the blood, including concentrations over time and effects on clotting. The study also aims to see whether these antibodies influence normal blood clotting while patients continue standard dialysis treatment. Enrollment focuses on stable patients meeting specific health criteria and excludes those with recent major bleeding or other high bleeding risk conditions. Lead sponsor is Regeneron Pharmaceuticals, with study sites at Ghent University Hospital in Belgium.
Why it matters
Potential benefit: If successful, the antibodies could offer a new option to manage clotting risk in dialysis patients with ESKD.
How similar studies have gone: Prior approaches with similar monoclonal antibodies in related settings have shown measurable pharmacokinetics and safety signals, but this exact combination in dialysis patients is exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. Has ESKD and has regular adherence receiving HD 3 times per week as described in the protocol 2. Is receiving heparin (standard of care) anticoagulation, with no history of intolerability, during each dialysis session 3. Has adequate vascular access 4. Is clinically stable with no hospitalizations in the past 30 days prior to first screening visit as described in the protocol Key Exclusion Criteria: 1. Has history of major bleeding (International Society on Thrombosis and Haemostasis \[ISTH\]) criteria) within the past 3 months prior to the first screening visit as described in the protocol 2. Has known bleeding conditions (eg, Hemophilia A, B or C, von Willebrand's disease) hemorrhagic tumor sites, or other conditions with a high risk for bleeding (eg, hepatic disease associated with coagulopathy) 3. Current use of oral anticoagulants (eg, warfarin, Direct Oral Anti-Coagulant \[DOACs\]) or dual antiplatelet therapy for clinical indication 4. Heart failure as classified by New York Heart Association (NYHA) class III or IV 5. Has a sustained uncontrolled hypertension as described in the protocol Note: Other protocol-defined Inclusion/ Exclusion criteria apply
Where it's running
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Universitair Ziekenhuis (UZ) Gent/ Ghent University Hospital
Ghent, Oost-Vlaanderen, Belgium Recruiting
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.