> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/venous-thromboembolism-vte-prophylaxis-with-regn7508-and-e7881e0b-6734-4e83-a9b9-98bc75420812
> Record changed: 2026-10-13

# Venous Thromboembolism (VTE) Prophylaxis With REGN7508 and REGN9933 in Adult and Adolescent Participants With a Peripherally Inserted Central Catheter (PICC)

NCT07697599

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

Recruitment status

Not yet recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

Participants

1,908

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

Lead sponsor

Regeneron Pharmaceuticals

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

Start date

2026-08-20

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Title and summary

**Summary**

This study is researching 2 different experimental drugs called REGN7508 and REGN9933 (called "study drugs"). The study is focused on people who have a tube placed in a vein to receive treatment (called Peripherally Inserted Central Catheter \\\[PICC\\\]). Patients with PICCs have a higher risk of getting blood clots which can block the veins (this is called Venous Thromboembolism \\\[VTE\\\]) and lead to serious health problems or be life threatening. The aim of the study is to see how well REGN7508 and REGN9933 prevent blood clots compared to placebo after PICC placement and to see if these medications cause certain types of bleeding. The study is looking at several other research questions, including: \* What side effects may happen from taking the study drugs \* How much study drug is in the blood at different times \* Whether the body makes antibodies against the study drugs (which could make the drugs less effective or could lead to side effects) \* If the study drugs affect the ability of the blood to clot normally

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Acronym**

ROXI-PEAK

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Short title**

Venous Thromboembolism (VTE) Prophylaxis With REGN7508 and REGN9933 in Adult and Adolescent Participants With a Peripherally Inserted Central Catheter (PICC)

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Official title**

A Master Protocol for a Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of REGN7508 and REGN9933, Monoclonal Antibodies Against Factor XI, for Prophylaxis of Venous Thromboembolism in Participants With a Peripherally Inserted Central Catheter (PICC) (ROXI-PEAK)

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Recruitment status**

Not yet recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Dates

**Completion date**

2029-09-21

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**First posted**

2026-07-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Registry last updated**

2026-07-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Primary completion date**

2029-06-25

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Start date**

2026-08-20

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Size and sites

**Participants**

1,908

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Planned participants**

1,908

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Protocol amendments**

0

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Lead sponsor**

Regeneron Pharmaceuticals

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Identifiers

**Registry ID**

NCT07697599

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**ClinicalTrials.gov ID**

NCT07697599

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Outcomes

### Primary outcomes

1. Time-to-first event of centrally adjudicated VTE \[symptomatic VTE or incidental VTE or asymptomatic VTE\]  
Timeframe: Approximately 6 months
2. Time-to-first event of centrally adjudicated International Society on Thrombosis and Haemostasis (ISTH)-defined major bleeding or Clinically Relevant Non-Major (CRNM) bleeding  
Timeframe: Approximately 6 months

### Secondary outcomes

1. Time-to-first event of centrally adjudicated symptomatic VTE \[symptomatic Deep Vein Thrombosis (DVT) or symptomatic non-fatal Pulmonary Embolism (PE) or VTE-related death\]  
Timeframe: Approximately 6 months
2. Time-to-first event of symptomatic DVT  
Timeframe: Approximately 6 months
3. Time-to-first event of symptomatic non-fatal PE  
Timeframe: Approximately 6 months
4. Time-to-first event of VTE-related death  
Timeframe: Approximately 6 months
5. Time-to-first event of incidental VTE  
Timeframe: Approximately 6 months
6. Time-to-first event of incidental upper extremity or incidental proximal lower extremity DVT  
Timeframe: Approximately 6 months
7. Time-to-first event of incidental PE (in a segmental or larger pulmonary artery)  
Timeframe: Approximately 6 months
8. Time-to-first event of asymptomatic VTE (Asymptomatic DVT detected by upper extremity ultrasound)  
Timeframe: Approximately 6 months
9. Occurrence of Treatment-Emergent Adverse Events (TEAEs)  
Timeframe: Up to approximately 9 months
10. Severity of TEAEs  
Timeframe: Up to approximately 9 months
11. Concentrations of REGN7508  
Timeframe: Up to approximately 9 months
12. Concentrations of REGN9933  
Timeframe: Up to approximately 9 months
13. Change from baseline in activated Partial Thromboplastin Time (aPTT)  
Timeframe: Up to approximately 9 months
14. Change from baseline in Prothrombin Time (PT)  
Timeframe: Up to approximately 9 months
15. Occurrence of Anti-Drug Antibody (ADA) to REGN7508  
Timeframe: Up to approximately 9 months
16. Magnitude of ADA to REGN7508  
Timeframe: Up to approximately 9 months
17. Occurrence of ADA to REGN9933  
Timeframe: Up to approximately 9 months
18. Magnitude of ADA to REGN9933  
Timeframe: Up to approximately 9 months

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Eligibility

**Sex**

All

**Age groups**

Children, Adults, Older adults

**Minimum age**

15 Years

**Healthy volunteers**

No

Key Inclusion Criteria:

1. Is undergoing PICC placement for Intravenous (IV) administration of clinically indicated medications, including chemotherapy, antibiotics, TPN, and/or other indications as described in the protocol
2. Has Eastern Cooperative Oncology Group Performance (ECOG) Status ≤3 or equivalent functional status as described in the protocol
3. Has International Normalization Ratio (INR) and aPTT values no more than 25% above the upper limit as described in the protocol
4. Weighs at least 40 kg during the screening period

Key Exclusion Criteria:

1. Has a history of prior venous thrombosis in the arm and/or ipsilateral thoracic central veins in which the PICC is to be placed
2. Has acute leukemia, myelodysplastic syndrome, or primary and secondary myelofibrosis
3. Has unresected luminal gastrointestinal (GI) (including esophageal) or unresected genitourinary (GU) malignancy
4. Has current or history of known brain tumors or brain metastases
5. Has any major cardiovascular event within approximately the past 30 days prior to study administration
6. Pre-existing central venous catheter or indwelling spinal or epidural catheter during the screening period

Note: Other Protocol Defined Inclusion/ Exclusion Criteria Apply

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## References

### Other registry identifiers

- 2026-525288-42-00

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07697599)

## Related records

### Drugs (1)

- [Onasemnogene abeparvovec](https://trialight.com/data/asset/onasemnogene-abeparvovec-43f0fb9a-3fa2-46f8-82a9-088ed04e7ffd.md)

### Lead sponsors (1)

- [Regeneron Pharmaceuticals](https://trialight.com/data/company/regeneron-pharmaceuticals-254198d1-c0e1-4fb8-bdf8-2e7dab8b3589.md)

### Conditions (2)

- [Thrombotic disease](https://trialight.com/data/condition/thrombotic-disease-3f54ef10-d2ed-524f-a020-8ecb2eb62a52.md)
- [Venous thromboembolism](https://trialight.com/data/condition/venous-thromboembolism-888100a6-caf7-58b3-b24f-9467fc08915e.md) Primary condition

### Targets (2)

- [SMN1](https://trialight.com/data/target/smn1-cca81f7f-af07-5c1a-9fe5-f974cdba6839.md)
- [SMN2](https://trialight.com/data/target/smn2-9c405d55-7065-5acc-baf4-7e8422479021.md)

---

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