deltatrials
Completed INTERVENTIONAL NCT05754957

A Study of Milvexian in Participants After a Recent Acute Coronary Syndrome (LIBREXIA-ACS)

A Phase 3, Randomized, Double-blind, Placebo-controlled, Event-driven Study to Demonstrate the Efficacy and Safety of Milvexian, an Oral Factor XIa Inhibitor, After a Recent Acute Coronary Syndrome

Sponsor: Bristol-Myers Squibb

Updated 37 times since 2023 Last updated: Apr 9, 2026 Started: Apr 7, 2023 Primary completion: Feb 6, 2026 Completion: Feb 6, 2026
This information is for research purposes only and is not medical advice. Consult a healthcare provider before making any medical decision.

This observational or N/A phase trial investigates Acute Coronary Syndrome and is currently completed. Bristol-Myers Squibb leads this study, which shows 37 recorded versions since 2023 — indicating substantial longitudinal coverage. Heart and vascular conditions benefit from the kind of long-term tracking this trial provides.

Status Flow

~Apr 2023 – ~May 2023 · 30 days · monthly snapshot~May 2023 – ~Jun 2023 · 31 days · monthly snapshot~Jun 2023 – ~Jul 2023 · 30 days · monthly snapshot~Jul 2023 – ~Aug 2023 · 31 days · monthly snapshot~Aug 2023 – ~Sep 2023 · 31 days · monthly snapshot~Sep 2023 – ~Oct 2023 · 30 days · monthly snapshot~Oct 2023 – ~Nov 2023 · 31 days · monthly snapshot~Nov 2023 – ~Dec 2023 · 30 days · monthly snapshot~Dec 2023 – ~Jan 2024 · 31 days · monthly snapshot~Jan 2024 – ~Feb 2024 · 31 days · monthly snapshot~Feb 2024 – ~Mar 2024 · 29 days · monthly snapshot~Mar 2024 – ~Apr 2024 · 31 days · monthly snapshot~Apr 2024 – ~May 2024 · 30 days · monthly snapshot~May 2024 – ~Jun 2024 · 31 days · monthly snapshot~Jun 2024 – ~Jul 2024 · 30 days · monthly snapshot~Jul 2024 – ~Aug 2024 · 31 days · monthly snapshot~Aug 2024 – ~Sep 2024 · 31 days · monthly snapshot~Sep 2024 – ~Oct 2024 · 30 days · monthly snapshot~Oct 2024 – ~Nov 2024 · 31 days · monthly snapshot~Nov 2024 – ~Jan 2025 · 2 months · monthly snapshot~Jan 2025 – ~Feb 2025 · 31 days · monthly snapshot~Feb 2025 – ~Mar 2025 · 28 days · monthly snapshot~Mar 2025 – ~Apr 2025 · 31 days · monthly snapshot~Apr 2025 – ~May 2025 · 30 days · monthly snapshot~May 2025 – ~Jun 2025 · 31 days · monthly snapshot~Jun 2025 – ~Jul 2025 · 30 days · monthly snapshot~Jul 2025 – ~Aug 2025 · 31 days · monthly snapshot~Aug 2025 – ~Sep 2025 · 31 days · monthly snapshot~Sep 2025 – ~Oct 2025 · 30 days · monthly snapshot~Oct 2025 – ~Nov 2025 · 31 days · monthly snapshot~Nov 2025 – ~Dec 2025 · 30 days · monthly snapshot~Dec 2025 – ~Jan 2026 · 31 days · monthly snapshot~Jan 2026 – ~Feb 2026 · 31 days · monthly snapshot~Jan 2026 – present · 3 months · monthly snapshot~Feb 2026 – present · 2 months · monthly snapshot~Feb 2026 – present · 2 months · monthly snapshotApr 13, 2026 – present · 1 days · daily API

Change History

37 versions recorded
  1. Apr 13, 2026 — Present [daily]

