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Multicenter randomized clinical trial in Patients with Juvenile Idiopathic Arthritis and Methotrexate related side effects: Psychological Behavioural therapy versus switch to MTX parenteral versus standard of care

Completed
Conditions
Juvenile Idiopathic Arthritis
10023213
Registration Number
NL-OMON38373
Lead Sponsor
niversitair Medisch Centrum Utrecht
Brief Summary

Trial is onging in other countries

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
450
Inclusion Criteria

gastrointestinal side effects of MTX in patients with JIA
Pediatric ALL with MTX maintenance treatment
Adults with RA or psoriatic artritis with MTX maintenance treatment

Exclusion Criteria

parenteral MTX usage ( page17 protocol)
other causes of MTX toxicity
other diagnosis
failure to comply

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>number of patients reporting gastrointestinal side effects</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>number of patients stopping MTX<br /><br>JIA disease activity parameters (PRINTO core set criteria, based on which the<br /><br>Juvenile Arthritis Disease Activity Score (JADAS) will be calculated).<br /><br>Metabolomics and folate/homocysteine/adenosine metabolites and Inflammation<br /><br>parameters (ESR, CRP, cytokine profiles, Tregs, MMR antibodies), and MTX<br /><br>related cytopenias</p><br>
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