Trial Outcomes & Findings for A Phase III Study of BMS-188667 in Subjects With Active Rheumatoid Arthritis (NCT NCT00048932)

NCT ID: NCT00048932

Last Updated: 2011-11-24

Results Overview

AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. Related SAE/AE = possibly, probably, or certainly related to study drug

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1795 participants

Primary outcome timeframe

Day 365 to Day 1,821

Results posted on

2011-11-24

Participant Flow

1795 enrolled in study and 339 were not randomized due to no longer meeting study criteria (n=214), withdraw of consent (n=83), other reasons (n=32), participant was lost to follow-up (n=5), administrative reason by sponsor (n=2), adverse event (n=2), and poor/non-compliance (n=1). Of 1456 randomized, 15 were not treated.

Participant milestones

Participant milestones
Measure
Abatacept (ABA)
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Open Label (OL) Abatacept
Participants received abatacept (weight-tiered 10 mg/kg dose) IV every 28 days during the open-label period.
Double Blind Period (DB)
STARTED
959
482
0
Double Blind Period (DB)
COMPLETED
836
395
0
Double Blind Period (DB)
NOT COMPLETED
123
87
0
Open Label Period (OL)
STARTED
0
0
1184
Open Label Period (OL)
COMPLETED
0
0
743
Open Label Period (OL)
NOT COMPLETED
0
0
441

Reasons for withdrawal

Reasons for withdrawal
Measure
Abatacept (ABA)
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Open Label (OL) Abatacept
Participants received abatacept (weight-tiered 10 mg/kg dose) IV every 28 days during the open-label period.
Double Blind Period (DB)
Administrative Reason By Sponsor
1
0
0
Double Blind Period (DB)
Adverse Event
51
19
0
Double Blind Period (DB)
Death
5
3
0
Double Blind Period (DB)
Lack of Efficacy
26
44
0
Double Blind Period (DB)
Lost to Follow-up
3
4
0
Double Blind Period (DB)
Relocation
1
0
0
Double Blind Period (DB)
Uncontrolled hypertension
0
1
0
Double Blind Period (DB)
Missed 2 doses while undergoing work-up
1
0
0
Double Blind Period (DB)
Pregnancy
1
0
0
Double Blind Period (DB)
No Longer Meets Study Criteria
8
2
0
Double Blind Period (DB)
Withdrawal by Subject
24
10
0
Double Blind Period (DB)
Poor/Non-Compliance
2
4
0
Open Label Period (OL)
Death
0
0
25
Open Label Period (OL)
Adverse Event
0
0
103
Open Label Period (OL)
Lack of Efficacy
0
0
81
Open Label Period (OL)
Lost to Follow-up
0
0
27
Open Label Period (OL)
Withdrawal by Subject
0
0
117
Open Label Period (OL)
No Longer Meets Study Criteria
0
0
5
Open Label Period (OL)
Poor/Non-Compliance
0
0
13
Open Label Period (OL)
Pregnancy
0
0
6
Open Label Period (OL)
Administrative Reason By Sponsor
0
0
20
Open Label Period (OL)
Investigator Retiring
0
0
2
Open Label Period (OL)
Participant Transportation Issues
0
0
1
Open Label Period (OL)
Participant Relocated
0
0
6
Open Label Period (OL)
Investigator Dosing the Trial
0
0
1
Open Label Period (OL)
Site Closure
0
0
3
Open Label Period (OL)
Trial Terminated
0
0
1
Open Label Period (OL)
Difficult IV Access with Participant
0
0
1
Open Label Period (OL)
Patient Decision
0
0
4
Open Label Period (OL)
Participant Received Wrong Medication
0
0
1
Open Label Period (OL)
Participant Desires Pregnancy
0
0
2
Open Label Period (OL)
Participant Missed Consecutive Doses
0
0
5
Open Label Period (OL)
Medication Lost Efficacy
0
0
1
Open Label Period (OL)
Investigator Decision
0
0
4
Open Label Period (OL)
Site Staff Issues
0
0
2
Open Label Period (OL)
Site Not Participating in Open Label
0
0
9
Open Label Period (OL)
Participant Surgery
0
0
1

Baseline Characteristics

A Phase III Study of BMS-188667 in Subjects With Active Rheumatoid Arthritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Abatacept (ABA)
n=959 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
n=482 Participants
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Total
n=1441 Participants
Total of all reporting groups
Age Continuous
52.4 years
STANDARD_DEVIATION 11.7 • n=5 Participants
52.1 years
STANDARD_DEVIATION 12.0 • n=7 Participants
52.3 years
STANDARD_DEVIATION 11.8 • n=5 Participants
Sex: Female, Male
Female
789 Participants
n=5 Participants
398 Participants
n=7 Participants
1187 Participants
n=5 Participants
Sex: Female, Male
Male
170 Participants
n=5 Participants
84 Participants
n=7 Participants
254 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 365, and including data up to 56 days post last dose of double-blind medication

Population: All Treated Participants, all participants who received at least 1 dose of study medication

AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. Related SAE/AE = possibly, probably, or certainly related to study drug

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=959 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
n=482 Participants
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Double Blind Period (DB); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
Death
5 participants
4 participants
Double Blind Period (DB); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
SAEs
123 participants
59 participants
Double Blind Period (DB); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
Related SAEs
23 participants
13 participants
Double Blind Period (DB); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
SAEs Leading to Discontinuation
23 participants
7 participants
Double Blind Period (DB); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
AEs
866 participants
417 participants
Double Blind Period (DB); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
Related AEs
534 participants
239 participants
Double Blind Period (DB); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
AEs Leading to Discontinuation
52 participants
20 participants

PRIMARY outcome

Timeframe: Day 1 to Day 365, and including data up to 56 days post last dose of double-blind medication

Population: All Treated Participants, all participants who received at least 1 dose of study medication

AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. AEs of special interest are those AEs that may be associated with the use of immunomodulatory drugs, including all infections, serious infections, and opportunistic infections; autoimmune disorders; neoplasms; acute infusional AEs (pre-specified AEs occurring within 1 hour of start of infusion) and peri-infusional AEs (pre-specified AEs occurring within 24 hours of the start of infusion).

