Drug or treatment
Methotrexate clinical trials
As of November 12, 2026, Find a Trial lists 62 clinical trials of Methotrexate that are recruiting, at sites in 27 countries (most in China (21), United States (17), France (6)). By phase: Phase 2 (28), Phase 3 (9), Phase 4 (5), Phase 1/2 (4). The most active sponsors are Huashan Hospital (2), The First Affiliated Hospital with Nanjing Medical University (2), Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh (2). Every study is explained in plain English. Data from ClinicalTrials.gov and NIH RePORTER, updated November 12, 2026.
- 62Clinical trials
- 27Countries
Newest trials
All recruiting trials (62)
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Can older adults with breast cancer tolerate a dense CMF chemo schedule
This study tests whether giving a condensed CMF chemotherapy regimen is feasible for people 70 and older with breast cancer.
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Anti-CD25 antibody to prevent acute GVHD after haploidentical stem cell transplant
This study tests whether an anti-CD25 antibody can better prevent acute graft-versus-host disease after haploidentical hematopoietic stem cell transplantation compared with the usual methotrexate-based approach.
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R-PMDT Regimen for Newly Diagnosed PCNSL
This study tests the R-PMDT treatment approach in people newly diagnosed with primary CNS lymphoma to see how many respond.
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Intrathecal methotrexate-loaded tumor-derived vesicles for leptomeningeal lung cancer
This treatment will try giving methotrexate-loaded tumor-derived vesicles into the spinal fluid to see if it is safe and helps adults with leptomeningeal metastasis from lung cancer who have not responded to standard treatments.
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Methotrexate in hand osteoarthritis that hasn’t improved with usual treatments
This study tests whether methotrexate injections can help people with erosive hand OA who haven’t benefited from standard care, compared with placebo.
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Subcutaneous methotrexate for Chinese adults with rheumatoid arthritis
This project will test how well and how safely subcutaneous methotrexate works for Chinese adults with rheumatoid arthritis, including people with lung or coronary comorbidities.
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Repinatrabit's effects on common medicines like birth control, metformin, carbamazepine, rosuvastatin, and methotrexate
This trial will test whether repinatrabit changes how common medicines—ethinyl estradiol/norethindrone (birth control), metformin, carbamazepine, rosuvastatin, and methotrexate—act in healthy adults.
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PD‑1 blocker with rituximab, high‑dose methotrexate, and orelabrutinib for newly diagnosed primary or secondary CNS lymphoma
This trial will test whether combining a PD‑1 blocker with rituximab, high‑dose methotrexate, and orelabrutinib helps people with newly diagnosed primary or secondary central nervous system diffuse large B‑cell lymphoma.
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Trying different doses of ELV001 for adults with active rheumatoid arthritis who didn't respond to methotrexate and TNF blockers.
This trial will test whether different doses of ELV001 help adults with active rheumatoid arthritis who have not had enough benefit from methotrexate and TNF inhibitors.
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Intravitreal ADX-2191 (methotrexate) injections for primary vitreoretinal lymphoma
This trial tests whether different schedules of intravitreal ADX-2191 (methotrexate) injections are safe and active for adults with biopsy-proven primary vitreoretinal lymphoma.
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Comparing subcutaneous versus intravenous pegloticase with methotrexate for uncontrolled gout
This test compares subcutaneous pegloticase plus methotrexate to intravenous pegloticase plus methotrexate to see which better keeps uric acid under control in adults with uncontrolled gout.
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Cyclosporine versus methotrexate for children with alopecia areata
This project tests whether cyclosporine or methotrexate works better as the first systemic treatment for children and teens (ages 2–17) with moderate-to-severe alopecia areata.
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Methotrexate treatment for severe vulvar lichen sclerosus
This trial will try methotrexate to reduce symptoms and prevent further scarring in women with severe vulvar lichen sclerosus who have not improved with high‑potency topical steroids.
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Testing a four-drug regimen (methotrexate, rituximab, sintilimab, pirtobrutinib) versus investigator-selected care for newly diagnosed PCNSL
This trial will try a combination of methotrexate, rituximab, sintilimab and pirtobrutinib as first treatment for adults with newly diagnosed primary central nervous system lymphoma to see if it increases complete remissions and is safe compared with standard doctor-selected treatments.
