New pill could ease rare skin disease
NCT ID NCT07090889
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-stage trial tests an oral drug called KM-023 for Olmsted Syndrome, a rare genetic condition causing painful, thick skin on the palms and soles. First, healthy volunteers will receive single or multiple doses to check safety and how the body handles the drug. Then, patients with Olmsted Syndrome will take the drug twice daily for 12 weeks to see if it reduces skin thickening and lesions. The study is small and focused on safety, not yet proof of a cure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- KM-023 (oral solution)
- What this could lead to
- If this early trial shows promise, it could point toward a treatment that reduces painful skin thickening and lesions in Olmsted Syndrome.
- What could go wrong
- This is a very early Phase 1 study with only 64 participants. The main goal is safety, not proof of effectiveness. Many drugs fail at this stage.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 64 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Part A * Healthy female and male participants. * Female participants of non-childbearing potential, childbearing potential and males capable of fathering a child must meet the contraception requirements. * Non-smoking and no use of any tobacco or nicotine products (by declaration) for a period of at least 1 month prior to screening visit. * Not using prescription medication 14 days prior to admission; and 7 days prior to admission for over the counter (OTC) medication/vitamins/supplements. * Must not be taking any medication that could potentially impair hepatic or renal function at the time of screening. * No history of alcohol or other drugs of abuse. * Body Mass Index (BMI) of 18.0 to 32.0 kg/m2 (inclusive); and a total body weight \>50.0 kg (110 lbs) and \<100.0 kg (220 lbs) at screening and Day -1. * No vaccines given within 14 days of dosing. * Covered by a health insurance system where applicable, and/or in compliance with the recommendations of the national laws in force relating to biomedical research. Part B * Read, understood, and signed an ICF before any investigational procedure(s) are performed. * Clinical diagnosis of OS, with confirmed TRPV3 or PERP mutation, and visible palmoplantar keratoderma. * Stable medical condition over the previous 1 month. * Willingness and ability to comply with the treatment and follow-up visits. * Willingness to refrain from current treatments, in compliance with the list of prohibited medications. * No contraindications to study medication as determined by the Investigator. * Female participants of non-childbearing potential, childbearing potential and males capable of fathering a child must meet the contraception requirements. * Negative serum pregnancy test at screening, and negative urinary pregnancy test at Day -1. Exclusion Criteria: Part A * Participants who are staff members at the investigational site directly involved in conducting the study. * Evidence or history of clinically relevant hepatic, hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease. * History of regular alcohol consumption exceeding 14 drinks/week for females or 21 drinks/week for males within 6 months of screening. * Screening supine BP ≥145 mm Hg (systolic) or ≥90 mm Hg (diastolic) * Participants with any abnormalities in clinical laboratory tests, and serology results, at screening, considered by the study physician as clinically significant. * Pregnant or breastfeeding female participants. * Participants who donated blood or received blood or plasma derivatives in the 30 days preceding study drug administration. * Dosed in another clinical trial within at least 10 tissue half-lives prior to dosing or 4 months. * Known relevant allergy to any drug or excipients in the formulation * Participants with any acute medical situation (e.g., acute infection) within 48h of screening or start of dosing, which is considered of significance by the Investigator. * Major surgery within the last 3 months or any planned surgery during the trial. * Unwilling or unable to comply with all scheduled visits, treatment plan, laboratory tests and other study procedures and the restrictions described in the protocol. * Any other condition or previous therapy that, in the opinion of the Investigator or their designee, would render the participant unsuitable for this study, including an inability to fully comply with the study protocol requirements or a likelihood of noncompliance with study procedures. Part B * The presence of other significant dermatological conditions that could interfere with the evaluation of the study treatment's safety and efficacy. * Active or uncontrolled infections (e.g., sepsis, tuberculosis, hepatitis B or hepatitis C at the screening visit, human immunodeficiency virus\[HIV\]) that could complicate participation in the study. * Any medical or active psychological condition or any clinically relevant laboratory abnormalities, such as, but not limited, to elevated ALT or AST (\> 3 × ULN) in combination with elevated bilirubin (\> 2 × ULN), at the screening/baseline visit. * Diabetic foot ulcers. * Patient is unwilling to refrain from using prohibited medications during the clinical trial. * Currently participating or participated in any other clinical trial of an IMP or device, within the past 4 months before the screening visit. * Cutaneous infection or another underlying condition of the skin which may impact the assessments or trial participants. * Cutaneous infection of the area to be treated with IMP within 2 weeks before the screening visit or any infection of treatment area requiring treatment with oral, parenteral antibiotics, antivirals, antiparasitics or antifungals or any topical within 2 weeks before the screening visit. * Pregnant or breastfeeding patient. * Having received any of the prohibited treatments in Table 2 within the specified timeframe before inclusion. * Known relevant allergy to any drug or excipients in the formulation. * Major surgery within the last 3 months, or minor surgery (requiring local anesthetic) during last 1 month, or any planned surgery during the trial. * Unwilling or unable to comply with all scheduled visits, treatment plan, laboratory tests and other study procedures and the restrictions described in the protocol. * Any other condition or previous therapy that, in the opinion of the Investigator or their designee, would render the patient unsuitable for this study, including an inability to fully comply with the study protocol requirements or a likelihood of noncompliance with study procedures.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites in 3 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Biotrial
RECRUITINGRennes, France
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Northwestern University, Department of Dermatology
RECRUITINGChicago, Illinois, 60611, United States
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Paris Descartes Necker Cochin, Hôpital Necker-Enfants Malades Bat Imagine RDC
RECRUITINGParis, France
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Royal London Hospital
RECRUITINGLondon, United Kingdom