Trial Outcomes & Findings for A Study of Abatacept in Patients With Active Ulcerative Colitis (NCT NCT00410410)

NCT ID: NCT00410410

Last Updated: 2015-03-24

Results Overview

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. A clinical response is defined as a reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with an accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

591 participants

Primary outcome timeframe

Week 12 (Day IP-85)

Results posted on

2015-03-24

Participant Flow

In this study, a first cohort (Induction Period First Cohort, IP1C) of 490 participants was randomized and used for analysis of the primary endpoint. Following randomization of IP1C, a second cohort (IP2C) of 146 participants was randomized to provide a sufficient number of participants for the Maintenance Period.

Participant milestones

Participant milestones
Measure
Induction Period Cohort 1 (IP1C)-Abatacept (ABA) 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29, and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29, and IP-57 at a dose of \~10 mg/kg (weight-tiered).
ABA ~10 mg/kg, Maintenance Period (MP)
During MP, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered) every 28 days beginning Day MP-1.
Placebo, MP
During the MP, placebo was administered IV every 28 days beginning Day MP-1 through Day MP-337.
ABA ~10 mg/kg, Open-Label Period (OL)
During OL, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered) every 28 days beginning Day OL-1.
Induction Period (IP)
STARTED
141
139
70
140
51
50
0
0
0
Induction Period (IP)
COMPLETED
106
104
53
120
19
21
0
0
0
Induction Period (IP)
NOT COMPLETED
35
35
17
20
32
29
0
0
0
Maintenance Period (MP)
STARTED
0
0
0
0
0
0
65
66
0
Maintenance Period (MP)
COMPLETED
0
0
0
0
0
0
15
11
0
Maintenance Period (MP)
NOT COMPLETED
0
0
0
0
0
0
50
55
0
Open-Label Period (OL)
STARTED
0
0
0
0
0
0
0
0
349
Open-Label Period (OL)
COMPLETED
0
0
0
0
0
0
0
0
0
Open-Label Period (OL)
NOT COMPLETED
0
0
0
0
0
0
0
0
349

Reasons for withdrawal

Reasons for withdrawal
Measure
Induction Period Cohort 1 (IP1C)-Abatacept (ABA) 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29, and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29, and IP-57 at a dose of \~10 mg/kg (weight-tiered).
ABA ~10 mg/kg, Maintenance Period (MP)
During MP, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered) every 28 days beginning Day MP-1.
Placebo, MP
During the MP, placebo was administered IV every 28 days beginning Day MP-1 through Day MP-337.
ABA ~10 mg/kg, Open-Label Period (OL)
During OL, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered) every 28 days beginning Day OL-1.
Induction Period (IP)
Death
1
0
0
0
0
0
0
0
0
Induction Period (IP)
Adverse Event
3
4
2
4
1
0
0
0
0
Induction Period (IP)
Lack of Efficacy
26
24
8
8
7
7
0
0
0
Induction Period (IP)
Lost to Follow-up
2
2
2
3
0
1
0
0
0
Induction Period (IP)
Withdrawal by Subject
3
5
3
5
2
0
0
0
0
Induction Period (IP)
Subject No Longer Meets Study Criteria
0
0
1
0
0
0
0
0
0
Induction Period (IP)
Administrative Reason By Sponsor
0
0
0
0
22
21
0
0
0
Induction Period (IP)
Other
0
0
1
0
0
0
0
0
0
Maintenance Period (MP)
Death
0
0
0
0
0
0
1
0
0
Maintenance Period (MP)
Adverse Event
0
0
0
0
0
0
1
3
0
Maintenance Period (MP)
Lack of Efficacy
0
0
0
0
0
0
25
24
0
Maintenance Period (MP)
Lost to Follow-up
0
0
0
0
0
0
1
2
0
Maintenance Period (MP)
Withdrawal by Subject
0
0
0
0
0
0
1
1
0
Maintenance Period (MP)
Administrative Reason By Sponsor
0
0
0
0
0
0
21
25
0
Open-Label Period (OL)
Death
0
0
0
0
0
0
0
0
1
Open-Label Period (OL)
Adverse Event
0
0
0
0
0
0
0
0
10
Open-Label Period (OL)
Lack of Efficacy
0
0
0
0
0
0
0
0
161
Open-Label Period (OL)
Lost to Follow-up
0
0
0
0
0
0
0
0
4
Open-Label Period (OL)
Withdrawal by Subject
0
0
0
0
0
0
0
0
20
Open-Label Period (OL)
Pregnancy
0
0
0
0
0
0
0
0
1
Open-Label Period (OL)
Administrative Reason By Sponsor
0
0
0
0
0
0
0
0
145
Open-Label Period (OL)
Other
0
0
0
0
0
0
0
0
7

