Real-World study tests whether aggressive early treatment improves psoriatic arthritis outcomes
NCT ID NCT03531073
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study follows people newly diagnosed with psoriatic arthritis (PsA) to see how a 'treat to target' approach works in everyday clinics. Participants receive standard care, often starting with methotrexate, and their disease activity is tracked over time. The goal is to understand whether aiming for a specific low-disease target leads to better real-life results. This cohort also serves as a foundation for future embedded trials testing new therapies.
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 successful, this could show that a treat-to-target approach improves long-term outcomes for people with psoriatic arthritis in everyday clinics.
- What could go wrong
- This is an observational study, not a controlled trial, so results may not prove cause and effect. The findings depend on routine care, which varies widely.
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.
- Participants
-
446 people
The number who actually took part.
- Started
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Apr 2018
- Finished
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Dec 2024
- 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.
Who is studied
Adult patients diagnosed with psoriatic arthritis who have not previously had treatment with disease modifying therapy.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * Participant is willing and able to give informed consent for participation in the study. * Male or Female * Aged 18 years or above. * Clinical diagnosis of PsA based upon the Classification of PsA (CASPAR) criteria(23)) * Active PsA defined by ≥1 tender or ≥1 swollen joint or ≥1 enthesis (site of attachment of tendon to bone) * Not previously received treatment with synthetic or biologic disease-modifying anti-rheumatic drugs (DMARDs) for their articular disease. * In the Investigator's opinion, is able and willing to comply with all study requirements. Exclusion Criteria: * Current or previous treatment of arthritis with synthetic DMARDs (including methotrexate, leflunomide or sulfasalazine) or biologic DMARDs (including tumour necrosis factor (TNF), interleukin (IL)12/23 or IL17 inhibitor therapies) or targeted synthetic DMARDs (phosphodiesterase (PDE) 4 or Janus kinase (JAK) inhibitor therapies). * Use of investigational therapies within 1 month or 5 biological half-lives of the baseline study visit(whichever is longer) * Women who are pregnant, nursing or planning pregnancy during the following 12 months.
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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
-
Oxford University Hospitals NHS Trust
Oxford, Oxfordshire, OX3 7LD, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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