New antibody drug aims to prevent strokes in irregular heartbeat
NCT ID NCT07626411
First seen Jun 27, 2026 · Last updated Sep 17, 2026 · Updated 4 times
Summary
This large phase 3 trial tests an experimental drug, REGN7508, against the standard blood thinner apixaban for preventing strokes in people with atrial fibrillation (an irregular heartbeat). The study will enroll over 15,000 participants to compare how well each drug prevents strokes and serious bleeding. The goal is to see if REGN7508 is a safe and effective alternative.
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), a monoclonal antibody
- What this could lead to
- If successful, this could offer a new, potentially safer option for preventing strokes in people with atrial fibrillation.
- What could go wrong
- This is a large phase 3 trial, but the drug is still experimental. It may not prove safer or more effective than apixaban, and there is a risk of unexpected side effects.
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 15,364 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Dec 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. Has AF or flutter (paroxysmal or persistent), not considered to be secondary to a reversible cause, and an indication for indefinite anticoagulation treatment as described in the protocol 2. Meets one of the following: 1. CHA2DS2-VA \[C: Congestive heart failure; H: Hypertension; A2: Age ≥75 years (double points); D: Diabetes mellitus; S2: Stroke or TIA or Systemic embolism (double points); V: Vascular disease; A: Age 65-74 years\] score ≥2 and Oral Anticoagulant (OAC) naïve OR 2. CHA2DS2-VA score ≥3 OR 3. CHA2DS2-VA score of 2 AND at least 1 enrichment criteria as described in the protocol 3. Must have an International Normalized Ratio (INR) \<2.5 at the time of randomization if taking warfarin or another Vitamin K Antagonist (VKA) Key Exclusion Criteria: 1. Has a mechanical heart valve prosthesis (Note: transcatheter aortic valve replacement is not an exclusion) 2. Has known moderate-to-severe mitral stenosis 3. Has had a successful ablation therapy without documented recurrent AF or a participant after Left Atrial Appendage (LAA) occlusion/exclusion or plan for ablation or LAA occlusion/exclusion within the next 6 months starting from randomization 4. Had an ischemic stroke within 2 days prior to randomization 5. Has persistent, uncontrolled hypertension (per investigator's discretion) 6. Has estimated Glomerular Filtration Rate (eGFR) \<15 mL/min/1.73m2 within 30 days prior to randomization or is on dialysis or expected to be started on dialysis within the next 6 months starting from randomization 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
32 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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Advanced Cardiovascular
RECRUITINGAlexander City, Alabama, 35010, United States
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Anderson Medical Research
RECRUITINGFt. Washington, Maryland, 20744, United States
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Atlanta Clinical Research Centers
RECRUITINGAtlanta, Georgia, 30342, United States
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Cardiology Associates Medical Group
RECRUITINGVentura, California, 93003, United States
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Cardiovascular Center of Sarasota Foundation for Research and Education
RECRUITINGSarasota, Florida, 34239, United States
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Carient Heart & Vascular
RECRUITINGManassas, Virginia, 20109, United States
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Conquest Research
RECRUITINGVienna, Virginia, 22182, United States
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Hawthorne Health, Moose Pharmacy of Concord
RECRUITINGConcord, North Carolina, 28025, United States
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Interventional Cardiology Medical Group
RECRUITINGWest Hills, California, 91307, United States
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K&R Research LLC
RECRUITINGMarion, Ohio, 43302, United States
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Mission Cardiovascular Research Institute
RECRUITINGFremont, California, 94538, United States
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Monroe Research, LLC
RECRUITINGWest Monroe, Louisiana, 71291, United States
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NSC Research, Inc
RECRUITINGJohns Creek, Georgia, 30024, United States
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Nouvelle Clinical Research LLC
RECRUITINGCutler Bay, Florida, 33189, United States
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PanAmerican Clinical Research
RECRUITINGBrownsville, Texas, 78520, United States
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Permian Research Foundation
RECRUITINGOdessa, Texas, 79761, United States
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PharmaTex Research
RECRUITINGAmarillo, Texas, 79106, United States
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Profound Research LLC at San Diego Cardiovascular Associates
RECRUITINGLa Jolla, California, 92037, United States
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Profound Research, Cardiology and Vascular Associates (CAVA) - Bloomfield Hills
RECRUITINGBloomfield Hills, Michigan, 48304, United States
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Profound Research, Millennium Cardiology
RECRUITINGFarmington Hills, Michigan, 48334, United States
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Profound Research, Powers Health Medical Group - Electrophysiology
RECRUITINGMunster, Indiana, 46321, United States
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Radin Cardiovascular Medical Group
RECRUITINGNewport Beach, California, 92663, United States
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SEC Clinical Research
RECRUITINGDothan, Alabama, 36305, United States
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Sec Clinical Research
RECRUITINGPensacola, Florida, 32503, United States
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Southern California Heart Specialists
RECRUITINGPasadena, California, 91105, United States
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Sun City Clinical Research
RECRUITINGGlendale, Arizona, 85351, United States
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Super Health Pharmacy
RECRUITINGStaten Island, New York, 10309, United States
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Synergy Group Medical, LLC
RECRUITINGMissouri City, Texas, 77459, United States
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Synergy Groups Medical
RECRUITINGHouston, Texas, 77061, United States
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Tennessee Center for Clinical Trials
RECRUITINGTullahoma, Tennessee, 37388, United States
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Valley Clinical Trials, LLC dba Flourish Research
RECRUITINGNorthridge, California, 91325, United States
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West Houston Area Clinical Trial Consultants, LLC
RECRUITINGHouston, Texas, 77094, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a checklist and heart monitor stop repeat strokes?
- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
- Two ways to quiet a racing heart: trial pits hybrid ablation against standard catheter treatment
- Stroke's hidden heart rhythm clue under investigation
- Suture device may get heart patients walking sooner after leg vein procedures
- Two ways to catch a hidden heart rhythm after stroke