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Palvella (NASDAQ: PVLA) shares new Phase 2 QTORIN bleeding data in venous malformations

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(Moderate)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Palvella Therapeutics reported new efficacy and patient-experience data from its Phase 2 TOIVA trial of QTORIN™ rapamycin in cutaneous venous malformations. Among patients who had bleeding at baseline, 100% (4/4) showed statistically significant improvement on the clinician-rated cVM-IGA Bleeding scale at Week 12, with a mean change of +2.5 points (p=0.003), and all were rated “Much Improved” or “Very Much Improved.” At the same time point, 100% of these patients reported being “satisfied” or “very satisfied” with treatment. Baseline qualitative interviews highlighted substantial pain, functional limitations, social and work impacts, and emotional distress, underscoring the broad quality-of-life burden in this rare disease where there are currently no FDA-approved therapies.

Positive

  • Phase 2 bleeding outcomes: In TOIVA, 100% of patients with bleeding at baseline (4/4) improved on the cVM-IGA Bleeding scale at Week 12 with a mean +2.5-point change (p=0.003), and all reported high treatment satisfaction in a setting with no approved therapies.

Negative

  • None.

Insights

Phase 2 data show bleeding reduction and strong satisfaction in a small cutaneous venous malformation cohort.

Palvella Therapeutics released Phase 2 TOIVA data for QTORIN™ rapamycin in cutaneous venous malformations. All four patients with bleeding at baseline improved on the cVM-IGA Bleeding scale at Week 12, with a mean +2.5-point change and p=0.003, and all reported high satisfaction.

The study is single-arm, open-label and includes a small bleeding subgroup, which limits generalizability and requires confirmation in larger, controlled trials. However, the trial targets a condition with no FDA-approved therapies, and qualitative interviews emphasize substantial pain, functional, and psychosocial burden.

The company notes that QTORIN™ rapamycin could potentially become the first approved therapy for more than 75,000 affected individuals in the U.S. Future disclosures on later-stage trial design, regulatory interactions, and potential use of patient-reported outcomes within FDA’s Patient-Focused Drug Development framework will further clarify the development path.

Item 8.01 Other Events Other
Voluntary disclosure of events the company deems important to shareholders but not covered by other items.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Bleeding responders 100% (4/4 patients) Patients with bleeding at baseline improved on cVM-IGA Bleeding at Week 12
cVM-IGA Bleeding mean change +2.5 points Mean improvement from baseline to Week 12 on 7-point clinician scale
Bleeding endpoint p-value p=0.003 Statistical significance for change in cVM-IGA Bleeding at Week 12
Treatment satisfaction 100% satisfied or very satisfied Patients with bleeding at baseline at Week 12 TSQM overall satisfaction
Efficacy evaluation period 12 weeks Once-daily topical QTORIN rapamycin before 12-week extension
U.S. patient estimate more than 75,000 individuals Estimated U.S. population with cutaneous venous malformations
Phase 2 clinical
"Palvella Therapeutics Announces New Data from the Phase 2 TOIVA Trial of QTORIN™ Rapamycin"
Phase 2 is the mid-stage clinical trial where a new drug or treatment is tested in a larger group of patients to see if it works and to keep checking safety after initial human testing. Think of it as a field test that proves whether a product actually delivers its promised benefit. Investors watch Phase 2 closely because its results strongly influence a medicine’s chances of reaching the market, the size of its potential sales, and the company’s valuation.
cutaneous venous malformations clinical
"QTORIN™ rapamycin in Cutaneous Venous Malformations Presented at the 83rd Annual Meeting"
Cutaneous venous malformations are clusters of abnormal, enlarged veins in or just under the skin that people are often born with and that can slowly enlarge, cause pain, bleeding or clotting, and create visible bumps or discoloration. For investors, these conditions matter because they define a clear patient group and ongoing need for treatments, procedures, and diagnostic tools—similar to targeting a specific, persistent market niche where better therapies or devices can drive revenue and regulatory attention.
cVM-IGA Bleeding clinical
"a statistically significant improvement on the Cutaneous Venous Malformations Investigator Global Assessment Bleeding scale (cVM-IGA Bleeding)"
Treatment Satisfaction Questionnaire for Medication clinical
"overall satisfaction item of the Treatment Satisfaction Questionnaire for Medication at Week 12"
Patient-Focused Drug Development framework regulatory
"consistent with FDA’s Patient-Focused Drug Development framework"
A patient-focused drug development framework is a structured approach that puts patients’ experiences, needs and priorities at the center of designing and evaluating new treatments, using their input to shape trial goals, outcome measures and regulatory documents. For investors, it matters because programs built around real patient needs can reduce development risk, increase chances of regulatory approval and speed adoption after launch—like refining a product based on customer feedback before selling it widely.
orphan drug designation regulatory
"benefits of orphan drug designation and potential benefit of orphan drug exclusivity"
Orphan drug designation is a special status given to medicines developed to treat rare diseases affecting only a small number of people. This status often provides benefits like faster approval processes and financial incentives, making it more attractive for companies to develop these drugs. For investors, it signals potential for exclusive market rights and reduced competition, which can impact the drug’s profitability.
0001583648false00015836482026-05-152026-05-15

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): May 15, 2026

 

 

Palvella Therapeutics, Inc.

