NCT01594333

Brief Summary

The Cardiovascular Inflammation Reduction Trial (CIRT) is a randomized clinical trial investigating whether taking low-dose methotrexate reduces heart attacks, strokes, or death in people with type 2 diabetes or metabolic syndrome that have had a heart attack or multiple coronary blockages. This trial is funded by the National Heart, Lung, and Blood Institute (NHLBI)/National Institutes of Health (NIH).

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
4,786

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Apr 2013

Longer than P75 for phase_3

Geographic Reach
3 countries

470 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 1, 2012

Completed
8 days until next milestone

First Posted

Study publicly available on registry

May 9, 2012

Completed
11 months until next milestone

Study Start

First participant enrolled

April 1, 2013

Completed
6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 15, 2019

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2019

Completed
9 months until next milestone

Results Posted

Study results publicly available

July 24, 2020

Completed
Last Updated

July 24, 2020

Status Verified

July 1, 2020

Enrollment Period

6 years

First QC Date

May 1, 2012

Results QC Date

June 20, 2020

Last Update Submit

July 23, 2020

Conditions

Keywords

Myocardial InfarctionStrokeCardiovascular deathType 2 DiabetesMetabolic SyndromeCardiovascular InflammationAtherothrombosis

Outcome Measures

Primary Outcomes (2)

  • Number of Subjects With Major Adverse Cardiovascular Events

    The first occurrence of Major Adverse Cardiovascular Event which is defined as the occurrence of one or more of the following: Cardiovascular Death, Non-Fatal Myocardial Infarction or Non-Fatal Stroke.

    From randomization to trial end (April 2, 2018) up to a maximum of 5 years

  • Number of Subjects With Major Adverse Cardiovascular Event or Hospitalization for Unstable Angina That Led to Urgent Coronary Revascularization

    The first occurrence of Major Adverse Cardiovascular Event or Hospitalization for Unstable Angina that led to Urgent Coronary Revascularization.

    From randomization to trial end (April 2, 2018) - up to a maximum of 5 years

Secondary Outcomes (5)

  • Number of Subjects With All-cause Mortality

    From randomization to the trial end (April 2, 2018) up to a maximum of 5 years

  • Number of Subjects With Major Adverse Cardiovascular Event or Any Coronary Revascularization

    From randomization to the trial end (April 2, 2018) - up to a maximum of 5 years

  • Number of Subjects With Hospitalization for Congestive Heart Failure

    From randomization to trial end (April 2, 2018) up to a maximum of 5 years

  • Number of Subjects With Major Adverse Cardiovascular Event, Coronary Revascularization, Hospitalization for Congestive Heart Failure or All Cause Mortality

    From randomization to trial end (April 2, 2018) up to a maximum of 5 years

  • Number of Subjects With New Onset Type 2 Diabetes

    From randomization to the trial end (April 2, 2018) - up to 5 years

Other Outcomes (6)

  • Number of Subjects With Hospitalization for Unstable Angina That Led to Unplanned Coronary Revascularization

    From randomization to the trial end (April 2, 2018) up to 5 years

  • Number of Subjects With Coronary Revascularization

    From randomization to trial end (April 2, 2018) up to 5 years

  • Number of Subjects With Peripheral Artery Disease

    From randomization to the trial end (April 2, 2018) - up to 5 years

  • +3 more other outcomes

Study Arms (2)

Methotrexate

EXPERIMENTAL

Methotrexate: Tablet, Oral, Target dose 15-20mg weekly plus 1.0 mg folic acid 6 days/week

Drug: Methotrexate

Placebo

PLACEBO COMPARATOR

Placebo: Tablet, Oral weekly plus 1.0mg folic acid 6 days/week

Drug: Placebo

Interventions

Tablet, Oral, Target dose 15-20 mg weekly plus 1.0 mg folic acid 6 days/week

Also known as: Trexall, TEVA Inc (brand of methotrexate)
Methotrexate

Tablet, Oral, weekly plus 1.0 mg folic acid 6 days/week

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥ 18 years at screening
  • Documented past history of myocardial infarction OR past evidence of multivessel coronary artery disease by angiography.
  • To qualify on the basis of past history of myocardial infarction, the event must be documented either by hospital records or by evidence on current ECG of Q waves in two contiguous leads and/or an imaging test demonstrating wall motion abnormality or scar. The patient must also have completed any planned coronary revascularization procedures associated with the qualifying event, and be clinically stable for at least 60 days prior to screening.
  • To qualify on the basis of multivessel coronary disease, there must be past angiographic evidence of atherosclerosis in at least 2 major epicardial vessels defined either as the presence of a stent, a coronary bypass graft, or an angiographic lesion of 60% or greater. Left main coronary artery disease that has been revascularized with a stent or bypass graft will qualify as multivessel disease, as will the presence of a 50% or greater isolated left main stenosis. The patient must also have completed any planned coronary revascularization procedures associated with the qualifying event, and be clinically stable for at least 60 days prior to screening.
  • History of type 2 diabetes or metabolic syndrome at time of study enrollment
  • Willingness to participate as evidenced by signing the study informed consent

You may not qualify if:

  • Prior history of chronic infectious disease, tuberculosis, or severe fungal disease; chronic hepatitis B or C infection; renal insufficiency; interstitial pneumonitis, bronchiectasis, or pulmonary fibrosis; known chronic pericardial effusion, pleural effusion, or ascites; chronic liver disease; myeloproliferative disorders in the past 5 years; non-basal cell malignancy or treated lymphoproliferative disease within the past 5 years; known HIV positive; life expectancy of \< 3 years;
  • Chronic inflammatory condition such as lupus or rheumatoid arthritis, ulcerative colitis or Crohn's disease
  • White blood cell count \< 3,500/ul, hematocrit \< 32 percent, or platelet count \< 75,000/ul
  • Liver transaminase levels (AST or ALT) \>upper limit of normal (ULN) or albumin \< the lower limit of normal (LLN);
  • Creatinine clearance \< 40 ml/min as estimated with the Cockcroft-Gault equation;
  • History of alcohol abuse or unwillingness to limit alcohol consumption to less than 4 drinks per week
  • Women of child bearing potential, even if they are currently using contraception, and women intending to breastfeed.
  • Men who plan to father children during the study period or who are unwilling to use effective forms of contraception.
  • Requirement for use of drugs that alter folate metabolism (trimethoprim/sulfamethoxazol) or reduce tubular excretion (probenecid) or known allergies to antibiotics making avoidance of trimethoprim impossible;
  • Current indication for methotrexate therapy;
  • Chronic use of oral steroid therapy or other immunosuppressive or biologic response modifiers. Eligible study participants will be encouraged to have up to date pneumococcal and influenza vaccinations as recommended based on their age and underlying medical conditions.
  • Chest X-ray evidence in the past 12 months of interstitial pneumonitis, bronchiectasis, or pulmonary fibrosis. For participants who do not have a chest X-ray in the prior 12 months, a chest X-ray will be obtained at baseline as part of the study protocol.
  • New York Heart Association Class IV congestive heart failure.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (470)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

