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Table 2 Eligibility criteria

From: Optimizing adalimumab treatment in psoriasis with concomitant methotrexate (OPTIMAP): study protocol for a pragmatic, single-blinded, investigator-initiated randomized controlled trial

Inclusion

Exclusion

≥18 years

Diagnosis of moderate to severe plaque psoriasis (PASI ≥8)

Adalimumab naïve

Candidate for biologic therapy

Willing and able to use adequate contraceptives during the study

History of significant MTX toxicity, intolerability, or contraindication Known liver or kidney malfunction

Alcohol abuse

Bone marrow hypoplasia, leukocytopenia, thrombocytopenia, or significant anemia

Known severe or chronic infections like tuberculosis or HIV

Ulcers in the oral cavity or known active ulcers in digestive tract

Pregnant or nursing women

Need for live vaccinations

Use of other immunosuppressive medication (e.g., prednisone, mycophenolate mofetil (Cellcept), cyclosporine (Neoral), sirolimus (Rapamune), systemic tacrolimus (Prograf))