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Apremilast versus methotrexate for moderate to severe plaque psoriasis
This test compares apremilast and methotrexate to see which works better for adults (18–60) with moderate to severe plaque psoriasis who have not had systemic therapy in the past 3 months.
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IV PRX-115 at different dose schedules, with or without methotrexate, versus placebo for adults with gout
This trial will test whether IV PRX-115 given on different schedules, with or without low-dose methotrexate, can lower uric acid and be safe in adults whose gout is not controlled by standard urate-lowering drugs.
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Oral methotrexate versus tofacitinib for chronic plaque psoriasis
This trial will test whether oral methotrexate or tofacitinib works better for adults with moderate-to-severe chronic plaque psoriasis.
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Discontinuing Methotrexate for 2 Weeks After PCV20 to See If Immunity Improves
This trial tests whether stopping methotrexate for two weeks after the PCV20 vaccine helps adults with autoimmune rheumatic diseases develop a stronger immune response.
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Orelabrutinib and selinexor with methotrexate, thiotepa, or temozolomide for relapsed or refractory CNS lymphoma
This trial will try adding oral orelabrutinib and selinexor to methotrexate (or thiotepa if MTX can't be used, or temozolomide) to see if it helps people with relapsed or refractory primary or secondary CNS lymphoma.
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Methotrexate for ectopic pregnancy in patients with relative contraindications
This review will see if methotrexate worked safely and effectively for women with ectopic pregnancy who had conditions that make the drug relatively risky.
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Orelabrutinib Combined With Teniposide, Rituximab and Methotrexate for Newly Diagnosed PCNSL
In this study, adults with newly diagnosed primary CNS lymphoma try different induction regimens to see which one works best before consolidation therapy.
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Probiotics plus methotrexate in early psoriasis
This test will see if taking daily probiotics along with weekly methotrexate helps adults with newly diagnosed psoriasis have better skin outcomes and healthier gut bacteria than taking methotrexate alone.
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Methotrexate for knee osteoarthritis with ultrasound-proven synovitis
This randomized trial will try methotrexate versus placebo to see if it reduces pain and inflamed lining (synovitis) in people aged 40–70 with knee osteoarthritis confirmed by ultrasound.
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TRAF3IP2 gene variation (rs13190932) in people with psoriasis and psoriatic arthritis
This trial will test whether the TRAF3IP2 (rs13190932) gene variant changes how adults with psoriasis or psoriatic arthritis respond to methotrexate treatment.
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Selinexor with high-dose methotrexate, rituximab, and low-dose whole-brain radiotherapy for newly diagnosed CNS lymphoma patients who can't have transplant
We will test whether adding oral selinexor to high-dose methotrexate and rituximab followed by low-dose whole-brain radiotherapy can help people with newly diagnosed central nervous system lymphoma who are not candidates for stem cell transplant.
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Methotrexate with erlotinib and celecoxib for recurrent or metastatic head and neck cancer in rural Midwest patients
This trial tests whether combining methotrexate, erlotinib, and celecoxib can help adults in the rural Midwest whose head and neck cancer has returned or spread.
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ZR-MTX combo for newly diagnosed primary intraocular lymphoma
This trial tests a Rituximab, Zanubrutinib, and methotrexate cocktail plus intravitreal methotrexate in people newly diagnosed with primary intraocular lymphoma to see if it can extend the time before the disease progresses.
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Combining hydroxychloroquine with chemotherapy for advanced colorectal cancer
This study is testing if adding hydroxychloroquine to standard chemotherapy can help people with advanced colorectal cancer live longer and feel better.
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New treatment approach for primary central nervous system lymphoma
This study is testing a new combination of treatments for people with newly diagnosed primary central nervous system lymphoma to see if it can help them respond better and stay healthy longer.
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Evaluating Baricitinib for Skin Tightening in Systemic Sclerosis
This study is testing if a new medication called baricitinib can help improve skin tightness in people with diffuse cutaneous systemic sclerosis compared to a standard treatment.
