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TerminatedNCT00189878Updated Feb 19, 2016

A Study of the Use of Methotrexate in the Treatment of Chronic Idiopathic Urticaria

A Phase 2 interventional study of Methotrexate (drug) and placebo capsules in Urticaria, sponsored by Barnsley Hospital. Terminated. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-02-19.

Sponsored by Barnsley Hospital · Phase 2, Interventional, and Treatment

Why this study was terminated
unable to recruit
Phase
Phase 2
Study type
Interventional
Enrollment
3
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether methotrexate produces significant improvement in chronic idiopathic urticaria, compared with placebo

Read the detailed description

Chronic idiopathic urticaria is thought to affect approximately 0.1% of the population. It can be very disabling and difficult to treat. Antihistamines are the only drugs licensed for treatment of urticaria, however there is a group of severely affected patients with chronic idiopathic urticaria who fail to respond. Previous trials have shown ciclosporin to be beneficial, and small studies support the use of intravenous immunoglobulins and plasmapheresis. However, not only are these options expensive, but since chronic idiopathic urticaria may persist for years, their prolonged use may be limited by adverse effects. We have previously published a report of 2 patients who responded to methotrexate, and wish to properly evaluate the efficacy of methotrexate in the treatment of CIU.

In the first part of the study patients will be given either placebo or methotrexate for 8 weeks and in the second part of the study, non-responders will be offered open labelled methotrexate for 8 weeks.

02

Conditions studied

  • Urticaria

Keywords

  • chronic idiopathic urticaria
  • methotrexate
03

In context

Urticaria

237 studies on the registry are indexed under Urticaria; 26 are open to participants now.

This study's enrollment of 3 is below the median of 61 across 174 interventional studies indexed under Urticaria.

Browse Urticaria studies →

Lead sponsor

Barnsley Hospital is the lead sponsor of 4 studies on the registry; none are 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

Inclusion criteria

  • severe unremitting chronic idiopathic urticaria
  • disease resistant to treatment with antihistamines
  • aged 18 years or more

Exclusion criteria

Exclusion Criteria:

  • predominant physical urticaria
  • urticarial vasculitis
  • any contraindication to the use of methotrexate, eg. pregnancy / breast feeding, women wanting to conceive or man wanting to father a child within 12 months of entry, use of drugs which interact, underlying medical conditions
  • use of immunosuppressant within 4 weeks of entry
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
3 participants (actual)

Study arms

  • Active comparator
    1 methotrexate

    patient to receive methotrexate

    Drug: Methotrexate (drug)

  • Placebo comparator
    2 Placebo

    given placebo capsules

    Drug: placebo capsules

Interventions

  • DrugMethotrexate (drug)

    Methotrexate 10 to 15 mg weekly for 8 weeks

  • Drugplacebo capsules

    4-6 placebo capsules - identical to capsules containing methotrexate

06

What researchers measure

Primary outcomes

  1. A positive response to treatment (a reduction to <25% of baseline urticaria activity scores)

    Time frame: 8 weeks

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00189878
Lead sponsor
Barnsley Hospital
First posted
Sep 19, 2005
Start date
Aug 2003
Primary completion
Aug 2008
Completion
Aug 2008
Last update
Feb 19, 2016

Study contacts

Ruth A Sabroe, FRCP, MD
principal investigator · Barnsley Hospital NHS Foundation Trust

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Feb 2016. You cannot join it, but the record below documents what was studied.

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