ClinicalTrials.gg
RecruitingNCT07601425Updated Nov 6, 2026

Harmony-HHT: ATV-1601 in Participants With Hereditary Hemorrhagic Telangiectasia (HHT)

A Phase 1/2 interventional study of ATV-1601 and Placebo in Hereditary Hemorrhagic Telangiectasia (HHT) and Osler Weber Rendu Disease, sponsored by Atavistik Bio, Inc. Recruiting at 10 sites in 2 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Atavistik Bio, Inc · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Updated Nov 6, 2026First site in ArgentinaStudy contact changed+1 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a 2-part study evaluating ATV-1601 in participants with moderate to severe HHT. Part 1 is a randomized, double-blind, placebo-controlled study evaluating 3 dosing regimens of ATV-1601. Patients completing Part 1 may participate in the Part 2 open-label extension to receive ATV-1601.

Read the detailed description

Part 1: This is a Phase 1/2 proof-of-concept, double-blind, multicenter, placebo-controlled study to evaluate the safety, pharmacokinetics and efficacy of 3 oral dosing regimens of ATV-1601. Participants who meet eligibility requirements will be randomized in a double-blind manner to one of 3 doses of ATV-1601 or placebo. Participants will receive double-blind study treatment for a 16-week period.

Part 2: Eligible participants who complete Part 1 may enroll in an open-label extension study to receive up to 2 years of additional treatment. All participants in the open-label extension will receive ATV-1601. Once the recommended Phase 2 dose (RP2D) is determined based on Part 1, all participants in Part 2 will have the option to switch to the RP2D.

02

Conditions studied

  • Hereditary Hemorrhagic Telangiectasia (HHT)
  • Osler Weber Rendu Disease

Keywords

  • Arteriovenous malformations
  • ATV-1601
  • HarmonyHHT
  • Harmony-HHT
  • HarmonyHHTStudy
  • Vascular Diseases
  • Bleeding disorders
  • Hematologic disorders
  • Disorders
  • Telangiectasias
  • Hereditary hemorrhagic
  • Hemorrhagic disorders
  • Cardiovascular diseases
  • Vascular malformations
  • HHT
03

In context

Telangiectasia, Hereditary Hemorrhagic

106 studies on the registry are indexed under Telangiectasia, Hereditary Hemorrhagic; 24 are open to participants now.

This study's planned enrollment of 100 is above the median of 33 across 61 interventional studies indexed under Telangiectasia, Hereditary Hemorrhagic.

Browse Telangiectasia, Hereditary Hemorrhagic studies →

Lead sponsor

Atavistik Bio, Inc is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Ability to provide prior to any study-specific procedures
  • Confirmed diagnosis of hereditary hemorrhagic telangiectasia (HHT) based on Curaçao criteria
  • Moderate to severe HHT with an ESS ≥ 4
  • Anemia at Screening and/or requirement for at least 1 red-cell unit (RUE) in the previous 6 months
  • Adequate hematologic, renal, and hepatic function per protocol-defined laboratory criteria
  • Use highly effective during the study and for a protocol-defined period after last dose

Exclusion criteria

Exclusion Criteria:

  • abnormalities of glucose metabolism including diagnosed Type 1 or uncontrolled Type 2 diabetes
  • Chronic cardiac disease, or cardiac rhythm abnormalities
  • History of significant cardiovascular, hepatic, renal, or hematologic disease not related to HHT that may confound study results
  • Use of prohibited concomitant medications within a protocol-defined prior to first dose (including strong CYP modulators and certain herbal supplements)
  • Recent (within 6 weeks) major surgery or local ablative procedures, or procedures on nasal telangiectasias
  • Prior AKT inhibitor
  • Pregnant or breastfeeding women

Additional Criteria for Open-Label Extension:

  • Participants must complete the double-blind treatment period (Part 1)
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Part 1: 60 mg QD

    Active drug, once daily

    Drug: ATV-1601

  • Experimental
    Part 1: 100 mg QD

    Active drug, once daily

    Drug: ATV-1601

  • Experimental
    Part 1: 60 BID

    Active drug, twice daily

    Drug: ATV-1601

  • Experimental
    Part 1: Placebo

    Control Arm

    Drug: Placebo

Interventions

  • DrugATV-1601

    Administered orally, daily

    Also known as: Active drug, capsule

  • DrugPlacebo

    Administered orally, daily

    Also known as: Inactive, Placebo

06

What researchers measure

Primary outcomes

  1. Part 1: Safety and tolerability

    Number and severity of treatment-emergent adverse events (TEAEs) and study drug-related TEAEs

    Time frame: 16 weeks

  2. Part 2: Safety and tolerability

    Type, incidence, severity, timing, seriousness and relatedness of AEs and laboratory abnormalities

    Time frame: 24 months

Secondary outcomes

  1. Part 1: Change in Epistaxis duration

    28-day total duration compared to baseline

    Time frame: 16 weeks

  2. Part 1: Epistaxis frequency

    28-day frequency of nosebleeds compared to baseline

    Time frame: 16 weeks

  3. Part 1: Epistaxis intensity

    28-day average epistaxis intensity (6-point scale) of nosebleeds compared to baseline

    Time frame: 16 weeks

  4. Part 1: Intensity-weighted epistaxis duration

    28-day intensity-weighted duration of nosebleeds

    Time frame: 16 weeks

  5. Part 1: Epistaxis Severity Score (ESS)

    The Epistaxis Severity Score (ESS) is a validated 6-question instrument with scores ranging from 0 to 10, where higher scores indicate more severe epistaxis symptoms.

