NCT07086924

Brief Summary

Psoriasis is an immune-mediated inflammatory disease that is highly prevalent worldwide, affecting approximately 2-3% of the world population. It is characterized by red, scaly plaques that can appear on various parts of the body, causing significant physical and psychological burden to affected individuals. The Pathogenesis of PsA involves a complex interplay of genetic, immunological, and environmental factors.Genetic studies have identified several susceptibility loci, including HLA-Cw6 and IL23R, which are shared with psoriasis. Additionally, the presence of certain alleles, such as HLA-B27, is associated with a more severe disease course and a higher likelihood of axial involvement.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
1mo left

Started Jun 2025

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress91%
Jun 2025Jun 2026

Study Start

First participant enrolled

June 1, 2025

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

July 18, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 25, 2025

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
9 days until next milestone

Study Completion

Last participant's last visit for all outcomes

June 10, 2026

Last Updated

July 25, 2025

Status Verified

June 1, 2025

Enrollment Period

1 year

First QC Date

July 18, 2025

Last Update Submit

July 18, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Treatment of Psoriasis and Psoriatic arthritis

    Treatment the patients whom suffering from Psoriasis and Psoriatic arthritis and Assessment of clinical improvement to methotrexate therapy according to: PASI score into PASI 50: means 50% reduction in PASI score - an acceptable measure of efficacy for secondary endpoints in psoriasis clinical trials PASI 75: means 75% reduction in PASI score - standard efficacy measure used in most psoriasis clinical studies1 PASI 90: means 90% reduction in PASI score (almost clear skin) PASI 100: means Completely clear skin.

    3 months

  • Evalaute the effect of treatment with Methotrexate

    Evaluate the effect of treatment with methotrexate therapy (15 mg per week) on the level of serum TRAF3IP2( rs13190932 ) gene Polymorphism on the Participants whom suffering from Psoriasis and Psoriatic arthritis.

    3 months

Study Arms (3)

Group A

ACTIVE COMPARATOR

About 30 patients suffering from psoriasis

Drug: Methotrexate

Group B

ACTIVE COMPARATOR

About 10 patients suffering from psoriatic arthritis

Drug: Methotrexate

Group C

EXPERIMENTAL

About 10 healthy control group

Drug: Methotrexate

Interventions

Assessing the response of psoriasis and psoriatic arthritis to Methotrexate. and also Assessing the pharmacogenetic association between TRAF3IP2 ( rs13190932 ) gene Polymorphism in psoriatic and psoriatic arthritis patients taking Methotrexate.

Also known as: Genetic variation in TRAF3IP2
Group AGroup BGroup C

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients aged 18 -70years .
  • the severity of cutaneous affection is categorized according to PASI score into PASI 7-12 (moderate severity), and PASI \> 12 (severe severity). (15)Confirmed diagnosis: Psoriasis vulgaris (PsV) or psoriatic arthritis (PsA) diagnosed by the Dermatologist or the Rheumatologist.
  • Willingness to participate: Signed informed consent.
  • Initiating methotrexate (MTX) therapy: For prospective cohort.
  • Availability for follow-up: Patients must be willing and able to attend scheduled visit.

You may not qualify if:

  • Patients with other autoimmune conditions (e.g., rheumatoid arthritis, systemic lupus erythematosus).
  • Pregnancy and lactation.
  • Patients currently undergoing immunosuppressive or systemic therapies.
  • Patients with known genetic disorders affect immune system function.
  • Patients with liver or kidney impairment.
  • Patients with allergy or contraindication to methotrexate.
  • Patients with active or uncontrolled infections, including chronic infections like tuberculosis.
  • Previous genetic analysis Patients who have previously undergone genetic analysis for the TRAF3IP2 gene polymorphism (rs13190932).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Qena Hospital

Qina, Egypt

RECRUITING

MeSH Terms

Conditions

PsoriasisArthritis, Psoriatic

Interventions

MethotrexateGenetic VariationCoat Protein Complex I

Condition Hierarchy (Ancestors)

Skin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue DiseasesSpondylarthropathiesSpondylarthritisSpondylitisSpinal DiseasesBone DiseasesMusculoskeletal DiseasesArthritisJoint Diseases

Intervention Hierarchy (Ancestors)

AminopterinPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGenetic PhenomenaVesicular Transport ProteinsMembrane ProteinsProteinsAmino Acids, Peptides, and Proteins

Study Officials

  • Eisa Mohammed Hegazy, Professor

    Dermatology,Venereology,and Andrology Department,Faculty of Medicine,South Valley University, Egypt

    STUDY CHAIR

Central Study Contacts

Fawzia Mohamed Abd Elzaher, MSC

CONTACT

Soheir Abdel-Hamid Ali, Lecturer

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Resident of Dermatology, Venereology and Andrology,Faculty of Medicine

Study Record Dates

First Submitted

July 18, 2025

First Posted

July 25, 2025

Study Start

June 1, 2025

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

June 10, 2026

Last Updated

July 25, 2025

Record last verified: 2025-06

Locations