New combo therapy aims to tame heart sarcoidosis with fewer side effects

NCT ID NCT03593759

First seen Jun 27, 2026 · Last updated Jul 10, 2026 · Updated 2 times

Summary

This Phase 3 trial compares a low-dose combination of prednisone and methotrexate to standard high-dose prednisone for people with active cardiac sarcoidosis. Researchers hope the combo works just as well but causes fewer side effects and improves quality of life. The study plans to enroll 194 participants across multiple centers.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
prednisone or prednisolone combined with methotrexate
What this could lead to
If successful, this could offer a safer, equally effective treatment option for cardiac sarcoidosis, reducing side effects from high-dose steroids.
What could go wrong
This is a Phase 3 trial, but it's still relatively small (194 participants). The combination therapy may not be as effective as standard treatment, and both drugs have known risks like infection and liver toxicity.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Allegheny General Hospital

    RECRUITING

    Pittsburgh, Pennsylvania, 15212, United States

  • Auckland City Hospital

    RECRUITING

    Auckland, Grafton, 1023, New Zealand

  • CIUSSS de l'Estrie - CHUS - Hôpital Fleurimont

    RECRUITING

    Sherbrooke, Quebec, J1H 5N4, Canada

  • CIUSSS-Hopital du Sacre-Coeur de Montreal

    RECRUITING

    Montreal, Quebec, H4J 1C5, Canada

  • Chiba University

    RECRUITING

    Chiba, Japan

  • Eastern Health Health Sciences Centre

    RECRUITING

    St. John's, Newfoundland and Labrador, A1B 3V6, Canada

  • Hokkaido University

    RECRUITING

    Sapporo, Kita 8, Nishi 5, Kita-Ku, 060-0808, Japan

  • Imperial College Healthcare Trust-NHS-Hammersmith Hospital

    NOT_YET_RECRUITING

    London, W12 0HS, United Kingdom

  • Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval

    RECRUITING

    Québec, Quebec, G1V 4G5, Canada

  • King's College Hospital NHS Foundation Trust

    NOT_YET_RECRUITING

    London, SE5 9RS, United Kingdom

  • Libin Cardiovascular Institute of Alberta

    RECRUITING

    Calgary, Alberta, T2N 2T9, Canada

  • London Health Sciences Centre

    RECRUITING

    London, Ontario, N6A 4A5, Canada

  • Montefiore Medical Center

    RECRUITING

    New York, New York, 10467, United States

  • Montreal Heart Institute

    RECRUITING

    Montreal, Quebec, H1T 1C8, Canada

  • Nagoya City University

    RECRUITING

    Nagoya, Japan

  • National Cerebral and Cardiovascular Center (NCVC)

    RECRUITING

    Osaka, Japan

  • Nippon Medical School

    RECRUITING

    Tokyo, Japan

  • QE II Health Sciences Centre

    RECRUITING

    Halifax, Nova Scotia, B3H 3A7, Canada

  • Sapporo Medical University

    RECRUITING

    Sapporo, Japan

  • St. Joseph's Healthcare Centre

    RECRUITING

    Hamilton, Ontario, L8N 4A6, Canada

  • St. Marrianna University

    NOT_YET_RECRUITING

    Kawasaki, Japan

  • St. Paul's Hospital

    RECRUITING

    Vancouver, British Columbia, V5Z 1M9, Canada

  • The Ohio State University Wexner Medical Center

    RECRUITING

    Columbus, Ohio, 43210, United States

  • Tufts Medical Center

    RECRUITING

    Boston, Massachusetts, 02111, United States

  • University of Fukui

    NOT_YET_RECRUITING

    Fukui, Japan

  • University of Michigan-Michigan Medicine Cardiovascular Center

    RECRUITING

    Ann Arbor, Michigan, 48109-5853, United States

  • University of Minnesota

    NOT_YET_RECRUITING

    Minneota, Minnesota, 55455, United States

  • University of Ottawa Heart Institute

    RECRUITING

    Ottawa, Ontario, K1Y 4W7, Canada

  • University of Utah

    RECRUITING

    Salt Lake City, Utah, 84112, United States

  • Virginia Commonwealth University

    RECRUITING

    Richmond, Virginia, 23298-0053, United States

  • Yale-New Haven Hospital

    RECRUITING

    New Haven, Connecticut, 06520, United States

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