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REGN7508

Phase 3

Atrial Fibrillation (AF) | Small molecule | Cardiovascular |Regeneron Pharmaceuticals, Inc.|Last Updated: Aug 25, 2026

Target and mechanism

Molecular targetFactor XI
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials3
Total Enrollment19,192

FDA Designations

No designations recorded

Clinical trial landscape

REGN7508 · 11 trials · 7 indications

Phase 3 8Phase 2 2Phase 1 1
NCT07493304Treatment and Secondary Prevention of Venous Thromboembolism (VTE) in Adult Participants With Solid and Hematologic CancersVenous Thromboembolism (VTE)
RECRUITING1,600 Analytics
NCT07697599Venous Thromboembolism (VTE) Prophylaxis With REGN7508 and REGN9933 in Adult and Adolescent Participants With a Peripherally Inserted Central Catheter (PICC)Venous Thromboembolism (VTE)
NOT YET_RECRUITING1,908 Analytics
NCT07626411Stroke and Systemic Embolism Prevention in Adult Participants With Atrial FibrillationAtrial Fibrillation (AF)
RECRUITING15,364 Analytics
NCT07318610Reducing Adverse Vascular Outcomes With Factor XI Inhibition in Adult Participants With Peripheral Artery DiseasePeripheral Artery Disease (PAD)
RECRUITING7,050 Analytics
NCT07430956Stroke and Systemic Embolism Prevention in Adult Participants With Atrial Fibrillation for Whom Oral Anticoagulation is UnsuitableAtrial Fibrillation (AF)
RECRUITING2,628 Analytics
NCT07410117REGN7508 in Adult Participants for Prevention of Cancer-Associated ThrombosisCancer-Associated Thrombosis (CAT)
RECRUITING1,120 Analytics
NCT07213778REGN7508 Versus Acetylsalicylic Acid (ASA) for Venous Thromboprophylaxis After Total Knee Arthroplasty in Adult ParticipantsSymptomatic Venous Thromboembolism (VTE)
RECRUITING2,000 Analytics
NCT07015905REGN7508 Versus Apixaban and Enoxaparin for Thromboprophylaxis After Total Knee Arthroplasty in AdultsVenous Thromboembolism (VTE)
RECRUITING2,000 Analytics
PHASE3RECRUITING
Treatment and Secondary Prevention of Venous Thromboembolism (VTE) in Adult Participants With Solid and Hematologic Cancers
Venous Thromboembolism (VTE)Unlock trial analytics
PHASE3NOT YET_RECRUITING
Venous Thromboembolism (VTE) Prophylaxis With REGN7508 and REGN9933 in Adult and Adolescent Participants With a Peripherally Inserted Central Catheter (PICC)
Venous Thromboembolism (VTE)Unlock trial analytics
PHASE3RECRUITING
Stroke and Systemic Embolism Prevention in Adult Participants With Atrial Fibrillation
Atrial Fibrillation (AF)Unlock trial analytics
PHASE3RECRUITING
Reducing Adverse Vascular Outcomes With Factor XI Inhibition in Adult Participants With Peripheral Artery Disease
Peripheral Artery Disease (PAD)Unlock trial analytics
PHASE3RECRUITING
Stroke and Systemic Embolism Prevention in Adult Participants With Atrial Fibrillation for Whom Oral Anticoagulation is Unsuitable
Atrial Fibrillation (AF)Unlock trial analytics
PHASE3RECRUITING
REGN7508 in Adult Participants for Prevention of Cancer-Associated Thrombosis
Cancer-Associated Thrombosis (CAT)Unlock trial analytics
PHASE3RECRUITING
REGN7508 Versus Acetylsalicylic Acid (ASA) for Venous Thromboprophylaxis After Total Knee Arthroplasty in Adult Participants
Symptomatic Venous Thromboembolism (VTE)Unlock trial analytics
PHASE3RECRUITING
REGN7508 Versus Apixaban and Enoxaparin for Thromboprophylaxis After Total Knee Arthroplasty in Adults
Venous Thromboembolism (VTE)Unlock trial analytics

Study Endpoints

Primary Endpoints

Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Approximately 6 months

Part 1

Severity of TEAEs
Approximately 6 months

Part 1

Time-to-first event of centrally adjudicated recurrent VTE [DVT (symptomatic or asymptomatic [proximal] or Non-fatal PE (symptomatic or asymptomatic [in a segmental or larger pulmonary artery] )or VTE-related death)]
Up to approximately 3.5 years

Part 2

Time-to-first event of centrally adjudicated International Society of Thrombosis and Hemostasis (ISTH)-defined major bleeding or Clinically Relevant Non-Major (CRNM) bleeding
Up to approximately 3.5 years

