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CTRI Number  CTRI/2024/08/072788 [Registered on: 20/08/2024] Trial Registered Prospectively
Last Modified On: 14/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A study to assess the efficacy of methotrexate with metformin in the treatment of chronic plaque psoriasis with metabolic syndrome  
Scientific Title of Study   A prospective randomized control study to assess the efficacy of methotrexate monotherapy versus methotrexate with metformin in chronic plaque psoriasis with metabolic syndrome  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Deepa K 
Designation  Post Graduate Student 
Affiliation  Government stanley medical college and hospital , chennai 
Address  Dept of DVL, Government Stanley Medical College and Hospital no 1 , old jail road george town , Chennai

Chennai
TAMIL NADU
600001
India 
Phone  8807407078  
Fax    
Email  deepakrishna26193@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vijayabhaskar C  
Designation  Professor 
Affiliation  Government stanley medical college and hospital , chennai 
Address  Dept of DVL, Government Stanley Medical College and Hospital no 1 , old jail road george town , Chennai

Chennai
TAMIL NADU
600001
India 
Phone  9940429206  
Fax    
Email  buskibuski@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vijayabhaskar C  
Designation  Professor 
Affiliation  Government stanley medical college and hospital , chennai 
Address  Dept of DVL, Government Stanley Medical College and Hospital no 1 , old jail road george town , Chennai

Chennai
TAMIL NADU
600001
India 
Phone  9940429206  
Fax    
Email  buskibuski@gmail.com  
 
Source of Monetary or Material Support  
Govt stanley medical college and hospital , no 1 , old jail road , george town , chennai - 600001 
 
Primary Sponsor  
Name  Dr.Deepa. K 
Address  Dept of DVL , Govt stanley medical college and hospital , chennai - 600001 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Deepa K  Government stanley medical college and hospital  Dept of DVL , Room No - 81, 1st floor super speciality block , George Town, Chennai ,Tamil Nadu- 600001
Chennai
TAMIL NADU 
8807407078

deepakrishna26193@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Government Stanley Medical College and Hospital , Chennai-01,Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L400||Psoriasis vulgaris,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Methotrexate  Methotrexate 15mg/week oral for 16 weeks 
Intervention  Methotrexate with metformin  Methotrexate 15mg/week oral with metformin 1g/day oral in divided doses for 16 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  moderate to severe chronic plaque psoriasis with PASI more than or equal to 5 with metabolic syndrome, patients of either sex aged 18-65 years, patients who are willing to participate in the study, patients who are willing to take photographs of skin lesions  
 
ExclusionCriteria 
Details  severe types such as erythrodermic , guttate , pustular psoriasis and psoriatic arthritis , liver disease , cardiac disease with history of CCF , renal failure , pregnancy and lactation , patients with active and latent infections - tuberculosis , HIV ,syphilis , hepatitis , known contraindication to methotrexate and metformin 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment    
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
For Psoriasis assesed by PASI score . Improvement in skin lesions will be noted using serial photographs taken . For Metabolic Syndrome assessed by parameters like FBS ,PPBS ,BP ,Waist circumference and Fasting lipid profile  Every 4 weeks till the end of study which is 16 weeks and during follow up period of 12 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
Subjective satisfaction will be assessed by Dermatology Life Quality Index questionnaire at the end of study  After 16 weeks at the end of the study 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   10/09/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   A prospective randomized control trial to assess the efficacy of methotrexate monotherapy versus methotrexate with metformin in chronic plaque psoriasis with metabolic syndrome
patients of chronic plaque psoriasis with metabolic syndrome  of both sex aged 18-65 years who are willing to take part in the study and willing to take photographs of skin lesions are split into two groups after conducting thorough systemic and dermatological examination one group is treated with oral methotrexate 15 mg/week for 16 weeks with regular assessment every 4 weeks and another group is treated with oral methotrexate 15mg/week with oral metformin 1g daily in divided doses for 16 weeks with regular assessment every 4 weeks .both groups will be followed up after the study period every 4 weeks for a period of 12 weeks
 
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