    Completed

    Status: Active Not RecruitingCompleted · Phase: PHASE3None

  2. Feb 2026 — Present [monthly]

    Active Not Recruiting PHASE3

  3. Feb 2026 — Present [monthly]

    Active Not Recruiting PHASE3

  4. Jan 2026 — Feb 2026 [monthly]

    Active Not Recruiting PHASE3

  5. Jan 2026 — Present [monthly]

    Active Not Recruiting PHASE3

    Status: RecruitingActive Not Recruiting

Show 32 earlier versions
  1. Dec 2025 — Jan 2026 [monthly]

    Recruiting PHASE3

  2. Nov 2025 — Dec 2025 [monthly]

    Recruiting PHASE3

  3. Oct 2025 — Nov 2025 [monthly]

    Recruiting PHASE3

  4. Sep 2025 — Oct 2025 [monthly]

    Recruiting PHASE3

  5. Aug 2025 — Sep 2025 [monthly]

    Recruiting PHASE3

  6. Jul 2025 — Aug 2025 [monthly]

    Recruiting PHASE3

  7. Jun 2025 — Jul 2025 [monthly]

    Recruiting PHASE3

  8. May 2025 — Jun 2025 [monthly]

    Recruiting PHASE3

  9. Apr 2025 — May 2025 [monthly]

    Recruiting PHASE3

  10. Mar 2025 — Apr 2025 [monthly]

    Recruiting PHASE3

  11. Feb 2025 — Mar 2025 [monthly]

    Recruiting PHASE3

  12. Jan 2025 — Feb 2025 [monthly]

    Recruiting PHASE3

  13. Nov 2024 — Jan 2025 [monthly]

    Recruiting PHASE3

  14. Oct 2024 — Nov 2024 [monthly]

    Recruiting PHASE3

  15. Sep 2024 — Oct 2024 [monthly]

    Recruiting PHASE3

  16. Aug 2024 — Sep 2024 [monthly]

    Recruiting PHASE3

  17. Jul 2024 — Aug 2024 [monthly]

    Recruiting PHASE3

  18. Jun 2024 — Jul 2024 [monthly]

    Recruiting PHASE3

  19. May 2024 — Jun 2024 [monthly]

    Recruiting PHASE3

  20. Apr 2024 — May 2024 [monthly]

    Recruiting PHASE3

  21. Mar 2024 — Apr 2024 [monthly]

    Recruiting PHASE3

  22. Feb 2024 — Mar 2024 [monthly]

    Recruiting PHASE3

  23. Jan 2024 — Feb 2024 [monthly]

    Recruiting PHASE3

  24. Dec 2023 — Jan 2024 [monthly]

    Recruiting PHASE3

  25. Nov 2023 — Dec 2023 [monthly]

    Recruiting PHASE3

  26. Oct 2023 — Nov 2023 [monthly]

    Recruiting PHASE3

  27. Sep 2023 — Oct 2023 [monthly]

    Recruiting PHASE3

  28. Aug 2023 — Sep 2023 [monthly]

    Recruiting PHASE3

  29. Jul 2023 — Aug 2023 [monthly]

    Recruiting PHASE3

  30. Jun 2023 — Jul 2023 [monthly]

    Recruiting PHASE3

  31. May 2023 — Jun 2023 [monthly]

    Recruiting PHASE3

    Status: Not Yet RecruitingRecruiting

  32. Apr 2023 — May 2023 [monthly]

    Not Yet Recruiting PHASE3

    First recorded

Eligibility Summary

The purpose of this study is to evaluate that milvexian is superior to placebo, in addition to standard-of-care, in reducing the risk of major adverse cardiovascular event (MACE) (the composite of cardiovascular \[CV\] death, myocardial infarction \[MI\], and ischemic stroke).

Contact Information

Sponsor contact:
  • Bristol-Myers Squibb
  • Janssen Research & Development, LLC
Data source: ClinicalTrials.gov

For direct contact, visit the study record on ClinicalTrials.gov .