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Methotrexate In Psoriatic Arthritis
ISRCTN ISRCTN54376151
ClinicalTrials.gov identifier
Public title Methotrexate In Psoriatic Arthritis
Scientific title
Acronym MIPA
Serial number at source K0561
Study hypothesis Psoriatic arthritis is a type of arthritis, which is often relatively mild and does not cause severe inflammation or long-term damage to joints. As a consequence many patients only need anti-inflammatory drugs and steroid injections into their joints. There is evidence that some patients with psoriatic arthritis have a more severe disease. They can become quite disabled and their joints damaged. As a consequence rheumatologists are keen to treat patients with more severe disease with disease modifying drugs, in particular a drug called methotrexate. This is the most effective drug of its class when used to treat rheumatoid arthritis. It also improves the skin in psoriasis. At present there is insufficient evidence that it works in psoriatic arthritis. The purpose of this study is to determine whether treatment with methotrexate is effective in psoriatic arthritis. It will determine if methotrexate reduces disease activity and improves function in patients whose disease is severe enough for their rheumatologist to consider using a disease modifying drug. The MIPA study will compare the effect of methotrexate against a placebo in patients with psoriatic arthritis. The trial will assess their function over six months.
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Psoriatic arthritis
Participants - inclusion criteria Patients with psoriatic arthritis currently attending specialist rheumatology clinics and with active peripheral synovitis.
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 30/04/2002
Anticipated end date 31/10/2008
Status of trial Ongoing
Patient information material
Target number of participants Not provided at time of registration
Interventions Patients will be randomised to methotrexate or placebo.
Primary outcome measure(s) Not provided at time of registration
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Arthritis Research Campaign (UK)
Trial website
Publications
Contact name Dr  Gabrielle  Kingsley
  Address Rheumatology Unit
GKT School of Medicine
5th Floor, Thomas Guy House
Guy's Campus
St Thomas Street
  City/town London
  Zip/Postcode SE1 9RT
  Country United Kingdom
  Tel +44 (0)20 7995 4394
  Fax +44 (0)20 7955 2472
  Email gabrielle.kingsley@kcl.ac.uk
Sponsor Arthritis Research Campaign (ARC) (UK)
  Address Copeman House
St Mary's Court
St Mary's Gate
Chesterfield
  City/town Derbyshire
  Zip/Postcode S41 7TD
  Country United Kingdom
  Email info@arc.org.uk
  Sponsor website: http://www.arc.org.uk
Date applied 04/02/2002
Last edited 03/10/2007
Date ISRCTN assigned 04/02/2002
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