Appalachian Research Associates

Fort Payne, Alabama, 35967, United States

Location

Avant Research Associates, LLC

Guntersville, Alabama, 35976, United States

Location

Saadat Ansari MD LLC

Huntsville, Alabama, 35801, United States

Location

University of South Alabama: Division of Clinical Research

Mobile, Alabama, 36617, United States

Location

Heart Vascular of Northern Arizona

Cottonwood, Arizona, 86326, United States

Location

CardioVascular Associates of Mesa

Mesa, Arizona, 85206, United States

Location

Arizona Arthritis & Rheumatology Research

Phoenix, Arizona, 85032, United States

Location

Scottsdale Medical Imaging

Scottsdale, Arizona, 85258, United States

Location

The Heart Clinic

Scottsdale, Arizona, 85258, United States

Location

Pima Heart

Tucson, Arizona, 85718, United States

Location

Southern Arizona VA Health Care System

Tucson, Arizona, 85723, United States

Location

Arkansas Cardiology

Little Rock, Arkansas, 72205, United States

Location

Arkansas Heart Hospital

Little Rock, Arkansas, 72211, United States

Location

Oracle Clinical Research, Inc.

Anaheim, California, 92801, United States

Location

Medical Group of Culver City

Culver City, California, 90230, United States

Location

Touro University California- Solano County Affiliated Clinics

Fairfield, California, 94533, United States

Location

University Of California San Francisco

Fresno, California, 93701, United States

Location

VACCHCS

Fresno, California, 93703, United States

Location

UCSD Sulpizio Cardiovascular Center

La Jolla, California, 92037, United States

Location

University Of California San Diego

La Jolla, California, 92093, United States

Location

Desert Medical Care & Wellness

La Quinta, California, 92253, United States

Location

Kumar Medical Corporation

Lancaster, California, 93534, United States

Location

Loma Linda University Health

Loma Linda, California, 92354, United States

Location

VA Loma Linda Healthcare System

Loma Linda, California, 92357, United States

Location

Long Beach Center for Clinical Research

Long Beach, California, 90807, United States

Location

Cardiovascular Innovation and Research

Long Beach, California, 90813, United States

Location

Los Alamitos Cardiovascular

Los Alamitos, California, 90720, United States

Location

Faye Montegrande Md. Clinical Research

Los Angeles, California, 90004, United States

Location

Eastside Clinical Research Associates

Los Angeles, California, 90022, United States

Location

Salman Khan A. Medical Corporation

Los Angeles, California, 90033, United States

Location

University of Southern California

Los Angeles, California, 90033, United States

Location

West LA VA Medical Center

Los Angeles, California, 90049, United States

Location

VA Northern California Health Care

Mather, California, 95655, United States

Location

Valley Clinical Trials, Inc.

Northridge, California, 91325, United States

Location

Orange County Heart Institute & Research

Orange, California, 92868, United States

Location

University of CA Irvine Medical Center

Orange, California, 92868, United States

Location

Diverse Research Solutions

Oxnard, California, 93030, United States

Location

Huntington Memorial Hospital

Pasadena, California, 91105, United States

Location

Central Coast Cardiology

Salinas, California, 93901, United States

Location

Richard G. Friedman, MD

San Diego, California, 92103, United States

Location

Ritchken and First MDs

San Diego, California, 92117, United States

Location

Foundation for Cardiovascular Medicine

San Diego, California, 92121, United States

Location

San Diego Cardiac Center

San Diego, California, 92123, United States

Location

Veterans Affairs San Diego Healthcare System

San Diego, California, 92161, United States

Location

UCSF at Zuckerberg SF General Hospital

San Francisco, California, 94110, United States

Location

Coastal Heart Medical Group, Inc.

Santa Ana, California, 92704, United States

Location

Comprehensive Cardiovascular Care

Santa Maria, California, 93454, United States

Location

Pacific Heart and Vascular Medical Group

Stockton, California, 95210, United States

Location

Manoj D. Aswani M.D.

Thousand Oaks, California, 91360, United States

Location

Touro University California- Solano Public Health Affiliated Clinics

Vallejo, California, 94592, United States

Location

Munni R. Selagamsetty, Md, Pc

Colorado Springs, Colorado, 80910, United States

Location

Vijay - Aurora Denver Cardiology

Denver, Colorado, 80218, United States

Location

Colorado Health Medical Group Heart Center of the Rockies

Fort Collins, Colorado, 80528, United States

Location

Medical Center of the Rockies Research

Fort Collins, Colorado, 80528, United States

Location

Unrein - Rocky Vista University Health Center

Parker, Colorado, 80134, United States

Location

Connecticut Heart and Vascular Center

Bridgeport, Connecticut, 06606, United States

Location

Bridgeport Hospital

Bridgeport, Connecticut, 06610, United States

Location

Cardiology Physicians/Red Clay Research

Newark, Delaware, 19713, United States

Location

Boisey Barnes MD, PC

Washington D.C., District of Columbia, 20024, United States

Location

GWU Medical Faculty Associatin, Inc.

Washington D.C., District of Columbia, 20037, United States

Location

Pianko - Aventura Research Center, LLC

Aventura, Florida, 33180, United States

Location

North Ridge Heart Associates

Boca Raton, Florida, 33434, United States

Location

St. Francis Medical Institute

Clearwater, Florida, 33765, United States

Location

Gonzalez MD & Aswad MD Health Ser

Coral Gables, Florida, 33134, United States

Location

American Research Institute, Inc.

Cutler Bay, Florida, 33157, United States

Location

Daytona Heart Group

Daytona Beach, Florida, 32114, United States

Location

Daytona Heart Group

DeLand, Florida, 32720, United States

Location

Seidman Clinical Trials

Delray Beach, Florida, 33484, United States

Location

Steven Cohen MD

Delray Beach, Florida, 33484, United States

Location

Infinite Clinical Research

Doral, Florida, 33126, United States

Location

International Research Partners, LLC

Doral, Florida, 33166, United States

Location

Medical Research Institute at Doral, Inc.

