Topical Methotrexate Microemulsion in the Treatment of Plaque Psoriasis
NCT04971239 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2021-07-21
Summary
* Psoriasis is a chronic relapsing dermatological disease which often necessitates a long-term therapy and occurs in a significant percent of the population . It affects the skin and sometimes the nails and joints of patients .
* Psoriatic patients are frequently categorized into two groups: mild or moderate to severe psoriasis, depending on the clinical severity of the lesions, the percentage of affected body surface area, and patient quality of life .
* Topical drug therapy is the cornerstone in the treatment of mild to moderate psoriasis. It offers a direct targeting of affected skin by avoiding systemic adverse events .
* Several topical therapies are available for the treatment of psoriasis such as topical steroid , topical vitamin D3 analogues (calcipotriol),tar, anthraline, topical tacrolimus (a non-steroidal calcineurin inhibitor) and tazarotene (a third-generation retinoid) . However, they do not provide an adequate response owing to the inadequate percutaneous absorption and poor patient compliance caused by greasiness and stickiness of some formulations, and some patients even remain untreated .
* So that, patient satisfaction with available topical treatments remains modest .
Conditions
- Psoriasis
- Methotrexate
Interventions
- DRUG
-
topical methotrexate micoemulsion
The selected microemulsion composition consists of 40% Jojoba oil, 45% Tween-80 and Span-85 at a ratio of 3:1 as surfactant and co surfactant, respectively and 15% water. The chosen concentration was based on preliminary studies conducted which delineated that these ratios provided the best skin deposition based on factorial skin modelling.The prepared microemulsions contains 0.1% methotrexate
- DEVICE
-
Excimer light
the excimer laser will be done twice weekly for a total treatment course of 12 weeks.
- DEVICE
-
Narrow band ultraviolet B
the Narrow band ultraviolet B will be done twice weekly for a total treatment course of 12 weeks.
Sponsors & Collaborators
-
Assiut University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-10-01
- Primary Completion
- 2022-09-01
- Completion
- 2022-10-01
More Related Trials
-
Study Comparing AM001 Cream to Vehicle in the Treatment of Plaque Psoriasis
NCT01938599 ·Status: COMPLETED ·Phase: PHASE2
-
Methotrexate Polyglutamates as a Marker of Clinical Response and Toxicity in the Treatment of Psoriasis
NCT02174354 ·Status: UNKNOWN
-
Comparison Between Oral Methotrexate and Tofacitinib in Chronic Plaque Psoriasis
NCT07261306 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Excimer Laser With Topical Agents in Psoriasis Vulgaris
NCT05555797 ·Status: UNKNOWN ·Phase: PHASE4
-
Topical Calcipotriol /Betamethasone Ointment in the Treatment of Plaque Psoriasis
NCT06011083 ·Status: COMPLETED ·Phase: NA
-
MTX-related Liver Toxicity in Psoriasis Patients, Using Ultrasound-based Techniques as a Diagnostic Tool
NCT04168619 ·Status: UNKNOWN
-
AN2728 Topical Ointment to Treat Mild-to-Moderate Plaque-Type Psoriasis
NCT01300052 ·Status: COMPLETED ·Phase: PHASE2
-
A Dose-Finding Study of GSK2894512 Cream in Subjects With Plaque Psoriasis
NCT02564042 ·Status: COMPLETED ·Phase: PHASE2
-
Topical 1% Methotrexate Gel Versus Clobetasol Propionate in Patients With Psoriasis
NCT06555497 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
To Check Comparison of Apremilast and Methotrexate Efficacy in Patients With Moderate to Severe Plaque Psoriasis Presented to Tertiary Care Hospital
NCT07337434 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Safety and Efficacy Study of A Novel Ointment to Treat Plaque Type Psoriasis
NCT00759161 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Evaluate and Compare the Efficacy and Pharmacokinetics of MK-0873 for the Treatment of Plaque Psoriasis (MK-0873-022)
NCT01235728 ·Status: COMPLETED ·Phase: PHASE1
-
Study Evaluating Etanercept and Methotrexate in Plaque Psoriasis
NCT00161655 ·Status: COMPLETED ·Phase: PHASE4
-
Study to Evaluate the Efficacy and Safety of JTE-451 in Subjects With Moderate to Severe Plaque Psoriasis
NCT03832738 ·Status: COMPLETED ·Phase: PHASE2
-
A Dose Ranging Study of the Effect of Ruxolitinib Phosphate Cream When Applied to Participants With Plaque Psoriasis
NCT00778700 ·Status: COMPLETED ·Phase: PHASE2
-
Local Methotrexate Injections for the Treatment of Nail Psoriasis
NCT06578728 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Safety, Tolerability and Pharmacokinetics of MK-0873 Following Patch Application in Healthy Participants and Psoriasis Participants (MK-0873-020)
NCT01140061 ·Status: COMPLETED ·Phase: PHASE1
-
Evaluation of the Effect of Narrowband UVB Versus Methotrexate on Serum TWEAK Level in Psoriasis
NCT04811911 ·Status: UNKNOWN ·Phase: PHASE4
-
Trial in Patients With Psoriasis Treated With Methotrexate Using an Optimized Treatment Schedule (METOP)
NCT02902861 ·Status: COMPLETED ·Phase: PHASE3
-
Climatotherapy Versus Topical Combination of Corticosteroids and Salicylic Acid in Treatment of Psoriasis
NCT03156062 ·Status: UNKNOWN ·Phase: NA
-
Study to Evaluate Safety and Effectiveness of Oral Apremilast (CC-10004) in Patients With Moderate to Severe Plaque Psoriasis.
NCT01232283 ·Status: COMPLETED ·Phase: PHASE3
-
Safety and Efficacy Study of a Novel Ointment to Treat Plaque Type Psoriasis
NCT01029405 ·Status: COMPLETED ·Phase: PHASE2
-
Onercept in the Treatment and Re-Treatment of Subjects With Moderate to Severe Plaque Psoriasis
NCT00090129 ·Status: TERMINATED ·Phase: PHASE3
-
Study to Evaluate Safety and Effectiveness of Oral Apremilast (CC-10004) in Patients With Moderate to Severe Plaque Psoriasis
NCT01194219 ·Status: COMPLETED ·Phase: PHASE3
-
Safety and Efficacy Study of A Novel Ointment to Treat Plaque Type Psoriasis
NCT00755196 ·Status: COMPLETED ·Phase: PHASE2