Baseline Characteristics

A Study of Abatacept in Patients With Active Ulcerative Colitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Induction Period Cohort 1 (IP1C)-ABA 30/~10 mg/kg
n=141 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=139 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=70 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=140 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
n=51 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP2C-ABA ~10 mg/kg
n=50 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
Total
n=591 Participants
Total of all reporting groups
Age, Customized
<30 years
26 participants
n=5 Participants
23 participants
n=7 Participants
18 participants
n=5 Participants
34 participants
n=4 Participants
12 participants
n=21 Participants
4 participants
n=10 Participants
117 participants
n=115 Participants
Age, Customized
30-50 years
70 participants
n=5 Participants
84 participants
n=7 Participants
35 participants
n=5 Participants
73 participants
n=4 Participants
30 participants
n=21 Participants
32 participants
n=10 Participants
324 participants
n=115 Participants
Age, Customized
>50 years
45 participants
n=5 Participants
32 participants
n=7 Participants
17 participants
n=5 Participants
33 participants
n=4 Participants
9 participants
n=21 Participants
14 participants
n=10 Participants
150 participants
n=115 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
52 Participants
n=7 Participants
26 Participants
n=5 Participants
66 Participants
n=4 Participants
21 Participants
n=21 Participants
26 Participants
n=10 Participants
248 Participants
n=115 Participants
Sex: Female, Male
Male
84 Participants
n=5 Participants
87 Participants
n=7 Participants
44 Participants
n=5 Participants
74 Participants
n=4 Participants
30 Participants
n=21 Participants
24 Participants
n=10 Participants
343 Participants
n=115 Participants
Region of Enrollment
United States
43 participants
n=5 Participants
42 participants
n=7 Participants
22 participants
n=5 Participants
55 participants
n=4 Participants
20 participants
n=21 Participants
13 participants
n=10 Participants
195 participants
n=115 Participants
Region of Enrollment
Ireland
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=10 Participants
3 participants
n=115 Participants
Region of Enrollment
Italy
7 participants
n=5 Participants
6 participants
n=7 Participants
2 participants
n=5 Participants
3 participants
n=4 Participants
2 participants
n=21 Participants
1 participants
n=10 Participants
21 participants
n=115 Participants
Region of Enrollment
Switzerland
1 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
1 participants
n=21 Participants
0 participants
n=10 Participants
6 participants
n=115 Participants
Region of Enrollment
United Kingdom
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
3 participants
n=4 Participants
2 participants
n=21 Participants
4 participants
n=10 Participants
9 participants
n=115 Participants
Region of Enrollment
India
12 participants
n=5 Participants
12 participants
n=7 Participants
10 participants
n=5 Participants
10 participants
n=4 Participants
5 participants
n=21 Participants
2 participants
n=10 Participants
51 participants
n=115 Participants
Region of Enrollment
France
7 participants
n=5 Participants
12 participants
n=7 Participants
6 participants
n=5 Participants
6 participants
n=4 Participants
