ClinicalTrials.gg
CompletedNCT06940895Updated Nov 28, 2025

Evaluating the Safety and Efficacy of Topical Sirolimus 0.2% to Treat Acanthosis Nigricans

A Phase 2 interventional study of Sirolimus 0.2% in Acanthosis Nigricans, sponsored by Narrows Institute for Biomedical Research. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-28.

Sponsored by Narrows Institute for Biomedical Research · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2025, 1 year 4 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to demonstrate the safety and efficacy of Sirolimus 0.2% topical gel for patients with Acanthosis Nigricans

02

Conditions studied

  • Acanthosis Nigricans

Keywords

  • acanthosis nigricans
03

In context

Lead sponsor

Narrows Institute for Biomedical Research is the lead sponsor of 7 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
18 Years 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

  • Men and women ages 18+.
  • Clinical diagnosis of acanthosis nigricans.
  • Available and willing to comply with study instructions and attend all study visits.
  • Able and willing to provide written and verbal .

Exclusion criteria

Exclusion Criteria:

  • Subject has any skin pathology or condition that could interfere with the evaluation of the test products or requires the use of interfering topical or systemic therapy.
  • Subject has any condition which, in the investigator's opinion, would make it unsafe for the subject to participate in this research study.
  • Pregnant, lactating, or is planning to become pregnant during the study.
  • Subject is currently enrolled in an drug or device study.
  • Subject has received an investigational drug or has been treated with an investigational device within 30 days prior to the initiation of treatment (baseline).
  • Subject is unable to communicate or cooperate with the investigator due to language problems, poor mental development, or impaired cerebral function.
  • Subject has known or previous allergic reaction to any of the active or inactive components of the test articles.
  • Subject has the need or plans to be exposed to artificial tanning devices or excessive sunlight during the trial.
  • Erosions, ulcers, or other skin lesions within or closely neighboring the AN lesion application site.
  • Hypersensitivity reactions such as anaphylaxis or angioedema to sirolimus or any component of sirolimus 0.2% topical gel (HYFTOR).
  • Dyslipidemia (cholesterol level >300mg/dL or >7.75mmol/L, triglyceride level >300 mg/dL or >3.42 mmol/L).
  • Subject cannot agree to take appropriate for the duration of the study and 12 weeks after the final dose.
  • Exclusions apply to those who have used the following topical treatments to treat AN: retinoids, hydroquinones, , or other depigmenting agents within one month prior to the study, or oral retinoids within six months prior to the study, or medications with mammalian target of rapamycin(mTOR) inhibitory action within 12 months prior to the first visit.
  • Subjects with a malignant tumor
Terms in these criteria, in plain language(5)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Patients with Acanthosis Nigricans

    Patients with the diagnosis of acanthosis nigricans

    Drug: Sirolimus 0.2%

Interventions

06

What researchers measure

Primary outcomes

  1. Improvement in hyperpigmentation in acanthosis nigricans lesions

    Improvement in the Melanin(M) index from baseline to 12 weeks of treatment. The M index is positively correlated with a darker skin color and ranges from 0-999.

    Time frame: From enrollment to end of treatment at 12 weeks

Secondary outcomes

  1. Improvement in hyperpigmentation and skin texture in acanthosis nigricans lesions

    Improvement in the ANSC (Acanthosis Nigricans Scoring Chart) from baseline (Day 0) to Visit 2 (Week 4), Visit 3 (Week 8) and Visit 4 (Week 12). ANSC is scored on a scale of 1 to 8 for skin color and 1 to 6 for skin texture. These scores are then combined for a total ANSC score ranging from 2 to 14.

    Time frame: Baseline to weeks 4, 8, and 12

  2. Improvement in the Investigators Global Evaluation (IGE) scale and Patient Global Evaluation (PGE) scale

    IGE and PGE are both scored on a 0 to 6 scale: 0 signifies "clear," 1 indicates "almost clear or \> 90% improvement," 2 represents "marked improvement or 75% improvement," 3 denotes "moderate improvement or 50% improvement," 4 signifies "mild improvement or 25% improvement," 5 indicates "no change," and 6 means "worsening."

    Time frame: Baseline to weeks 4, 8, and 12

  3. Improvement in the Dermatology Quality of Life (DLQI) scale

    The DLQI ranges from 0 to 30 with higher scores denoting worse quality of life.

    Time frame: From enrollment to end of treatment at 12 weeks

  4. Assessment of patient satisfaction using the Treatment Satisfaction Questionnaire for Medication (TSQM)

    Assessment of patient satisfaction using the treatment satisfaction questionnaire for medication

    Time frame: Week 12

  5. Digital photography with a TwinFlash RL Clinical Camera to depict clinical improvement of acanthosis nigricans.

    Digital photography with a TwinFlash RL Clinical Camera to depict clinical improvement of AN

    Time frame: Baseline to weeks 4, 8, and 12

07

Study locations

1 site
  • New York Harbor VA Brooklyn Campus
    Brooklyn, New York 11209, United States
08

References and documents

Publications

  • Romo A, Benavides S. Treatment options in insulin resistance obesity-related acanthosis nigricans. Ann Pharmacother. 2008 Jul;42(7):1090-4. doi: 10.1345/aph.1K446. Epub 2008 May 20. PubMed 18492785 ↗
  • Ding X, Bloch W, Iden S, Ruegg MA, Hall MN, Leptin M, Partridge L, Eming SA. mTORC1 and mTORC2 regulate skin morphogenesis and epidermal barrier formation. Nat Commun. 2016 Oct 27;7:13226. doi: 10.1038/ncomms13226. PubMed 27807348 ↗
  • Dodds M, Maguiness S. Topical sirolimus therapy for epidermal nevus with features of acanthosis nigricans. Pediatr Dermatol. 2019 Jul;36(4):554-555. doi: 10.1111/pde.13833. Epub 2019 Apr 15. PubMed 30983034 ↗
  • Treesirichod A, Thaneerat N, Kangvanskol W. A comparison of the efficacy and safety profiles of 10% salicylic acid and 10% urea creams in treating acanthosis nigricans in adolescents: a randomized double-blinded study. Arch Dermatol Res. 2023 Sep;315(7):2091-2097. doi: 10.1007/s00403-023-02605-6. Epub 2023 Mar 21. PubMed 36943434 ↗
  • Pirgon O, Sandal G, Gokcen C, Bilgin H, Dundar B. Social anxiety, depression and self-esteem in obese adolescent girls with acanthosis nigricans. J Clin Res Pediatr Endocrinol. 2015 Mar;7(1):63-8. doi: 10.4274/jcrpe.1515. PubMed 25800478 ↗
  • Patel NU, Roach C, Alinia H, Huang WW, Feldman SR. Current treatment options for acanthosis nigricans. Clin Cosmet Investig Dermatol. 2018 Aug 7;11:407-413. doi: 10.2147/CCID.S137527. eCollection 2018. PubMed 30122971 ↗

Individual participant data

Plan to share: Undecided — undecided whether IPD will be shared.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06940895
Lead sponsor
Narrows Institute for Biomedical Research
Collaborators
Nobelpharma
Responsible party
Sponsor
First posted
Apr 23, 2025
Start date
Mar 1, 2025
Primary completion
Jul 8, 2025
Completion
Jul 18, 2025
Last update
Nov 28, 2025

Study contacts

Jared Jagdeo, MD MS
principal investigator · SUNY Downstate Health Sciences University Department of Dermatology

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Sirolimus

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