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Engasertib (VAD044) is an oral, small molecule, selective allosteric inhibitor of AKT (protein kinase B) being developed by Vaderis Therapeutics. It is specifically designed to treat Hereditary Hemorrhagic Telangiectasia (HHT), a rare genetic vascular disorder characterized by malformed blood vessels that are prone to bleeding. By targeting the AKT pathway, which is overactive in HHT-related vascular lesions, engasertib aims to reduce the frequency and duration of epistaxis (nosebleeds) and improve anemia. Clinical data from Phase 2 studies demonstrated significant reductions in bleeding duration and frequency, leading to FDA Fast Track designation. The drug is currently being prepared for Phase 3 clinical evaluation.
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