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REGN9933

Phase 3

Venous Thromboembolism | Small molecule | Cardiovascular |Regeneron Pharmaceuticals, Inc.|Trials Updated: Oct 6, 2026

REGN9933 development status

Highest phase Phase 3 (NCT07697599)
Phase scored for REGNPhase 2
Registered trials 9 across 1 sponsor since Nov 2021

REGN9933 target and mechanism

Molecular targetFactor XI
Target classProtein
ModalitySmall molecule

Also known as amrecibart

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials3
Total Enrollment604

FDA Designations

No designations recorded

REGN9933 clinical trials

REGN9933 · 3 trials · 2 indications

Phase 2 2Phase 1 1
NCT06299111A Trial to Learn How Well REGN9933 and REGN7508 Work for Preventing Blood Clots, and How Safe They Are, in Adults Who Have a Peripherally Inserted Central Catheter (PICC)Venous Thromboembolism
COMPLETED195 Analytics
NCT05618808A Trial to Learn How Well REGN9933 Works for Preventing Blood Clots After Knee Replacement Surgery in Adult ParticipantsVenous Thromboembolism
COMPLETED373 Analytics
PHASE2COMPLETED
A Trial to Learn How Well REGN9933 and REGN7508 Work for Preventing Blood Clots, and How Safe They Are, in Adults Who Have a Peripherally Inserted Central Catheter (PICC)
Venous ThromboembolismUnlock trial analytics
PHASE2COMPLETED
A Trial to Learn How Well REGN9933 Works for Preventing Blood Clots After Knee Replacement Surgery in Adult Participants
Venous ThromboembolismUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of confirmed VTE per central reading center (CRC) review
Through Day 14
Incidence of treatment-emergent adverse event (TEAEs)
Up to Day 100
Severity of TEAEs
Up to Day 100
Percentage of Participants With Confirmed, Adjudicated Venous Thromboembolism (VTE) (REGN9933 vs Enoxaparin)
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

Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Up to approximately 78 days

Secondary Endpoints

Incidence of confirmed PICC associated venous thrombosis per CRC review
Through Day 14
Incidence of major bleeding
Through Day 14
Incidence of clinically relevant non-major (CRNM) bleeding
Through Day 14
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
REGN9933EXPERIMENTALRandomized 1:1:1
REGN7508EXPERIMENTALRandomized 1:1:1
PlaceboPLACEBO_COMPARATORRandomized 1:1:1
EnoxaparinACTIVE_COMPARATOREnoxaparin will be administered by subcutaneous (SC) administration
ApixabanACTIVE_COMPARATORApixaban will be administered orally twice a day
REGN9533EXPERIMENTAL -

Interventions

NameTypeDescription
REGN9933DRUGIntravenous (IV) single dose administered
REGN7508DRUGIV single dose administered
PlaceboDRUGIV single dose administered
EnoxaparinDRUGParticipants will receive enoxaparin by SC administration daily through the time of venography (or day 12, whichever is earlier)
ApixibanDRUGParticipants will receive apixaban orally twice a day through the time of venography (or day 12, whichever is earlier)
REGN9533DRUGAdministered per the protocol
HeparinDRUGAdministered per the protocol
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites23

Key Inclusion Criteria: 1. PICC is clinically indicated for at least 14 days and is anticipated to remain in place for at least 14 days 2. Eastern Cooperative Oncology Group (ECOG) Performance Status ≤2 or equivalent functional status as described in the protocol 3. Body weight ≥45 kg and ≤130 kg d...

Countries:United StatesBulgariaCanadaIsraelRomaniaUnited KingdomBelgiumHungaryLatviaLithuaniaPoland
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Recent Changes (Last 90 Days)

LOWOct 6, 2026NCT07759167Status: NOT_YET_RECRUITING → RECRUITING
LOWOct 6, 2026NCT07759167Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 12, 2026NCT07759167NEW_TRIAL: changed
LOWAug 12, 2026NCT07759167NEW_TRIAL: changed

Frequently asked questions about REGN9933

What is REGN9933?

REGN9933 is an investigational small molecule developed by Regeneron Pharmaceuticals, Inc. (ticker: REGN). It is being studied for the prevention of blood clots, or venous thromboembolism, and is also being evaluated in adults with end-stage kidney disease on hemodialysis. REGN9933 remains in clinical development and has not been approved by the FDA.

What does REGN9933 target?

REGN9933 targets Factor XI, a protein involved in the blood coagulation cascade. By acting on Factor XI, the drug is designed to interfere with clot formation. Factor XI inhibition is being explored as an approach to preventing venous thromboembolism while potentially limiting effects on normal bleeding.

What is REGN9933 used for in venous thromboembolism?

REGN9933 is being studied to prevent blood clots, including venous thromboembolism, in specific patient groups. Completed Phase 2 trials evaluated it for clot prevention in adults with a peripherally inserted central catheter and in adults after knee replacement surgery. It is investigational and not approved for any use.

Who makes REGN9933?

REGN9933 is developed by Regeneron Pharmaceuticals, Inc., which trades under the ticker REGN. Regeneron is the sponsor of the clinical trials evaluating the drug in venous thromboembolism and in end-stage kidney disease. The asset is an investigational small molecule and has not reached market approval.

What phase is REGN9933 in?

REGN9933 is in Phase 1 development, with Phase 2 trials also completed in venous thromboembolism. A Phase 1 trial in adults with end-stage kidney disease on hemodialysis is currently recruiting, while two Phase 2 clot-prevention trials have been completed. The drug is investigational and has not been approved by the FDA.

What clinical trials is REGN9933 in?

REGN9933 has been evaluated in three trials. NCT07759167 is a recruiting Phase 1 study in adults with end-stage kidney disease on hemodialysis in Belgium. NCT06299111 and NCT05618808 are completed Phase 2 trials testing clot prevention in adults with a peripherally inserted central catheter and after knee replacement surgery, respectively.