93 Participants NeededMy employer runs this trial

DIAG723 for Osler-Weber-Rendu Syndrome

(DIAMOND Trial)

Recruiting at 19 trial locations
DT
Overseen ByDiagonal Therapeutics

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called DIAG723 for individuals with hereditary hemorrhagic telangiectasia (HHT), a condition where blood vessels form abnormally, causing frequent nosebleeds and other issues. The trial aims to determine the safety of DIAG723 and its effectiveness in alleviating HHT symptoms, as well as its effects on patients with pulmonary arterial hypertension (high blood pressure in the lungs). Participants will receive either DIAG723 or a placebo through injections. The trial seeks adults diagnosed with HHT who experience frequent nosebleeds or have a history of needing blood transfusions or iron supplements. Those with both HHT and pulmonary arterial hypertension can participate in one part of the study. As a Phase 1, Phase 2 trial, it focuses on understanding how DIAG723 works in people and measuring its effectiveness in an initial, smaller group.

Is there any evidence suggesting that DIAG723 is likely to be safe for humans?

Research has shown that DIAG723, a treatment for hereditary hemorrhagic telangiectasia (HHT), has undergone testing for safety and patient tolerance. Early results suggest that patients generally tolerate the treatment well. So far, these studies have reported no major safety issues.

While side effects can occur, the study carefully monitors safety, especially as it involves gradually increasing the dose to determine the safest and most effective amount. Since this is an early stage of human testing, not all possible side effects may be known yet. However, this phase is essential to ensure the treatment's safety for wider use.12345

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

Unlike the standard treatments for Osler-Weber-Rendu Syndrome, which often focus on managing symptoms like bleeding through procedures or medications that improve blood vessel stability, DIAG723 introduces a new approach. DIAG723 is administered subcutaneously, offering a potentially more convenient delivery method compared to traditional routes. Researchers are particularly excited because this treatment involves a novel mechanism that targets the underlying causes of the syndrome, rather than just mitigating symptoms. By addressing the root problem, DIAG723 has the potential to improve patient outcomes more effectively than current therapies.

What evidence suggests that DIAG723 might be an effective treatment for hereditary hemorrhagic telangiectasia?

Research suggests that DIAG723, which participants in this trial may receive, might help treat hereditary hemorrhagic telangiectasia (HHT), a condition that causes abnormal blood vessels to form. Although limited information exists from human studies, research has shown that DIAG723 targets specific processes involved in the growth and repair of blood vessels. Early lab studies have shown promising results, with a reduction in abnormal blood vessel formations. These findings indicate that DIAG723 could improve symptoms for HHT patients by stabilizing blood vessels and reducing bleeding. More studies in humans are needed to confirm its effectiveness.

Are You a Good Fit for This Trial?

This trial is for adults (18+) diagnosed with hereditary hemorrhagic telangiectasia (HHT). Participants need to have good liver and kidney function. Some groups require a history of nosebleeds, anemia, or pulmonary arterial hypertension.

Inclusion Criteria

I am 18 or older and have been diagnosed with HHT.
My liver and kidney function are normal.
I have nosebleeds and a history of anemia or blood transfusions/iron treatments.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation (Part A)

Single ascending subcutaneous doses of DIAG723 are evaluated in sequential cohorts to assess safety, tolerability, and pharmacokinetics.

4 weeks
Inpatient monitoring followed by outpatient follow-up

Multiple-Dose Expansion (Part B)

Multiple doses of DIAG723 administered over 13 weeks to assess safety and preliminary efficacy in patients with HHT.

13 weeks
7 visits (every other week)

Multiple-Dose Expansion (Part C)

Multiple doses of DIAG723 administered over 13 weeks to assess safety and exploratory clinical effects in patients with HHT and pulmonary arterial hypertension.

13 weeks
7 visits (every other week)

Follow-up

Participants are monitored for safety and effectiveness after treatment.

4 weeks
2 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • DIAG723

Trial Overview

The study tests DIAG723, given as an injection under the skin, compared to a placebo. It looks at different doses and schedules in people with HHT—with or without pulmonary arterial hypertension—to see if it's safe and effective.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Placebo Group

Group I: DIAG723Experimental Treatment1 Intervention
Group II: Placebo ComparatorPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Diagonal Therapeutics, Inc.

Lead Sponsor

Citations

Hereditary Hemorrhagic Telangiectasia - GeneReviews - NCBI

Hereditary hemorrhagic telangiectasia (HHT) is characterized by the presence of multiple arteriovenous malformations (AVMs) that lack ...

Hereditary hemorrhagic telangiectasia

Hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu syndrome, is a rare inherited disorder characterized by ...

Hereditary hemorrhagic telangiectasia (HHT)

Hereditary hemorrhagic telangiectasia (HHT) is a genetic disorder characterized by telangiectasias and AVMs in multiple organs. also known as Osler-Weber-Rendu ...

Hereditary Hemorrhagic Telangiectasia—Current ...

Hereditary hemorrhagic telangiectasia, also known as Osler–Weber–Rendu disease and Osler–Weber–Rendcder, is characterized by the presence of telangiectasias ...

Hereditary hemorrhagic telangiectasia: diagnosis and ...

Hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu syndrome, is a common autosomal dominant disorder that causes ...