Clinical trial Recruiting at 3 sites Phase1; Phase2 Interventional Ages 18 and up

DIAG723 in Adults With HHT

Official title: A Phase 1/2, First-in-Human, Multicenter, Ascending Single-Dose and Multi-Dose Study to Assess the Safety of DIAG723, a Novel Bispecific ALK-1 and BMPRII Agonist Antibody in Adult Patients With Hereditary Hemorrhagic Telangiectasia (DIAMOND Trial)

Run by Diagonal Therapeutics, Inc. · NCT07623525 · Data updated 2026-11-12

A first-in-human study tests DIAG723 versus placebo in adults with hereditary hemorrhagic telangiectasia to see if it is safe and possibly helpful.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment93 (estimated)
SponsorDiagonal Therapeutics, Inc.
Industry-sponsored
Locations11 sites (Camperdown, New South Wales and 10 other locations)
StatusRecruiting
StartedJune 4, 2026
Main results expectedNovember 30, 2027
Study endsDecember 31, 2027
Registry record updatedSeptember 8, 2026
Trial IDNCT07623525 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 years and older with a clinical or genetic diagnosis of HHT; Part B requires a history of epistaxis and anemia or iron transfusion, and Part C includes those with HHT and pre-capillary PAH.

Probably not a fit

Patients who do not experience a tolerability issue but do not show any sign of clinical activity may not experience benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 1/2, randomized, double-blind, placebo-controlled, multicenter study to evaluate the safety, tolerability, pharmacokinetics, and preliminary clinical activity of DIAG723, a bispecific antibody targeting ALK-1 and BMPRII, in adults with HHT. The study has three sequential parts: Part A explores single ascending doses to establish safety and PK; Part B uses multiple 13-week doses to assess safety and early efficacy in HHT symptoms; Part C adds patients with HHT and pre-existing pulmonary arterial hypertension to evaluate safety and exploratory clinical effects. Participants are randomized to receive DIAG723 or placebo within each part, with inpatient monitoring after dosing and outpatient follow-up. The study aims to determine initial dosing signals and potential therapeutic activity in this patient population.

Why it matters

Potential benefit: If successful, DIAG723 could provide a new treatment option to reduce bleeding episodes and related complications in adults with HHT, including those with PAH.

How similar studies have gone: This bispecific ALK-1/BMPRII targeting approach is investigational; prior similar strategies have shown safety signals in early trials but efficacy signals remain to be demonstrated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult patients ≥18 years with a clinical or genetic diagnosis of HHT
* Adequate hepatic and renal function
* Part B: Epistaxis and anemia or transfusion/iron history
* Part C: HHT with documented pre-capillary pulmonary arterial hypertension

Exclusion Criteria:

* Active or recent systemic infection
* Recent thromboembolic events
* Use of anti-angiogenic drugs within 6 weeks
* Pregnancy or lactation
* Recent participation in another investigational study

Where it's running

  • Diagonal Investigational Site
    Randwick, New South Wales, Australia
    Recruiting
  • Diagonal Investigational Site
    East Melbourne, Victoria, Australia
    Recruiting
  • Diagonal Investigational Site
    Grafton, Auckland, New Zealand
    Recruiting
  • Diagonal Investigational Site
    Camperdown, New South Wales, Australia
    Not yet recruiting
  • Diagonal Investigational Site
    Herston, Queensland, Australia
    Not yet recruiting
  • Diagonal Investigational Site
    Herston, Queensland, Australia
    Withdrawn
Show 5 more locations
  • Diagonal Investigational Site
    Parkville, Victoria, Australia
    Not yet recruiting
  • Diagonal Investigational Site
    West Perth, Western Australia, Australia
    Not yet recruiting
  • Diagonal Investigational Site
    Toronto, Ontario, Canada
    Not yet recruiting
  • Diagonal Investigational Site
    Toronto, Ontario, Canada
    Not yet recruiting
  • Diagonal Investigational Site
    Laval, Quebec, Canada
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.