Status:

ENROLLING_BY_INVITATION

Local Methotrexate Injections for the Treatment of Nail Psoriasis

Lead Sponsor:

Weill Medical College of Cornell University

Conditions:

Nail Psoriasis

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The investigators hope to learn the efficacy of methotrexate injections for treatment of nail psoriasis.

Eligibility Criteria

Inclusion

  • Subject must be at least 18 years of age
  • Subject must have nail psoriasis that is clinically diagnosed in at least 3 fingernails

Exclusion

  • Subject with any clinically significant condition or situation, other than the condition being studied that, in the opinion of the investigator, would interfere with study evaluations or optimal participation in the study. This is including, but not limited to: immunodeficiency, onychomycosis, any other nail condition other than psoriasis, allergy to methotrexate, triamcinolone acetonide, local anesthetic, normal saline, or any other material used for procedures
  • Subject who has received radiation therapy, chemotherapy, and/or immunosuppressive drugs within 6 months of study, and/or oral corticosteroids or IV methotrexate for \>1 month within the 6 months of study (exception inhaled steroids);
  • Subjects who use substances (medications, supplements, ect) known to significantly interact with drugs used as intervention in the study
  • Subject who is pregnant, breastfeeding, or planning to get pregnant
  • Subject known to have received treatment with investigational drugs or devices within 30 days prior to enrollment into this study
  • Subject who is on systemic treatment for psoriasis
  • Subject with baseline abnormalities in liver function tests or complete blood count
  • Subjects with diagnosis of renal insufficiency or impairment
  • Subject who is unwilling to abstain from any cosmetic nail treatments outside those provided by the study clinic, beyond basic nail trimming (i.e. no spa nail treatments, no nail polish use, no other topical prescription nail medication)
  • Subject who is unwilling to abstain from any medical nail treatments on their nails other than the study intervention (i.e. topical steroids, antifungal creams) for the duration of the study intervention and for duration of the washout period (if applicable)
  • Subject who is part of the staff personnel directly involved with this study or a family member of the investigational study staff

Key Trial Info

Start Date :

September 10 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2026

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT06578728

Start Date

September 10 2025

End Date

January 1 2026

Last Update

September 25 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Israel Englander Department of Dermatology

New York, New York, United States, 10021