RecruitingPhase 3NCT07015905

REGN7508 Versus Apixaban and Enoxaparin for Thromboprophylaxis After Total Knee Arthroplasty in Adults

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)


Sponsor

Regeneron Pharmaceuticals

Enrollment

2,000 participants

Start Date

Jun 25, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study is researching an experimental drug called REGN7508 (called "study drug"). The study is focused on adults undergoing elective, unilateral (one side) total knee replacement surgery. The aim of the study is to see how effective the study drug is at preventing Venous Thromboembolism (VTE) and other related diseases after total knee replacement surgery. 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)


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Is undergoing a primary elective unilateral TKA
  • Is in good health based on laboratory safety testing as described in the protocol
  • Body weight ≤130 kg at screening visit as described in the protocol

Exclusion Criteria5

  • 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
  • History of bleeding in the 6 months prior to randomization requiring hospitalization or transfusion as described in the protocol
  • History of thromboembolic disease or thrombophilia
  • History of major surgery, including brain, spinal, or ocular, or major trauma within approximately the past 6 months prior to randomization
  • Has an estimated Glomerular Filtration Rate (GFR) of \<30 mL/min/1.73 m2 at the screening visit as described in the protocol

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DRUGREGN7508

Administered per the protocol

DRUGApixaban

Administered per the protocol

DRUGEnoxaparin

Administered per the protocol

DRUGPlacebo

Administered per the protocol


Locations(40)

Shoals Medical Trials, Inc.

Sheffield, Alabama, United States

CARI Clinical Trials

Riverside, California, United States

Denver Metro Orthopedics, P.C. Englewood Location

Englewood, Colorado, United States

Delray Physician Care Center

Delray Beach, Florida, United States

Bioresearch Partner

Miami, Florida, United States

Sacred Heart Health System Inc

Pensacola, Florida, United States

Gulfcoast Research Institute

Sarasota, Florida, United States

Phoenix Clinical Research

Tamarac, Florida, United States

Sinai Hospital of Baltimore, Inc.

Baltimore, Maryland, United States

Brigham and Women's Hospital

Boston, Massachusetts, United States

Curalta Clinical Trials

Westwood, New Jersey, United States

Keystone Clinical Studies LLC, dba Flourish Research

Plymouth Meeting, Pennsylvania, United States

HD Research - First Surgical Hospital

Bellaire, Texas, United States

University of Texas (UT); Southwestern Medical Center

Dallas, Texas, United States

NextStage Clinical Research, All American Orthopedics and Sports Medicine

Houston, Texas, United States

Futuro Clinical Trials

McAllen, Texas, United States

Flourish Research - San Antonio (Formerly Clinical Trials of Texas)

San Antonio, Texas, United States

DRx Clinical Research, LLC

St. George, Utah, United States

Multi-profile Hospital for Active Treatment Hearth and Brain EAD

Pleven, Bulgaria

Multiprofile Hospital for Active Treatment; Sveta Sofia EOOD (MBAL Sveta Sofia),

Sofia, Bulgaria

University Multiprofile Hospital for Active Treatment "Prof. Dr. Stoyan Kirkovich"

Stara Zagora, Bulgaria

Gyor-Moson-Sopron Varmegyei Egyetemi Oktato Korhaz

Győr, Győr-Moson-Sopron, Hungary

Semmelweis University

Budapest, Hungary

Kansai Rosai Hospital

Amagasaki-shi, Hyōgo, Japan

Yuuai Medical Center

Tomigusuku, Okinawa, Japan

National Hospital Organization Osaka Minami Medical Center

Kawachi-Nagano, Osaka, Japan

Osaka Saiseikai Nakatsu Hospital

Kita-Ku, Osaka, Japan

Juntendo University Hospital

Bunkyo-ku, Tokyo, Japan

Saga University Hospital

Saga, Japan

Liepajas regionala slimnica; SIA

Liepāja, Latvia

Rigas 2 slimnica, SIA

Riga, Latvia

Hospital of Traumatology and Orthopaedics

Riga, Latvia

ORTO Klinika

Riga, Latvia

Vidzemes slimnica

Valmiera, Latvia

Lietuvos sveikatos mokslu universiteto Kauno ligonine

Kaunas, Lithuania

Lietuvos sveikatos mokslu universiteto ligonine Kauno klinik

Kaunas, Lithuania

Vsi Klaipedos Universitetine Ligonine

Klaipėda, Lithuania

Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie sp. z o.o.

Krakow, Poland

Uniwersytecki Szpital Kliniczny nr.2 Uniwersytetu Medycznego w Lodzi

Lodz, Poland

Samodzieny Publiczny Zaklad Opieki Zdorowotne (SP ZOZ) Centralny Szpital Kliniczny Uniwersytetu Medycznego w Lodzi - Hematology

Lodz, Poland

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT07015905


Related Trials