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CompletedNCT05315128Updated Apr 7, 2022

Intralesional Versus Intramuscular Methotrexate for Non-melanoma Skin Cancers

A Phase 2 interventional study of Methotrexate in Non-melanoma Skin Cancers, sponsored by Zagazig University. Completed at 1 site in Egypt. Open to participants aged 20 Years to 90 Years. Per ClinicalTrials.gov, last updated 2022-04-07.

Sponsored by Zagazig University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 7 months after the study started (first participant enrolled Jul 2020, registered Feb 2022).
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
20 Years to 90 Years
Sex
All
01

Study summary

to compare the effectiveness and safety of intralesional vs. systemic MTX in NMSC management

Read the detailed description

Intralesional methotrexate (MTX) could to be promising conservative alternative for non-melanoma skin cancer (NMSC). Systemic MTX was attempted as adjuvant for locally-advanced NMSC.

02

Conditions studied

  • Non-melanoma Skin Cancers

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Keywords

  • Non-melanoma skin cancer
  • Intralesional methotrexate
  • Systemic methotrexate
  • Intramuscular methotrexate
  • Keratoacanthoma
  • Basal cell carcinoma
  • Squamous cell carcinoma
03

In context

Skin Neoplasms

582 studies on the registry are indexed under Skin Neoplasms; 114 are open to participants now.

This study's enrollment of 60 is above the median of 53 across 416 interventional studies indexed under Skin Neoplasms.

Browse Skin Neoplasms studies →

Lead sponsor

Zagazig University is the lead sponsor of 447 studies on the registry; 75 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
20 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients of both sexes with histologically-confirmed primary or recurrent non- metastatic NMSCs of different types (BCC,SCC, and/or KA), sites, number, sizes and duration were included in the study.

Exclusion criteria

Exclusion Criteria:

  • Hypersensitivity reactions to methotrexate, liver or kidney disease, immunosuppressive conditions, HIV, HBV, and HCV infection, hematological abnormalities and metastasis. Pregnant or lactating women, females in their child-bearing period not using or refusing contraceptive methods, and those who had any other form of NMSC management in the month preceding enrollment.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
60 participants (actual)

Study arms

  • Active comparator
    Intralesional methotrexate

    Group A 30 patients received intralesional injection of MTX with an insulin syringe into the tumor at a dose ranging between 12.5 mg to 25 mg according to the tumor size every week until complete improvement or for a maximum of 8 sessions.

    Drug: Methotrexate

  • Active comparator
    Intramuscular methotrexate

    Group B 30 patients received systemic MTX (SC, or IM) was injected at a dose of 25 mg every week until clearance or for a maximum of 8 sessions.

    Drug: Methotrexate

Interventions

  • DrugMethotrexate

    A randomized comparative effectiveness clinical trial

06

What researchers measure

Primary outcomes

  1. Reduction in size and number of tumors

    Patients were divided into 3 groups: responders (if the tumor has regressed by \> 50%), partial responders (tumor regression \< 50%), and non- responders (no improvement at all or worsening).

    Time frame: up to 1 month after the last session

Secondary outcomes

  1. Adverse effects

    Time frame: Starting from the first session and up to 6-months after the last session

  2. Recurrence

    after achieving response greater than 50% of the tumor

    Time frame: till the end of follow up duration (6 months)

  3. New NMSC lesions elsewhere

    Time frame: from the start of the study and till the end of follow up period (6 months)

07

Study locations

1 site
  • Zagazig university
    Zagazig, Sharkia 44519, Egypt
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05315128
Lead sponsor
Zagazig University
Responsible party
Basma Magdy Elkholy, MD (Dr, Zagazig University) — Principal investigator
First posted
Apr 7, 2022
Start date
Jul 6, 2020
Primary completion
Aug 10, 2021
Completion
Dec 6, 2021
Last update
Apr 7, 2022

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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