Efficacy of methotrexate on chronic calcium pyrophosphate dihydrate deposition disease (chondrocalcinosis)

ISRCTN ISRCTN79343755
DOI https://doi.org/10.1186/ISRCTN79343755
EudraCT/CTIS number 2007-003479-37
Secondary identifying numbers N/A
Submission date
11/01/2008
Registration date
10/03/2008
Last edited
13/09/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Axel Finckh
Scientific

Av. Beau Séjour 26
Geneva-14
CH-1211
Switzerland

Study information

Study designDouble-blind crossover randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleEfficacy of methotrexate on chronic calcium pyrophosphate dihydrate deposition disease (chondrocalcinosis) - a randomised controlled trial
Study hypothesisMethotrexate is efficient in controlling symptoms and signs of chronic chondrocalcinosis.
Ethics approval(s)Ethics approval received from Swissmedic, the Swiss Agency for Therapeutic Products on the 2nd July 2007 (ref: 2007DR3150; protocol: 06-167)
ConditionChronic calcium pyrophosphate dihydrate (CPPD) arthropathy
InterventionPatients will be randomised to receive either methotrexate (10 - 15 mg/week intramuscular [im] injections) or placebo during an initial treatment period of three months, followed by a wash-out period of one month, and a subsequent treatment period of three months with the alternative regimen. The total duration of follow-up will be eight months (three months in one arm and two months wash-out and three months in the other arm).
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Methotrexate
Primary outcome measureThe primary outcome will be arthritic disease activity, measured by the DAS44 (disease activity score on 44 joints), and pain levels, measured by a patient visual analogue scale.
Secondary outcome measuresSecondary outcomes will be:
1. Number of acute arthritis flares
2. Patient’s global assessment
3. Function of the target joints
4. Erythrocyte sedimentation rates
5. Number of tender and swollen joints
6. Number of analgesic pills
7. Safety and tolerability of methotrexate
Overall study start date01/10/2007
Overall study end date31/12/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants60
Participant inclusion criteria1. Definite chronic calcium pyrophosphate dihydrate (CPPD) deposition disease using the McCarty diagnostic criteria
2. Recurrent mono- or oligo-arthrits ('pseudogout') (at least three flares/six months) or persistent poly-arthritis
3. Unsatisfactory response on at least one non-steroidal anti-inflammatory drug (NSAID) or low dose glucocorticoids (defined by the patient), OR contraindication to NSAIDs and glucocorticoids (defined by the physician)
4. Informed consent
5. Patients 18 years and over, either sex
Participant exclusion criteria1. Contraindication to methotrexate (MTX):
1.1. Hepatic failure
1.2. Important alcohol consumption
1.3. Severe renal failure
1.4. Haematological disease
1.5. Acute infection
2. Diagnosis of rheumatoid arthritis, connective tissue disease, psoriatic arthritis, gout or any other chronic or recurrent disease associated with oligo- or poly-arthritis
3. Inability to fill out a questionnaire in the local language
4. Pregnancy (negative pregnancy test), lactation, or refusal to use an effective form of contraception for all participants in child-baring age
Recruitment start date01/10/2007
Recruitment end date31/12/2010

Locations

Countries of recruitment

  • Ireland
  • Switzerland

Study participating centre

Av. Beau Séjour 26
Geneva-14
CH-1211
Switzerland

Sponsor information

Geneva University Hospitals (Switzerland)
Hospital/treatment centre

Rue Micheli du Crest
Geneva-14
CH-1211
Switzerland

Website http://www.hug-ge.ch/
ROR logo "ROR" https://ror.org/01m1pv723

Funders

Funder type

Hospital/treatment centre

Geneva University Hospitals (Switzerland) - clinical research grant

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Other publications exploratory analysis 01/02/2007 Yes No
Results article results 15/10/2014 Yes No

Editorial Notes

13/09/2017: Publication reference added.