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=959 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
n=482 Participants
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
DB; Number of Participants With AEs of Special Interest
Infections/Infestations
95 participants
40 participants
DB; Number of Participants With AEs of Special Interest
Serious Infections/Infestations
17 participants
5 participants
DB; Number of Participants With AEs of Special Interest
Neoplasms
34 participants
17 participants
DB; Number of Participants With AEs of Special Interest
Pre-specified Autoimmune Disorders
32 participants
15 participants
DB; Number of Participants With AEs of Special Interest
Pre-specified Acute Infusional AEs
96 participants
34 participants
DB; Number of Participants With AEs of Special Interest
Pre-specified Peri-Infusional AEs
233 participants
98 participants

PRIMARY outcome

Timeframe: Day 1 to Day 365, and including data up to 56 days post last dose of double-blind medication

Population: All Treated Population. One participant in each group was not evaluated for hematology abnormalities due to data unavailability (missing data).

Upper Normal Limit (ULN), Lower Normal Limit (LLN), Baseline (BL). Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 c/uL; eosinophils: \>0.750 \* 10\^3 c/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 c/uL/ \>7.50 \* 10\^3 c/uL.

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=958 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
n=481 Participants
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low HGB (LLN=1.5%)
12 participants
14 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low hematocrit (LLN=36%)
9 participants
12 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low erythrocytes (LLN=3.72-4.27 x10*6 c/uL)
0 participants
0 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low PLT (LLN=140-157*10^9 c/L)
7 participants
3 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High PLT (ULN=415-440*10^9 c/L)
2 participants
4 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low leukocytes (LLN= 4-9*10^3 c/uL)
24 participants
12 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High leukocytes (ULN = 10.5-30*10^3 c/uL)
70 participants
57 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low neutrophils + bands (LLN= 1.5-2.9*10^3 c/uL)
16 participants
9 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low lymphocytes (LLN= 0.7-2.9*10^3 c/uL)
0 participants
0 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High lymphocytes (ULN= 4.5-13.3*10^3 c/uL)
0 participants
0 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High monocytes (ULN=1-3.9*10^3 c/uL)
0 participants
0 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High basophils (ULN= 0.6*10^3 c/uL)
0 participants
0 participants
DB; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High eosinophils (ULN= 1.5*10^3 c/uL)
0 participants
0 participants

PRIMARY outcome

Timeframe: Day 1 to Day 365, and including data up to 56 days post last dose of double-blind medication

Population: All Treated Population. Two participants in the ABA group and 3 participants in the PLA group were not evaluated for blood chemistry abnormalities due to data unavailability (missing data).

ULN=upper level of normal; BL=baseline.Marked abnormality criteria: High alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; high aspartate aminotransferase (AST): \>3\* ULN (80 U/L), or if BL\>ULN then use \>4\* BL; high alanine aminotransferase (ALT): \>3\* ULN (34-47 U/L), or if BL\>ULN then use \>4\* BL; high G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; high bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; high blood urea nitrogen (BUN): \>2\* BL; high creatinine: \>1.5\* BL (ULN 14.6 pg/mg. AST ULN=80 U/L; ALT ULN=34-47 U/L;creatinine ULN=14.6 pg/mg.

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=957 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
n=479 Participants
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
DB; Number of Participants With Blood Chemistry Laboratories Meeting Marked Abnormality (MA) Criteria
High AST (ULN=80 U/L)
12 participants
3 participants
DB; Number of Participants With Blood Chemistry Laboratories Meeting Marked Abnormality (MA) Criteria
High ALT (ULN=34-47 U/L)
16 participants
9 participants
DB; Number of Participants With Blood Chemistry Laboratories Meeting Marked Abnormality (MA) Criteria
High creatinine (ULN=14.6 pg/mg)
41 participants
29 participants

PRIMARY outcome

Timeframe: Days 1, 15, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337. Vital signs were measured at these visits before and after study medication infusion.

Population: All Treated Population.

Physical examinations were performed at the discretion of the investigator and included breast examinations for female participants. Vital sign measurements were performed for participants before and after infusion of study medication at each visit and included seated systolic blood pressure, seated diastolic blood pressure, temperature, and heart rate. Abnormalities were determined to be clinically significant by the investigator.

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=959 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
n=482 Participants
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
DB; Number of Participants With Clinically Significant Physical Examination or Vital Signs Abnormalities
0 participants
0 participants

PRIMARY outcome

Timeframe: Day 365 to Day 1,821

Population: All Treated Participants

AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. Related SAE/AE = possibly, probably, or certainly related to study drug

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=1184 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Open Label Period (OL); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
Death
32 participants
Open Label Period (OL); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
SAEs
425 participants
Open Label Period (OL); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
Related SAEs
124 participants
Open Label Period (OL); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
SAEs Leading to Discontinuation
70 participants
Open Label Period (OL); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
AEs
1123 participants
Open Label Period (OL); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
Related AEs
737 participants
Open Label Period (OL); Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
AEs Leading to Discontinuation
103 participants

PRIMARY outcome

Timeframe: Day 365 to Day 1821

Population: All Treated Participants, all participants who received at least 1 dose of study medication

AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. AEs of special interest are those AEs that may be associated with the use of immunomodulatory drugs, including all infections, serious infections, and opportunistic infections; autoimmune disorders; neoplasms; acute infusional AEs (pre-specified AEs occurring within 1 hour of start of infusion) and peri-infusional AEs (pre-specified AEs occurring within 24 hours of the start of infusion).

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=1184 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
OL; Number of Participants With AEs of Special Interest
Infections/Infestations
957 participants
OL; Number of Participants With AEs of Special Interest
Total Neoplasms
168 participants
OL; Number of Participants With AEs of Special Interest
Malignant Neoplasms
56 participants
OL; Number of Participants With AEs of Special Interest
Benign and Unspecified Neoplasms
112 participants
OL; Number of Participants With AEs of Special Interest
Pre-specified Autoimmune Disorders
67 participants
OL; Number of Participants With AEs of Special Interest
Pre-specified Acute Infusional AEs
82 participants
OL; Number of Participants With AEs of Special Interest
Pre-specified Peri-Infusional AEs
219 participants

PRIMARY outcome

Timeframe: Day 365 to Day 1821, and including data up to 56 days post last dose of double-blind medication

Population: All Treated Population.

Upper Normal Limit (ULN), Lower Normal Limit (LLN), Baseline (BL). Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 c/uL; eosinophils: \>0.750 \* 10\^3 c/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 c/uL/ \>7.50 \* 10\^3 c/uL.