Doral, Florida, 33178, United States

Location

Lake Internal Medicine Assocaties

Eustis, Florida, 32726, United States

Location

Invesclinic

Fort Lauderdale, Florida, 33308, United States

Location

Primary Care Associates

Fort Myers, Florida, 33907, United States

Location

Lee Physician Group

Fort Myers, Florida, 33908, United States

Location

The Cardiac and Vascular Institute

Gainesville, Florida, 32605, United States

Location

University of Florida

Gainesville, Florida, 32610, United States

Location

Qway Research

Hialeah, Florida, 33010, United States

Location

State of the Art Research

Hialeah, Florida, 33010, United States

Location

Healing Touch C&C Research

Hialeah, Florida, 33012, United States

Location

Luzmed Clinical Research Institute

Hialeah, Florida, 33012, United States

Location

Viviana Perez MD Research & Cosmetics

Hialeah, Florida, 33012, United States

Location

Elite Cardiac Research Center LLC

Hialeah, Florida, 33013, United States

Location

Nova Clinical Research Clinic

Hialeah, Florida, 33013, United States

Location

Best Quality Research, Inc.

Hialeah, Florida, 33016, United States

Location

South Florida Research Solutions, LLC

Hollywood, Florida, 33021, United States

Location

John Gutleber Medical Research Office

Homestead, Florida, 33030, United States

Location

Cardiovascular Medical Associates of Palm Beach

Jupiter, Florida, 33458, United States

Location

Hope Clinical Research

Kissimmee, Florida, 34758, United States

Location

SIH Research, LLC

Kissimmee, Florida, 34759, United States

Location

Medical Research Center of Florida

Miami, Florida, 33122, United States

Location

LG Diagnostics, Inc.

Miami, Florida, 33126, United States

Location

St. Paul Medical Research Center, Inc.

Miami, Florida, 33126, United States

Location

Team Medical Research

Miami, Florida, 33134, United States

Location

Paradise Clinical Research, LLC

Miami, Florida, 33144, United States

Location

GAD Research Center

Miami, Florida, 33155, United States

Location

Innovation Research Institute, Inc.

Miami, Florida, 33155, United States

Location

Sanitas Research

Miami, Florida, 33155, United States

Location

Segui - Med Care Research

Miami, Florida, 33165, United States

Location

South Florida Research Group, LLC

Miami, Florida, 33176, United States

Location

Vista Health Research, LLC

Miami, Florida, 33176, United States

Location

D De La Vega MD Research Group

Miami, Florida, 33186, United States

Location

Lakes Research, LLC

Miami Lakes, Florida, 33014, United States

Location

Veritas Research Corp.

Miami Lakes, Florida, 33014, United States

Location

Ocean Blue Medical Research Center

Miami Springs, Florida, 33166, United States

Location

Southwest Florida Research, LLC

Naples, Florida, 34102, United States

Location

Orlando Healthy Heart Institute

Orlando, Florida, 32806, United States

Location

Palm Beach Gardens Research Center, LLC

Palm Beach Gardens, Florida, 33410, United States

Location

Broward Research Center

Pembroke Pines, Florida, 33024, United States

Location

Pioneer Clinical Research

Pembroke Pines, Florida, 33024, United States

Location

Sandoval - Broward Research Center

Pembroke Pines, Florida, 33204, United States

Location

Bay Area Heart Center: 49th Street

St. Petersburg, Florida, 33705, United States

Location

Bay Area Heart Center: 7th Avenue

St. Petersburg, Florida, 33705, United States

Location

Lenus Research & Medical Group

Sweetwater, Florida, 33172, United States

Location

DBC Research

Tamarac, Florida, 33321, United States

Location

Asclepes Research Centers

Weeki Wachee, Florida, 34607, United States

Location

Gupta - Premier Heart and Vascular Center

Wesley Chapel, Florida, 33544, United States

Location

Athens Regional Medical Center

Athens, Georgia, 30606, United States

Location

Atlanta Veterans Affairs Medical Center

Atlanta, Georgia, 30033, United States

Location

Laureate Medical Group at Northside

Atlanta, Georgia, 30308, United States

Location

Synergy Therapeutic Partners

Atlanta, Georgia, 30308, United States

Location

Northside Hospital

Atlanta, Georgia, 30342, United States

Location

Atlanta Heart Specialists, LLC

Cumming, Georgia, 30041, United States

Location

Heart and Rhythm Specialists

Dalton, Georgia, 30720, United States

Location

Albert F. Johary MD, PC

Dunwoody, Georgia, 30338, United States

Location

Infinite Clinical Trials

Riverdale, Georgia, 30274, United States

Location

Atlanta Vanguard Medical Associates

Smyrna, Georgia, 30082, United States

Location

Herman Clinical Research, LLC

Suwanee, Georgia, 30024, United States

Location

Atlanta Heart Specialists, LLC

Tucker, Georgia, 30084, United States

Location

Cardiology Associates of Vidalia, P.C.

Vidalia, Georgia, 30474, United States

Location

VA Pacific Islands Health Care System

Honolulu, Hawaii, 96819, United States

Location

St. Luke's Idaho Cardiology Associates

Boise, Idaho, 83712, United States

Location

Clinical Research Prime

Idaho Falls, Idaho, 83404, United States

Location

Northwest Heart Clinical Research

Arlington Heights, Illinois, 60005, United States

Location

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

Advocate Med Group-Heart & Vascular Of Illinois

Chicago, Illinois, 60657, United States

Location

Illinois Heart & Lung Research Center, SC

Normal, Illinois, 61761, United States

Location

Captain James A. Lovell Federal Health

North Chicago, Illinois, 60064, United States

Location

Specialty Physicians of Illinois, LLC

Olympia Fields, Illinois, 60461, United States

Location

Advanced CardioVascular Consultants

Rock Island, Illinois, 61201, United States

Location

Cardiospecialists, LTD

Dyer, Indiana, 46311, United States

Location

Martin - Martin Family Practice and Research

Evansville, Indiana, 47714, United States

Location

Krannert Institute Of Cardiology

Indianapolis, Indiana, 46202, United States

Location

Community Hospital South

Indianapolis, Indiana, 46227, United States

Location

Indiana Heart Physicians

Indianapolis, Indiana, 46237, United States

Location

Medical Consultants, PC

Muncie, Indiana, 47303, United States

Location

Iowa Heart Center

West Des Moines, Iowa, 50266, United States

Location

Stahl - Midwest Heart & Vascular Specialists

Overland Park, Kansas, 66209, United States

Location

Professional Research Network of KS

Wichita, Kansas, 67203, United States

Location

Robert J. Dole VAMC

Wichita, Kansas, 67230, United States

Location

University of Kentucky

Lexington, Kentucky, 40536, United States

Location

Robley Rex VAMC

Louisville, Kentucky, 40202, United States

Location

Stoddard - University of Louisville

Louisville, Kentucky, 40202, United States

Location

Bays - L-MARC Research Center

Louisville, Kentucky, 40213, United States

Location

Research Integrity LLC

Owensboro, Kentucky, 42303, United States

Location

Dorothy H. Banish, MD, APMC Study Group

Covington, Louisiana, 70433, United States

Location

Avant Research Associates, LLC

Crowley, Louisiana, 70526, United States

Location

North Oaks Cardiology

Hammond, Louisiana, 70403, United States

Location

American Clinical Research, LLC

Marrero, Louisiana, 70072, United States

Location

Otis Barnum D.O.P.C.

