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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625001007426
Ethics application status
Approved
Date submitted
16/02/2025
Date registered
11/09/2025
Date last updated
11/09/2025
Date data sharing statement initially provided
11/09/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
comparison of apremilast and methotrexate in moderate to severe psoriasis patients : a randomized control trial
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Scientific title
comparison of efficacy and safety of apremilast and methotrexate in moderate to severe psoriasis : a randomized control trial
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Secondary ID [1]
313983
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
chronic plaque psoriasis
336706
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Condition category
Condition code
Skin
333206
333206
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
apremilast ( a phosphodiesterase 4 inhibitor ) orally 30 mg twice daily for 8 weeks. adherence will be checked by observing the no of tablets taken from the pack
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Intervention code [1]
330568
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Treatment: Drugs
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Comparator / control treatment
oral tablet of methotrexate weekly 0.3-0.5 mg/kg for 8 weeks
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Control group
Active
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Outcomes
Primary outcome [1]
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comparing the efficacy of apremilast vs methotrexate
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Assessment method [1]
340770
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Psoriasis Area Severity Index (PASI) score for efficacy assessment
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Timepoint [1]
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baseline and 8 weeks after intervention commencement
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Secondary outcome [1]
445041
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comparing the safety of apremilast vs methotreaxte in chronic plaque psoriasis
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Assessment method [1]
445041
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absence of diarrhea ( 3 or more watery stools/day lasting less than 2 weeks ) absence of nausea and vomiting absence of stomatitis ( oral pain with redness, swelling, ulceration, and difficulty to eat or speak ) absence of skin infections
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Timepoint [1]
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at 8 weeks post intervention commencement
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Eligibility
Key inclusion criteria
age between 18-65)
both male and female
patinets having moderate to severe psoriasis ( PASI score > 10 )
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
pregnant woman
patients with atopic dermatitis
patients with concomitant autoimmune disease
patients with lichen planus
patients with known hypersensitivity to methotrexate or apremilast
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table from a statistic book
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
15/09/2025
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Actual
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Date of last participant enrolment
Anticipated
30/09/2025
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Actual
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Date of last data collection
Anticipated
10/11/2025
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Actual
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Sample size
Target
110
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
26898
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Pakistan
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State/province [1]
26898
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KPK
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Funding & Sponsors
Funding source category [1]
318485
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Hospital
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Name [1]
318485
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khyber teaching hospital peshawar
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Address [1]
318485
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Country [1]
318485
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Pakistan
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Primary sponsor type
Individual
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Name
dr imdad ullah khan - khyber teaching hospital peshawar, dermatology department
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Address
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Country
Pakistan
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Secondary sponsor category [1]
320878
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Hospital
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Name [1]
320878
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khyber teaching hospital peshawar
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Address [1]
320878
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Country [1]
320878
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Pakistan
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317094
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khyber medical college peshawar IREB ( institutional research and ethical review board )
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Ethics committee address [1]
317094
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091-9222162,khyber medical college peshawar IREB ( institutional research and ethical review board ), peshawar university, khyber pakhtunkhwa, pakistan Postal code 25000
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Ethics committee country [1]
317094
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Pakistan
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Date submitted for ethics approval [1]
317094
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01/01/2025
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Approval date [1]
317094
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23/01/2025
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Ethics approval number [1]
317094
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Summary
Brief summary
checking the difference in the efficacy and safety of methotrexate and apremilast in moderate to severe psoriasis as methotrexate is contraindicated in pregnancy and also high side effect profile, while apremliast doesn't have such contraindications, yet its efficacy against methotrexate yet to be determined.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
139978
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Dr IMDAD ULLAH KHAN
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Address
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IMDAD ULLAH KHAN,DERMATOLOGY DEPARTMENT,UNIVERSITY TOWN, KHYBER TEACHING HOSPITAL , PESHAWAR, KPK, PAKISTAN, POSTAL CODE 25000
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Country
139978
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Pakistan
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Phone
139978
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+923438979808
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Fax
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Email
139978
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[email protected]
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Contact person for public queries
Name
139979
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IMDAD ULLAH KHAN
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Address
139979
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IMDAD ULLAH KHAN,DERMATOLOGY DEPARTMENT,UNIVERSITY TOWN, KHYBER TEACHING HOSPITAL , PESHAWAR, KPK, PAKISTAN, POSTAL CODE 25000
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Country
139979
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Pakistan
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Phone
139979
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+923438979808
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Fax
139979
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Email
139979
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[email protected]
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Contact person for scientific queries
Name
139980
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IMDAD ULLAH KHAN
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Address
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IMDAD ULLAH KHAN,DERMATOLOGY DEPARTMENT,UNIVERSITY TOWN, KHYBER TEACHING HOSPITAL , PESHAWAR, KPK, PAKISTAN, POSTAL CODE 25000
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Country
139980
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Pakistan
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Phone
139980
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+923438979808
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Fax
139980
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Email
139980
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF