A Phase III Study of Abatacept (BMS-188667) in Patients With Active Rheumatoid Arthritis and Inadequate Response to Methotrexate

NCT ID: NCT00048568

Last Updated: 2011-12-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-12-31

Study Completion Date

2009-10-31

Brief Summary

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Short Term: The purpose of this clinical research study is to learn if abatacept (BMS-188667) in combination with methotrexate is better than methotrexate alone in participants that have active rheumatoid arthritis and are not responding to methotrexate. The safety of this treatment will also be studied.

Long Term Extension: The purpose of this amendment is to provide participants who have completed the initial 12-month double-blind treatment period the opportunity to receive open label treatment with active drug treatment until abatacept is approved in the local country or until clinical development has been discontinued.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Abatacept + Methotrexate

Short Term: Abatacept was dosed by weight with participants weighing \< 60 kg received abatacept 500 mg; participants ≥ 60 kg and ≤ 100 kg received abatacept 750 mg; and participants \> 100 kg received abatacept 1 g. Participants continued treatment with methotrexate (MTX) either orally or parenterally at a minimum dose of 15 mg.

Group Type EXPERIMENTAL

Abatacept

Intervention Type DRUG

Intravenous (IV) Solution, - Weight Titered (500 mg \< 60 kg); (750 mg 60-100 kg), )1 gram \> 100 kg), Day 1, Day 15, Day 29; every 28 days thereafter, 1 year

Methotrexate

Intervention Type DRUG

Tablets, Oral, \>= 15 mg, weekly, 1 year

Placebo + Methotrexate

Short Term: Participants received a placebo solution intravenously and methotrexate at the dose employed prior to study enrollment and a minimum of 15 mg.

Group Type ACTIVE_COMPARATOR

Methotrexate

Intervention Type DRUG

Tablets, Oral, \>= 15 mg, weekly, 1 year

Placebo

Intervention Type DRUG

IV solution, Intravenous, D5W, Day 1, Day 15, Day 29; every 28 days thereafter, 1 year

Abatacept + Methotrexate Open Label

Open Label: Abatacept was dosed intravenously by weight at 10 mg/kg in the OL period under tiered dosing such that participants weighing \< 60 kg received abatacept 500 mg; participants ≥ 60 kg and ≤ 100 kg received abatacept 750 mg; and participants \> 100 kg received abatacept 1 g. MTX was continued at the dose used in the DB period.

Group Type EXPERIMENTAL

Abatacept

Intervention Type DRUG

Intravenous (IV) Solution, - Weight Titered (500 mg \< 60 kg); (750 mg 60-100 kg), )1 gram \> 100 kg), Day 1, Day 15, Day 29; every 28 days thereafter, 1 year

Methotrexate

Intervention Type DRUG

Tablets, Oral, \>= 15 mg, weekly, 1 year

Interventions

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Abatacept

Intravenous (IV) Solution, - Weight Titered (500 mg \< 60 kg); (750 mg 60-100 kg), )1 gram \> 100 kg), Day 1, Day 15, Day 29; every 28 days thereafter, 1 year

Intervention Type DRUG

Methotrexate

Tablets, Oral, \>= 15 mg, weekly, 1 year

Intervention Type DRUG

Placebo

IV solution, Intravenous, D5W, Day 1, Day 15, Day 29; every 28 days thereafter, 1 year

Intervention Type DRUG

Other Intervention Names

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BMS-188667 MTX

Eligibility Criteria

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Inclusion Criteria

* Rheumatoid Arthritis (RA) for greater than 1 year from the time of initial diagnosis of RA.
* Participants must have been taking methotrexate for at least 3 months with at least a weekly dose of 15 mg.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Local Institution

Birmingham, Alabama, United States

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Huntsville, Alabama, United States

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Mobile, Alabama, United States

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Phoenix, Arizona, United States

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Scottsdale, Arizona, United States

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Corona, California, United States

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Irvine, California, United States

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La Jolla, California, United States

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Long Beach, California, United States

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Rancho Mirage, California, United States

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Aurora, Colorado, United States

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Colorado Springs, Colorado, United States

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Denver, Colorado, United States

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Hamden, Connecticut, United States

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Washington D.C., District of Columbia, United States

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Fort Lauderdale, Florida, United States

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Gainsville, Florida, United States

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Palm Harbor, Florida, United States

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Sarasota, Florida, United States

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St. Petersburg, Florida, United States

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Chicago, Illinois, United States

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Rockford, Illinois, United States

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Wichita, Kansas, United States

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Coeur d'Alene, Maryland, United States

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Cumberland, Maryland, United States

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Springfield, Massachusetts, United States

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Duluth, Minnesota, United States

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Lincoln, Nebraska, United States

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New Brunswick, New Jersey, United States

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Albuquerque, New Mexico, United States

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Albany, New York, United States

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Binghamton, New York, United States

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Mineola, New York, United States

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New York, New York, United States

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Syracuse, New York, United States

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The Bronx, New York, United States

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Wilmington, North Carolina, United States

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Cincinnati, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Duncansville, Pennsylvania, United States

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Norristown, Pennsylvania, United States

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Sellersville, Pennsylvania, United States

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Willow Grove, Pennsylvania, United States

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North Charleston, South Carolina, United States

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Austin, Texas, United States

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San Antonio, Texas, United States

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Arlington, Virginia, United States

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Milwaukee, Wisconsin, United States

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Countries

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United States

References

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Kremer JM, Genant HK, Moreland LW, Russell AS, Emery P, Abud-Mendoza C, Szechinski J, Li T, Ge Z, Becker JC, Westhovens R. Effects of abatacept in patients with methotrexate-resistant active rheumatoid arthritis: a randomized trial. Ann Intern Med. 2006 Jun 20;144(12):865-76. doi: 10.7326/0003-4819-144-12-200606200-00003.

Reference Type RESULT
PMID: 16785475 (View on PubMed)

Kremer JM, Peterfy C, Russell AS, Emery P, Abud-Mendoza C, Sibilia J, Becker JC, Westhovens R, Genant HK. Longterm safety, efficacy, and inhibition of structural damage progression over 5 years of treatment with abatacept in patients with rheumatoid arthritis in the abatacept in inadequate responders to methotrexate trial. J Rheumatol. 2014 Jun;41(6):1077-87. doi: 10.3899/jrheum.130263. Epub 2014 May 1.

Reference Type DERIVED
PMID: 24786925 (View on PubMed)

Kremer JM, Genant HK, Moreland LW, Russell AS, Emery P, Abud-Mendoza C, Szechinski J, Li T, Teng J, Becker JC, Westhovens R. Results of a two-year followup study of patients with rheumatoid arthritis who received a combination of abatacept and methotrexate. Arthritis Rheum. 2008 Apr;58(4):953-63. doi: 10.1002/art.23397.

Reference Type DERIVED
PMID: 18383390 (View on PubMed)

Other Identifiers

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IM101-102

Identifier Type: -

Identifier Source: org_study_id