Natchitoches, Louisiana, 71457, United States

Location

Tulane University Office of Health Research

New Orleans, Louisiana, 70112, United States

Location

Veterans Affairs Medical Center Shreveport

Shreveport, Louisiana, 71101, United States

Location

Maine Research Associates

Auburn, Maine, 04210, United States

Location

Paul A. Shapero, M.D.

Bangor, Maine, 04401, United States

Location

Southern Maine Health Care

Biddeford, Maine, 04005, United States

Location

InterMed, PA

Portland, Maine, 04101, United States

Location

Maine Medical Partners Maine Health Cardiology

South Portland, Maine, 04106, United States

Location

Maine Centers for Healthcare

Westbrook, Maine, 04092, United States

Location

Sinai Center for Thrombosis Research

Baltimore, Maryland, 21215, United States

Location

St. Mary's Medical Center

Charlotte Hall, Maryland, 20622, United States

Location

Calvert Memorial Hospital

Clinton, Maryland, 20735, United States

Location

Shah Associates, MD, LLC

Prince Frederick, Maryland, 20678, United States

Location

Peninsula Cardiology Associates

Salisbury, Maryland, 21804, United States

Location

IRC Clinics

Towson, Maryland, 21204, United States

Location

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

St. Elizabeth's Medical Center

Boston, Massachusetts, 02135, United States

Location

MGH Cardiology

Boston, Massachusetts, 02214, United States

Location

Joslin Diabetes Center

Boston, Massachusetts, 02215, United States

Location

Lahey Hospital and Medical Center

Burlington, Massachusetts, 01805, United States

Location

Massachusetts General Hospital - Chelsea Health Care Center

Chelsea, Massachusetts, 02150, United States

Location

Pentucket Medical Associates, Inc.

Haverhill, Massachusetts, 01830, United States

Location

VA Central Western Massachusetts Healthca

Leeds, Massachusetts, 01053, United States

Location

South Shore Internal Medicine

Milton, Massachusetts, 02186, United States

Location

Lahey Medical Center

Peabody, Massachusetts, 02149, United States

Location

North Shore Cardiovascular Associates

Salem, Massachusetts, 01907, United States

Location

Reliant Medical Group

Worcester, Massachusetts, 01608, United States

Location

Endeavor Medical Research

Alpena, Michigan, 49707, United States

Location

John D. Dingell Veterans Affairs Medical Center

Detroit, Michigan, 48201, United States

Location

Trace Research Group at Wayne State University

Detroit, Michigan, 48201, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

Flint Clinical Research

Flint, Michigan, 48503, United States

Location

Apex Medical Research MI, Inc.

Flint, Michigan, 48504, United States

Location

Garden City Hospital

Garden City, Michigan, 48135, United States

Location

Genesys Regional Medical Center

Grand Blanc, Michigan, 48439, United States

Location

National Clinical LLC

Hamtramck, Michigan, 48212, United States

Location

Academic Cardiology Associates PC

Rochester Hills, Michigan, 48307, United States

Location

Beaumont Health Center

Royal Oak, Michigan, 48073, United States

Location

Covenant Medical Center, Inc.

Saginaw, Michigan, 48602, United States

Location

Mid-Michigan Heart & Vascular Center

Saginaw, Michigan, 48609, United States

Location

Centra Care Heart & Vascular Center at St. Cloud Hospital

Saint Cloud, Minnesota, 56303, United States

Location

United Heart and Vascular Clinic

Saint Paul, Minnesota, 55102, United States

Location

Gulfside Clinical Research, LLC

Gulfport, Mississippi, 39501, United States

Location

University of MS Medical Center

Jackson, Mississippi, 39216, United States

Location

David M. Headley M.D. PA Planters Clinic

Port Gibson, Mississippi, 39150, United States

Location

Stern Cardiovascular Foundation, Inc.

Southaven, Mississippi, 38671, United States

Location

Center for Advanced Medicine and Research LLC

Bridgeton, Missouri, 63044, United States

Location

Center for Advanced Medicine and Research

City of Saint Peters, Missouri, 63303, United States

Location

Clinical Research Center University of Missouri

Columbia, Missouri, 65212, United States

Location

Quantum Research LLC

Festus, Missouri, 63028, United States

Location

Midwest Cardiology Associates

Independence, Missouri, 64057, United States

Location

Freeman Health System

Joplin, Missouri, 64804, United States

Location

VA Medical Center Kansas City

Kansas City, Missouri, 64128, United States

Location

Lake Regional Cardiovascular Institute

Osage Beach, Missouri, 65065, United States

Location

CoxHealth: Wheeler Heart & Vascular Center

Springfield, Missouri, 65807, United States

Location

Mercy Medical Research Institute

Springfield, Missouri, 65807, United States

Location

VA St. Louis Health Care System (VASTLHCS)

St Louis, Missouri, 63106, United States

Location

SLUCare Cardiology

St Louis, Missouri, 63110, United States

Location

Washington University

St Louis, Missouri, 63110, United States

Location

Clinical Investigators LLC

St Louis, Missouri, 63119, United States

Location

Consult and Research Associates

St Louis, Missouri, 63122, United States

Location

Great Falls Clinic Clinical Research Deptartment

Great Falls, Montana, 59420, United States

Location

Cone - Montana Medical Research

Missoula, Montana, 59801, United States

Location

Barrett Clinic, P.C.

La Vista, Nebraska, 68128, United States

Location

Heart Consultants

Omaha, Nebraska, 68114, United States

Location

Alegent Creighton Health

Omaha, Nebraska, 68131, United States

Location

University of Nebraska Medical Center

Omaha, Nebraska, 68198, United States

Location

Internal Medicine Clinic

Las Vegas, Nevada, 89102, United States

Location

Red Rock Clinical Research, LLC

Las Vegas, Nevada, 89146, United States

Location

Sierra Nevada Health Care System

Reno, Nevada, 89502, United States

Location

Renown Inst for Heart & Vasc Health

Reno, Nevada, 89503, United States

Location

Lahey Cardiology

Nashua, New Hampshire, 03060, United States

Location

Family Health at Mount Olive

Flanders, New Jersey, 07836, United States

Location

Cardiocare

Hillsborough, New Jersey, 08844, United States

Location

New Jersey Heart

Linden, New Jersey, 07063, United States

Location

Jersey Shore University Medical Center

Neptune City, New Jersey, 07753, United States

Location

Cardiovascular Institute

New Brunswick, New Jersey, 08901, United States

Location

Palisade Medical Center

North Bergen, New Jersey, 07047, United States

Location

The Valley Hospital

Ridgewood, New Jersey, 07450, United States

Location

Mercer Bucks Cardiology

Robbinsville, New Jersey, 08691, United States

Location

Cardio Metabolic Institute

Somerset, New Jersey, 08873, United States

Location

Holy Name Medical Center, Inc.

