Siloxane-based gel compositions are prepared from room temperature condensation curable mixtures that include 0.5-45% by weight silicone resin with at least two hydroxyl groups, 99.5-55% by weight of at least one silanol-terminated siloxane fluid, and a co-curable compound with an amino group. The siloxane-based gel compositions can be used as adhesives or sealants in medical articles.