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Status unknownNCT03904680Updated Apr 5, 2019

Studying the Effect of Methotrexate Alone Versus Methotrexate and Vitamin D on the Cardiovascular Risk of Psoriatic Patients

A Phase 4 interventional study of Methotrexate and Vitamin D in Psoriasis, sponsored by Cairo University. Status unknown. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2019-04-05.

Sponsored by Cairo University · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2019), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The prevalence of cardiovascular risk in psoriasis has been reported in previous studies.Various studies have also shown that systemic treatments for psoriasis, including methotrexate, may significantly decrease this cardiovascular risk. We proposed that the addition of vitamin D may not only improve the therapeutic effect of various treatment modalities but also increase its effect on decreasing the cardiovascular risk in psoriasis. So our aim of work is to assess the Clinical improvement and cardiovascular risks in psoriatic patients after treatment with methotrexate alone with the dose of 0.2-0.5 mg/kg/week for three months in comparison to combined methotrexate with the same dose and vitamin D injection with the dose of 200,000 IU per month for 3 months.

Each patient will do the following before starting treatment\& after 3 months:

  1. Fasting blood sugar, 2 hours postprandial and glycosylated hemoglobin
  2. Liver and Kidney function tests.
  3. Cardiovascular risk assessment by measuring the intima media thickness of carotid arteries using Carotid duplex and High sensitive C reactive protein measuring by particle-enhanced immunonephelometry on autoanalyzer.
  4. Lipid profile (HDL, LDL, cholesterol and triglycerides).
  5. Calculate body mass index and measure blood pressure
  6. Albumin /creatinine ratio
  7. Serum vitamin D level. Clinical response will be evaluated by Psoriasis Area and Severity index (PASI) \& Psoriasis Disability Index (PDI) scores before and after 3 months of treatment
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Conditions studied

  • Psoriasis

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Keywords

  • Psoriasis
  • Cardiovascular risk
  • Methotrexate
  • Vitamin D
03

In context

Psoriasis

1,899 studies on the registry are indexed under Psoriasis; 233 are open to participants now.

This study's planned enrollment of 30 is below the median of 70 across 1,447 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.

Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Psoriasis patient not on systemic treatment at least for 3 months before inclusion in the study
  • PASI >10

Exclusion criteria

Exclusion Criteria:

  • Patients with autoimmune diseases.
  • Patients with liver disease or kidney diseases
  • Patients with Diabetes mellitus
  • Females in child bearing period not using methods of contraception
  • Any associated dermatological disease
  • Evidence of infection
  • Pregnancy and lactation
  • Patients taking vitamin D
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    Methotrexate

    15 patients will take methotrexate weekly with the dose of 0.2-0.5 mg/kg/week for 3 months.

    Drug: Methotrexate

  • Active comparator
    Methotrexate and Vitamin D

    15 patients will take methotrexate weekly with the dose of 0.2-0.5 mg/kg/week and Vitamin D intramuscular injections with the dose of 200,000 IU per month for 3 months.

    Drug: Methotrexate · Drug: Vitamin D

Interventions

  • DrugMethotrexate

    Methotrexate 2.5 mg tablet

  • DrugVitamin D

    Vitamin D 200,000 IU ampules

06

What researchers measure

Primary outcomes

  1. Change in Intima Media thickness of carotid arteries from baseline

    Intima Media thickness of left and right common carotid arteries, bulb of common carotid arteries and internal carotid arteries as measured by carotid duplex before starting the treatment and after 3 months of treatment.

    Time frame: Baseline and 12 weeks

  2. Change in high sensitive C- Reactive protein from baseline

    Change in high sensitivity C-reactive protein (hsCRP), a soluble biomarker of systemic inflammation, after 3 months of treatment from baseline.

    Time frame: Baseline and 12 weeks

  3. Psoriasis Area and Severity index change (PASI)

    Change in PASI after 3 months of treatment from baseline

    Time frame: Baseline and 12 weeks

07

Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Furue M, Tsuji G, Chiba T, Kadono T. Cardiovascular and Metabolic Diseases Comorbid with Psoriasis: Beyond the Skin. Intern Med. 2017;56(13):1613-1619. doi: 10.2169/internalmedicine.56.8209. Epub 2017 Jul 1. PubMed 28674347 ↗
  • Fu LW, Vender R. Systemic role for vitamin d in the treatment of psoriasis and metabolic syndrome. Dermatol Res Pract. 2011;2011:276079. doi: 10.1155/2011/276079. Epub 2011 Jun 5. PubMed 21747838 ↗
  • Manolis AA, Manolis TA, Melita H, Manolis AS. Psoriasis and cardiovascular disease: the elusive link. Int Rev Immunol. 2019;38(1):33-54. doi: 10.1080/08830185.2018.1539084. Epub 2018 Nov 20. PubMed 30457023 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 5, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03904680
Lead sponsor
Cairo University
Responsible party
Eman Raafat Said (Lecturer of Dermatology Department, Faculty of Medicine, Cairo University) — Principal investigator
First posted
Apr 5, 2019
Start date
Apr 2019 (estimated)
Primary completion
Oct 2019 (estimated)
Completion
Nov 2019 (estimated)
Last update
Apr 5, 2019

Study contacts

Eman R Said, MD
Contact
dremy07@cu.edu.eg
+201110066044
Mohamed HM El-Komy, MD
Contact
komy_m@yahoo.com

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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