15364 Participants NeededMy employer runs this trial

REGN7508 + Apixaban for Atrial Fibrillation

(ROXI-EVEREST Trial)

Recruiting at 31 trial locations
CT
Overseen ByClinical Trials Administrator
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Regeneron Pharmaceuticals
Must be taking: Oral anticoagulants
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug, REGN7508, to evaluate its effectiveness compared to apixaban, a blood-thinning medication, in individuals with atrial fibrillation—a condition where the heart beats rapidly and unevenly. The trial aims to determine if REGN7508 is safe and effective in preventing strokes or blood clots. Researchers seek to identify potential side effects and assess whether the body reacts to the drug in ways that could reduce its effectiveness. The trial seeks participants diagnosed with atrial fibrillation who require ongoing blood-thinning treatment. As a Phase 3 trial, it represents the final step before FDA approval, offering participants an opportunity to contribute to potentially groundbreaking treatment advancements.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

A previous study showed that REGN7508 holds promise for people with atrial fibrillation. Research indicates that this drug aims to prevent blood clots while maintaining low bleeding risks. Specifically, REGN7508 demonstrated a 7% rate of venous thromboembolism (VTE, or blood clots in veins) without causing major bleeding, suggesting that the drug is generally well-tolerated.

Apixaban, the comparator in the study, is already an approved treatment for atrial fibrillation, with well-understood side effects and risks from past use.

Researchers are closely studying both treatments to ensure safety for participants. The goal is to find the most effective way to manage atrial fibrillation while minimizing side effects.12345

Why do researchers think this study treatment might be promising for atrial fibrillation?

Most treatments for atrial fibrillation, like Apixaban, work by preventing blood clots through existing anticoagulant mechanisms. But REGN7508 is unique because it targets a different pathway entirely, potentially offering a novel approach to managing atrial fibrillation. Researchers are excited about this treatment because it could provide a new option for patients who may not respond well to current anticoagulants, offering hope for better management of the condition.

What evidence suggests that this trial's treatments could be effective for atrial fibrillation?

Research has shown that REGN7508 is a new drug under testing to determine its effectiveness in preventing strokes and blood clots in people with atrial fibrillation, a condition that causes an irregular heartbeat. Although limited data from human trials exist, the drug aims to manage heart rhythm or prevent clot formation. In this trial, participants will receive either REGN7508 with a placebo or apixaban with a placebo. Apixaban is a well-known treatment that effectively reduces the risk of stroke and blood clots in people with atrial fibrillation. This study will compare REGN7508 with apixaban to assess if it offers the same or better protection against these issues.678910

Who Is on the Research Team?

CT

Clinical Trial Management

Principal Investigator

Regeneron Pharmaceuticals

Are You a Good Fit for This Trial?

This trial is for adults with atrial fibrillation (irregular heartbeat) who need long-term blood thinners to prevent stroke or blood clots. Participants should have a moderate-to-high risk of stroke based on their health history and must not already be taking certain anticoagulants at high levels.

Inclusion Criteria

I have ongoing atrial fibrillation or flutter and need long-term blood thinner treatment.
I meet the main requirements for this study.
I have a CHA2DS2-VA score of 2 or higher and have not taken blood thinners.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either REGN7508 or Apixaban to assess safety and effectiveness in preventing stroke and systemic embolism

12 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment, including monitoring for side effects and antibody development against the study drug

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Apixaban
  • REGN7508

Trial Overview

The study compares an experimental drug called REGN7508 to apixaban, a standard blood thinner, and placebo. The goal is to see if REGN7508 safely prevents strokes or serious blood clots in people with atrial fibrillation.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: REGN7508 + PlaceboExperimental Treatment2 Interventions
Group II: Apixaban + PlaceboActive Control2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Regeneron Pharmaceuticals

Lead Sponsor

Trials
690
Recruited
948,000+
Founded
1988
Headquarters
Tarrytown, USA
Known For
Precision medicine
Top Products
Dupixent, EYLEA, Libtayo, Praluent
Leonard Schleifer profile image

Leonard Schleifer

Regeneron Pharmaceuticals

Chief Executive Officer since 1988

MD and PhD in Medicine

George Yancopoulos profile image

George Yancopoulos

Regeneron Pharmaceuticals

Chief Medical Officer since 1997

MD from Harvard Medical School

Citations

EFFECTIVE Definition & Meaning

The meaning of EFFECTIVE is producing a decided, decisive, or desired effect. How to use effective in a sentence.

2.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/26476429/

Comparative effectiveness of exercise and drug ...

Physical activity interventions were more effective than drug treatment among patients with stroke. Diuretics were more effective than exercise in heart failure

The Journal of Assessment and Institutional Effectiveness

The Journal of Assessment and Institutional Effectiveness publishes scholarly work on the assessment of student learning at the course, program, institutional, ...

4.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/34715347/

Comparing COVID-19 vaccines for their characteristics, ...

mRNA vaccines, AZD1222, and CoronaVac were effective in preventing symptomatic COVID-19 and severe infections against Alpha, Beta, Gamma or Delta variants.

5.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/26598386/

Effectiveness of Preanalytic Practices on Contamination ...

Practice efficacy and effectiveness were measured by two parameters: reduction of urine culture contamination and increased accuracy of patient diagnosis.

Safety in Adult Participants With Atrial Fibrillation Who Are ...

REGN7508 and REGN9933 are designed to help stop blood clots forming in patients with atrial fibrillation. The bleeding effects of REGN7508

Phase 2 Trials Demonstrating Antithrombotic Effect of Two ...

REGN7508Cat is designed to maximize anticoagulant activity while minimizing bleeding risk, and REGN9933A2 is designed as an additional potential ...

REGN7508 + REGN9933 for Atrial Fibrillation

REGN7508 demonstrated a 7% rate of VTE, while REGN9933 showed a 17% rate, meeting safety standards without causing major bleeding.

Efficacy and safety of REGN9933 A2 and REGN7508 Cat ...

The main safety outcome was the composite of major and clinically relevant non-major bleeding. REGN7508Cat is superior to enoxaparin provides ...

Cenvacibart - Drug Targets, Indications, Patents

Safety of REGN7508, The main safety outcome was the composite of major and clinically relevant non-major bleeding. Atrial Fibrillation Phase