(Exact name of registrant as specified in its charter)

 

 

Nevada

001-37471

30-0784346

(State or other jurisdiction
of incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

353 W. Lancaster Ave, Suite 200

 

Wayne, Pennsylvania

 

19087

(Address of principal executive offices)

 

(Zip Code)

 

Registrant’s telephone number, including area code: (484) 253-1461

 

(Former name or former address, if changed since last report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange on which registered

Common Stock, $0.001 par value per share

 

PVLA

 

The Nasdaq Global Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 


Item 8.01 Other Events.

On May 15, 2026, Palvella Therapeutics, Inc. (the “Company”) issued a press release announcing that new data from the Company’s Phase 2 TOIVA trial of QTORIN™ rapamycin in patients with cutaneous venous malformations were presented at the 83rd Annual Meeting of the Society for Investigative Dermatology. A copy of the press release is filed as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.

 

Item 9.01

Financial Statements and Exhibits.

 

(d) Exhibits

 

Exhibit No.

 

Document

99.1

 

Press Release issued by Palvella Therapeutics, Inc. on May 15, 2026*

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

*Filed herewith

 

 

 

 


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

Palvella Therapeutics, Inc.

 

 

 

 

Date:

May 15, 2026

By:

/s/ Matthew Korenberg

 

 

 

Matthew Korenberg

 

 

 

Chief Financial Officer

 


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Palvella Therapeutics Announces New Data from the Phase 2 TOIVA Trial of QTORIN™ Rapamycin in Cutaneous Venous Malformations Presented at the 83rd Annual Meeting of the Society for Investigative Dermatology

 

100% of patients with bleeding at baseline demonstrated a statistically significant improvement on the Cutaneous Venous Malformations Investigator Global Assessment Bleeding scale (cVM-IGA Bleeding) at Week 12 (+2.5 point improvement; p=0.003)

 

100% of patients with bleeding at baseline reported being "satisfied" or "very satisfied" with QTORIN™ rapamycin on the overall satisfaction item of the Treatment Satisfaction Questionnaire for Medication at Week 12

 

Baseline qualitative patient interviews underscore the substantial physical, functional, and psychosocial burden of cutaneous venous malformations

 

QTORIN™ rapamycin has the potential to become the first FDA-approved therapy and standard of care for the estimated more than 75,000 individuals with cutaneous venous malformations in the U.S.

 

WAYNE, PA., May 15, 2026 (GLOBE NEWSWIRE) -- Palvella Therapeutics, Inc. (Palvella or “the Company”) (Nasdaq: PVLA), a clinical-stage biopharmaceutical company focused on developing and commercializing novel therapies to treat patients suffering from serious, rare skin diseases and vascular malformations for which there are no U.S. Food and Drug Administration (FDA)-approved therapies, today announced new data from the Phase 2 TOIVA trial of QTORIN™ rapamycin in patients with cutaneous venous malformations (VMs) were presented at the 83rd Annual Meeting of the Society for Investigative Dermatology (SID) in Chicago, IL. The poster presentation can be found here.

 

“Bleeding is a common and serious problem caused by cutaneous venous malformations. The TOIVA study showed that QTORIN™ rapamycin significantly reduced bleeding and improved the appearance and height of lesions in most patients,” said Dr. Michael Kelly, pediatric hematologist-oncologist at the Cleveland Clinic’s Vascular Anomalies Program and Executive Director of the Lymphangiomatosis & Gorham’s Disease Alliance (LGDA). “Cutaneous venous malformations affect many aspects of a patient’s life, resulting in pain, functional limitations, and mental health issues. TOIVA showed a strong correlation between improvements in clinical measures and patient-reported outcomes, suggesting that QTORIN™ rapamycin could potentially reduce the overall burden of this rare disease.”

