Psoriasis Vulgaris
Conditions
Keywords
Psoriasis Vulgaris, Methotrexate
Brief summary
To investigate the influence of genetic factors on the curative effect , to find the relationships between genetic variants and the response of Methotrexate to treatment of Psoriasis Vulgaris.
Detailed description
Previous studies have indicated that the gene mutations of absorption distribution metabolism and drug target may affect the efficacy of Methotrexate in vivo.To investigate the influence of genetic factors on the curative effect , to find the relationships between genetic variants and the response of Methotrexate to treatment of Psoriasis Vulgaris.Investigators analyzed the various levels of genetic factors, including: 1.To analysis the key gene variants which associated with ADME(absorption, distribution, metabolism and excretion) affect the efficacy of Methotrexate; 2.Direct full genetic sequencing of MHC genes, to explore the genetic variations of efficacy and side effects; 3. Direct sequencing of all exons in the gene in the patients of the response of serious and effectively, to explores the rare genetic variation may cause deterioration of treatment by Methotrexate.
Interventions
During The first week: 7.5mg per week, oral; The second and third weeks: 10mg per week, oral; The fourth and fifth weeks: 12.5mg per week,oral; The sixth week:15mg per week, and maintain this dose, oral.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Diagnosed according to Classification criteria for Psoriasis vulgaris 2. Patients aged 18 to 70 years (to the date of screening) 3. Not treatment in the Topical corticosteroids, Biologicals agents or Tretinoin cream 4. Phototherapy nearly one months before enrolled 5. Total bilirubin \< 1.5 x ULN, AST(SGOT)/ALT(SGPT) \<2.5 x ULN, if not liver metastases \< 5 x ULN, if known liver metastases, Creatinine clearance \<1.5 x ULN 6. Understanding the whole process of the study, voluntary participation and signed the informed consent
Exclusion criteria
1. Pregnant women, ready to pregnant or lactating women 2. Have a serious heart, lung, kidney and other vital organs and endocrine system lesions and the history 3. Patients is liver function abnormal persons (ALT above the center laboratory normal limit) or hepatitis b patient grain carriers 4. Patients with chronic diarrhea, or peptic ulcer nearly 1 year 5. Patients suffering from malignant tumor 6. Patients suffering from acute and chronic infectious diseases 7. Mental disorders, history of alcohol abuse, drug or other substance abuse 8. Other cases which researchers believe that can not enroll
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| disease control rate | 8 weeks after the first treatment |
Countries
China