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=1184 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low HGB (LLN=1.5%)
70 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low hematocrit (LLN=36%)
53 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Erythrocytes (LLN=3.72-4.27 x10*6 c/uL)
25 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low PLT (LLN=140-157*10^9 c/L)
23 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High PLT (ULN=415-440*10^9 c/L)
10 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low leukocytes (LLN= 4-9*10^3 c/uL)
110 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High leukocytes (ULN = 10.5-30*10^3 c/uL)
162 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low neutrophils + bands (LLN= 1.5-2.9*10^3 c/uL)
31 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
Low lymphocytes (LLN= 0.7-2.9*10^3 c/uL)
220 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High lymphocytes (ULN= 4.5-13.3*10^3 c/uL)
5 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High monocytes (ULN=1-3.9*10^3 c/uL)
11 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High basophils (ULN= 0.6*10^3 c/uL)
4 participants
OL; Number of Participants With Hematology Laboratories Meeting Marked Abnormality Criteria
High eosinophils (ULN= 1.5*10^3 c/uL)
151 participants

PRIMARY outcome

Timeframe: Day 365 to Day 1821, and including data up to 56 days post last dose of double-blind medication

Population: All Treated Population. One participant was not evaluated for liver function abnormalities.

Marked abnormality criteria: Alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; aspartate aminotransferase (AST): \>3\* ULN, or if BL\>ULN then use \>4\* BL; alanine aminotransferase (ALT): \>3\* ULN, or if BL\>ULN then use \>4\* BL; G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; Bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; blood urea nitrogen (BUN): \>2\* BL; creatinine: \>1.5\* BL

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=1183 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
OL; Number of Participants With Liver Function Laboratories Meeting Marked Abnormality Criteria
High ALP (ULN=150 U/L)
12 participants
OL; Number of Participants With Liver Function Laboratories Meeting Marked Abnormality Criteria
High AST (ULN=80 U/L)
38 participants
OL; Number of Participants With Liver Function Laboratories Meeting Marked Abnormality Criteria
High ALT (ULN=34-47 U/L)
54 participants
OL; Number of Participants With Liver Function Laboratories Meeting Marked Abnormality Criteria
High GGT (ULN=43-54 U/L)
91 participants
OL; Number of Participants With Liver Function Laboratories Meeting Marked Abnormality Criteria
High bilirubin (ULN=0.3 mg/dL)
9 participants
OL; Number of Participants With Liver Function Laboratories Meeting Marked Abnormality Criteria
High BUN (normal=4-25 mg/dL)
108 participants
OL; Number of Participants With Liver Function Laboratories Meeting Marked Abnormality Criteria
High creatinine (ULN=14.6 pg/mg)
204 participants

PRIMARY outcome

Timeframe: Day 365 to Day 1821, and including data up to 56 days post last dose of double-blind medication

Population: All Treated Population. One participant was not evaluated for electrolyte abnormalities.

Marked abnormality criteria: Sodium (Na): \<0.95\*LLN/ \>1.05\*ULN, or if BL\<LLN then use \<0.95\* BL or \>ULN, or if BL\>ULN then use\>1.05\* BL or \<LLN; potassium (K): \<0.9\* LLN/\>1.1\*ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; (Cl): \<0.9\* LLN/\>1.1\* ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; calcium (Ca): \<0.8\* LLN/\>1.2\* ULN, or if BL\<LLN then use \<0.75\* BL or \>ULN, or if BL\>ULN then use\>1.25\* BL or \<LLN; phosphorous (P): \<0.75\* LLN/ \>1.25\* ULN, or if BL\<LLN then use 0.67\* BL or \>ULN, or if BL\>ULN then use\>1.33\* BL or \<LLN

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=1183 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
Low Na (LLN=135 mEq/L)
16 participants
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
High Na (ULN=148 mEq/L)
1 participants
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
Low K (LLN=3.5 mEq/L)
77 participants
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
High K (ULN=5.5 mEq/L)
72 participants
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
Low Cl (LLN= 96 mEq/L)
5 participants
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
High Cl (ULN=109 mEq/L)
2 participants
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
Low Ca (LLN=8.5 mg/dL)
2 participants
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
High Ca (ULN=11 mg/dL)
0 participants
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
Low P (LLN=2.5 mg/dL)
17 participants
OL; Number of Participants With Electrolyte Laboratories Meeting Marked Abnormality Criteria
High P (ULN 7.1 mg/dL)
27 participants

PRIMARY outcome

Timeframe: Day 365 to Day 1821, and including data up to 56 days post last dose of double-blind medication

Population: All Treated Population. N=Number of Participants Analyzed, n=number of participants with measurements at time point

MA criteria: serum glucose (Glu): \<65 mg/dL/\>220 mg/dL;fasting serum Glu: \<0.8\* LLN/\>1.5\*ULN,or if BL\<LLN then use 0.8\*BL or \>ULN,or if BL\>ULN then use \>2.0\*BL or \<LLN;total protein: \<0.9\*LLN/\>1.1\*ULN,or if BL\<LLN then use \<0.9\*BL or \>UNL,or if BL\>UNL then use \>1.1\*BL or \<LLN; albumin: \<0.9\*LLN,or if BL\<LLN then use \<0.75 BL;uric acid: \>1.5\*ULN,or if BL\>ULN then use \>2\*BL. Urinalysis (Urine protein,urine Glu,urine blood,leukocyte esterase,Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]):Use ≥2 when BL value missing or when pre-dose=0 or 0.5; use ≥3 when pre-dose=1, use ≥4 when pre-dose=2 or 3

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=1184 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
Low Glu, n=1184
207 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High Glu, n=1184
61 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
Low fasting Glu, n=647 (LLN=65 mg/dL)
647 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High fasting Glu, n=647 (ULN=115 mg/dL)
41 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
Low protein, n=1183 (LLN=6 g/dL)
12 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High protein, n=1183 (ULN=8.5 g/dL)
2 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
Low albumin, n=1183 (LLN=3.5 g/dL)
40 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High uric acid, n=1183 (ULN=8.7 mg/dL)
19 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High urine protein, n=1184 (normal=trace)
125 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High urine glucose, n=1184 (normal=negative)
51 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High urine ketones, n=33 (normal=negative)
0 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High urine blood, n=1184 (normal=negative)
310 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High leukocyte esterase, n=32
12 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High urine WBC, n=852
429 participants
OL; Number of Participants With Other Chemistry and Urinalysis Laboratories Meeting Marked Abnormality Criteria
High urine RBC, n=852
403 participants

PRIMARY outcome

Timeframe: Days 365 to Day 1821

Population: All Treated Population.

