REGN7508 versus Acetylsalicylic Acid (ASA) for Venous Thromboprophylaxis after Total Knee Arthroplasty in Adult Participants

2025-520479-25-00 Protocol R7508-DVT-24120 Therapeutic confirmatory (Phase III) Authorised, recruitment pending

Status Authorised, recruitment pending · 2 EU/EEA countries · 5 sites · Protocol R7508-DVT-24120

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruitment pending
Participants planned 1,900
Countries 2
Sites 5

Symptomatic Venous Thromboembolism (VTE)

To evaluate the efficacy of IV REGN7508 for the prevention of symptomatic VTE after TKA compared to ASA

Key facts

Sponsor
Regeneron Pharmaceuticals Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Decision date (initial)
2026-04-01
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2025-520479-25-00
ClinicalTrials.gov
NCT07213778

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Pharmacodynamic, Pharmacokinetic, Safety

To evaluate the efficacy of IV REGN7508 for the prevention of symptomatic VTE after TKA compared to ASA

Secondary objectives 6

  1. To evaluate the efficacy of IV REGN7508 for the prevention of symptomatic clinical venous thrombosis compared to ASA
  2. To evaluate the clinically relevant bleeding risks of IV REGN7508 for the prevention of VTE after TKA compared to ASA
  3. To evaluate the occurrence of minor bleeding following REGN7508 compared to ASA
  4. To evaluate the overall safety and tolerability of IV REGN7508 in participants undergoing TKA
  5. To evaluate immunogenicity following a single dose of REGN7508
  6. To evaluate the PK following treatment with REGN7508

Conditions and MedDRA coding

Symptomatic Venous Thromboembolism (VTE)

VersionLevelCodeTermSystem organ class
21.1 LLT 10043565 Thromboembolic event 10047065

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
Yes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Is undergoing a primary elective unilateral TKA.
  2. Is in good health based on laboratory safety testing as described in the protocol
  3. Other protocol-defined Inclusion criteria apply

Exclusion criteria 6

  1. Has 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. Has a 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. Has a history of thromboembolic disease or thrombophilia.
  4. Has a history of platelet dysfunction.
  5. Has received or plans to receive preoperative enoxaparin on the day prior to TKA surgery
  6. Other protocol-defined Exclusion criteria apply

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Incidence of the composite endpoint of symptomatic VTE and VTE-related death

Secondary endpoints 14

  1. Incidence of confirmed symptomatic Deep Vein Thrombosis (DVT)
  2. Incidence of confirmed Pulmonary Embolism (PE)
  3. Incidence of VTE-related death
  4. Time to first event of the composite endpoint of symptomatic VTE and VTE-related death
  5. Time to first event of confirmed symptomatic DVT
  6. Time to first event of confirmed PE
  7. Time to VTE-related death
  8. Incidence of the composite endpoint of major bleeding and Clinically Relevant Non-Major (CRNM) bleeding
  9. Incidence of minor bleeding
  10. Incidence of Treatment-Emergent Adverse Events (TEAEs)
  11. Severity of TEAEs
  12. Incidence of Anti-drug Antibody (ADA) to REGN7508
  13. Magnitude of ADA to REGN7508
  14. Concentrations of REGN7508

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

REGN7508

PRD9854810 · Product

Active substance
REGN7508
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INJECTION
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
REGENERON PHARMACEUTICALS, INC.
Paediatric formulation
No
Orphan designation
No

Comparator 1

Acetylsalicylic Acid

SUB12730MIG · Substance

Active substance
Acetylsalicylic Acid
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
00 mg milligram(s)
Max total dose
00 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The over-encapsulated comparator is Aspirin tablet within Swedish orange capsules. The composition of the Aspirin is not altered during over-encapsulation.

Placebo 2

Placebo for Acetylsalicylic Acid

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Placebo for REGN7508

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Regeneron Pharmaceuticals Inc.

Sponsor organisation
Regeneron Pharmaceuticals Inc.
Address
777 Old Saw Mill River Road
City
Tarrytown
Postcode
10591-6717
Country
United States

Scientific contact point

Organisation
Regeneron Pharmaceuticals Inc.
Contact name
Medical Affairs

Public contact point

Organisation
Regeneron Pharmaceuticals Inc.
Contact name
Medical Affairs

Third parties 6

OrganisationCity, countryDuties
Optimapharm Greece Consulting Research Single Member S.A.
ORG-100027855
Holargos, Greece On site monitoring, Code 5
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland Other
Perceptive Informatics Inc.
ORG-100013171
Burlington, United States Interactive response technologies (IRT)
Clariness GmbH
ORG-100045306
Hamburg, Germany Other
SanaClis s.r.o.
ORG-100033651
Ruzinov, Slovakia Other
Pharmaceutical Product Development LLC
ORG-100016999
Highland Heights, United States Other

Locations

2 EU/EEA countries · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
Greece Authorised, recruitment pending 40 3
Italy Authorised, recruitment pending 18 2
Rest of world
Malaysia, Canada, Moldova, Republic of, United States
1,842

Investigational sites

Greece

3 sites · Authorised, recruitment pending
General Hospital Of Nea Ionia Konstantopouleio Patision
2nd University Department of Orthopedics, Konstantopoulou Th. 3-5, 142 33, Nea Ionia
Henry Dunant Hospital Center
7th Orthopaedic Department, 107 Mesogeion Avenue, 115 26, Athens
Organization Academic Orthopaedic Department Papageorgiou G.H. Auth
University Orthopaedic Department, Neas Paralias, 546 45, Thessaloniki

Italy

2 sites · Authorised, recruitment pending
Ospedale Israelitico
Ortopedia e Traumatologia, Via Fulda 14, 00148, Rome
Ospedale Galeazzi S.p.A.
Biomedical Sciences for Health, Via Cristina Belgioioso 173, 20157, Milan

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 17 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2025-520479-25-00_Redacted 1.0
Protocol (for publication) D1_Protocol 2025-520479-25-00_Redacted_GR 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF_FBR_Greece_FP 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Greece_Redacted__FP 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Italy_Redacted__FP 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Personal Data_Italy_FP 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_PGx_Greece_FP 1
Subject information and informed consent form (for publication) L1_SIS and ICF_PP_Greece_FP 1
Subject information and informed consent form (for publication) L1_SIS and ICF_PP_Italy_FP 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_ASA 75mg 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_USPI_ASA 81mg 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis 2025-520479-25-00_Redacted 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis 2025-520479-25-00_Redacted_ES 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis 2025-520479-25-00_Redacted_GR 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis 2025-520479-25-00_Redacted_IT 1.0

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-11-26 Acceptable
2026-03-31
2026-04-01