Teaneck, New Jersey, 07666, United States

Location

Total Cardiology Care, LLC

Wayne, New Jersey, 07470, United States

Location

Westwood Cardiology Associates

Westwood, New Jersey, 07675, United States

Location

Presbyterian Heart Group

Albuquerque, New Mexico, 87106, United States

Location

Albany Medical College

Albany, New York, 12208, United States

Location

Albany Stratton VA Medical Center

Albany, New York, 12208, United States

Location

Brown - SUNY Downstate Medical Center

Brooklyn, New York, 11203, United States

Location

Buffalo Heart Group

Buffalo, New York, 14215, United States

Location

Bassett Healthcare Network

Cooperstown, New York, 13326, United States

Location

NYU Hudson Valley Cardiology

Cortlandt Manor, New York, 10567, United States

Location

NYHQ

Flushing, New York, 11355, United States

Location

Jamaica Hospital Medical Center

Jamaica, New York, 11418, United States

Location

Long Island Heart Associates

Mineola, New York, 11501, United States

Location

Winthrop University Hospital

Mineola, New York, 11501, United States

Location

Long Island Jewish Medical Center

New Hyde Park, New York, 11040, United States

Location

Queens Long Island Medical Group

New Hyde Park, New York, 11577, United States

Location

Chinatown Cardiology, PC

New York, New York, 10013, United States

Location

Weill Cornell Medical College and NY Presbyterian

New York, New York, 10021, United States

Location

Mount Sinai School of Medicine

New York, New York, 10029, United States

Location

DiGiovanna Institute for Medical Education and Research

North Massapequa, New York, 11758, United States

Location

Champlain Valley Physician Hospital

Plattsburgh, New York, 12901, United States

Location

Cardiology Associates of Schenectady

Schenectady, New York, 12309, United States

Location

Novel Research of New York, LLC

The Bronx, New York, 10461, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

Clinical Study Center of Asheville

Asheville, North Carolina, 28801, United States

Location

Metrolina Internal Medicine

Charlotte, North Carolina, 28204, United States

Location

Gaffney Health Services

Charlotte, North Carolina, 28205, United States

Location

Carolinas Research Center

Charlotte, North Carolina, 28215, United States

Location

Eastern Carolina Cardiovascular, PA

Elizabeth City, North Carolina, 27909, United States

Location

Eastern Cardiology

Greenville, North Carolina, 27834, United States

Location

Northside Clinical Research

Lenoir, North Carolina, 28645, United States

Location

Lake Shore Clinical Research, LLC.

Mooresville, North Carolina, 28117, United States

Location

Carteret Medical Group

Morehead City, North Carolina, 28557, United States

Location

Cardiology Associates of Carolinas, PA

Morganton, North Carolina, 28655, United States

Location

Eastern Nephrology Associates, PLLC

New Bern, North Carolina, 28562, United States

Location

Boice Willis Clinic

Rocky Mount, North Carolina, 27804, United States

Location

Sanford Cardiology

Sanford, North Carolina, 27330, United States

Location

Natalie A. Doyle, MD, PA

Wilson, North Carolina, 27893, United States

Location

Altru Health System Rehab Center

Grand Forks, North Dakota, 58201, United States

Location

Akron General Medical Center

Akron, Ohio, 44307, United States

Location

Ohio University Heritage College of Osteopathic Medicine

Athens, Ohio, 45701, United States

Location

Diabetes and Endocrinology Associates of Stark Cit

Canton, Ohio, 44718, United States

Location

The Lindner Research Center

Cincinnati, Ohio, 45219, United States

Location

Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

Optimed Research, LTD

Columbus, Ohio, 43235, United States

Location

Dayton Heart Center

Dayton, Ohio, 45414, United States

Location

Dayton Veteran Affairs Medical Center

Dayton, Ohio, 45428, United States

Location

Colonnade Medical Group

Lancaster, Ohio, 43130, United States

Location

Middletown Cardiovascular Associates

Middletown, Ohio, 45044, United States

Location

Comprehensive Heart Care, Inc.

Toledo, Ohio, 43606, United States

Location

Mount Carmel Clinical Cardiovascular Care

Westerville, Ohio, 43081, United States

Location

Premier Physicians

Westlake, Ohio, 44154, United States

Location

Wooster Heart Group

Wooster, Ohio, 44691, United States

Location

Unity Clinical Research

Lindsay, Oklahoma, 73052, United States

Location

COR Clinical Research, LLC

Oklahoma City, Oklahoma, 73103, United States

Location

Thadani - VA Medical Center Oklahoma City, OK

Oklahoma City, Oklahoma, 73104, United States

Location

Today Clinical Research

Oklahoma City, Oklahoma, 73129, United States

Location

Cardiovascular Health Clinic

Oklahoma City, Oklahoma, 73134, United States

Location

Oklahoma State University Center for Health Sciences

Tulsa, Oklahoma, 74127, United States

Location

Samaritan Health Services

Corvallis, Oregon, 97330, United States

Location

Southern Oregon Cardiology, LLC

Medford, Oregon, 97504, United States

Location

Oregon Health & Science University

Portland, Oregon, 97239, United States

Location

Center for Clinical Res. Abington Health

Abington, Pennsylvania, 19001, United States

Location

St. Luke's University Hospital

Bethlehem, Pennsylvania, 18018, United States

Location

Renu-Ca Research Institute, Lower Bucks Hospital

Bristol, Pennsylvania, 19007, United States

Location

Main Line Health Center, Broomall

Broomall, Pennsylvania, 19008, United States

Location

Spirit Physician Services, Inc

Camp Hill, Pennsylvania, 17011, United States

Location

The Chambersburg Hospital

Chambersburg, Pennsylvania, 17201, United States

Location

Central Bucks Cardiology

Doylestown, Pennsylvania, 18901, United States

Location

Altoona Center for Clinical Research

Duncansville, Pennsylvania, 16635, United States

Location

Heart Specialists of Lancaster County

Ephrata, Pennsylvania, 17522, United States

Location

Saint Vincent Consultants in Cardiovascular Diseases, LLC

Erie, Pennsylvania, 16502, United States

Location

Feasterville Family Healthcare Center

Feasterville, Pennsylvania, 19053, United States

Location

Christiana Care Health System

Glen Mills, Pennsylvania, 19342, United States

Location

Pinnacle Health Cardiovascular Institute

Harrisburg, Pennsylvania, 17110, United States

Location

George Isajiw, MD

Lansdowne, Pennsylvania, 19050, United States

Location

Bucks County Clinical Research

Morrisville, Pennsylvania, 19067, United States

Location

Drexel University College of Medicine

Philadelphia, Pennsylvania, 19102, United States

Location

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Lehigh Valley Health Services

Sellersville, Pennsylvania, 18960, United States

Location

Pish Medical Associates, Inc.