Physical examinations were performed at the discretion of the investigator and included breast examinations for female participants. Vital sign measurements were performed for participants before and after infusion of study medication at each visit and included seated systolic blood pressure, seated diastolic blood pressure, temperature, and heart rate. Abnormalities were determined to be clinically significant by the investigator.

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=1184 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
OL; Number of Participants With Clinically Significant Physical Examination or Vital Signs Abnormalities
0 participants

SECONDARY outcome

Timeframe: Days 1, 29, 57, 85, 113,169, 281, 365

Population: All participants treated during DB who received at least 1 dose of abatacept and had antibody samples collected at baseline and at least 1 post-baseline visit. 561 participants were not evaluated for anti-abatacept anti-bodies during the DB.

Serum samples from all treated adult participants with active rheumatoid arthritis (RA) were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody.

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=880 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
DB; Number of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Responses by Enzyme-Linked Immunosorbant Assay (ELISA)
Anti-abatacept antibodies
13 participants
DB; Number of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Responses by Enzyme-Linked Immunosorbant Assay (ELISA)
Anti-CTLA4 antibodies
9 participants
DB; Number of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Responses by Enzyme-Linked Immunosorbant Assay (ELISA)
Total antibodies
22 participants

SECONDARY outcome

Timeframe: Days 1, 15, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337

Population: All DB participants treated on study who received at least 1 dose of abatacept and had antibody samples collected at baseline and at least 1 post-baseline visit. 68 participants were not evaluated for anti-abatacept anti-bodies on study.

Serum samples from all treated adult participants with active rheumatoid arthritis were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody.

Outcome measures

Outcome measures
Measure
Abatacept (ABA)
n=1296 Participants
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for participants \< 60 kg, 750 mg for participants 60 to 100 kg and 1 g for participants \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
DB; Number of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Responses by ELISA
Anti-abatacept antibodies (n=1228)
66 participants
DB; Number of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Responses by ELISA
Anti-CTLA4 antibodies (n=1296)
48 participants
DB; Number of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Responses by ELISA
Total antibodies (n=1296)
107 participants

Adverse Events

Open Label (OL) Abatacept

Serious events: 425 serious events
Other events: 1010 other events
Deaths: 0 deaths

Abatacept (ABA)

Serious events: 124 serious events
Other events: 715 other events
Deaths: 0 deaths

Placebo (PLA)

