Could a common arthritis drug ease knee osteoarthritis pain?
NCT ID NCT07161336
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests whether methotrexate, a drug used for rheumatoid arthritis, can reduce pain and swelling in people with knee osteoarthritis who also have joint inflammation (synovitis). Seventy adults aged 40–70 will receive either methotrexate or a placebo for 6 months. Researchers will measure pain, function, and ultrasound signs of inflammation to see if the drug helps.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Methotrexate
- What this could lead to
- If it works, this could point toward a new way to ease pain and improve function in people with knee osteoarthritis who have joint inflammation.
- What could go wrong
- This is a small, early-phase trial with only 70 participants. Methotrexate may not reduce pain better than placebo, and it can cause side effects like nausea or liver issues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 70 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Aug 2026
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 70 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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Men and women aged between 40 to 70 years * Patients fulfilling American College of Rheumatology (ACR) clinical and radiological criteria for knee OA. (knee pain + at least 3 of 5 that not including "no palpable warmth") * Knee pain on most days for at least 6 months, with a pain VAS of at least 40mm * Radiological grading of OA with Kallgren-Lawrence grade of 2 to 3 * Patients with the presence of knee synovitis in Musculoskeletal ultrasound Exclusion Criteria: * Any known inflammatory arthritis * BMI \>= 40 kg/m2 * Abnormal renal (e.g. abnormal renal function Creatinine clearance \<35 ml) hepatic (including active hepatitis B, hepatitis C, abnormal liver function), hematological (e.g. white cell count \< 4 × 109/L, platelets \<100 ×109/L, or hemoglobin \< 9 g/dL), function * Use of intra-articular, intramuscular or oral corticosteroids in previous 4 weeks * History knee joint surgery, Charcot joint * Severe valgus knee deformity (angle of genu valgum \> 30°) * Use of any disease modifying agents (e.g. hydroxychloroquine or sulfasalazine) in previous 3 months * Allergic to MTX * Pregnant or lactating women
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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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Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
RECRUITINGDhaka, Dhaka Division, Bangladesh
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Other studies related to the condition(s) this trial covers.
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- Can hip exercises protect knee cartilage in osteoarthritis?
- Can text messages help arthritis patients take their meds?
- Robotic vs. manual knee alignment: which is better for heavier patients?