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
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 93 (estimated) |
| Sponsor | Diagonal Therapeutics, Inc. Industry-sponsored |
| Locations | 11 sites (Camperdown, New South Wales and 10 other locations) |
| Status | Recruiting |
| Started | June 4, 2026 |
| Main results expected | November 30, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | September 8, 2026 |
| Trial ID | NCT07623525 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
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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
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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
- Study coordinator: Diagonal Therapeutics
- Email: clinicalinfo@diagonaltx.com
- Phone: 339-233-4291
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.