Serious events: 59 serious events
Other events: 346 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Open Label (OL) Abatacept
n=1184 participants at risk
Participants received abatacept (weight-tiered 10 mg/kg dose) IV every 28 days during the open-label period.
Abatacept (ABA)
n=959 participants at risk
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for subjects \< 60 kg, 750 mg for subjects 60 to 100 kg and 1 g for subjects \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
n=482 participants at risk
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Eye disorders
CATARACT
0.08%
1/1184
0.10%
1/959
0.41%
2/482
Eye disorders
PTERYGIUM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Eye disorders
SCLEROMALACIA
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Investigations
HIV TEST POSITIVE
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Investigations
HAEMATOCRIT DECREASED
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Investigations
BLOOD GLUCOSE INCREASED
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Investigations
TRANSAMINASES INCREASED
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Investigations
ELECTROCARDIOGRAM CHANGE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Investigations
HEPATIC ENZYME INCREASED
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Investigations
ELECTROCARDIOGRAM ST-T SEGMENT ABNORMAL
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
ARRHYTHMIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
BRADYCARDIA
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Cardiac disorders
TACHYCARDIA
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
PERICARDITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
ATRIAL FLUTTER
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
CARDIAC ARREST
0.25%
3/1184
0.21%
2/959
0.21%
1/482
Cardiac disorders
CARDIOMYOPATHY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
ANGINA PECTORIS
0.25%
3/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
ANGINA UNSTABLE
0.42%
5/1184
0.00%
0/959
0.41%
2/482
Cardiac disorders
CARDIAC FAILURE
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
CARDIAC TAMPONADE
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
CARDIOGENIC SHOCK
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
ATRIAL FIBRILLATION
0.34%
4/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
SICK SINUS SYNDROME
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
AORTIC VALVE DISEASE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
MYOCARDIAL ISCHAEMIA
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Cardiac disorders
PERICARDIAL EFFUSION
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
MITRAL VALVE STENOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
MYOCARDIAL INFARCTION
1.2%
14/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
ACUTE CORONARY SYNDROME
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
CORONARY ARTERY DISEASE
0.51%
6/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
CORONARY ARTERY STENOSIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
HEART VALVE INCOMPETENCE
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
ISCHAEMIC CARDIOMYOPATHY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
CONGESTIVE CARDIOMYOPATHY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
CORONARY ARTERY OCCLUSION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
MITRAL VALVE INCOMPETENCE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
CARDIAC FAILURE CONGESTIVE
0.59%
7/1184
0.21%
2/959
0.41%
2/482
Cardiac disorders
HYPERTENSIVE HEART DISEASE
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Cardiac disorders
ACUTE MYOCARDIAL INFARCTION
0.59%
7/1184
0.00%
0/959
0.21%
1/482
Cardiac disorders
ATRIOVENTRICULAR BLOCK COMPLETE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Cardiac disorders
ARTERIOSCLEROSIS CORONARY ARTERY
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Vascular disorders
HYPOTENSION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
HYPERTENSION
0.34%
4/1184
0.10%
1/959
0.41%
2/482
Vascular disorders
AORTIC ANEURYSM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
AORTIC STENOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
ARTERIOSCLEROSIS
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Vascular disorders
AORTIC DISSECTION
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Vascular disorders
ARTERIAL STENOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
VENOUS THROMBOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
EXTREMITY NECROSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
VASCULAR OCCLUSION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
HYPERTENSIVE CRISIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
DEEP VEIN THROMBOSIS
0.34%
4/1184
0.31%
3/959
0.21%
1/482
Vascular disorders
ILIAC ARTERY EMBOLISM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
RHEUMATOID VASCULITIS
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Vascular disorders
VENOUS THROMBOSIS LIMB
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
AXILLARY VEIN THROMBOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
PERIPHERAL VASCULAR DISORDER
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
THROMBOPHLEBITIS SUPERFICIAL
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Vascular disorders
PERIPHERAL ARTERIAL OCCLUSIVE DISEASE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Endocrine disorders
HYPERTHYROIDISM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Social circumstances
VICTIM OF HOMICIDE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Psychiatric disorders
ANXIETY
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Psychiatric disorders
DEPRESSION
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Psychiatric disorders
SUICIDE ATTEMPT
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Psychiatric disorders
BIPOLAR DISORDER
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Psychiatric disorders
MAJOR DEPRESSION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Psychiatric disorders
MENTAL STATUS CHANGES
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Hepatobiliary disorders
HEPATITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Hepatobiliary disorders
CHOLANGITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Hepatobiliary disorders
HEPATIC MASS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Hepatobiliary disorders
LIVER INJURY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Hepatobiliary disorders
BILIARY COLIC
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Hepatobiliary disorders
CHOLECYSTITIS
0.76%
9/1184
0.00%
0/959
0.00%
0/482
Hepatobiliary disorders
CHOLELITHIASIS
0.84%
10/1184
0.31%
3/959
0.62%
3/482
Hepatobiliary disorders
CHOLECYSTITIS ACUTE
0.34%
4/1184
0.00%
0/959
0.00%
0/482
Immune system disorders
ANAPHYLACTIC REACTION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
SYNCOPE
0.34%
4/1184
0.21%
2/959
0.00%
0/482
Nervous system disorders
HEADACHE
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Nervous system disorders
MIGRAINE
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Nervous system disorders
SCIATICA
0.42%
5/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
NEURALGIA
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
PRESYNCOPE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
PARAESTHESIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
HYPOAESTHESIA
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Nervous system disorders
RADICULOPATHY
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Nervous system disorders
ENCEPHALOPATHY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
POLYNEUROPATHY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
ISCHAEMIC STROKE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
MOYAMOYA DISEASE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
NERVE COMPRESSION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
CEREBRAL ISCHAEMIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
CERVICAL MYELOPATHY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
SPINAL CLAUDICATION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
CEREBRAL HAEMORRHAGE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
LOSS OF CONSCIOUSNESS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
NEUROPATHY PERIPHERAL
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
CARPAL TUNNEL SYNDROME
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Nervous system disorders
NERVE ROOT COMPRESSION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
CAROTID ARTERY STENOSIS
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Nervous system disorders
CEREBROVASCULAR ACCIDENT
0.25%
3/1184
0.10%
1/959
0.21%
1/482
Nervous system disorders
CEREBROVASCULAR DISORDER
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
SUBARACHNOID HAEMORRHAGE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
RUPTURED CEREBRAL ANEURYSM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Nervous system disorders
TRANSIENT ISCHAEMIC ATTACK
0.34%
4/1184
0.21%
2/959
0.21%
1/482
Nervous system disorders
COMPLEX REGIONAL PAIN SYNDROME
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
NAUSEA
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
COLITIS
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Gastrointestinal disorders
VOMITING
0.17%
2/1184
0.21%
2/959
0.00%
0/482
Gastrointestinal disorders
DIARRHOEA
0.25%
3/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
DYSPEPSIA
0.34%
4/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
FAECALOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
GASTRITIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
GINGIVITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
ANAL FISSURE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
CONSTIPATION
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Gastrointestinal disorders
DIVERTICULUM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
HAEMORRHOIDS
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
OESOPHAGITIS
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
PANCREATITIS
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
COLONIC ATONY
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
GASTRIC ULCER
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
ABDOMINAL PAIN
0.59%
7/1184
0.21%
2/959
0.00%
0/482
Gastrointestinal disorders
INGUINAL HERNIA
0.42%
5/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
ABDOMINAL HERNIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
UMBILICAL HERNIA
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
COLITIS ISCHAEMIC
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
GASTRITIS EROSIVE
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
OESOPHAGEAL SPASM
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
OESOPHAGEAL ULCER
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
PANCREATITIS ACUTE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
ABDOMINAL DISTENSION
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
0.25%