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Measuring Methotrexate Levels in Rheumatoid Arthritis Patients
This study is testing how methotrexate levels change in people with rheumatoid arthritis when they switch from taking it by mouth to getting it as an injection, and how these levels relate to the treatment's effectiveness and safety.
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Spinal injections of cytarabine, methotrexate, and hydrocortisone to prevent severe CAR T neurotoxicity
This phase II test tries whether giving intrathecal cytarabine, methotrexate, and hydrocortisone around day 4 (with a day 7 hydrocortisone if no symptoms) can prevent severe neurotoxicity in adults receiving Yescarta or Tecartus CAR T-cell therapy.
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Investigating a genetic polymorphism in Egyptian patients with psoriatic arthritis
This study is testing if a specific gene variation affects how Egyptian patients with psoriatic arthritis respond to treatment with methotrexate compared to a placebo.
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Using RMTT regimen as first-line therapy for primary central nervous system lymphoma
This study is testing if a new combination treatment called RMTT can help people with primary central nervous system lymphoma who haven't had treatment before.
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Zanubrutinib combined with chemotherapy for patients with secondary CNS lymphoma
This study is testing if a new combination of medications, including Zanubrutinib and chemotherapy, can help people with secondary Central Nervous System lymphoma feel better and improve their health.
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Evaluating the effects of oral AP1189 in early rheumatoid arthritis patients
This study is testing if a new oral medication called AP1189 can help people with early rheumatoid arthritis feel better when taken with methotrexate.
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Optimizing methotrexate therapy for rheumatoid arthritis patients
This study is testing whether giving methotrexate as a pill or an injection helps people with active rheumatoid arthritis feel better and respond to treatment more effectively.
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Comparing two treatment regimens for Graft-versus-host Disease after stem cell transplantation
This study is testing two different treatment plans for adults with Graft-versus-host Disease after stem cell transplantation to see which one works better, especially for those who haven't responded to steroids.
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Treatment for newly diagnosed primary central nervous system lymphoma using pomadomide, rituximab, and methotrexate
This study is testing a new combination of medications, including pomadomide, rituximab, and methotrexate, to see if it can safely help people with newly diagnosed primary central nervous system lymphoma.
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Using Thiotepa and Methotrexate for Breast Cancer with Leptomeningeal Metastasis
This study is testing if a combination of thiotepa and methotrexate can help people with breast cancer that has spread to the protective layers around the brain feel better and live longer.
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Preventing vision loss after retinal detachment surgery with methotrexate
This study is testing if a medication called methotrexate can help prevent vision loss from complications after retinal detachment surgery in adults.
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Two-step ATG to prevent GVHD after myeloablative allogeneic stem cell transplant
This study tests whether a two-step dosing of rabbit ATG added to tacrolimus and low-dose methotrexate can help prevent severe acute and chronic GVHD in adults 18–60 receiving myeloablative allogeneic peripheral blood stem cell transplants for leukemia, MDS, or myeloproliferative disorders.
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Methotrexate plus tofacitinib for rheumatoid arthritis
This project will test whether adding tofacitinib to methotrexate helps adults with early, moderate-to-severe rheumatoid arthritis who have a myeloid-stromal synovial pattern.
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Using Peguricase with Methotrexate for Uncontrolled Gout
This study is testing if combining an injection of peguricase with methotrexate can help people with uncontrolled gout who haven't found relief with standard treatments.
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Preventing Acute GVHD After Stem Cell Transplant
This study is testing a new way to give a medication before and during stem cell transplants to see if it can help prevent a serious condition called acute GVHD in patients.
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Testing a new approach to prevent graft-versus-host disease after stem cell transplantation
This study is testing a new treatment to see if a combination of two drugs can help prevent graft-versus-host disease in patients receiving stem cell transplants, allowing them to stop taking immunosuppressive drugs sooner.
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Comparing Methotrexate and Placebo for Treating Atopic Dermatitis in Adults
This study tests if methotrexate can help adults with moderate to severe atopic dermatitis feel better compared to a placebo when other treatments haven't worked.