 

TOIVA is a Phase 2, single-arm, open-label, baseline-controlled clinical trial of QTORIN™ rapamycin administered topically once daily for a 12-week efficacy evaluation period followed by a 12-week treatment extension period, for cutaneous VMs. As previously announced in December 2025, TOIVA achieved statistical significance on multiple pre-specified clinician-reported and patient-reported efficacy endpoints. New data presented at the 83rd Annual Meeting of the Society for Investigative Dermatology demonstrated statistically significant reduction in lesion bleeding


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in TOIVA and highlighted the multidimensional quality-of-life (QoL) burden for individuals living with cutaneous venous malformations as captured by baseline qualitative patient interviews.

 

cVM-IGA: Bleeding improvement in patients with bleeding at baseline
 

Patients with bleeding at baseline (n=4) demonstrated a statistically significant improvement in change in cVM-IGA Bleeding scores at Week 12 with a mean effect size of +2.5 (p=0.003). cVM-IGA Bleeding is a 7-point clinician-assessed dynamic scale measuring change in bleeding from baseline to Week 12, ranging from “Very Much Worse” (-3) to “Very Much Improved” (+3).
At week 12, 100% of patients (4/4) were either “Much Improved” (+2) or “Very Much Improved” (+3) on the cVM-IGA Bleeding at Week 12.
100% of patients with bleeding at baseline reported being "satisfied" or "very satisfied" with QTORIN™ rapamycin on the overall satisfaction item of the Treatment Satisfaction Questionnaire for Medication at Week 12.

 

Baseline qualitative patient interviews highlight multidimensional quality-of-life (QoL) burden of cutaneous VMs

 

A pre-specified patient qualitative interview sub-study was incorporated to systematically capture the patient experience, including the symptoms, functional impacts, and treatment-related changes most meaningful to patients, consistent with FDA’s Patient-Focused Drug Development framework.
QoL burden extends beyond clinical lesion severity, including bluish discoloration, pain/discomfort, swelling, protrusions, and bleeding or leakage.
Patients reported limitations in physical activity, social participation, and work/school functioning, as well as emotional distress related to lesion visibility.
Treatment priorities included improving appearance, reducing pain, and decreasing lesion size, highlighting patient-important domains not fully captured by traditional clinical severity assessments.
Findings underscore the patient-experienced burden of moderate-to-severe cutaneous VMs and reinforce the value of patient-reported outcomes in clinical development.

 

About Palvella Therapeutics

 

Founded and led by rare disease biotech veterans, Palvella Therapeutics, Inc. (Nasdaq: PVLA) is a clinical-stage biopharmaceutical company focused on developing and commercializing novel therapies to treat patients suffering from serious, rare skin diseases and vascular malformations for which there are no FDA-approved therapies. Palvella is developing a broad pipeline of product candidates based on its patented QTORIN™ platform, with an initial focus on serious, rare skin diseases and vascular malformations, many of which are lifelong in nature. Palvella’s lead product candidate, QTORIN™ 3.9% rapamycin anhydrous gel (QTORIN™ rapamycin), is currently being developed for the treatment of microcystic lymphatic malformations, cutaneous venous malformations, and clinically significant angiokeratomas. Palvella’s second product candidate,


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QTORIN™ pitavastatin, is currently being developed for the treatment of disseminated superficial actinic porokeratosis. For more information, please visit www.palvellatx.com or follow Palvella on LinkedIn or X (formerly known as Twitter).

 

QTORIN™ rapamycin and QTORIN™ pitavastatin are for investigational use only and neither has been approved by the FDA or by any other regulatory agency for any indication.


Forward-Looking Statements
 

This press release contains forward-looking statements (including within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended (Securities Act)). These statements may discuss goals, intentions, and expectations as to future plans, trends, events, results of operations or financial condition, or otherwise, based on current beliefs of the management of Palvella, as well as assumptions made by, and information currently available to, the management of Palvella. Forward-looking statements generally include statements that are predictive in nature and depend upon or refer to future events or conditions, and include words such as “may,” “will,” “should,” “would,” “expect,” “anticipate,” “plan,” “likely,” “believe,” “estimate,” “project,” “intend,” and other similar expressions or the negative or plural of these words, or other similar expressions that are predictions or indicate future events or prospects, although not all forward-looking statements contain these words. Statements that are not historical facts are forward-looking statements. Forward-looking statements include, but are not limited to, statements regarding the expected timing of the presentation of data from clinical trials, Palvella’s clinical development plans and related anticipated development milestones, Palvella’s plans to pursue Breakthrough Therapy Designation, Palvella’s plans to meet with regulatory authorities, Palvella’s expectations regarding the benefits of orphan drug designation and potential benefit of orphan drug exclusivity for QTORIN™ rapamycin for the treatment of microcystic lymphatic malformations, Palvella’s cash, financial resources and expected runway, Palvella’s expectations regarding its programs, including QTORIN™ rapamycin and QTORIN™ pitavastatin, and its research-stage opportunities, including its expected therapeutic potential and market opportunity. Forward-looking statements are based on current beliefs and assumptions that are subject to risks and uncertainties and are not guarantees of future performance. Actual results could differ materially from those contained in any forward-looking statement as a result of various factors, including, without limitation: the ability to raise additional capital to finance operations; the ability to advance product candidates through preclinical and clinical development; the ability to obtain regulatory approval for, and ultimately commercialize, Palvella’s product candidates, including QTORIN™ rapamycin and QTORIN™ pitavastatin; the outcome of early clinical trials for Palvella’s product candidates, including the ability of those trials to satisfy relevant governmental or regulatory requirements; the fact that data and results from clinical studies may not necessarily be indicative of future results; Palvella’s limited experience in designing clinical trials and lack of experience in conducting clinical trials; Palvella’s limited experience in commercial manufacturing; the ability to identify and pivot to other programs, product candidates, or indications that may be more profitable or successful than Palvella’s current product candidates; the substantial competition Palvella faces in discovering, developing, or commercializing products; the negative impacts of global events on operations, including ongoing and planned clinical trials and ongoing and planned preclinical