Uniontown, Pennsylvania, 15401, United States

Location

Lehigh Valley Family Practice

Whitehall, Pennsylvania, 18052, United States

Location

Wilkes-Barre VA Medical Center

Wilkes-Barre, Pennsylvania, 18711, United States

Location

Partners in Clinical Research

Cumberland, Rhode Island, 02864, United States

Location

Ocean State Clinical Research Prtnr

Lincoln, Rhode Island, 02865, United States

Location

Memorial Hospital of Rhode Island

Pawtucket, Rhode Island, 02860, United States

Location

The Miriam Hospital

Providence, Rhode Island, 02906, United States

Location

Ocean State Research Institute, Inc

Providence, Rhode Island, 02908, United States

Location

South Carolina Heart Center

Columbia, South Carolina, 29204, United States

Location

Amistad Research Center, LLC

Columbia, South Carolina, 29223, United States

Location

Miller - SC Internal Medicine Associates.: Irmo

Irmo, South Carolina, 29063, United States

Location

Charlotte Hearts

Old Point Station, South Carolina, 29707, United States

Location

Inlet Cardiopulmonary & Associates

Pawleys Island, South Carolina, 29585, United States

Location

Fusion Clinical Research of Spartanburg

Spartanburg, South Carolina, 29301, United States

Location

Palmetto Research Center, LLC

Spartanburg, South Carolina, 29302, United States

Location

New Phase Research & Development

Chattanooga, Tennessee, 37409, United States

Location

Parkway Medical Group

Fayetteville, Tennessee, 37334, United States

Location

Stern Cardiovascular Foundation, Inc.

Germantown, Tennessee, 38138, United States

Location

Kore Cardiovascular Research Institutue

Jackson, Tennessee, 38305, United States

Location

New Phase Research & Development

Knoxville, Tennessee, 37909, United States

Location

Cardiovascular Research of Knoxville

Knoxville, Tennessee, 37917, United States

Location

Ramanathan - VAMC Memphis

Memphis, Tennessee, 38104, United States

Location

Clinical Research Center Meharry Medical College

Nashville, Tennessee, 37208, United States

Location

Avant Research Associates LLC

Austin, Texas, 78704, United States

Location

Texas Heart and Vascular Research, LLC

Austin, Texas, 78745, United States

Location

Southeast TX Clinical Research Center

Beaumont, Texas, 77702, United States

Location

Cornerstone Family Medicine

Big Spring, Texas, 79720, United States

Location

IMD Medical Center

Carrollton, Texas, 75006, United States

Location

Texas Health Physicians Group

Carrollton, Texas, 75010, United States

Location

Cardiovascular Research Institute of Dallas

Dallas, Texas, 75231, United States

Location

North Texas Health Center

Dallas, Texas, 75231, United States

Location

The Heart Center of Dallas

Dallas, Texas, 75235, United States

Location

Global Medical Research

DeSoto, Texas, 75115, United States

Location

The Medical Group of Texas

Fort Worth, Texas, 76104, United States

Location

Texas Health Physicians Group

Fort Worth, Texas, 76107, United States

Location

T&R Clinic, P.A.

Haltom City, Texas, 76117, United States

Location

Michele P. Sartori, MD

Houston, Texas, 77030, United States

Location

Grand Medical Care

Katy, Texas, 77494, United States

Location

Team Research Of Central Texas

Killeen, Texas, 76543, United States

Location

Houston Heart and Vascular Associates

Kingwood, Texas, 77339, United States

Location

Grace Research, LLC

Marshall, Texas, 75670, United States

Location

Valley Heart Consultants

McAllen, Texas, 78503, United States

Location

Heart Center, Palo Pinto General Hospital

Mineral Wells, Texas, 76067, United States

Location

Valley Central Research Inc

Mission, Texas, 78572, United States

Location

North Hills Medical Research, Inc

North Richland Hills, Texas, 76180, United States

Location

Grace Research, LLC

Palestine, Texas, 75801, United States

Location

Avant Research Associates, LLC

Port Arthur, Texas, 77640, United States

Location

Santoscoy - Health Texas Research Institute

San Antonio, Texas, 78212, United States

Location

Element Research Group

San Antonio, Texas, 78229, United States

Location

Schnitzler Cardiovascular Consultants

San Antonio, Texas, 78229, United States

Location

San Antonio Endovascular & Heart Institute

San Antonio, Texas, 78268, United States

Location

Acacia Medical Research Institute

Sugar Land, Texas, 77478, United States

Location

Health Plus Clinical Research

Sugar Land, Texas, 77478, United States

Location

Lone Star Heart and Vascular Center

Tomball, Texas, 77375, United States

Location

Northwest Houston Clinical Research

Tomball, Texas, 77375, United States

Location

Hillcrest Family Health Center

Waco, Texas, 76710, United States

Location

Utah Cardiology, P.C.

Layton, Utah, 84041, United States

Location

Utah Diabetes Center

Salt Lake City, Utah, 84108, United States

Location

VA Medical Center, White River Junction

White River Junction, Vermont, 05009, United States

Location

Burke Internal Medicine & Research

Burke, Virginia, 22015, United States

Location

Seven Corners Medical Research Center

Falls Church, Virginia, 22044, United States

Location

Hampton Family Practice Research

Hampton, Virginia, 23666, United States

Location

Tidewater Physicians Multispecialty Group

Hampton, Virginia, 23666, United States

Location

Virginia Cardiovascular Associates

Manassas, Virginia, 20109, United States

Location

Manassas Clinical Research Center

Manassas, Virginia, 20110, United States

Location

Tucker Cardiology Associates, P.C.

Mechanicsville, Virginia, 23116, United States

Location

TPMG Clinical Research

Newport News, Virginia, 23606, United States

Location

Sentara Norfolk General Hospital

Norfolk, Virginia, 23507, United States

Location

Roanoke Heart Institute PLC

Roanoke, Virginia, 24014, United States

Location

Cardinal Internal Medicine Associates

Woodbridge, Virginia, 22192, United States

Location

Tidewater Physicians Multispecialty Group

Yorktown, Virginia, 23690, United States

Location

Frandsen Family Medicine DBA Sound Medi

Port Orchard, Washington, 98366, United States

Location

Premier Clinical Research

Spokane, Washington, 99202, United States

Location

Kootenai Heart Clinics, LLC

Spokane, Washington, 99204, United States

Location

Northside Internal Medicine

Spokane, Washington, 99208, United States

Location

Northwest Medical Associates, P.S.