3/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
INTESTINAL ISCHAEMIA
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
INTESTINAL OBSTRUCTION
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
DIVERTICULAR PERFORATION
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
IRRITABLE BOWEL SYNDROME
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
MESENTERIC ARTERY EMBOLISM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
LARGE INTESTINE PERFORATION
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
ABDOMINAL HERNIA OBSTRUCTIVE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
GASTROINTESTINAL HAEMORRHAGE
0.17%
2/1184
0.00%
0/959
0.62%
3/482
Gastrointestinal disorders
SMALL INTESTINAL OBSTRUCTION
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Gastrointestinal disorders
LOWER GASTROINTESTINAL HAEMORRHAGE
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Gastrointestinal disorders
UPPER GASTROINTESTINAL HAEMORRHAGE
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Ear and labyrinth disorders
SUDDEN HEARING LOSS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Ear and labyrinth disorders
DEAFNESS NEUROSENSORY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Ear and labyrinth disorders
NEUROSENSORY HYPOACUSIS
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
SEPSIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
ABSCESS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
EMPYEMA
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
INFLUENZA
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
PNEUMONIA
1.0%
12/1184
0.42%
4/959
0.62%
3/482
Infections and infestations
SINUSITIS
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
UROSEPSIS
0.25%
3/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
BRONCHITIS
0.84%
10/1184
0.31%
3/959
0.00%
0/482
Infections and infestations
CELLULITIS
0.51%
6/1184
0.10%
1/959
0.21%
1/482
Infections and infestations
CERVICITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
ERYSIPELAS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
BACTERAEMIA
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
CANDIDIASIS
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Infections and infestations
HEPATITIS E
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
ABSCESS LIMB
0.34%
4/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
APPENDICITIS
0.42%
5/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
BONE ABSCESS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
EPIGLOTTITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
OTITIS MEDIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
SEPTIC SHOCK
0.34%
4/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
ASPERGILLOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
HERPES ZOSTER
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
OSTEOMYELITIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
TOOTH ABSCESS
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
BRONCHIECTASIS
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
DIVERTICULITIS
0.51%
6/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
HERPES SIMPLEX
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
LUNG INFECTION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
PYELONEPHRITIS
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
GASTROENTERITIS
0.51%
6/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
LOBAR PNEUMONIA
0.34%
4/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
VIRAL INFECTION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
WOUND INFECTION
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
BRONCHOPNEUMONIA
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
SYSTEMIC MYCOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
BONE TUBERCULOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
CANDIDA PNEUMONIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
CHRONIC SINUSITIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
BURSITIS INFECTIVE
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
ESCHERICHIA SEPSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
HUMAN EHRLICHIOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
PERIRECTAL ABSCESS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
ARTHRITIS BACTERIAL
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
BACTERIAL INFECTION
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Infections and infestations
HAEMATOMA INFECTION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
INFECTED SKIN ULCER
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
LOCALISED INFECTION
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
DIARRHOEA INFECTIOUS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
PYELONEPHRITIS ACUTE
0.51%
6/1184
0.21%
2/959
0.00%
0/482
Infections and infestations
SUBCUTANEOUS ABSCESS
0.08%
1/1184
0.21%
2/959
0.00%
0/482
Infections and infestations
OSTEOMYELITIS CHRONIC
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
PERITONSILLAR ABSCESS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
PNEUMONIA HAEMOPHILUS
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
STAPHYLOCOCCAL SEPSIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
PNEUMONIA PNEUMOCOCCAL
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
RESPIRATORY MONILIASIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
LYMPH NODE TUBERCULOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
PNEUMONIA STREPTOCOCCAL
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
URINARY TRACT INFECTION
0.51%
6/1184
0.21%
2/959
0.21%
1/482
Infections and infestations
DEVICE RELATED INFECTION
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
INCISION SITE CELLULITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
CELLULITIS STAPHYLOCOCCAL
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
POST PROCEDURAL INFECTION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
STREPTOCOCCAL BACTERAEMIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
GASTROENTERITIS SALMONELLA
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Infections and infestations
GASTROINTESTINAL INFECTION
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Infections and infestations
STAPHYLOCOCCAL BACTERAEMIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
PELVIC INFLAMMATORY DISEASE
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Infections and infestations
STAPHYLOCOCCAL OSTEOMYELITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
CLOSTRIDIUM DIFFICILE COLITIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
POSTOPERATIVE WOUND INFECTION
0.42%
5/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
BRONCHOPULMONARY ASPERGILLOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Infections and infestations
PNEUMOCYSTIS JIROVECI PNEUMONIA
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Infections and infestations
LOWER RESPIRATORY TRACT INFECTION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Renal and urinary disorders
RENAL INFARCT
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Renal and urinary disorders
NEPHROLITHIASIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Renal and urinary disorders
CALCULUS URETERIC
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Renal and urinary disorders
RENAL AMYLOIDOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Renal and urinary disorders
GLOMERULONEPHRITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Renal and urinary disorders
RENAL FAILURE ACUTE
0.42%
5/1184
0.00%
0/959
0.21%
1/482
Renal and urinary disorders
URINARY INCONTINENCE
0.25%
3/1184
0.00%
0/959
0.00%
0/482
Renal and urinary disorders
STRESS URINARY INCONTINENCE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Metabolism and nutrition disorders
OBESITY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Metabolism and nutrition disorders
DEHYDRATION
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Metabolism and nutrition disorders
HYPONATRAEMIA
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Metabolism and nutrition disorders
HYPERGLYCAEMIA
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Metabolism and nutrition disorders
DIABETES MELLITUS
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Metabolism and nutrition disorders
DIABETES MELLITUS INADEQUATE CONTROL
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Blood and lymphatic system disorders
ANAEMIA
0.25%
3/1184
0.21%
2/959
0.41%
2/482
Blood and lymphatic system disorders
PANCYTOPENIA
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Blood and lymphatic system disorders
LYMPHADENITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Blood and lymphatic system disorders
LYMPHADENOPATHY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Blood and lymphatic system disorders
BONE MARROW FAILURE
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Blood and lymphatic system disorders
FEBRILE NEUTROPENIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Blood and lymphatic system disorders
BONE MARROW TOXICITY
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Skin and subcutaneous tissue disorders
SKIN ULCER
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Skin and subcutaneous tissue disorders
PANNICULITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Skin and subcutaneous tissue disorders
SKIN FISSURES
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Skin and subcutaneous tissue disorders
DECUBITUS ULCER
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Skin and subcutaneous tissue disorders
LICHENOID KERATOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Skin and subcutaneous tissue disorders
PYODERMA GANGRENOSUM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Skin and subcutaneous tissue disorders
DERMATITIS PSORIASIFORM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
CYSTOCELE
0.25%
3/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
ADENOMYOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
METRORRHAGIA
0.08%
1/1184
0.00%
0/959
0.21%
1/482
Reproductive system and breast disorders
OVARIAN CYST
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Reproductive system and breast disorders
ENDOMETRIOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
GYNAECOMASTIA
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Reproductive system and breast disorders
CERVICAL POLYP
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
BREAST DISORDER
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
MENOMETRORRHAGIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
UTERINE PROLAPSE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
UTERINE HAEMORRHAGE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
VAGINAL HAEMORRHAGE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
FIBROCYSTIC BREAST DISEASE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Reproductive system and breast disorders
BENIGN PROSTATIC HYPERPLASIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Congenital, familial and genetic disorders
CONGENITAL CEREBRAL CYST
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
FALL
0.34%
4/1184
0.21%