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studies; the ability to attract, hire, and retain skilled executive officers and employees; the ability of Palvella to protect its intellectual property and proprietary technologies; reliance on third parties, contract manufacturers, and contract research organizations; and the risks and uncertainties described in the filings made by Palvella with the Securities and Exchange Commission (SEC), including the annual report on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K, filed with or furnished to the SEC and available at www.sec.gov. The events and circumstances reflected in our forward-looking statements may not be achieved or occur, and actual results could differ materially from those projected in the forward-looking statements. New risk factors and uncertainties may emerge from time to time, and it is not possible for management to predict all risk factors and uncertainties that Palvella may face. Except as required by applicable law, Palvella does not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise. This press release contains hyperlinks to information that is not deemed to be incorporated by reference into this press release.

 

Contact Information
 

Investors

Wesley H. Kaupinen
Founder and CEO, Palvella Therapeutics
wes.kaupinen@palvellatx.com 


Media
Marcy Nanus
Managing Partner, Trilon Advisors LLC
mnanus@trilonadvisors.com 

 


FAQ

What did Palvella Therapeutics (PVLA) announce about the TOIVA Phase 2 trial?

Palvella announced new data from its Phase 2 TOIVA trial of QTORIN™ rapamycin in cutaneous venous malformations. All patients with bleeding at baseline showed significant improvement in bleeding at Week 12 and reported high satisfaction with treatment, highlighting potential clinical benefit.

How did QTORIN rapamycin affect bleeding in cutaneous venous malformation patients?

All four patients with bleeding at baseline showed statistically significant improvement on the cVM-IGA Bleeding scale at Week 12, with a mean +2.5-point change and p=0.003. Each was rated either “Much Improved” or “Very Much Improved,” indicating consistent reduction in lesion bleeding.

What patient-reported outcomes were observed in Palvella’s TOIVA Phase 2 study?

At Week 12, 100% of patients with bleeding at baseline reported being “satisfied” or “very satisfied” with QTORIN™ rapamycin on the Treatment Satisfaction Questionnaire for Medication. Qualitative interviews also recorded meaningful impacts on pain, physical function, social participation, work, and emotional well-being.

How large is the potential U.S. population for QTORIN rapamycin in cutaneous venous malformations?

Palvella states QTORIN™ rapamycin has potential to become the first FDA-approved therapy and standard of care for an estimated more than 75,000 individuals with cutaneous venous malformations in the U.S., indicating a sizable rare-disease population despite the condition’s overall rarity.

What is the design of Palvella’s TOIVA Phase 2 trial for cutaneous venous malformations?

TOIVA is a Phase 2, single-arm, open-label, baseline-controlled trial of topical QTORIN™ rapamycin given once daily. It includes a 12-week efficacy evaluation period followed by a 12-week treatment extension, assessing clinician-reported endpoints and patient-reported outcomes in cutaneous venous malformations.

What broader quality-of-life burden did Palvella highlight for cutaneous venous malformations?

Baseline qualitative interviews showed burden extends beyond lesion size, including bluish discoloration, pain or discomfort, swelling, protrusions, and bleeding. Patients reported limitations in physical activity, social participation, and work or school, along with emotional distress related to visible lesions.

Are QTORIN rapamycin and QTORIN pitavastatin approved therapies?

QTORIN™ rapamycin and QTORIN™ pitavastatin are investigational only and have not been approved by the FDA or any other regulatory agency for any indication. Palvella is developing these candidates for serious, rare skin diseases and vascular malformations with no current FDA-approved treatments.

Filing Exhibits & Attachments

2 documents