Vancouver, Washington, 98684, United States

Location

Cardiology Associates of Bellin Health

Green Bay, Wisconsin, 54115, United States

Location

Dean Foundation

Madison, Wisconsin, 53715, United States

Location

University Of Wisconsin

Madison, Wisconsin, 53715, United States

Location

Marshfield Clinic

Marshfield, Wisconsin, 54449, United States

Location

Columbia St. Mary's

Milwaukee, Wisconsin, 53211, United States

Location

Aurora St. Luke's Medical Center

Milwaukee, Wisconsin, 53215, United States

Location

The Medical Arts Health Research Group

North Vancouver, British Columbia, V7M 2H4, Canada

Location

The Medical Arts Health Research Group

Penticton, British Columbia, V2A 5C8, Canada

Location

Winnipeg Clinic

Winnipeg, Manitoba, R3C 0N2, Canada

Location

Bramalea Medical Centre

Brampton, Ontario, L6T 4S5, Canada

Location

Brampton Research Associates

Brampton, Ontario, L6Z 4N5, Canada

Location

Philippe R Beaudry Medicine Professional Corporation

Burlington, Ontario, L7R 4E2, Canada

Location

Vizel Cardiac Research

Cambridge, Ontario, N1R7R1, Canada

Location

Dr. Linda Sinnaeve's Office

Chatham, Ontario, N7L 1C1, Canada

Location

Scisco Clinical Research

Cornwall, Ontario, K6H 4M4, Canada

Location

G.S. Cardiac Lab Medicine Professional Corp

Greater Sudbury, Ontario, P3C 1S8, Canada

Location

Dr. R. Labonte Professional Med Corp

Greater Sudbury, Ontario, P3E 3B8, Canada

Location

Dr. G. Garrioch, Independent Practice

Greater Sudbury, Ontario, P3E 3C6, Canada

Location

Dr. Peter Spadafora Health Center

Guelph, Ontario, N1E 5G6, Canada

Location

John Stimac, MD

Hamilton, Ontario, L8L 5G4, Canada

Location

KMH Cardiology & Diagnostics: Hamilton

Hamilton, Ontario, L8P 3A9, Canada

Location

Dr. William Liang

Hamilton, Ontario, L8W3J6, Canada

Location

Source Unique Clinic

Hawkesbury, Ontario, K6A 1A1, Canada

Location

Dr. Ronald Fowlis

Kitchener, Ontario, N2M 5NG, Canada

Location

University Hospital

London, Ontario, N6A 5A5, Canada

Location

Malton Medical Research

Mississauga, Ontario, L4T 4J2, Canada

Location

KMH Cardiology & Diagnostics: Mississauga

Mississauga, Ontario, L5K 2L3, Canada

Location

Sewa Ram Singal Medicine Professional Corporation

Mississauga, Ontario, L5U 0A6, Canada

Location

Newmarket Cardiology Research Group

Newmarket, Ontario, l3y -8c3, Canada

Location

Newmarket Cardiology Research Group

Newmarket, Ontario, L3Y 8C3, Canada

Location

Portage Medical Centre

Niagara Falls, Ontario, I2E6A6, Canada

Location

Humber River Regional Hospital

North York, Ontario, M3N2V6, Canada

Location

Bakbak Medicine Professional Corporation

Oshawa, Ontario, L1H 1B9, Canada

Location

Dr. James Y. Cha

Oshawa, Ontario, L1J2K1, Canada

Location

University Of Ottawa Heart Institute

Ottawa, Ontario, k1y -4w7, Canada

Location

Kawartha Cardiology Clinical Trials

Peterborough, Ontario, K9J0B2, Canada

Location

Steeple Hill Medical Centre

Pickering, Ontario, L1V 2A6, Canada

Location

Sarnia Institute Of Clinical Research

Sarnia, Ontario, N7T 4X3, Canada

Location

Scarborough Cardiology Research

Scarborough Village, Ontario, M1E5E9, Canada

Location

Scarborough General Hospital Cardiology Research Associates

Scarborough Village, Ontario, M1PT27, Canada

Location

Milliken Medical Centre

Scarborough Village, Ontario, M1V5P6, Canada

Location

Canadian Centre for Research on Diabetes

Smith Falls, Ontario, K7A 4W8, Canada

Location

Lake Shore Cardiology

St. Catharines, Ontario, L2S 2Y3, Canada

Location

Sardar Medical Clinic

St. Thomas, Ontario, N5R 2R4, Canada

Location

Dr. Laurence Gibbs Medicine Professional Corp.

Thedford, Ontario, N0M 2N0, Canada

Location

Tillsonburg Medical Centre

Tillsonburg, Ontario, N4G 5A7, Canada

Location

Humber River Hospital

Toronto, Ontario, M3M 0B2, Canada

Location

Sunnybrook Health Sciences Centre

Toronto, Ontario, M4N 3M5, Canada

Location

St. Michael's Hospital

Toronto, Ontario, M5B 1W8, Canada

Location

Mount Sinai Hospital

Toronto, Ontario, M5G 1X5, Canada

Location

Toronto General Hospital

Toronto, Ontario, M5G 2N2, Canada

Location

Weston Road Medical Clinic

Toronto, Ontario, M9N 2A7, Canada

Location

Dr. Nigel Jagan Medicine Professional Corporation

Whitby, Ontario, L1N 2L1, Canada

Location

Dr. Nwadiaro Medicine Professional Corp

Windsor, Ontario, N8X 1L9, Canada

Location

Viacar Recherche Clinique Inc.

Brossard, Quebec, J4X1S4, Canada

Location

Ecogene-21

Chicoutimi, Quebec, G7H 7K9, Canada

Location

Q&T Research Chicoutimi

Chicoutimi, Quebec, G7H 7Y8, Canada

Location

Viacar Recherche Clinique Inc.

Greenfield Park, Quebec, J4V2G8, Canada

Location

CHUM Hotel-Dieu

Montreal, Quebec, H2W 1T8, Canada

Location

Recherche Clinique Sigma, Inc.

