Immunosuppressant Management in Rheumatology Patients Undergoing Elective Total Shoulder Arthroplasty
Phase 2 · Testing Methotrexate, Sulfasalazine and Hydroxychloroquine · 1 site · NYU Langone Health
Official record & contacts on ClinicalTrials.gov ↗
In plain English
What this trial is testing
This study is testing Methotrexate (a drug), Sulfasalazine (a drug), Hydroxychloroquine (a drug) and Leflunomide (a drug) as a possible treatment. Condition(s) listed: Rheumatic Disease.
Participants are assigned to groups by chance (randomized).
It is single-blind: participants do not know which group they are in.
Phase 2 studies test whether a treatment shows signs of working, and keep checking safety, in a larger group of people with the condition.
Who can join
- Ages 18 and older
- Any sex
Some of the main requirements, copied from the record:
- Adults aged 18 years and older at the time of informed consent;
- Diagnosis of rheumatic disease: rheumatoid arthritis (RA), psoriatic arthritis (PA) , ankylosing spondylitis (AS), systemic lupus erythematosus (SLE), juvenile idiopathic arthritis (JIA), spondyloarthritis, polymyalgia rheumatica, giant…
- On active immunosuppression for at least 3 months prior to scheduled surgery;
Plus 2 more requirement(s). There are also 6 reasons someone might not be able to join (exclusion criteria). Only the trial team can confirm whether you qualify.
What's involved
- About 80 participants are expected to take part.
- Start date: 2025-12-12.
- Main results expected around 2028-01 (estimate from the record).
- 1 study site listed (1 marked recruiting) in United States.
Main thing being measured
- Incidence of wound complications (90-day post operation)
In the researchers’ words
The purpose of this study is to assess the incidence of rheumatologic flares, changes in pain scores (VAS), changes in functional outcomes (PROMIS), wound complications, surgical site infections, and return trips to the operating room for rheumatology patients following shoulder replacements, comparing those who stop their immunosuppressants preoperatively for the same amount of time as suggested in the literature…
This is a short automatic summary built from the official record. A fuller plain-English card is coming; until then, please read the official record.
Questions to ask your doctor and the trial team
- Am I likely to qualify, given my health history?
- What would I have to do, and how often would I need to visit?
- Could I get a placebo? What happens to my current treatment?
- What are the possible risks and benefits?
- Are travel or other costs covered?
- What happens after the trial ends?
Official details
| Status | Recruiting |
|---|---|
| Phase | Phase 2 |
| Study type | Interventional |
| Conditions | Rheumatic Disease |
| Lead sponsor | NYU Langone Health |
| Enrollment | 80 (estimated) |
| Start date | 2025-12-12 |
| Primary completion (est.) | 2028-01 |
| First posted | 2025-08-24 |
| Last updated | 2026-07-09 |
| Official title | Immunosuppressant Management in Rheumatology Patients Undergoing Elective Total Shoulder Arthroplasty |
| ClinicalTrials.gov ID | NCT07138898 |
Interventions
- Methotrexate (Drug)
Continue throughout perioperative period - Sulfasalazine (Drug)
Continue throughout perioperative period - Hydroxychloroquine (Drug)
Continue throughout perioperative period - Leflunomide (Drug)
Continue throughout perioperative period - Azathioprine (Drug)
Control group: Withhold the daily dose 1 week prior to surgery Intervention group: Withhold 2 days prior to surgery - Mycophenolate (Drug)
Control group: Withhold the daily dose 1 week prior to surgery Intervention group: Withhold 2 days prior to surgery - Cyclosporine (Drug)
Control group: Withhold the daily dose 1 week prior to surgery Intervention group: Withhold 2 days prior to surgery - Tacrolimus (Drug)
Control group: Withhold the daily dose 1 week prior to surgery Intervention group: Withhold 2 days prior to surgery - Etanercept (Drug)
Control group: Schedule surgery 2 weeks after last administered dose Intervention group: Schedule surgery 1 week after last administered dose - Adalimumab (Drug)
Control group: Schedule surgery 3 weeks after last administered dose Intervention group: Schedule surgery 1 week after last administered dose - Golimumab (Drug)
Control group: Schedule surgery 5 weeks after last administered 4-week subcutaneous dose or 9 weeks after last administered 8-week intravenous dose. Intervention group: Schedule surgery 2 weeks after last administered 4-week subcutaneous dose or 4 weeks after last administered 8-week intravenous dose. - Certolizumab (Drug)
