DIAG723 for Osler-Weber-Rendu Syndrome
(DIAMOND Trial)
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.12345Why 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
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Dose Escalation (Part A)
Single ascending subcutaneous doses of DIAG723 are evaluated in sequential cohorts to assess safety, tolerability, and pharmacokinetics.
Multiple-Dose Expansion (Part B)
Multiple doses of DIAG723 administered over 13 weeks to assess safety and preliminary efficacy in patients with HHT.
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.
Follow-up
Participants are monitored for safety and effectiveness after treatment.
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
Participants receive DIAG723 administered subcutaneously. Part A (dose-escalation): Single ascending dose across planned cohorts, randomized 3:1 DIAG723:placebo. Part B (multi-dose HHT): Multiple-dose regimens over 13 weeks (7 doses administered every other week), randomized 2:1. Part C (multi-dose HHT + PAH): Same 13-week multi-dose regimen in patients with pulmonary arterial hypertension, randomized 4:1. Doses/regimens in Parts B and C are selected based on Part A safety and PK data.
Participants receive placebo (sterile normal saline, 0.9% NaCl) administered subcutaneously in a volume matched to DIAG723 to maintain blinding. Matching single-dose administration in Part A. Matching multi-dose regimens (every-other-week dosing for 13 weeks) in Parts B and C. Randomization ratios consistent with each study part (3:1, 2:1, 4:1).
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 ...
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