Québec, Quebec, G1G3Z4, Canada

Location

Iucpq

Québec, Quebec, G1V 4G5, Canada

Location

ALPHA Recherche Clinique

Québec, Quebec, G3K 2P8, Canada

Location

CardioVasc HR

Saint-Jean-sur-Richelieu, Quebec, j3a-1c3, Canada

Location

ViaCar Recherche Clinique Inc

Saint-Lambert, Quebec, J4P 2H4, Canada

Location

Viacar Recherche Clinique

Saint-Lambert, Quebec, J4P 2J2, Canada

Location

Hopital Pierre-Le Gardeur

Terrebonne, Quebec, J6V 2H2, Canada

Location

Instituto Sanacoop

Bayamón, 00961, Puerto Rico

Location

San Juan Bautista School of Medicine

Caguas, 00727, Puerto Rico

Location

Norma S. Severino-Pacheco, MD

Canovanas, 00729, Puerto Rico

Location

Cardiometabolic Research Center

Ponce, 00717, Puerto Rico

Location

Miguel Sosa-Padilla, MD

San Juan, 00926-2832, Puerto Rico

Location

Yolanda Sierra Quinones, MD

Toa Baja, 00949, Puerto Rico

Location

Related Publications (10)

  • Cui J, Ridker PM, Solomon DH. Blood pressure changes during methotrexate treatment: results from a randomized placebo-controlled trial among patients with cardiovascular risk. Rheumatology (Oxford). 2025 Jun 1;64(6):3917-3920. doi: 10.1093/rheumatology/keae604.

  • Cui J, Chasman DI, Raychaudhuri S, Xu C, Ridker PM, Solomon DH, Karlson EW. Genetics are not likely to offer clinically useful predictions for elevated liver enzyme levels in patients using low dose methotrexate. Semin Arthritis Rheum. 2022 Aug;55:152036. doi: 10.1016/j.semarthrit.2022.152036. Epub 2022 May 28.

  • Reiss AB, Teboul I, Kasselman L, Ahmed S, Carsons SE, De Leon J. Methotrexate effects on adenosine receptor expression in peripheral monocytes of persons with type 2 diabetes and cardiovascular disease. J Investig Med. 2022 Aug;70(6):1433-1437. doi: 10.1136/jim-2022-002355. Epub 2022 May 23.

  • Sparks JA, Vanni KMM, Sparks MA, Xu C, Santacroce LM, Glynn RJ, Ridker PM, Solomon DH. Effect of Low-Dose Methotrexate on eGFR and Kidney Adverse Events: A Randomized Clinical Trial. J Am Soc Nephrol. 2021 Dec 1;32(12):3197-3207. doi: 10.1681/ASN.2021050598. Epub 2021 Dec 1.

  • Xu C, Selhub J, Jacques P, Paynter NP, MacFadyen JG, Glynn RJ, Ridker PM, Solomon DH. Adverse effects related to methotrexate polyglutamate levels: adjudicated results from the cardiovascular inflammation reduction trial. Rheumatology (Oxford). 2021 Jun 18;60(6):2963-2968. doi: 10.1093/rheumatology/keaa650.

  • Sparks JA, Dellaripa PF, Glynn RJ, Paynter NP, Xu C, Ridker PM, Solomon DH. Pulmonary Adverse Events in Patients Receiving Low-Dose Methotrexate in the Randomized, Double-Blind, Placebo-Controlled Cardiovascular Inflammation Reduction Trial. Arthritis Rheumatol. 2020 Dec;72(12):2065-2071. doi: 10.1002/art.41452. Epub 2020 Oct 7.

  • Ridker PM, MacFadyen JG, Glynn RJ, Bradwin G, Hasan AA, Rifai N. Comparison of interleukin-6, C-reactive protein, and low-density lipoprotein cholesterol as biomarkers of residual risk in contemporary practice: secondary analyses from the Cardiovascular Inflammation Reduction Trial. Eur Heart J. 2020 Aug 14;41(31):2952-2961. doi: 10.1093/eurheartj/ehaa160.

  • Solomon DH, Glynn RJ, Karlson EW, Lu F, Corrigan C, Colls J, Xu C, MacFadyen J, Barbhaiya M, Berliner N, Dellaripa PF, Everett BM, Pradhan AD, Hammond SP, Murray M, Rao DA, Ritter SY, Rutherford A, Sparks JA, Stratton J, Suh DH, Tedeschi SK, Vanni KMM, Paynter NP, Ridker PM. Adverse Effects of Low-Dose Methotrexate: A Randomized Trial. Ann Intern Med. 2020 Mar 17;172(6):369-380. doi: 10.7326/M19-3369. Epub 2020 Feb 18.

  • Ridker PM, Everett BM, Pradhan A, MacFadyen JG, Solomon DH, Zaharris E, Mam V, Hasan A, Rosenberg Y, Iturriaga E, Gupta M, Tsigoulis M, Verma S, Clearfield M, Libby P, Goldhaber SZ, Seagle R, Ofori C, Saklayen M, Butman S, Singh N, Le May M, Bertrand O, Johnston J, Paynter NP, Glynn RJ; CIRT Investigators. Low-Dose Methotrexate for the Prevention of Atherosclerotic Events. N Engl J Med. 2019 Feb 21;380(8):752-762. doi: 10.1056/NEJMoa1809798. Epub 2018 Nov 10.

  • Everett BM, Pradhan AD, Solomon DH, Paynter N, Macfadyen J, Zaharris E, Gupta M, Clearfield M, Libby P, Hasan AA, Glynn RJ, Ridker PM. Rationale and design of the Cardiovascular Inflammation Reduction Trial: a test of the inflammatory hypothesis of atherothrombosis. Am Heart J. 2013 Aug;166(2):199-207.e15. doi: 10.1016/j.ahj.2013.03.018. Epub 2013 May 3.

MeSH Terms

Conditions

Cardiovascular DiseasesMyocardial InfarctionStrokeDiabetes Mellitus, Type 2Metabolic SyndromeThrombosis

Interventions

Methotrexate

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosisCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesInsulin ResistanceHyperinsulinismEmbolism and Thrombosis

Intervention Hierarchy (Ancestors)

AminopterinPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Limitations and Caveats

The trial was terminated early because the pre-specified boundary for futility was crossed for both the original and the final primary endpoints and because of the lack of evidence of a reduction in hsCRP level with methotrexate treatment.

Results Point of Contact

Title
Dr. Paul Ridker and Dr. Robert Glynn
Organization
Brigham & Women's Hospital

Study Officials

  • Paul Ridker, MD, MPH

    Brigham and Women's Hospital

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, Center for Cardiovascular Disease and Prevention, Brigham and Women's Hospital

Study Record Dates

First Submitted

May 1, 2012

First Posted

May 9, 2012

Study Start

April 1, 2013

Primary Completion

April 15, 2019

Study Completion

October 30, 2019

Last Updated

July 24, 2020

Results First Posted

July 24, 2020

Record last verified: 2020-07

Locations