Part 2

Time-to-first event of centrally adjudicated VTE [symptomatic VTE or incidental VTE or asymptomatic VTE]
Approximately 6 months
Time-to-first event of centrally adjudicated International Society on Thrombosis and Haemostasis (ISTH)-defined major bleeding or Clinically Relevant Non-Major (CRNM) bleeding
Approximately 6 months
Time to first occurrence of stroke (ischemic, hemorrhagic, or of unspecified type) or systemic embolism
Approximately 36 months
Time to first occurrence of International Society on Thrombosis and Haemostasis (ISTH) major bleeding or ISTH Clinically Relevant Non-Major (CRNM) bleeding
Approximately 36 months
Time-to-first occurrence of a major thrombotic vascular event, consisting of Acute Limb Ischemia (ALI), major amputation (above the ankle) of vascular etiology, Myocardial Infarction (MI), ischemic stroke, or Cardiovascular (CV) death
Approximately up to 42 months

Cohort 1

Time-to-first occurrence of International Society of Thrombosis and Hemostasis (ISTH) major or Clinically Relevant Non-major (CRNM) bleeding
Approximately up to 42 months

Cohort 1 and 2

Time to first occurrence of ischemic stroke or systemic embolism
Up to 36 months
Time to first occurrence of International Society on Thrombosis and Haemostasis (ISTH) major bleeding
Up to 36 months
Time-to-first event of centrally adjudicated VTE (DVT, PE) or ATE, or thromboembolism- or ATE-related death
Through 6 months
Time-to-first event of centrally adjudicated International Society of Thrombosis and Hemostasis (ISTH) major bleeding or Clinically Relevant Non-Major (CRNM) bleeding
Through 6 months
Incidence of the composite endpoint of symptomatic VTE and all-cause death
Through day 30 visit
Incidence of the composite endpoint of asymptomatic or symptomatic Venous Thromboembolism (VTE) [including VTE-related death]
Through day 12 visit, approximately 14 days
Incidence of any bleeding
12 weeks

Defined as the composite of International Society on Thrombosis and Haemostasis (ISTH) major bleeding, ISTH Clinically Relevant Non-Major (CRNM) bleeding, or minor bleeding

Percentage of Participants With Confirmed, Adjudicated Venous Thromboembolism (VTE)
Through day 12

Composite endpoint that includes asymptomatic deep DVT (deep venous thrombosis) detected by unilateral venography of the operated leg; confirmed symptomatic DVT of either leg; confirmed fatal or nonfatal pulmonary embolism (PE) including unexplained death for which PE cannot be ruled out.

Incidences of treatment-emergent adverse events (TEAE)
Up to 36 days

Treatment-emergent adverse events are defined as those that are not present at baseline or represent the exacerbation of a pre-existing condition during the on-treatment period.

Severity of TEAE
Up to 36 days

Treatment-emergent adverse events are defined as those that are not present at baseline or represent the exacerbation of a pre-existing condition during the on-treatment period.

Secondary Endpoints

Percent inhibition of Factor XI functional Coagulant activity (FXI:C)
Approximately 3 months
Fold change from baseline in activated Partial Thromboplastin Time (aPTT)
Approximately 3 months
Functional REGN7508 concentration
Approximately 3 months
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
REGN7508EXPERIMENTAL -
ApixabanACTIVE_COMPARATOR -
REGN9933EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
REGN7508 + PlaceboEXPERIMENTAL -
Apixaban + PlaceboACTIVE_COMPARATOR -
Cohort 1EXPERIMENTAL -
Cohort 2EXPERIMENTAL -
REGN7508 and PlaceboEXPERIMENTAL -
Placebo and ASAACTIVE_COMPARATOR -
IV REGN7508EXPERIMENTAL -
IV Placebo, SC REGN7508EXPERIMENTAL -
IV Placebo, apixabanACTIVE_COMPARATOR -
IV Placebo, enoxaparinACTIVE_COMPARATOR -
EnoxaparinACTIVE_COMPARATOR -
Cohort 1 Lowest IV DoseEXPERIMENTALRandomized 3:1
Cohort 2 Low IV DoseEXPERIMENTALRandomized 3:1
Cohort 3 Mid IV DoseEXPERIMENTALRandomized 3:1
Cohort 4 High IV DoseEXPERIMENTALRandomized 3:1
Cohort 5 Higher IV DoseEXPERIMENTALRandomized 3:1
Cohort 6 High SC DoseEXPERIMENTALRandomized 3:1
Cohort 7 Higher SC DoseEXPERIMENTALRandomized 3:1
Optional: Cohort 8 Highest IV or SC DoseEXPERIMENTALRandomized 3:1
Cohort 9 High SC DoseEXPERIMENTALRandomized 3:1
Optional: Cohort 10 Highest SC DoseEXPERIMENTALRandomized 3:1

