Blood

Hereditary Hemorrhagic Telangiectasia

Also known as HHT, Osler-Weber-Rendu disease, Osler-Rendu-Weber syndrome

Hereditary hemorrhagic telangiectasia is a vascular dysplasia syndrome caused by heterozygous loss-of-function mutations in genes encoding components of the TGF-beta/BMP signaling pathway, most commonly ENG (endoglin, HHT type 1) or ACVRL1

ORPHA:774 ↗Gene ENGGene ACVRL1Prevalence 1 in 5,000 to 1 in 8,000Onset Telangiectasias and nosebleeds typically emerge in adolescence to adulthood; AVMs may be congenitalAutosomal dominant

13

studies recruiting now

as of 7 Sept 2026

107

studies registered in total

as of 7 Sept 2026

6

countries with a recruiting site

as of 7 Sept 2026

3 Jun 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 13 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

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Registry: HHT International Registry · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Hereditary Hemorrhagic Telangiectasia

Hereditary hemorrhagic telangiectasia is a vascular dysplasia syndrome caused by heterozygous loss-of-function mutations in genes encoding components of the TGF-beta/BMP signaling pathway, most commonly ENG (endoglin, HHT type 1) or ACVRL1 (activin receptor-like kinase 1, HHT type 2), leading to abnormal arteriovenous connections in multiple organs. These arteriovenous malformations (AVMs) most frequently affect the nasal mucosa, gastrointestinal tract, lungs, liver, and brain, causing recurrent hemorrhage and in severe cases high-output cardiac failure or paradoxical embolism. The diagnosis is clinical using the Curacao criteria and confirmed by genetic testing.

Common clinical features

Recurrent spontaneous epistaxis (nosebleeds) as the hallmark symptomMultiple mucocutaneous telangiectasias on lips, tongue, fingers, and faceGastrointestinal bleeding from intestinal telangiectasiasPulmonary arteriovenous malformations causing hypoxemia and risk of strokeCerebral AVMs with risk of hemorrhagic stroke or brain abscessHepatic AVMs potentially causing high-output heart failure or portal hypertensionIron deficiency anemia from chronic blood lossMigraine headaches

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

1 approved treatment and 13 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Ranibizumab (Byooviz)
Phase 3Bevacizumab (Abevmy)
Phase 3Propranolol
Phase 3Tranexamic Acid (Cyklo-f heavy period relief)
Phase 3Sodium Chloride (Aqsia (balanced salt soln))
Phase 3Mupirocin (Bactroban)
Phase 2Pazopanib (Votrient)
Phase 2Tamoxifen
Phase 2Doxycycline Hyclate (Acticlate)

+ 5 more in development

Before you apply

Things trial teams commonly ask about for Hereditary Hemorrhagic Telangiectasia. Not eligibility rules; those are set by each study.

  • Confirmed HHT diagnosis using Curacao criteria (at least 3 of 4: epistaxis, telangiectasias, visceral AVMs, family history) or genetic mutation identification is required for most trials; bring genetic test results and imaging of AVMs.
  • Severity of epistaxis (frequency, duration, transfusion dependence, Epistaxis Severity Score) and iron deficiency status are primary outcomes in antiangiogenic therapy trials including bevacizumab and thalidomide studies.
  • Screening for pulmonary and cerebral AVMs is recommended before enrollment in any study involving systemic agents, as untreated large pulmonary AVMs increase procedural risk.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).