2/959
0.00%
0/482
Injury, poisoning and procedural complications
OVERDOSE
0.25%
3/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
POISONING
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
UNDERDOSE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
LIMB INJURY
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
HIP FRACTURE
0.68%
8/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
RIB FRACTURE
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
FOOT FRACTURE
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
ANKLE FRACTURE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
DEVICE FAILURE
0.25%
3/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
TENDON RUPTURE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
WRIST FRACTURE
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
FIBULA FRACTURE
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
PELVIC FRACTURE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
PROCEDURAL PAIN
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
SKIN LACERATION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
STRESS FRACTURE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
FOREARM FRACTURE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
HUMERUS FRACTURE
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
MEDICATION ERROR
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
WOUND DEHISCENCE
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
CLAVICLE FRACTURE
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
JOINT DISLOCATION
0.17%
2/1184
0.10%
1/959
0.21%
1/482
Injury, poisoning and procedural complications
BURNS THIRD DEGREE
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
DEVICE DISLOCATION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
LOWER LIMB FRACTURE
0.25%
3/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
PUBIC RAMI FRACTURE
0.08%
1/1184
0.21%
2/959
0.00%
0/482
Injury, poisoning and procedural complications
UPPER LIMB FRACTURE
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
LIMB CRUSHING INJURY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
FACIAL BONES FRACTURE
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
FEMORAL NECK FRACTURE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
TRAUMATIC LIVER INJURY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
DISLOCATION OF VERTEBRA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
DRUG ADMINISTRATION ERROR
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
LUMBAR VERTEBRAL FRACTURE
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
THERAPEUTIC AGENT TOXICITY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
INCORRECT DOSE ADMINISTERED
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
MEDICAL DEVICE COMPLICATION
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Injury, poisoning and procedural complications
SPINAL COMPRESSION FRACTURE
0.17%
2/1184
0.21%
2/959
0.00%
0/482
Injury, poisoning and procedural complications
SUTURE RELATED COMPLICATION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
POST PROCEDURAL COMPLICATION
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Injury, poisoning and procedural complications
DISLOCATION OF JOINT PROSTHESIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Pregnancy, puerperium and perinatal conditions
ABORTION SPONTANEOUS
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
BURSITIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
ARTHRITIS
0.84%
10/1184
0.10%
1/959
0.21%
1/482
Musculoskeletal and connective tissue disorders
BACK PAIN
0.42%
5/1184
0.00%
0/959
0.21%
1/482
Musculoskeletal and connective tissue disorders
NECK PAIN
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Musculoskeletal and connective tissue disorders
SYNOVITIS
0.34%
4/1184
0.00%
0/959
0.21%
1/482
Musculoskeletal and connective tissue disorders
ARTHRALGIA
0.42%
5/1184
0.10%
1/959
0.41%
2/482
Musculoskeletal and connective tissue disorders
FLANK PAIN
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
ARTHROPATHY
0.08%
1/1184
0.10%
1/959
0.62%
3/482
Musculoskeletal and connective tissue disorders
BONE EROSION
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
OSTEOPOROSIS
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
OSTEONECROSIS
0.34%
4/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
FOOT DEFORMITY
0.68%
8/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
HAND DEFORMITY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
OSTEOARTHRITIS
2.3%
27/1184
0.31%
3/959
0.41%
2/482
Musculoskeletal and connective tissue disorders
COSTOCHONDRITIS
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
JOINT ANKYLOSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
FINGER DEFORMITY
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
JOINT DESTRUCTION
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
0.17%
2/1184
0.00%
0/959
0.21%
1/482
Musculoskeletal and connective tissue disorders
RHEUMATOID NODULE
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL PAIN
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
RHEUMATOID ARTHRITIS
4.7%
56/1184
2.2%
21/959
1.9%
9/482
Musculoskeletal and connective tissue disorders
OSTEOPOROTIC FRACTURE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
ROTATOR CUFF SYNDROME
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
SPINAL OSTEOARTHRITIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
LUMBAR SPINAL STENOSIS
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL CHEST PAIN
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL DISCOMFORT
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
INTERVERTEBRAL DISC DISORDER
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
SYSTEMIC LUPUS ERYTHEMATOSUS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
INTERVERTEBRAL DISC PROTRUSION
0.59%
7/1184
0.21%
2/959
0.00%
0/482
Musculoskeletal and connective tissue disorders
INTERVERTEBRAL DISC DEGENERATION
0.25%
3/1184
0.00%
0/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
ASTHMA
0.17%
2/1184
0.10%
1/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
0.08%
1/1184
0.10%
1/959
0.21%
1/482
Respiratory, thoracic and mediastinal disorders
HAEMOPTYSIS
0.00%
0/1184
0.00%
0/959
0.21%
1/482
Respiratory, thoracic and mediastinal disorders
BRONCHOSPASM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
LUNG DISORDER
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
PLEURITIC PAIN
0.17%
2/1184
0.00%
0/959
0.21%
1/482
Respiratory, thoracic and mediastinal disorders
BRONCHIAL POLYP
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
RHEUMATOID LUNG
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
0.17%
2/1184
0.21%
2/959
0.21%
1/482
Respiratory, thoracic and mediastinal disorders
TRACHEAL STENOSIS
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
BRONCHITIS CHRONIC
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISM
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
PULMONARY FIBROSIS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
STATUS ASTHMATICUS
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURE
0.34%
4/1184
0.10%
1/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
SLEEP APNOEA SYNDROME
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
NASAL SEPTUM DEVIATION
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Respiratory, thoracic and mediastinal disorders
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
0.17%
2/1184
0.31%
3/959
0.00%
0/482
General disorders
DEATH
0.08%
1/1184
0.10%
1/959
0.00%
0/482
General disorders
HERNIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
General disorders
FATIGUE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
General disorders
MALAISE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
General disorders
PYREXIA
0.34%
4/1184
0.10%
1/959
0.21%
1/482
General disorders
ASTHENIA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
General disorders
CHEST PAIN
1.1%
13/1184
0.42%
4/959
0.62%
3/482
General disorders
HYPERTHERMIA
0.08%
1/1184
0.10%
1/959
0.00%
0/482
General disorders
IMPAIRED HEALING
0.08%
1/1184
0.00%
0/959
0.00%
0/482
General disorders
HERNIA OBSTRUCTIVE
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LIPOMA
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
OSTEOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LEIOMYOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BREAST CANCER
0.51%
6/1184
0.10%
1/959
0.41%
2/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
COLON ADENOMA
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LUNG NEOPLASM
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
ADENOMA BENIGN
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
GASTRIC CANCER
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LEIOMYOSARCOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
THYROID CANCER
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BOWEN'S DISEASE
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PROSTATE CANCER
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
KAPOSI'S SARCOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
UTERINE LEIOMYOMA
0.17%
2/1184
0.21%
2/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
ENDOMETRIAL CANCER
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MALIGNANT MELANOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LUNG ADENOCARCINOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SEBACEOUS CARCINOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BASAL CELL CARCINOMA
1.3%
15/1184
0.52%
5/959
0.62%
3/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PANCREATIC CARCINOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
RENAL CELL CARCINOMA
0.00%
0/1184
0.10%
1/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BREAST CANCER IN SITU
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LUNG CANCER METASTATIC
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
NON-HODGKIN'S LYMPHOMA
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LUNG NEOPLASM MALIGNANT
0.00%
0/1184
0.21%
2/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PITUITARY TUMOUR BENIGN
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SQUAMOUS CELL CARCINOMA
0.59%
7/1184
0.10%
1/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MYELODYSPLASTIC SYNDROME
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
CERVIX CARCINOMA STAGE II
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MALIGNANT MELANOMA IN SITU
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
NON-SMALL CELL LUNG CANCER
0.08%
1/1184
0.10%
1/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SQUAMOUS CELL CARCINOMA OF SKIN
0.76%
9/1184
0.21%
2/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SQUAMOUS CELL CARCINOMA OF THE CERVIX
0.17%
2/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SMALL CELL LUNG CANCER STAGE UNSPECIFIED
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LUNG SQUAMOUS CELL CARCINOMA STAGE UNSPECIFIED
0.08%
1/1184
0.00%
0/959
0.00%
0/482
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
EXTRANODAL MARGINAL ZONE B-CELL LYMPHOMA (MALT TYPE)
0.08%
1/1184
0.00%
0/959
0.00%
0/482

