A pill to stop the bleeding? new hope for HHT nosebleeds

NCT ID NCT07743671

First seen Aug 04, 2026 · Last updated Aug 05, 2026 · Updated 1 time

Summary

This phase 3 trial tests whether an experimental oral drug called engasertib can reduce the number of nosebleeds in adults with moderate to severe hereditary hemorrhagic telangiectasia (HHT), a genetic condition that causes abnormal blood vessels and frequent bleeding. About 240 participants will receive either engasertib or a placebo daily for 28 weeks. The main goal is to see if the drug lowers the total number of nosebleed episodes compared to placebo.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
engasertib (also called VAD044), taken as an oral capsule
What this could lead to
If it works, engasertib could become the first approved treatment to reduce frequent nosebleeds in people with HHT, improving daily life and reducing the need for transfusions.
What could go wrong
This is a phase 3 trial, but success is not guaranteed. The drug may not reduce nosebleeds more than a placebo, and side effects are possible. Results will need to be confirmed in this larger study.

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Conditions

The condition(s) this trial relates to.

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