ORPHA:774
Hereditary hemorrhagic telangiectasia
Also known as: HHT · Rendu-Osler disease · Rendu-Osler-Weber disease
Publications
11,735
95.2th percentile
Trials
51
Interventional, condition-specific
Researchers
1,126
Distinct authors in sample
Gene link
ACVRL1, ENG
Strong
Readiness
6/6
Stages with a signal
Clinical definition (Orphanet)
An inherited disorder of angiogenesis characterized by mucocutaneous telangiectases and visceral arteriovenous malformations.
How rare: 1-5 / 10 000 — about one to five people per ten thousand (still uncommon, but less ultra-rare).
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0019180
- MeSH:D013683
- UMLS:C0039445
- NCIT:C35064
Additional Mondo synonyms (4)
Osler-Weber-Rendu disease · hereditary hemorrhagic telangiectasia · telangiectasia, hereditary Hemorrahagic, of Rendu, Osler · telangiectasia, hereditary hemorrhagic
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
6/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedPresent
Strong — ACVRL1, ENG
- LiteraturePresent
11,735 matched papers (5,808 in last 10 years) Source
- Phenotype characterisedPresent
152 HPO annotations (e.g. Portal hypertension; Pulmonary arteriovenous malformation; Seizure) Source
- Animal modelPresent
14 genotype models (Danio rerio, Mus musculus) Source
- Orphan designationPresent
4 FDA designations (4 FDA orphan-indication approvals) — e.g. pazopanib Source
- Interventional trialPresent
51 matched on ClinicalTrials.gov (5 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Yes — we know a specific gene responsible (ACVRL1, ENG).
GenCC classification: Strong.
Phenotypes (Monarch / HPO)
152
Associated phenotypes · MONDO:0019180
- Portal hypertension
- Pulmonary arteriovenous malformation
- Seizure
- Cirrhosis
- Pulmonary arterial hypertension
Showing 5 of 152 — open Monarch for the full list.
Animal models (Monarch / Alliance)
14
Model associations linked to this Mondo ID
- WT + MO1-eng·ZFIN:ZDB-FISH-210222-4·Danio rerio
- Engtm2.1Hma/Engtm2.1Hma Gt(ROSA)26Sortm1(cre/ERT)Nat/Gt(ROSA)26Sor+ [background:] involves: 129P2/OlaHsd * 129S1/Sv * 129X1/SvJ·MGI:5775189·Mus musculus
- bmp10pt527/pt527; pt505Tg; twu34Tg·ZFIN:ZDB-FISH-201103-7·Danio rerio
- Engtm1Mle/Eng+ [background:] involves: 129P2/OlaHsd * C57BL/6·MGI:2669003·Mus musculus
- Acvrl1tm2.1Spo/Acvrl1tm2.1Spo Gt(ROSA)26Sortm1(cre/ERT)Nat/Gt(ROSA)26Sor+ [background:] involves: 129 * 129S1/Sv * 129X1/SvJ·MGI:5431572·Mus musculus
- Engtm2.1Hma/Engtm2.1Hma Tg(Tagln-cre)1Her/0 [background:] involves: 129P2/OlaHsd * C57BL/6 * SJL·MGI:5775294·Mus musculus
- Engtm1Dyl/Engtm1Dyl [background:] involves: 129S1/Sv * 129X1/SvJ * C57BL/6J·MGI:2177905·Mus musculus
- Acvrl1tm1Enl/Acvrl1+ [background:] involves: C57BL/6·MGI:3033418·Mus musculus
- Engtm1Mle/Eng+ [background:] 129P2/OlaHsd-Engtm1Mle·MGI:3628821·Mus musculus
- Acvrl1tm2.1Spo/Acvrl1tm2.1Spo Tg(Tal1-cre/ERT)1Jrg/0 [background:] involves: 129 * C57BL/6·MGI:5775199·Mus musculus
- Acvrl1tm2Spo/Acvrl1tm2Spo Tg(Acvrl1-cre)L1Spo/0 [background:] involves: 129 * 129S4/SvJae * C57BL/6 * FVB/N·MGI:4398918·Mus musculus
- Engtm1Hma/Eng+ [background:] 129P2/OlaHsd-Engtm1Hma·MGI:3623404·Mus musculus
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
4
Designations · 4 with FDA orphan-indication approval
- FDA pazopanibhereditary hemorrhagic telangiectasia · 2019-10-09 · Not FDA Approved for Orphan Indication
- FDA thalidomidehereditary hemorrhagic telangiectasia · 2017-07-19 · Not FDA Approved for Orphan Indication
- FDA bevacizumabhereditary hemorrhagic telangiectasia · 2010-10-21 · Not FDA Approved for Orphan Indication
- FDA raloxifene hydrochloridehereditary hemorrhagic telangiectasia · 2010-08-20 · Not FDA Approved for Orphan Indication
Sources: FDA OOPD · EMA orphan designations
Open Targets candidates
22
Drugs / clinical candidates · MONDO_0019180
- BEVACIZUMAB·phase 3
- MUPIROCIN·phase 3
- PROPRANOLOL·phase 3
- TRANEXAMIC ACID·phase 3
- DOXYCYCLINE·phase 2
- ESTRIOL·phase 2
- INTERFERON ALFA-2B·phase 2
- NINTEDANIB·phase 2
- NOVAFERON·phase 2
- OCTREOTIDE·phase 2
- PEGINTERFERON ALFA-2B·phase 2
- POMALIDOMIDE·phase 2
- ROPEGINTERFERON ALFA-2B·phase 2
- SIROLIMUS·phase 2
- TACROLIMUS·phase 2
CTD chemicals (MyDisease.info)
2 associated chemicals. Therapeutic evidence is listed first when present — not a treatment recommendation.
