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Tyrosine Kinase Inhibitor
Pazopanib for Hereditary Hemorrhagic Telangiectasia (Paz Trial)
Phase 2 & 3
Recruiting
Led By James Gossage, MD
Research Sponsored by Cure HHT
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up epistaxis severity - average of last 6 weeks of study compared to baseline 6 weeks; change in ess at 12, 24 and 48 weeks (versus baseline)
Summary
This trial will test if Pazopanib, taken daily for 24 weeks, can reduce nose bleed severity and duration in HHT patients. Tests will also measure blood loss and safety.
Who is the study for?
This trial is for individuals with hereditary hemorrhagic telangiectasia (HHT) who experience severe nosebleeds and anemia. Participants must be able to monitor their blood pressure at home, not start new HHT therapies during the study, and women of childbearing age must use effective contraception. People with certain medical conditions or on prohibited medications cannot join.
What is being tested?
The trial tests if Pazopanib can reduce nosebleed severity in HHT patients over a 24-week period compared to a placebo. It also monitors blood loss and safety. Patients will take the drug daily and have regular check-ups to assess the impact on their condition.
What are the potential side effects?
While specific side effects are not listed here, common ones associated with Pazopanib may include high blood pressure, diarrhea, hair color changes, nausea, weight loss, fatigue, and liver issues.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ epistaxis severity - average of last 6 weeks of study compared to baseline 6 weeks; change in ess at 12, 24 and 48 weeks (versus baseline)
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~epistaxis severity - average of last 6 weeks of study compared to baseline 6 weeks; change in ess at 12, 24 and 48 weeks (versus baseline)
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change in epistaxis duration in minutes
Hemoglobin Response rate increase in hemoglobin
Secondary study objectives
Achievement of meaningful improvement in epistaxis for HHT patients
Assess pharmacokinetics and pharmacodynamics (PK/PD) of treatment
Assess the safety of up to 24 and 48 weeks of treatment of pazopanib
+2 moreOther study objectives
Assess effect of up to 24 and 48 weeks of pazopanib treatment on level of epistaxis severity
Assess effects of up to 24 weeks of pazopanib treatment on epistaxis duration
Assess effects of up to 24 weeks of pazopanib treatment on epistaxis symptom elements
+10 moreSide effects data
From 2019 Phase 2 trial • 30 Patients • NCT0146697253%
Fatigue
50%
Nausea
37%
Diarrhea
33%
Back pain
30%
Hypertension
30%
Anorexia
23%
Abdominal pain
20%
Bone pain
17%
Dyspnea
17%
Vomiting
17%
Headache
17%
Aspartate aminotransferase increased
13%
Arthralgia
13%
Constipation
13%
Palmar-plantar erythrodysesthesia syndrome
13%
Alanine aminotransferase increased
13%
Investigations - Other
10%
Anemia
10%
Blurred vision
10%
Chills
10%
Pain in extremity
10%
Hot flashes
10%
Dysgeusia
10%
Rash maculo-papular
10%
Alkaline phosphatase increased
7%
White blood cell decreased
7%
Platelet count decreased
7%
Neutrophil count decreased
7%
Urinary frequency
7%
Urinary incontinence
7%
Alopecia
7%
Dry Mouth
7%
Skin and subcutaneous tissue disorders - Other
7%
Cough
7%
Urinary tract pain
7%
Gastroesophageal reflux disease
7%
Fever
7%
Dyspepsia
7%
Non-cardiac chest pain
7%
Hypothyroidism
7%
Hyperglycemia
7%
Hyponatremia
7%
Peripheral motor neuropathy
7%
Blood bilirubin increased
3%
Pleural effusion
3%
Hypotension
3%
Back Pain
3%
Thromboembolic event
3%
Heart Failure
3%
Small intestinal obstruction
3%
Vertigo
100%
80%
60%
40%
20%
0%
Study treatment Arm
Pazopanib in Combination With a NSAI
Trial Design
5Treatment groups
Experimental Treatment
Active Control
Placebo Group
Group I: Part C Pazopanib - 150 mgExperimental Treatment1 Intervention
Pazopanib 150 mg oral daily dosing (six 25 mg Pazopanib capsules).
Group II: Part B (Severe Anemia) Pazopanib - 150 mgActive Control1 Intervention
150 mg pazopanib oral capsules (six 25 mg placebo capsules daily).
Group III: Part B (Severe Epistaxis) Pazopanib - 150 mgActive Control1 Intervention
Pazopanib 150 mg oral daily dosing (six 25 mg Pazopanib capsules).
Group IV: Part B (Severe Expistaxis) PlaceboPlacebo Group1 Intervention
Placebo oral capsules (six 25 mg placebo capsules daily).
Group V: Part B (Severe Anemia) PlaceboPlacebo Group1 Intervention
Placebo oral capsules (six 25 mg placebo capsules daily).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pazopanib
2012
Completed Phase 4
~1370
Find a Location
Who is running the clinical trial?
Food and Drug Administration (FDA)FED
181 Previous Clinical Trials
1,548,708 Total Patients Enrolled
Cure HHTLead Sponsor
3 Previous Clinical Trials
10,317 Total Patients Enrolled
United States Department of DefenseFED
908 Previous Clinical Trials
333,610 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have lung blood vessel malformations larger than 3mm.I have recently started experiencing severe diarrhea.I am taking medication that can affect my heart's rhythm.I have no recent cancers except for non-melanoma skin cancer.I have had surgery recently.I have a significant kidney condition.I have a history of heart problems.I have been diagnosed with hereditary hemorrhagic telangiectasia.I agree not to have nasal vein treatments or start new HHT therapies while in the study.I can come back for follow-up visits as required.My iron treatments or blood transfusions have been consistent for the last 3 months.I am able to understand and sign the consent form.My family has a history of long QT syndrome.I am a man and will use condoms.I meet all the requirements for either the Severe Anemia or Severe Epistaxis group.I have serious stomach or intestine problems not caused by HHT.I haven't taken strong VEGF inhibitors recently.My high blood pressure is not well-managed.I can and will complete daily health reports at home.I do not have significant bleeding except for nose or stomach issues.I have untreated brain blood vessel malformations with high-risk features.
Research Study Groups:
This trial has the following groups:- Group 1: Part B (Severe Anemia) Pazopanib - 150 mg
- Group 2: Part B (Severe Epistaxis) Pazopanib - 150 mg
- Group 3: Part B (Severe Expistaxis) Placebo
- Group 4: Part B (Severe Anemia) Placebo
- Group 5: Part C Pazopanib - 150 mg
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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