Can a common arthritis drug help stop vitiligo from spreading?

NCT ID NCT04237103

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This phase 2 trial tested whether adding methotrexate (a drug used for arthritis) to standard UVB light therapy works better than light therapy alone for adults with active, spreading vitiligo. Thirty-two participants were randomly assigned to receive either methotrexate pills plus light therapy or placebo pills plus light therapy for several months. The study measured changes in skin color using the VASI score to see if the combination slowed disease progression and improved repigmentation.

What this could mean

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

Active substance
methotrexate (oral capsules once weekly) plus narrow-band UVB phototherapy
What this could lead to
If it works, this combination could offer a more effective way to stop vitiligo from spreading and help restore skin color.
What could go wrong
This is a small, early-phase trial with only 32 people, so results may not apply to everyone. Methotrexate can have side effects like nausea or liver issues.

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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

  • Centre Hospitalier de Pau

    Pau, 64000, France

  • Centre Hospitalier de Périgueux

    Périgueux, 24000, France

  • Service de Dermatologie - CHU de Toulouse - Hopital Purpan

    Toulouse, 31059 Toulouse Cedex, France

  • Service de Dermatologie - Hôpital Saint-André

    Bordeaux, Bordeaux, 33075, France

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