- Aspirin · marker/mechanism
- Ethanol · marker/mechanism
Literature
Is anyone studying this?
11,735
11,735 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
11,735 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
5,808 in the last 10 years · medium confidence · 95.2th percentile (publications denominator)
Phrase hits: 8,582 · MeSH hits: 22
Who's working on it?
1,126
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Mathavan A10 papers · 2026
Internal Medicine, University of Florida, Gainesville, Florida, USA.
Papers in Europe PMC - 02Dupuis-Girod S7 papers · 2026
Service de génétique, centre de référence pour la maladie de Rendu-Osler, hospices civils de Lyon, hôpital Mère-Enfant, 69500 Bron, France.
Papers in Europe PMC - 03Ataya A6 papers · 2026
Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida Health, Gainesville, Florida, USA ali.ataya@medicine.ufl.edu.
Papers in Europe PMC - 04Haahr PD6 papers · 2026
Gastroenterology and Hepatology, Odense Universitetshospital, Odense, Denmark Pernille.Darre.Haahr3@rsyd.dk.
Papers in Europe PMC - 05Kjeldsen AD6 papers · 2026
Øre- Næse- Halsafdelingen, Odense Universitetshospital.
Papers in Europe PMC - 06Al-Samkari H5 papers · 2026
Division of Hematology Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address: hal-samkari@mgh.harvard.edu.
Papers in Europe PMC - 07Gaetani E5 papers · 2026
Department of Translational Medicine and Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Papers in Europe PMC - 08Kasthuri RS5 papers · 2026
Division of Hematology/Oncology, University of North Carolina, Chapel Hill, North Carolina, USA.
Papers in Europe PMC - 09Riera-Mestre A5 papers · 2026
HHT Unit. Hospital Universitari Bellvitge, Barcelona, Spain; Internal Medicine Department. Hospital Universitari Bellvitge, Barcelona, Spain; Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain; Clinical Sciences Department. Faculty of Medicine and Health Sciences. Universitat de Barcelona, Barcelona, Spain; Center for Biomedical Research in Obesity and Nutrition Physiopathology Network (CIBEROBN). Carlos III Health Institute, Madrid, Spain. Electronic address: ariera@bellvitgehospital.cat.
Papers in Europe PMC - 10Torres-Iglesias R5 papers · 2026
HHT Unit. Hospital Universitari Bellvitge, Barcelona, Spain; Internal Medicine Department. Hospital Universitari Bellvitge, Barcelona, Spain; Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
51
interventional trials for this specific condition
51 interventional trials matched this specific condition name; 5 currently recruiting in our sample.
Data as of 11 September 2026 · last trial check 28 July 2026
51 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 97.2th percentile).
