Could a common heart drug tame nosebleeds in rare disease?
NCT ID NCT04113187
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether propranolol, a beta-blocker usually used for heart conditions, can reduce nosebleeds in people with hereditary hemorrhagic telangiectasia (HHT), a genetic disorder that causes abnormal blood vessels. Fifteen adults with HHT took either propranolol or a placebo for three months. The main goal was to see if the drug shortened the total time of nosebleeds.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- propranolol
- What this could lead to
- If it works, this could offer a new way to reduce nosebleeds in people with HHT, improving daily life.
- What could go wrong
- This is a very small, completed phase 3 trial with only 15 participants, so results may not apply to everyone. Propranolol can cause side effects like low blood pressure and fatigue.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
15 people
The number who actually took part.
- Started
-
Jun 2020
- Finished
-
May 2022
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * Confirmed diagnosis of HHT : 3 or more Curaçao criteria (spontaneous and recurrent epistaxis; multiple telangiectasia at characteristic sites; visceral lesions such as gastrointestinal telangiectasia or arteriovenous malformations; family history: a first degree relative with HHT according to these criteria ) or mutations of genes encoding for ALK1, ENG or SMAD4 * Patient suffering from recurrent epistaxis (more than a mean of 10 episodes/month) and/or with a cumulative mean duration per month more than 20 minutes, according to specific grids completed at least three months before inclusion. * Patient insured under the French social security system * Free and informed consent signed by investigator and patient Exclusion Criteria: * Pregnancy or breast-feeding * Incomplete epistaxis grids in the month prior inclusion * Current beta-blocker treatment * Hypersensitivity to the active substance or excipient * Patients with type I or type II diabetes, treated with insulin, sulphonylureas or meglitinides * Patients with heart failure * Patients with liver failure * Patients with hepatic arteriovenous malformations responsible for high-output cardiac failure or severe hepatic dysfunction * Patients with severe psoriasis (PASI\>10) * Contra-indication to beta-blocker treatment : asthma, chronic obstructive bronchopneumopathy, atrioventricular block of second or third degrees without pacemaker, Prinzmetal's angina, bradycardia \< 50bpm, Raynaud's phenomenon, oblitering arteriopathy of the lower limbs, low blood pressure, non-treated pheochromocytoma * Participation in another clinical therapeutic trial less than 3 months before inclusion * Protected adult according to french law
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
CHU de Bordeaux - service de médecine interne
Bordeaux, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a transplant drug stop HHT nosebleeds? small study tests sirolimus
- New antibody aims to tame rare bleeding disorder
- New drug aims to stop nosebleeds in rare blood vessel disorder