ClinicalTrials.gg
CompletedNCT07728825Updated Jul 27, 2026

Intralesional Bleomycin Sclerotherapy for Low-Flow Vascular Malformations of the Head and Neck

A Phase 4 interventional study of Bleomycin (Bleocel 15) in Vascular Malformations, Venous Malformation and Lymphatic Malformation, sponsored by University Of Anbar. Completed at 3 sites in Iraq. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2026-07-27.

Sponsored by University Of Anbar · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Aug 2025, registered Jul 2026).
Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
1 Year and older
Sex
All
01

Study summary

This study evaluated lesion volume reduction after intralesional bleomycin sclerotherapy in patients with low-flow vascular malformations of the head and neck, and identified predictors of treatment response. Twenty patients were enrolled across three Iraqi teaching hospitals and treated with intralesional bleomycin. Lesion volume was assessed by ultrasound or MRI at baseline and four weeks after the final treatment session.

Read the detailed description

Patients with clinically and radiologically confirmed low-flow vascular malformations of the head and neck were enrolled consecutively. Bleomycin was diluted to 3 mg/mL and injected intralesionally at multiple points, with a maximum of 15 mg per session and up to four sessions at three- to four-week intervals. Needle selection was guided by lesion depth, with ultrasound guidance used for deeper lesions. Lesion dimensions (length, width, depth) were measured by a single trained operator at each site; volume was calculated using the prolate ellipsoid formula (pi/6 x L x W x D), or by MRI-based volumetric segmentation for irregular multilocular lesions. Clinical response was graded using the modified Achauer scale. Adverse events were graded using CTCAE version 5.0, and peripheral oxygen saturation was monitored during and after each procedure.

02

Conditions studied

  • Vascular Malformations
  • Venous Malformation
  • Lymphatic Malformation

Keywords

  • Bleomycin
  • Sclerotherapy
  • Head and Neck
  • Iraq
03

In context

Vascular Malformations

79 studies on the registry are indexed under Vascular Malformations; 33 are open to participants now.

This study's enrollment of 20 is below the median of 55 across 49 interventional studies indexed under Vascular Malformations.

Browse Vascular Malformations studies →

Lead sponsor

University Of Anbar is the lead sponsor of 8 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
1 Year and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Age older than one year
  • Clinically and radiologically confirmed low-flow vascular malformation of the head and neck
  • No prior bleomycin therapy
  • Medically fit for outpatient intervention

Exclusion criteria

Exclusion Criteria:

  • High-flow vascular malformation
  • Pregnancy or lactation
  • Documented to bleomycin
  • Pre-existing pulmonary or hepatic disease
  • Bleeding disorder or current anticoagulant use
  • Renal impairment (serum creatinine > 1.5 mg/dL or estimated \< 60 mL/min/1.73 m²)
  • Active infection at or near the treatment site
Terms in these criteria, in plain language(2)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Intralesional bleomycin sclerotherapy

    All participants received intralesional bleomycin sclerotherapy.

    Drug: Bleomycin (Bleocel 15)

Interventions

  • Intralesional injection of bleomycin diluted with normal saline to 3 mg/mL. Maximum 15 mg per session; up to four sessions at three- to four-week intervals; cumulative dose capped at 400 mg. Administered under local anaesthesia or conscious sedation, with ultrasound guidance for deep lesions.

06

What researchers measure

Primary outcomes

  1. Percentage reduction in lesion volume

    Lesion volume derived from three orthogonal dimensions using the prolate ellipsoid formula (pi/6 x length x width x depth) on ultrasound or MRI, or by MRI volumetric segmentation for irregular lesions. Percentage reduction calculated relative to baseline volume.

    Time frame: Baseline to 4 weeks after the final treatment session

Secondary outcomes

  1. Incidence and severity of adverse events

    Adverse events documented and graded using CTCAE version 5.0, including monitoring of peripheral oxygen saturation for pulmonary safety

    Time frame: From the first treatment session through 4 weeks after the final treatment session, up to 16 weeks

07

Study locations

3 sites
  • Al-Fallujah Teaching Hospital
    Fallujah, Al-Anbar Governorate 54001, Iraq
  • Al-Najaf Al-Ashraf Teaching Hospital
    Najaf, Najaf 54001, Iraq
  • Al-Sadr Teaching Hospital
    Najaf, Najaf 54001, Iraq
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07728825
Lead sponsor
University Of Anbar
Responsible party
Ahmed Tawfeeq Amoori (Postgraduate Researcher, Department of Oral and Maxillofacial Surgery, University Of Anbar) — Principal investigator
First posted
Jul 27, 2026
Start date
Aug 25, 2025
Primary completion
Apr 16, 2026
Completion
Apr 26, 2026
Last update
Jul 27, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Bleomycin

Start the discussion