medium confidence · 97.2th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
51 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT07667413·RECRUITING·Topical TOR-582 Treatment of Epistaxis in HHT
Not reviewed·Conditions: Hereditary Hemorrhagic Telangiectasia (HHT) · Epistaxis·Matched via name phrase
- NCT05641142·RECRUITING·Prospective Study of Antiplatelet and Anticoagulation Therapy in Hereditary Haemorrhagic Telangiectasia
Not reviewed·Conditions: Hereditary Hemorrhagic Telangiectasia · Rendu Osler Disease·Matched via name phrase
- NCT07601425·NOT YET RECRUITING·Harmony-HHT: ATV-1601 in Participants With Hereditary Hemorrhagic Telangiectasia (HHT)
Not reviewed·Conditions: Hereditary Hemorrhagic Telangiectasia (HHT) · Osler Weber Rendu Disease·Matched via name phrase
- NCT04976036·RECRUITING·Efficacy of Nintedanib for Treatment of Epistaxis in Hereditary Hemorrhagic Telangiectasia (HHT) Patients
Not reviewed·Conditions: Telangiectasia, Hereditary Hemorrhagic·Matched via name + MeSH
- NCT07623525·RECRUITING·DIAG723 in Adults With Hereditary Hemorrhagic Telangiectasia
Not reviewed·Conditions: Hereditary Hemorrhagic Telangiectasia · Pulmonary Arterial Hypertension·Matched via name phrase
Observational and natural-history studies
31 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT00230620·RECRUITING·Molecular Studies on Hereditary Haemorrhagic Telangiectasia Families
Not reviewed·Conditions: Telangiectasia, Hereditary Hemorrhagic·Matched via name + MeSH
- NCT06259292·RECRUITING·Comprehensive HHT Outcomes Registry of the United States (CHORUS)
Not reviewed·Conditions: Hereditary Hemorrhagic Telangiectasia · Arteriovenous Malformations · Telangiectasia · Epistaxis·Matched via name phrase
- NCT07445347·ENROLLING BY INVITATION·Efficacy and Tolerance of Treatment With Bevacizumab for Severe Liver Involvement With High Cardiac Output in Hereditary Hemorrhagic Telangiectasia Within the French Hereditary Hemorrhagic Telangiectasia Network
Not reviewed·Conditions: Hereditary Hemorrhagic Telangiectasia (HHT) · Pulmonary Hypertension · Bevacizumab·Matched via name phrase
- NCT04469517·RECRUITING·Influence of Hypoxic Induced Factors in Patients With Hereditary Hemorrhagic Telangiectasia
Not reviewed·Conditions: Hereditary Hemorrhagic Telangiectasia·Matched via name phrase
- NCT07101575·NOT YET RECRUITING·Cardiac Evaluation in Hereditary Hemorrhagic Telangiectasia
Not reviewed·Conditions: Hereditary Hemorrhagic Telangiectasia·Matched via name phrase
- NCT06261333·ENROLLING BY INVITATION·Quality of Life in Patients With Hemorrhagic Telangiectasia
Not reviewed·Conditions: Hereditary Hemorrhagic Telangiectasia·Matched via name phrase
- NCT00230685·RECRUITING·Case Notes Review on Patients With Hereditary Haemorrhagic Telangiectasia
Not reviewed·Conditions: Telangiectasia, Hereditary Hemorrhagic·Matched via name + MeSH
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 6 · after dedupe 6 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 6 · dropped 0 · fetched 2026-07-29
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (6)
- ctis·2025-522510-23-00·Expired·InsigHHT: A Phase 1/2, Randomized, Double-blind, Placebo-controlled, 2 part Study of the Safety, Tolerability, Efficacy, Pharmacokinetics, and Pharmacodynamics of Single Dose ALN-6400 in Adult Healthy Volunteers and Multiple Dose ALN 6400 in Adult Patients with Hereditary Hemorrhagic Telangiectasia (HHT)
skipped — LLM skipped (--skip-llm)
- ctis·2024-518886-89-00·Expired·Phase II randomized study on efficacy of nintedanib for treatment of epistaxis in hereditary haemorrhagic telangiectasia (HHT) patients - EPISTOP
skipped — LLM skipped (--skip-llm)
- ctis·2024-518843-39-00·Cancelled·Mass balance study of [14C]-VAD044
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN44013133·No longer recruiting·A randomised trial of unruptured brain arteriovenous malformations
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN18170773·No longer recruiting·Effectiveness of TRIONIC compresses to stop abdominal oozing after deep inferior epigastric perforator breast reconstruction surgery
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN67264420·No longer recruiting·Visualisation of the microcirculation of the nasal mucosa in vivo in different nasal disorders, using sidestream dark-field imaging
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Hereditary hemorrhagic telangiectasia — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
("Hereditary hemorrhagic telangiectasia" OR "Rendu-Osler disease" OR "Rendu-Osler-Weber disease" OR "Osler-Weber-Rendu disease" OR "telangiectasia, hereditary Hemorrahagic, of Rendu, Osler" OR "telangiectasia, hereditary Hemorrahagic, of the Rendu, Osler" OR "telangiectasia, hereditary hemorrhagic") OR (MESH:"Telangiectasia, Hereditary Hemorrhagic") OR ("ACVRL1" OR "ACVRL1 syndrome" OR "ACVRL1-related" OR "ENG syndrome" OR "ENG-related")MeSH descriptor terms unioned into the query: Telangiectasia, Hereditary Hemorrhagic
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Hereditary hemorrhagic telangiectasia" OR "Rendu-Osler disease" OR "Rendu-Osler-Weber disease" OR "Osler-Weber-Rendu disease" OR "telangiectasia, hereditary Hemorrahagic, of Rendu, Osler" OR "telangiectasia, hereditary Hemorrahagic, of the Rendu, Osler" OR "telangiectasia, hereditary hemorrhagic"
Interventional trials matched via: both, phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 51 interventional · 31 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase, mesh; with hits: phrase, mesh
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: HHT
Confidence reasoning
- Preferred label is multi-word and distinctive
- 1 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-26T15:18:35.943Z
