A Trial to Learn How Well REGN9933 Works for Preventing Blood Clots After Knee Replacement Surgery in Adult Participants

NCT ID: NCT05618808

Last Updated: 2025-08-29

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

373 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-24

Study Completion Date

2024-05-27

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The primary objective of the study is to evaluate the efficacy of REGN9933 for the prevention of venous thromboembolism (VTE) after unilateral total knee arthroplasty (TKA), compared to enoxaparin

The secondary objectives of the study are:

* To evaluate the bleeding risk (ie, major and clinically relevant non-major \[CRNM\] bleeding) of REGN9933 after unilateral TKA through time of venography, compared to enoxaparin
* To assess overall safety and tolerability of REGN9933 in participants undergoing TKA
* To evaluate the efficacy of REGN9933 in prevention of clinically relevant VTE, compared to enoxaparin
* To evaluate the efficacy of REGN9933 in prevention of deep venous thrombosis (DVT) detected by venography, compared to enoxaparin
* To evaluate the pharmacokinetics (PK) of REGN9933 after single intravenous (IV) administration
* To assess pharmacodynamic (PD) effects of REGN9933 on intrinsic and extrinsic coagulation pathways
* To assess immunogenicity following a single dose of REGN9933 over time
* To compare the efficacy of enoxaparin and apixaban in prevention of VTE after unilateral TKA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Venous Thromboembolism

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

REGN9933

REGN9933 will be administered by intravenous (IV) infusion

Group Type EXPERIMENTAL

REGN9933

Intervention Type DRUG

Participants will receive a single dose of REGN9933 by IV infusion

Enoxaparin

Enoxaparin will be administered by subcutaneous (SC) administration

Group Type ACTIVE_COMPARATOR

Enoxaparin

Intervention Type DRUG

Participants will receive enoxaparin by SC administration daily through the time of venography (or day 12, whichever is earlier)

Apixaban

Apixaban will be administered orally twice a day

Group Type ACTIVE_COMPARATOR

Apixiban

Intervention Type DRUG

Participants will receive apixaban orally twice a day through the time of venography (or day 12, whichever is earlier)

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

REGN9933

Participants will receive a single dose of REGN9933 by IV infusion

Intervention Type DRUG

Enoxaparin

Participants will receive enoxaparin by SC administration daily through the time of venography (or day 12, whichever is earlier)

Intervention Type DRUG

Apixiban

Participants will receive apixaban orally twice a day through the time of venography (or day 12, whichever is earlier)

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Lovenox Eliquis

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Undergoing elective unilateral TKA
2. Has a body weight ≤130 kg at screening visit
3. Is judged by the investigator to be in good health based on medical history, physical examination, vital sign measurements, and Electrocardiograms (ECG) performed at screening and/or prior to administration of initial dose of study drug
4. Is in good health based on laboratory safety testing obtained during the screening period as described in the protocol

Exclusion Criteria

1. History of bleeding in the past 6 months requiring hospitalization or transfusion; history of intracranial or intraocular bleeding, excessive operative or post-operative bleeding, and traumatic spinal or epidural anesthesia; history of bleeding diathesis.
2. History of thromboembolic disease or thrombophilia
3. History of major surgery, including brain, spinal, or ocular, within approximately the past 6 months.
4. History of major trauma within approximately the past 6 months.
5. Hospitalized (\>24 hours) for any reason within 30 days of the screening visit
6. Using the Modification of Diet in Renal Disease equation, has an estimated glomerular filtration rate as described in the protocol
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Ziekenhuis Oost-Limburg- Campus Sint-Jan

Genk, Limburg, Belgium

Site Status

MBAL Heart and Brain Hospital

Pleven, , Bulgaria

Site Status

Durham Bone and Joint Specialists

Ajax, Ontario, Canada

Site Status

MAV Korhaz es Rendelointezet Szolnok

Szolnok, Jász-Nagykun-Szolnok, Hungary

Site Status

Department of Orthopedics, Somogy County Mór Kaposi Teaching Hospital

Kaposvár, , Hungary

Site Status

Liepaja Regional Hospital

Liepāja, , Latvia

Site Status

Vidzemes Hospital

Riga, , Latvia

Site Status

Riga's 2nd Hospital

Riga, , Latvia

Site Status

Hospital of Traumatology and Orthopaedics

Riga, , Latvia

Site Status

Lietuvos Sveikatos Mokslu Universiteto Ligonine Kauno Klinik

Kaunas, Kaunas County, Lithuania

Site Status

Klaipeda University Hospital

Klaipėda, Klaipėda County, Lithuania

Site Status

Lietuvos Sveikatos Mokslu Universiteto Kauno Ligoninė

Kaunas, , Lithuania

Site Status

Specjalistyczny Szpital im. E. Szczeklika w Tarnowie

Tarnów, Lesser Poland Voivodeship, Poland

Site Status

SP ZOZ Centralny Szpital Kliniczny UM w Lodzi

Lodz, , Poland

Site Status

Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie

Lublin, , Poland

Site Status

Samodzielny Publiczny Zaklad Opieki Zdrowotnej w Radzyniu Podlaskim

Radzyń Podlaski, , Poland

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Belgium Bulgaria Canada Hungary Latvia Lithuania Poland

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

Access external resources that provide additional context or updates about the study.

https://www.trialsummaries.com/

A Plain Language Summary is available on TrialSummaries.com

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2022-501470-18-00

Identifier Type: OTHER

Identifier Source: secondary_id

R9933-DVT-2230

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.