Other adverse events

Other adverse events
Measure
Open Label (OL) Abatacept
n=1184 participants at risk
Participants received abatacept (weight-tiered 10 mg/kg dose) IV every 28 days during the open-label period.
Abatacept (ABA)
n=959 participants at risk
Participants received a fixed dose of abatacept approximating 10 mg/kg (500 mg for subjects \< 60 kg, 750 mg for subjects 60 to 100 kg and 1 g for subjects \> 100 kg). Abatacept was administered intravenously (IV) on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Placebo (PLA)
n=482 participants at risk
Participants received Placebo (dextrose 5% water \[D5W\] for injection U.S.P or normal saline \[NS\]) for IV infusion administered on Days 1, 15, 29, and every 28 days thereafter, for a total of 14 doses. Participants also received background therapy(ies) for rheumatoid arthritis (RA) (non-biologic or biologic disease-modifying drugs \[DMARDs\], or combination) throughout the double-blind treatment period.
Eye disorders
CONJUNCTIVITIS
6.1%
72/1184
2.3%
22/959
2.3%
11/482
Vascular disorders
HYPERTENSION
13.7%
162/1184
7.1%
68/959
5.0%
24/482
Psychiatric disorders
INSOMNIA
8.1%
96/1184
4.5%
43/959
2.9%
14/482
Psychiatric disorders
DEPRESSION
6.4%
76/1184
3.9%
37/959
2.7%
13/482
Nervous system disorders
HEADACHE
18.2%
216/1184
20.3%
195/959
14.3%
69/482
Nervous system disorders
DIZZINESS
11.4%
135/1184
10.9%
105/959
8.9%
43/482
Gastrointestinal disorders
NAUSEA
13.0%
154/1184
12.6%
121/959
11.6%
56/482
Gastrointestinal disorders
VOMITING
8.5%
101/1184
6.0%
58/959
5.6%
27/482
Gastrointestinal disorders
DIARRHOEA
15.7%
186/1184
10.0%
96/959
12.0%
58/482
Gastrointestinal disorders
DYSPEPSIA
9.5%
112/1184
7.5%
72/959
5.0%
24/482
Gastrointestinal disorders
ABDOMINAL PAIN
8.1%
96/1184
3.6%
35/959
3.3%
16/482
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
8.5%
101/1184
4.6%
44/959
3.7%
18/482
Infections and infestations
RHINITIS
5.7%
67/1184
2.9%
28/959
1.5%
7/482
Infections and infestations
INFLUENZA
12.2%
145/1184
6.3%
60/959
6.2%
30/482
Infections and infestations
SINUSITIS
16.7%
198/1184
6.9%
66/959
7.3%
35/482
Infections and infestations
BRONCHITIS
19.3%
229/1184
5.4%
52/959
5.2%
25/482
Infections and infestations
PHARYNGITIS
7.6%
90/1184
2.3%
22/959
2.5%
12/482
Infections and infestations
GASTROENTERITIS
7.3%
87/1184
1.5%
14/959
1.5%
7/482
Infections and infestations
NASOPHARYNGITIS
22.5%
266/1184
10.2%
98/959
9.5%
46/482
Infections and infestations
URINARY TRACT INFECTION
16.5%
195/1184
8.1%
78/959
4.8%
23/482
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
30.6%
362/1184
14.9%
143/959
15.4%
74/482
Blood and lymphatic system disorders
ANAEMIA
5.5%
65/1184
1.9%
18/959
2.9%
14/482
Skin and subcutaneous tissue disorders
RASH
7.2%
85/1184
4.7%
45/959
3.9%
19/482
Musculoskeletal and connective tissue disorders
MYALGIA
5.8%
69/1184
3.4%
33/959
3.9%
19/482
Musculoskeletal and connective tissue disorders
BACK PAIN
17.7%
210/1184
7.1%
68/959
5.8%
28/482
Musculoskeletal and connective tissue disorders
MUSCLE SPASMS
5.9%
70/1184
2.2%
21/959
2.7%
13/482
Respiratory, thoracic and mediastinal disorders
COUGH
16.5%
195/1184
8.8%
84/959
7.7%
37/482
Respiratory, thoracic and mediastinal disorders
RHINITIS ALLERGIC
6.5%
77/1184
1.9%
18/959
1.0%
5/482
Respiratory, thoracic and mediastinal disorders
OROPHARYNGEAL PAIN
6.8%
80/1184
3.1%
30/959
5.2%
25/482
General disorders
FATIGUE
5.3%
63/1184
6.8%
65/959
5.2%
25/482
General disorders
PYREXIA
5.5%
65/1184
3.9%
37/959
3.7%
18/482
General disorders
CHEST PAIN
6.2%
73/1184
2.7%
26/959
2.3%
11/482
General disorders
OEDEMA PERIPHERAL
7.0%
83/1184
3.6%
35/959
6.4%
31/482

Additional Information

BMS Study Director

Bristol-Myers Squibb

Results disclosure agreements

  • Principal investigator is a sponsor employee Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
  • Publication restrictions are in place

Restriction type: OTHER