Can a common arthritis drug stop hand joint damage?
NCT ID NCT07501507
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether methotrexate, a drug used for other types of arthritis, can slow joint damage in people with painful hand osteoarthritis that hasn't gotten better with standard treatments. About 170 adults with erosive hand osteoarthritis will receive either methotrexate or a placebo for one year. The main goal is to see if the drug reduces worsening of joint damage on X-rays.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 170 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: \- Digital osteoarthritis (IPD and IPP) according to ACR criteria (with an X-ray of the hands taken less than 3 months ago, showing at least 3 joints with digital osteoarthritis KL\>=2) and symptomatic for more than three months Exclusion Criteria: * Having a bilirubin level \> 5 mg/dl (85.5 µmol/l) * Pregnant or breastfeeding women (a urine pregnancy test will be performed on women of childbearing age), * Injection of hyaluronic acid within the previous 6 months, * Injection of cortisone derivatives within the previous 3 months, * Presence of psoriasis, * Inflammatory rheumatism, * Microcrystalline arthropathy, * Joint prosthesis in one of the joints of the hand, * Planned placement of a joint prosthesis in the hand during the study period, * Major progressive disease (life-threatening cardiovascular disease, hematopoietic cancers including myeloma, cancers with risk of bone metastases), * Liver failure. * Severe renal failure (creatinine clearance less than 50 ml/min). * Positive hepatitis B serology. * Tuberculosis, hepatitis C, HIV positive, or other immunodeficiency syndromes. * Uncontrolled infections. * Use of corticosteroids. * Use of morphine derivatives, * Taking Bactrim, * Taking high doses of aspirin (greater than or equal to 500mg/day), * Contraindications to the use of methotrexate,
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU de Nice
Nice, 06000, France
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