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COMPLETED
NCT07432815
PHASE4

Treatment of Psoriasis With Depression and/or Anxiety With Methotrexate vs Combined Methotrexate and Antidepressant

Sponsor: Cairo University

View on ClinicalTrials.gov

Summary

This randomized controlled trial aims to compare the efficacy of methotrexate (MTX) monotherapy versus combined methotrexate and selective serotonin reuptake inhibitor (SSRI) therapy in patients with psoriasis and comorbid depression and/or anxiety. Participants will be randomly assigned to two groups: one receiving MTX alone and the other receiving MTX plus escitalopram. Clinical outcomes will be evaluated over a 6-month period, including psoriasis severity using the Psoriasis Area and Severity Index (PASI) and Body Surface Area (BSA), quality of life using the Dermatology Life Quality Index (DLQI), and psychological status using the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Hamilton Depression Rating Scale (HAM-D), and Hamilton Anxiety Rating Scale (HAM-A). The study will assess whether combination therapy provides superior clinical and psychological outcomes.

Official title: Treatment of Psoriasis With Depression and/or Anxiety With Methotrexate vs Combined Methotrexate and Antidepressant, A Randomized Controlled Trial

Key Details

Gender

All

Age Range

18 Years - 60 Years

Study Type

INTERVENTIONAL

Enrollment

40

Start Date

2026-02-01

Completion Date

2026-06-14

Last Updated

2026-10-05

Healthy Volunteers

No

Interventions

COMBINATION_PRODUCT

Combination of methotrexate and escitalopram in treatment of psoriasis patients with depression and/or anxiety

Combination of methotrexate and escitalopram in treatment of psoriasis patients with depression and/or anxiety

DRUG

Methotrexate

Methotrexate 0.4mg/kg once weekly for 6 months

Locations (1)

Kasralainy

Cairo, Cairo Governorate, Egypt