New antibody drugs aim to prevent deadly clots in PAD patients after leg surgery
NCT ID NCT07318610
First seen Jun 25, 2026 · Last updated Aug 20, 2026 · Updated 7 times
Summary
This phase 3 trial is testing two experimental drugs, REGN7508 and REGN9933, to prevent serious blood clots in people with peripheral artery disease who recently had leg surgery to improve blood flow. The study will enroll about 7,050 participants and compare the drugs to a placebo and the standard blood thinner rivaroxaban. The goal is to see if these antibodies can reduce the risk of life-threatening events like limb loss, heart attack, or stroke.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- REGN7508 (cenvacibart) and REGN9933 (amrecibart), monoclonal antibodies targeting factor XI
- What this could lead to
- If successful, these drugs could offer a new way to prevent life-threatening blood clots in people with peripheral artery disease after leg surgery, potentially with fewer bleeding risks than current treatments.
- What could go wrong
- This is a large phase 3 trial, but the drugs are still experimental. They may not work better than existing options, and side effects or unexpected bleeding risks could emerge.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 7,050 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Nov 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: 1. Successful LER distal to the external iliac artery for ischemia due to atherosclerotic disease within 10 days prior to randomization as described in the protocol 2. At least 1 of the following enrichment factors for major thrombotic vascular events: 1. Bypass with prosthetic graft 2. Endovascular treatment with stenting 3. Target lesion length \>15 cm 4. History of LER or amputation for PAD prior to qualifying LER 5. Type 2 diabetes mellitus requiring pharmacologic treatment 6. Comorbid symptomatic coronary artery disease as described in the protocol 7. Chronic kidney disease as described in the protocol 8. Age ≥75 years Key Exclusion Criteria: 1. Has any active clinical condition requiring chronic therapeutic anticoagulation after the index revascularization including known triple positive antiphospholipid syndrome 2. Has known bleeding diathesis, platelet count \<50,000/mm\^3 or history of non-traumatic intracerebral hemorrhage, known cerebral amyloid angiopathy, or known unrepaired cerebrovascular malformations 3. Has recent coronary revascularization as described in the protocol 4. For Cohort 2 only: Has estimated Glomerular Filtration Rate (eGFR) \<15 mL/min/1.73m\^2 within 14 days prior to randomization or on dialysis or expected to be started on dialysis within the next 12 weeks starting from randomization 5. Has any other condition or therapy which would make the participant unsuitable for this study or not allow participation for the full planned study period 6. Has allergy, hypersensitivity, or other contraindication to REGN7508, REGN9933, or rivaroxaban (Cohort 2 only) or their excipients Note: Other Protocol Defined Inclusion/ Exclusion Criteria Apply
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
17 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Accellacare of Piedmont, Piedmont Healthcare
RECRUITINGMooresville, North Carolina, 28117, United States
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Angel City Research, Inc.
RECRUITINGLos Angeles, California, 90010, United States
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Apex Research Foundation, LLC
RECRUITINGJackson, Tennessee, 38301, United States
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Applied Research Center of Arkansas
RECRUITINGLittle Rock, Arkansas, 72205, United States
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Axsendo Clinical Research, Integrated Medical Services
RECRUITINGAvondale, Arizona, 85392, United States
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Cardiovascular Solutions
RECRUITINGShreveport, Louisiana, 71103, United States
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Epic Medical Research
RECRUITINGDeSoto, Texas, 75115, United States
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Epic Medical Research-Plano
RECRUITINGPlano, Texas, 75093, United States
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Hightower Clinical
RECRUITINGOklahoma City, Oklahoma, 73102, United States
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Lake Martin Medical and Vascular Center
RECRUITINGAlexander City, Alabama, 35010, United States
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Nature Coast Clinical Research - Cardiology
RECRUITINGCrystal River, Florida, 34429, United States
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Pacific Cardiovascular and Vein Institute
RECRUITINGOxnard, California, 93036, United States
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PharmaTex Research
RECRUITINGAmarillo, Texas, 79106, United States
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Profound Research, Powers Health Medical Group
RECRUITINGMunster, Indiana, 46321, United States
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Tennova TCMC
RECRUITINGKnoxville, Tennessee, 37934, United States
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Vanderbilt Heart and Vascular Tullahoma, Cardiology and Vascular Associates
RECRUITINGTullahoma, Tennessee, 37388, United States
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Vital Heart and Vein
RECRUITINGCypress, Texas, 77429, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new scan predict who will struggle after leg artery surgery?
- Could a vitamin B3 pill boost walking ability in peripheral artery disease?
- Can a drop of blood predict disease years before it strikes?
- Rehab program shows promise in tracking blood flow recovery
- Can a scan predict amputation risk? new study aims to find out.
- Can a bone marrow stimulant help people with leg artery disease walk farther?