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Using ruxolitinib, tacrolimus, and methotrexate to prevent graft versus host disease in young patients after bone marrow transplant
This study is testing if a combination of three medications can help prevent graft versus host disease in young patients after they receive a bone marrow transplant for certain types of leukemia or blood disorders.
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Phase II trial of CMC regimen for early stage breast cancer
This study is testing a new combination of oral medications for people with early-stage breast cancer to see if it helps them manage their condition safely and effectively.
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MRG003 vs cetuximab/methotrexate for RM-SCCHN after prior therapies
This trial tests whether MRG003 can help people with recurrent/metastatic squamous cell carcinoma of the head and neck who have already tried PD-1 inhibitors and platinum therapy by comparing it to cetuximab plus methotrexate as a later-line treatment.
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Combination treatment for relapse refractory central nervous system lymphoma
This study is testing a new combination of three medications to see if it can help people with hard-to-treat central nervous system lymphoma feel better.
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Combination treatment for newly diagnosed primary central nervous system lymphoma
This study is testing a new combination of treatments for people with newly diagnosed primary central nervous system lymphoma to see if it helps them respond better and live longer.
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Combination treatment for patients with primary central nervous system lymphoma
This study is testing a new combination of treatments for adults with primary central nervous system lymphoma who can't have high-dose chemotherapy to see if it helps them get better and live longer.
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Lenalidomide maintenance for patients with primary CNS lymphoma
This study is testing if lenalidomide can help patients with primary CNS lymphoma stay in remission after their initial treatment.
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Combining R-CDOP and intrathecal methotrexate for high-risk DLBCL patients
This study is testing a new combination of chemotherapy and a specific type of treatment for high-risk patients with untreated diffuse large B-cell lymphoma to see if it helps prevent serious complications in the brain.
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Comparing Azathioprine and Methotrexate with Adalimumab for Crohn's Disease
This study is testing whether adding azathioprine or methotrexate to adalimumab helps people with Crohn's disease who haven't improved with other treatments.
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Combination treatment for primary central nervous system lymphoma
This study is testing a new combination of medications to see if it can help people with primary central nervous system lymphoma feel better and improve their treatment outcomes.
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Using Avelumab and Methotrexate to Treat Low-risk Gestational Trophoblastic Neoplasias
This study is testing if combining avelumab with methotrexate can help women with low-risk gestational trophoblastic neoplasias feel better and have fewer side effects than standard chemotherapy.
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Comparing two methods to prevent GVHD in leukemia patients after transplant
This study is testing whether a new method using cyclophosphamide can better prevent graft-versus-host disease in leukemia patients after they receive a stem cell transplant compared to the usual treatment.
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Combining blinatumomab, methotrexate, cytarabine, and ponatinib for treating certain types of leukemia
This study is testing a new combination of four medications to see if it can help people with certain types of leukemia that have come back or didn't respond to previous treatments.
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Comparing targeted therapy with triple therapy for rheumatoid arthritis patients not responding to standard treatments
This study is testing whether adding a targeted therapy to existing medications works better than using a combination of traditional drugs for people with rheumatoid arthritis who haven't felt better with standard treatments.
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Evaluating high-dose methotrexate for breast cancer with leptomeningeal metastasis
This study is testing if high-dose methotrexate can help breast cancer patients with leptomeningeal disease feel better and improve their treatment options.
Quick answers
How many clinical trials of Methotrexate are recruiting right now?
62, as of November 12, 2026. We update this list each time we refresh our data from ClinicalTrials.gov.
Where are these trials running?
In 27 countries. The most sites are in China (21 trials), United States (17 trials), France (6 trials), Egypt (3 trials), Bangladesh (2 trials). Each study page lists its sites and which ones are recruiting.
What phases are they in?
Phase 2: 28, Phase 3: 9, Phase 4: 5, Phase 1/2: 4. Trials with no phase listed are usually device, behavioural or observational studies.
How do I join one?
Open a study, check the "Is this trial a fit for you?" section, then contact the study team listed on the page. They will ask a few screening questions. Asking is free and does not commit you to anything. Talk it over with your doctor first.
Find the studies that fit you
A list is a starting point. Tell us your situation in your own words and we'll rank the studies that match and explain why. It's free and needs no account.