Interventions

NameTypeDescription
REGN7508DRUGAdministered per the protocol
ApixabanDRUGAdministered per the protocol
REGN9933DRUGAdministered per the protocol
PlaceboDRUGAdministered per the protocol
RivaroxabanDRUGAdministered per the protocol
Acetylsalicylic Acid (ASA)DRUGAdministered per the protocol
EnoxaparinDRUGAdministered per the protocol
REGN7508 (IV)DRUGAdministered sequential, ascending single intravenous (IV) dose
REGN7508 (SC)DRUGAdministered sequential, ascending single subcutaneous (SC) dose
Matching Placebo (IV)DRUGAdministered sequential, ascending single intravenous (IV) dose
Matching Placebo (SC)DRUGAdministered sequential, ascending single subcutaneous (SC) dose
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites6

Key Inclusion Criteria: 1. Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2 at the time of screening and day 1 prior to first dose of study intervention 2. In Part 1 participants with cancer and Part 2 participants: Histologically confirmed diagnosis of malignant solid ...

Countries:United StatesSouth KoreaGeorgiaJapanGreeceMalaysiaMoldovaBulgariaHungaryLatviaLithuaniaPolandRomaniaArgentinaBrazilCanadaUnited Kingdom
Unlock Eligibility Criteria

Recent Changes (Last 90 Days)

LOWAug 25, 2026NCT07626411Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 25, 2026NCT07626411Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 20, 2026NCT07493304lastUpdatePostDate: changed
LOWAug 20, 2026NCT07213778lastUpdatePostDate: changed
LOWAug 20, 2026NCT07410117lastUpdatePostDate: changed
LOWAug 20, 2026NCT07318610lastUpdatePostDate: changed
LOWAug 20, 2026NCT07175428lastUpdatePostDate: changed
LOWAug 20, 2026NCT07493304lastUpdatePostDate: changed
LOWAug 20, 2026NCT07318610lastUpdatePostDate: changed
LOWAug 20, 2026NCT07175428lastUpdatePostDate: changed
LOWAug 20, 2026NCT07213778lastUpdatePostDate: changed
LOWAug 20, 2026NCT07410117lastUpdatePostDate: changed
LOWAug 20, 2026NCT07493304lastUpdatePostDate: changed
LOWAug 20, 2026NCT07318610lastUpdatePostDate: changed
LOWAug 20, 2026NCT07213778lastUpdatePostDate: changed
LOWAug 20, 2026NCT07493304lastUpdatePostDate: changed
LOWAug 20, 2026NCT07318610lastUpdatePostDate: changed
LOWAug 20, 2026NCT07213778lastUpdatePostDate: changed
LOWAug 6, 2026NCT07493304startDate: changed
LOWAug 6, 2026NCT07493304startDate: changed

Frequently asked questions about REGN7508

What is REGN7508 used for?

REGN7508 is an investigational small molecule being developed for cardiovascular conditions including venous thromboembolism (VTE), peripheral artery disease (PAD), and cancer-associated thrombosis. It is being studied for preventing blood clots after knee replacement surgery and for reducing adverse vascular outcomes in patients with PAD.

What does REGN7508 target?

REGN7508 targets Factor XI, a protein involved in blood clotting. By inhibiting Factor XI, the drug aims to prevent thrombotic events while potentially reducing bleeding risk compared to existing anticoagulants.

Who makes REGN7508?

REGN7508 is being developed by Regeneron Pharmaceuticals, Inc., a biopharmaceutical company traded on NASDAQ under the ticker REGN. Regeneron is conducting multiple clinical trials to evaluate the drug's safety and efficacy.

What phase is REGN7508 in?

REGN7508 is in Phase 3 clinical development. It is being evaluated in multiple Phase 3 trials for venous thromboembolism prophylaxis and peripheral artery disease. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is REGN7508 in?

REGN7508 is being studied in several trials including NCT07015905, a Phase 3 study comparing it to apixaban and enoxaparin after knee replacement; NCT07318610 for peripheral artery disease; and NCT07697599 for VTE prophylaxis with PICC lines. A Phase 2 trial (NCT06454630) has been completed.

Is REGN7508 the same as REGN9933?

No, REGN7508 and REGN9933 are different investigational drugs. However, they are being studied together in a Phase 3 trial (NCT07697599) for venous thromboembolism prophylaxis in patients with a peripherally inserted central catheter.