Control group: Schedule surgery 5 weeks after last administered dose. Intervention group: Schedule surgery 2 weeks after last administered dose. - Infliximab (Drug)
Control group: Schedule surgery 9 weeks after last administered intravenous dose. Intervention group: Schedule surgery 4 weeks after last administered dose. - Rituximab (Biological)
Control: Schedule 7 months after last administered dose. Intervention group: Schedule 3 months after last administered dose. - Belimumab (Biological)
Control group: Schedule surgery 2 weeks after last administered subcutaneous weekly dose or 5 weeks after last administered 4-week intravenous dose. Intervention group: Schedule surgery 1 week after last administered weekly dose or 2 weeks after last administered 4-week dose. - Tocilizumab (Biological)
Control group: Schedule surgery 2 weeks after last administered subcutaneous weekly dose or 5 weeks after last administered 4-week intravenous dose. Intervention group: Schedule surgery 1 week after last administered weekly dose or 2 weeks after last administered 4-week dose. - Anakinra (Biological)
Control group: Schedule surgery 2 days after last administered daily dose. Experimental group: Schedule surgery 1 day after last administered daily dose. - Canakinumab (Biological)
Control group: Schedule surgery 5 weeks after last administered 4-week dose. Intervention group: Schedule surgery 2 weeks after last administered 4-week dose. - Abatacept (Biological)
Control group: Schedule surgery 2 weeks after last administered weekly subcutaneous dose or 5 weeks after last administered monthly intravenous dose. Intervention group: Schedule surgery 1 week after last administered weekly subcutaneous dose or 2 weeks after last administered monthly intravenous dose. - Secukinumab (Biological)
Control group: Schedule surgery 5 weeks after last administered subcutaneous dose. Intervention group: Schedule surgery 2 weeks after last administered subcutaneous dose. - Ixekizumab (Biological)
Control group: Schedule surgery 5 weeks after last administered 4-week dose. Intervention group: Schedule surgery 2 weeks after last administered 4-week dose. - Bimekizumab (Biological)
Control group: Schedule surgery 9 weeks after last administered 8-week dose. Intervention group: Schedule surgery 4 weeks after last administered 8-week dose - Ustekinumab (Biological)
Control group: Schedule surgery 13 weeks after last administered 12-week dose. Intervention group: Schedule surgery 6 weeks after last administered 12-week dose. - Guselkumab (Biological)
Control group: Schedule surgery 9 weeks after last administered 8-week dose. Intervention group: Schedule surgery 4.5 weeks after last administered 8-week dose. - Risankizumab (Biological)
Control group: Schedule surgery 13 weeks after last administered 12-week dose. Intervention group: Schedule surgery 6-7 weeks after last administered 12-week dose. - Tofacitinib (Drug)
Control group: Schedule surgery 4 days after last administered daily dose. Intervention group: Schedule surgery 2 days after last administered daily dose. - Upadacitinib (Drug)
Control group: Withhold 4 days prior to surgery Intervention group: Withhold 2 days prior to surgery
Full eligibility criteria (from the record)
Inclusion Criteria: 1. Adults aged 18 years and older at the time of informed consent; 2. Diagnosis of rheumatic disease: rheumatoid arthritis (RA), psoriatic arthritis (PA) , ankylosing spondylitis (AS), systemic lupus erythematosus (SLE), juvenile idiopathic arthritis (JIA), spondyloarthritis, polymyalgia rheumatica, giant cell arteritis, vasculitis, granulomatosis with polyangiitis, dermatomyositis, polymyositis, and inflammatory bowel disease-associated arthritis; 3. On active immunosuppression for at least 3 months prior to scheduled surgery; 4. Scheduled for elective total shoulder arthroplasty; 5. Able and willing to provide written informed consent prior to any study specific procedures. Exclusion Criteria: * Patients with active infections or malignancies; * Patients undergoing shoulder arthroplasty for fracture or tumor; * Pregnancy or breastfeeding; * Unable to provide informed consent; * Patients with severe SLE with marked activity - as they should be offered enrollment in the observational arm. All such patients should remain on treatment to avoid worsening of disease activity; * Unable or without capacity to provide written informed consent prior to any study specific procedures.
Locations (1)
| Site | City | Country | Site status |
|---|---|---|---|
| NYU Langone Health | New York, New York | United States | Recruiting |
For contacts at each site, use the official record.
Information only, not medical advice. Talk to your doctor and the trial team before making any decision about a clinical trial.