1 participants
n=21 Participants
5 participants
n=10 Participants
37 participants
n=115 Participants
Region of Enrollment
Czech Republic
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
1 participants
n=115 Participants
Region of Enrollment
Mexico
20 participants
n=5 Participants
14 participants
n=7 Participants
10 participants
n=5 Participants
8 participants
n=4 Participants
7 participants
n=21 Participants
9 participants
n=10 Participants
68 participants
n=115 Participants
Region of Enrollment
Puerto Rico
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
2 participants
n=115 Participants
Region of Enrollment
Canada
9 participants
n=5 Participants
12 participants
n=7 Participants
2 participants
n=5 Participants
13 participants
n=4 Participants
1 participants
n=21 Participants
3 participants
n=10 Participants
40 participants
n=115 Participants
Region of Enrollment
Brazil
10 participants
n=5 Participants
5 participants
n=7 Participants
5 participants
n=5 Participants
11 participants
n=4 Participants
4 participants
n=21 Participants
6 participants
n=10 Participants
41 participants
n=115 Participants
Region of Enrollment
Poland
2 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
1 participants
n=21 Participants
0 participants
n=10 Participants
6 participants
n=115 Participants
Region of Enrollment
Belgium
4 participants
n=5 Participants
6 participants
n=7 Participants
1 participants
n=5 Participants
5 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=10 Participants
17 participants
n=115 Participants
Region of Enrollment
Australia
8 participants
n=5 Participants
7 participants
n=7 Participants
4 participants
n=5 Participants
13 participants
n=4 Participants
1 participants
n=21 Participants
1 participants
n=10 Participants
34 participants
n=115 Participants
Region of Enrollment
South Africa
9 participants
n=5 Participants
8 participants
n=7 Participants
5 participants
n=5 Participants
3 participants
n=4 Participants
2 participants
n=21 Participants
0 participants
n=10 Participants
27 participants
n=115 Participants
Region of Enrollment
Germany
2 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
2 participants
n=10 Participants
9 participants
n=115 Participants
Region of Enrollment
Netherlands
2 participants
n=5 Participants
5 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
2 participants
n=21 Participants
1 participants
n=10 Participants
13 participants
n=115 Participants
Region of Enrollment
Korea, Republic of
4 participants
n=5 Participants
3 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=10 Participants
11 participants
n=115 Participants
Participants with Inadequate Response/Intolerance to Prior Anti-Tumor (TNF) Therapy (Infliximab)
Inadequate Response/Intolerant to prior Infliximab
45 participants
n=5 Participants
46 participants
n=7 Participants
24 participants
n=5 Participants
45 participants
n=4 Participants
21 participants
n=21 Participants
21 participants
n=10 Participants
202 participants
n=115 Participants
Participants with Inadequate Response/Intolerance to Prior Anti-Tumor (TNF) Therapy (Infliximab)
No Inadequate Response/Intolerance to Infliximab
96 participants
n=5 Participants
93 participants
n=7 Participants
46 participants
n=5 Participants
95 participants
n=4 Participants
30 participants
n=21 Participants
29 participants
n=10 Participants
389 participants
n=115 Participants