    Time frame: 16 weeks

  6. Part 1: Change in Hemoglobin

    Hemoglobin levels compared to baseline

    Time frame: 16 weeks

  7. Part 1: Change in Parenteral iron use

    Amount of parenteral iron administered compared to 16-weeks prior to treatment initiation

    Time frame: 16 weeks

  8. Part 1: Change in Blood transfusion requirements

    Amount of packed red blood cell (PRBC) transfusions and rate of transfusion independence compared to 16-weeks prior to treatment initiation

    Time frame: 16 Weeks

  9. Part 1: Pharmacokinetics - Maximum observed concentration (Cmax)

    Maximum plasma concentration

    Time frame: 16 Weeks

  10. Part 1: Pharmacokinetics - Area under the concentration-time curve over the dosing interval (AUCtau)

    Systemic exposure of ATV-1601 over the dosing interval

    Time frame: 16 Weeks

  11. Part 1: Pharmacokinetics - Area under the concentration-time curve extrapolated to infinity (AUCinf)

    Total systemic exposure of ATV-1601 extrapolated to infinite time

    Time frame: 16 Weeks

  12. Part 1: Pharmacokinetics - Time to maximum concentration (Tmax)

    Time to reach maximum plasma concentration

    Time frame: 16 Weeks

  13. Part 1: Pharmacokinetics - minimum concentration (Cmin)

    Pre-dose trough plasma concentration

    Time frame: 16 Weeks

  14. Part 1: Pharmacokinetics - Half-life (t½)

    Time required for plasma concentration to decrease by half

    Time frame: 16 Weeks

  15. Part 2: Epistaxis duration

    28-day total duration every 4 weeks

    Time frame: Up to 2 years

  16. Part 2: Epistaxis frequency

    Total number of nosebleeds every 4 weeks

    Time frame: Up to 2 years

  17. Part 2: Epistaxis Severity Score (ESS)

    Severity of nosebleeds using a score of 0-10 automatically calculated based on responses to 6 questions.

    Time frame: At 12 weeks and every 12 weeks thereafter up to study completion

  18. Part 2: Change in Hemoglobin

    Hemoglobin levels compared to baseline

    Time frame: Monthly during Part 2

  19. Part 2: Parenteral iron use

    Total amount of parenteral iron infused (mg) compared to baseline (12 weeks prior to treatment initiation

    Time frame: At 12 weeks and every 12 weeks thereafter up to study completion

  20. Part 2: Blood transfusion requirements

    Total number of packed red blood cell (PRBC) transfusions (units) compared to baseline

    Time frame: At 12 weeks and every 12 weeks thereafter during part 2

  21. Part 2: Transfusion independence

    Proportion of participants who do not require PRBC transfusions

    Time frame: At 12 weeks and every 12 weeks thereafter during part 2

07

Study locations

10 of 10 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

4 registry updates since Sep 25, 2026
Sites
7 sites added — first site in Argentina
Show 7 added (6 United States, 1 Argentina)
  • Augusta University Medical Center · Augusta, United States
  • Innovative Hematology · Indianapolis, United States
  • University of Utah Health Sciences Center · Salt Lake City, United States
  • Washington University in St. Louis · St Louis, United States
  • University of North Carolina · Chapel Hill, United States
  • University of California, San Diego · San Diego, United States
  • Hospital Italiano de Buenos Aires · Buenos Aires, Argentina
across 4 updates, Oct 5, 2026 – Nov 6, 2026
Contact
No study contact listed any more: removed S•••@atavistikbio.com · •••5400
Oct 5, 2026
Site contacts
Changed at 3 sites. See the sites
Show 3 sites
  • Arizona Pulmonary Specialists · Phoenix, United StatesContact none listed→s•••@atavistikbio.com · •••5400
  • Massachusetts General Hospital · Boston, United StatesContact none listed→s•••@atavistikbio.com · •••5400
  • Mayo Clinic · Rochester, United StatesContact none listed→s•••@atavistikbio.com · •••5400
Oct 5, 2026
Show all 4 updates
  1. Nov 6, 2026
    2 sites added — first site in Argentina
    Show 2 added (1 United States, 1 Argentina)
    • University of California, San Diego · San Diego, United States
    • Hospital Italiano de Buenos Aires · Buenos Aires, Argentina
  2. Oct 29, 2026
    1 site added
    Show site
    • University of North Carolina · Chapel Hill, United States
  3. Oct 26, 2026
    1 site added
    Show site
    • Washington University in St. Louis · St Louis, United States
  4. Oct 5, 2026
    3 sites added
    Show 3 added (3 United States)
    • Augusta University Medical Center · Augusta, United States
    • Innovative Hematology · Indianapolis, United States
    • University of Utah Health Sciences Center · Salt Lake City, United States
    Contact No study contact listed any more: removed S•••@atavistikbio.com · •••5400
    Site contacts Changed at 3 sites. See the sites
    Show 3 sites
    • Arizona Pulmonary Specialists · Phoenix, United StatesContact none listed→s•••@atavistikbio.com · •••5400
    • Massachusetts General Hospital · Boston, United StatesContact none listed→s•••@atavistikbio.com · •••5400
    • Mayo Clinic · Rochester, United StatesContact none listed→s•••@atavistikbio.com · •••5400

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07601425
Lead sponsor
Atavistik Bio, Inc
Responsible party
Sponsor
First posted
May 22, 2026
Start date
Jul 27, 2026
Primary completion
Dec 2027 (estimated)
Completion
Mar 2030 (estimated)
Last update
Nov 6, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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