New shot could replace pills to prevent clots after knee surgery
NCT ID NCT07015905
First seen Jun 27, 2026 · Last updated Sep 16, 2026 · Updated 4 times
Summary
This study tests an experimental drug called REGN7508 (cenvacibart) to prevent venous thromboembolism (blood clots) in adults after elective total knee replacement. About 2,000 participants will receive either REGN7508, apixaban, or enoxaparin to compare effectiveness and safety. The goal is to see if REGN7508 works as well or better than standard blood thinners with fewer side effects.
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 that blocks factor XI to prevent blood clots
- What this could lead to
- If successful, REGN7508 could offer a new option to prevent dangerous blood clots after knee replacement surgery, potentially with fewer bleeding risks than current treatments.
- 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 existing blood thinners, and there is always a risk of unexpected side effects like bleeding or allergic reactions.
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 2,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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May 2027
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. Is undergoing a primary elective unilateral TKA 2. Is in good health based on laboratory safety testing as described in the protocol 3. Body weight ≤130 kg at screening visit as described in the protocol Key Exclusion Criteria: 1. 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. History of bleeding in the 6 months prior to randomization requiring hospitalization or transfusion as described in the protocol 3. History of thromboembolic disease or thrombophilia 4. History of major surgery, including brain, spinal, or ocular, or major trauma within approximately the past 6 months prior to randomization 5. Has an estimated Glomerular Filtration Rate (GFR) of \<30 mL/min/1.73 m2 at the screening visit as described in the protocol Note: Other protocol-defined Inclusion/ Exclusion Criteria apply
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Get notified about this study
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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
47 sites in 8 countries. 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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ARENSIA Exploratory Medicine, County Hospital Cluj-Napoca
RECRUITINGCluj-Napoca, 400006, Romania
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Arensia Clinics S.R.L
RECRUITINGBucharest, 011658, Romania
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Bioresearch Partner
RECRUITINGMiami, Florida, 33175, United States
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Brigham and Women's Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
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CARI Clinical Trials
RECRUITINGRiverside, California, 92504, United States
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Curalta Clinical Trials
RECRUITINGWestwood, New Jersey, 07675, United States
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DRx Clinical Research, LLC
RECRUITINGSt. George, Utah, 84770, United States
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DRx Clinical Research, LLC; South Texas Bone and Joint Institute
RECRUITINGSan Antonio, Texas, 78249, United States
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Delray Physician Care Center
RECRUITINGDelray Beach, Florida, 33445, United States
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Denver Metro Orthopedics, P.C. Englewood Location
RECRUITINGEnglewood, Colorado, 80113, United States
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Duke University Health System (Duke Health), Duke University Hospital
RECRUITINGDurham, North Carolina, 27710, United States
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Flourish Research - San Antonio (Formerly Clinical Trials of Texas)
RECRUITINGSan Antonio, Texas, 78229, United States
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Futuro Clinical Trials
RECRUITINGMcAllen, Texas, 78501, United States
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Gulfcoast Research Institute
RECRUITINGSarasota, Florida, 34232, United States
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Gyor-Moson-Sopron Varmegyei Egyetemi Oktato Korhaz
RECRUITINGGyőr, Győr-Moson-Sopron, 9024, Hungary
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HD Research - First Surgical Hospital
RECRUITINGBellaire, Texas, 77401, United States
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Hospital of Traumatology and Orthopaedics
RECRUITINGRiga, LV-1005, Latvia
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Juntendo University Hospital
RECRUITINGBunkyo-ku, Tokyo, 113-8431, Japan
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Kansai Rosai Hospital
RECRUITINGAmagasaki-shi, Hyōgo, 660-8511, Japan
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Keystone Clinical Studies LLC, dba Flourish Research
RECRUITINGPlymouth Meeting, Pennsylvania, 19462, United States
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Liepajas regionala slimnica; SIA
RECRUITINGLiepāja, LV-3414, Latvia
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Lietuvos sveikatos mokslu universiteto Kauno ligonine
RECRUITINGKaunas, LT-47144, Lithuania
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Lietuvos sveikatos mokslu universiteto ligonine Kauno klinik
RECRUITINGKaunas, LT-50161, Lithuania
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Multi-profile Hospital for Active Treatment Hearth and Brain EAD
RECRUITINGPleven, 5804, Bulgaria
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Multiprofile Hospital for Active Treatment; Sveta Sofia EOOD (MBAL Sveta Sofia),
RECRUITINGSofia, 1404, Bulgaria
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National Hospital Organization Osaka Minami Medical Center
RECRUITINGKawachi-Nagano, Osaka, 586-8521, Japan
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NextStage Clinical Research, All American Orthopedics and Sports Medicine
RECRUITINGHouston, Texas, 77058, United States
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ORTO Klinika
RECRUITINGRiga, LV-1005, Latvia
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Ortopedyczno-Rehabilitacyjny Szpital Kliniczny im. Wiktora Degi Uniwersytetu Medycznego w Poznaniu
RECRUITINGPoznan, 61-545, Poland
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Osaka Saiseikai Nakatsu Hospital
RECRUITINGKita-Ku, Osaka, 530-0012, Japan
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Phoenix Clinical Research
RECRUITINGTamarac, Florida, 33321, United States
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Rigas 2 slimnica, SIA
RECRUITINGRiga, LV-1004, Latvia
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Sacred Heart Health System Inc
RECRUITINGPensacola, Florida, 32504, United States
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Saga University Hospital
RECRUITINGSaga, 849-8501, Japan
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Samodzieny Publiczny Zaklad Opieki Zdorowotne (SP ZOZ) Centralny Szpital Kliniczny Uniwersytetu Medycznego w Lodzi - Hematology
RECRUITINGLodz, 92-213, Poland
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Semmelweis University
RECRUITINGBudapest, 1082, Hungary
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Shoals Medical Trials, Inc.
RECRUITINGSheffield, Alabama, 35660, United States
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Sinai Hospital of Baltimore, Inc.
RECRUITINGBaltimore, Maryland, 21215, United States
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Szegedi Tudomanyegyetem; Albert Szent-Gyorgyi Clinical Center
RECRUITINGSzeged, Csongrad-Csanad, 6725, Hungary
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Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie sp. z o.o.
RECRUITINGKrakow, 31-826, Poland
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University Multiprofile Hospital for Active Treatment "Prof. Dr. Stoyan Kirkovich"
RECRUITINGStara Zagora, 6003, Bulgaria
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University of Debrecen
RECRUITINGDebrecen, Hajdú-Bihar, 4031, Hungary
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University of Texas (UT); Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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Uniwersytecki Szpital Kliniczny nr.2 Uniwersytetu Medycznego w Lodzi
RECRUITINGLodz, 90-549, Poland
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Vidzemes slimnica
RECRUITINGValmiera, LV-4201, Latvia
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Vsi Klaipedos Universitetine Ligonine
RECRUITINGKlaipėda, LT-92288, Lithuania
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Yuuai Medical Center
RECRUITINGTomigusuku, Okinawa, 901-0224, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- One shot to stop blood clots? new injection put to the test
- Which blood thinner is safer for lung clots? a Head-to-Head test
- Could a 30-Day blood thinner regimen prevent clots after spine cancer surgery?
- New antibody drugs aim to prevent Catheter-Related blood clots
- New tool aims to help blood clot patients choose wisely on blood thinners
- Blood thinner levels under microscope to prevent clots and bleeding