PRIMARY outcome

Timeframe: Week 12 (Day IP-85)

Population: All participants who were randomized and received at least one infusion of study medication (Intent To Treat Population, ITT) were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. A clinical response is defined as a reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with an accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=140 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=137 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=69 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=139 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
Induction Period (IP); Number of Participants With Clinical Response (Per Mayo Score) at Week 12: IP Cohort 1 (IP1C)
30 participants
26 participants
14 participants
41 participants

PRIMARY outcome

Timeframe: Month 12 (Day MP-365)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. A clinical response is defined as a reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with an accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=64 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=64 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
Maintenance Period (MP); Number of Participants With Clinical Response (Per Mayo Score) at Month 12
11 participants
11 participants

PRIMARY outcome

Timeframe: Day OL-1 through the end of the OL

Population: All participants who received at least 1 infusion of open-label study medication at any time were included in the safety analyses of the Open-Label Extension phase.

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. Related AE=relationship of certain, probable, possible, or missing. 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.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=349 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
Open-Label Extension Period (OL); Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
AEs
241 participants
Open-Label Extension Period (OL); Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
Related AEs
100 participants
Open-Label Extension Period (OL); Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
Deaths
1 participants
Open-Label Extension Period (OL); Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
SAEs
66 participants
Open-Label Extension Period (OL); Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
Related SAEs
9 participants
Open-Label Extension Period (OL); Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
AEs Leading to Discontinuation
7 participants
Open-Label Extension Period (OL); Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
SAEs Leading to Discontinuation
4 participants

PRIMARY outcome

Timeframe: Day OL-1 through Day OL-729

Population: All participants who received at least 1 infusion of open-label study medication at any time were included in the safety analyses of the Open-Label Extension phase.

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
IP1C-ABA 30/~10 mg/kg
n=349 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
OL; Number of Participants With AEs of Special Interest
Infections and Infestations
127 participants
OL; Number of Participants With AEs of Special Interest
Serious Infections
9 participants
OL; Number of Participants With AEs of Special Interest
Opportunistic Infections-Total
2 participants
OL; Number of Participants With AEs of Special Interest
Opportunistic Infections-cytomegalovirus
1 participants
OL; Number of Participants With AEs of Special Interest
Opportunistic Infections-listeriosis
1 participants
OL; Number of Participants With AEs of Special Interest
Malignancies-Total
5 participants
OL; Number of Participants With AEs of Special Interest
Malignancies-Basal Cell Carcinoma
2 participants
OL; Number of Participants With AEs of Special Interest
Malignancies-Bowen's Disease
1 participants
OL; Number of Participants With AEs of Special Interest
Malignancies-Chronic Myeloid Leukemia
1 participants
OL; Number of Participants With AEs of Special Interest
Malignancies-Squamous Cell Carcinoma
1 participants
OL; Number of Participants With AEs of Special Interest
Autoimmune Disorders-Total
5 participants
OL; Number of Participants With AEs of Special Interest
Autoimmune Disorders-episcleritis
2 participants
OL; Number of Participants With AEs of Special Interest
Autoimmune Disorders-scleritis
1 participants
OL; Number of Participants With AEs of Special Interest
Autoimmune Disorders-anemia hemolytic autoimmune
1 participants
OL; Number of Participants With AEs of Special Interest
Autoimmune Disorders-psoriasis
1 participants
OL; Number of Participants With AEs of Special Interest
Acute Infusional AEs
12 participants
OL; Number of Participants With AEs of Special Interest
Peri-infusional AEs
25 participants

PRIMARY outcome

Timeframe: Day OL-1 through Day OL-729

Population: As the results of this study were presented in a synoptic report, physical examination evaluations were not summarized. Laboratory abnormalities and vital signs were collected and summarized.

Complete physical examination was obtained at the Screening Visit, Day MP-365, and OL Final Visit/Early Termination visits. Interim physical examinations were performed at other study visits. Interim physical exam were not as comprehensive as the initial full examination but did note any changes in the participant's condition since the last assessment and did not preclude examination of any of the body systems as clinically indicated. Participants were observed for AEs and vital signs (blood pressure, heart rate, and temperature).

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Day OL-1 through Day OL-729

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

High=greater than Upper Normal Limit (ULN), Low=lower than Lower Normal Limit (LLN). LLN/ULN= Hemoglobin (HGB): \>3 g/dL decrease from Baseline (BL); Hematocrit: \<0.75 x BL; Erythrocytes: \<0.75 x BL; Platelets (PLT): \<0.67 x LLN/\>1.5 x ULN; Leukocytes: \<0.75 x LLN/ \>1.25 x ULN; neutrophils+bands: \<1.0 x 10\^3 c/uL; eosinophils: \>0.750 x 10\^3 c/uL; monocytes: \>2000 mm3; lymphocytes: \<0.750 x 10\^3 c/uL/ \>7.50 x 10\^3 c/uL.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=349 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
Low HGB; n=326
20 participants
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
Low hematocrit; n=322
17 participants
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
Low erythrocytes; n=326
6 participants
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
High PLT; n=323
3 participants
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
Low leukocytes; n=326
3 participants
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
High leukocytes; n=326
18 participants
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
Low neutrophils + bands; n=324
1 participants
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
High eosinophils; n=324
17 participants
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
High monocytes; n=324
2 participants
OL; Number of Participants With Marked Hematology Laboratory Abnormalities
Low lymphocytes; n=324
43 participants

