PTX-022 (sirolimus) 3.9% topical gel for angiokeratomas.

A Phase 2, Baseline-Controlled Study Evaluating the Safety and Efficacy of PTX-022 (Sirolimus) Topical Gel 3.9% in the Treatment of Angiokeratomas (LOTU)

Phase 2 Interventional Palvella Therapeutics, Inc. · NCT07552077

This trial will test whether PTX-022, a 3.9% sirolimus topical gel, is safe and helps people aged 6 and older who have angiokeratomas.

Quick facts

PhasePhase 2
Study typeInterventional
Enrollment15 (estimated)
Ages6 Years and up
SexAll
SponsorPalvella Therapeutics, Inc. Industry-sponsored
Locations4 sites (Sherman Oaks, California and 3 other locations)
Trial IDNCT07552077 on ClinicalTrials.gov

What this trial studies

This phase 2, baseline-controlled interventional trial tests a 3.9% sirolimus topical gel (PTX-022) applied to angiokeratoma lesions. Participants aged 6 years and older with diagnosed angiokeratomas will apply the gel according to the protocol and attend scheduled in-person visits at one of three U.S. sites for monitoring. Outcomes compare lesion appearance and symptoms to each participant's baseline while tracking adverse events to characterize safety. The trial excludes patients with known sirolimus allergy or significant concurrent conditions that could affect participation or safety.

Who should consider this trial

Good fit: People aged 6 years or older with a confirmed diagnosis of angiokeratomas who can follow study procedures and give informed consent (or have a guardian consent) are the intended candidates.

Not a fit: Patients with a known allergy to sirolimus, significant concurrent medical conditions, or lesions that are deep/subcutaneous and unlikely to respond to topical therapy may not benefit from this treatment.

Why it matters

Potential benefit: If successful, the gel could shrink or fade angiokeratomas and reduce symptoms such as bleeding or irritation with a topical, noninvasive option.

How similar studies have performed: Topical sirolimus has shown benefit in other vascular and cutaneous lesions, but its use specifically for angiokeratomas is relatively novel and not yet well established.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants must be 6 years or older
* Diagnosed with angiokeratoma
* Able and willing to comply with all protocol-related activities
* Willing and able to provide written informed consent

Exclusion Criteria:

* Any significant concurrent condition that could adversely affect participation
* Any history of allergy or hypersensitivity to sirolimus, or sirolimus-like medications or to PTX-022
* Patients deemed by the investigator as unwilling or unable to remain compliant with all tests and procedures, including adherence to study drug administration and other protocol-required activities

Where this trial is running

Sherman Oaks, California and 3 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Angiokeratomasangiokeratoma
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.