PRIMARY outcome

Timeframe: Day OL-1 through Day OL-729

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

Low=lower than LLN, High=greater than ULN. LLN/ULN= Alkaline phosphatase (ALP): \>2 x ULN; aspartate aminotransferase (AST): \>3 x ULN; alanine aminotransferase (ALT): \>3 x ULN; G-Glutamyl transferase (GGT): \>2 x ULN; Bilirubin: \>2 x ULN; blood urea nitrogen (BUN): \>2 x BL; creatinine: \>4 x BL; potassium (K): \<0.9 x LLN/ \>1.1 x ULN; calcium (Ca): \<0.8 x LLN/\>1.2 x ULN; phosphorous (P): \<0.75 x LLN/ \>1.2 5 x ULN

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=349 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
High ALP, n=331
4 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
High AST, n=331
3 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
High ALT; n=331
3 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
High GGT; n=332
17 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
High bilirubin, n=331
1 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
High BUN; n=310
10 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
High creatinine; n=330
5 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
Low K; n=331
7 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
Low Ca; n=330
2 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
Low P; n=330
4 participants
OL; Number of Participants With Liver and Kidney Function and Electrolyte Laboratory Abnormalities
High P, n=330
1 participants

PRIMARY outcome

Timeframe: Day OL-1 through Day OL-729

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

Low=lower than LLN, High=greater than ULN. LLN/ULN= serum glucose (Glu): \<65 mg/dL/ \>220 mg/dL; fasting serum Glu: \<0.8 x LLN/ \>1.5 x ULN; total protein: \< 0.9 x LLN/ \>1.1 x ULN; albumin:\<0.9 x LLN; uric acid: \>1.5 x ULN. For Urinalysis (Urine protein, urine Glu, urine blood, leukocyte esterase, Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]): Use ≥2 when BL value missing or value ≥4, 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
IP1C-ABA 30/~10 mg/kg
n=349 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
Low Glu; n=245
4 participants
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
High Glu; n=245
6 participants
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
Low protein; n=331
3 participants
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
Low albumin; n=331
12 participants
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
High urine protein; n=312
11 participants
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
High urine Glu; n=312
4 participants
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
High urine blood; n=312
27 participants
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
High leukocyte esterase; n=122
10 participants
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
High urine RBC; n=115
22 participants
OL; Number of Participants With Chemistry and Urinalysis Laboratory Abnormalities
High urine WBC; n=150
45 participants

SECONDARY outcome

Timeframe: Baseline

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. A clinical response is defined as a reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with an accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=141 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=139 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=70 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=140 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Baseline Mayo Score: IP1C
8.9 units on a scale
Standard Deviation 1.74
8.8 units on a scale
Standard Deviation 1.73
8.6 units on a scale
Standard Deviation 1.82
8.8 units on a scale
Standard Deviation 1.59

SECONDARY outcome

Timeframe: Week 12 (Day IP-85)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. Clinical remission is defined as a Mayo score of ≤ 2 points with no individual subscore exceeding 1 point.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=140 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=137 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=69 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=139 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants in Clinical Remission (Per Mayo Score) at Week 12: IP1C
3 participants
6 participants
4 participants
15 participants

SECONDARY outcome

Timeframe: Week 12 (Day IP-85)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. Mucosal healing was defined as endoscopic subscore ≤ 1 point

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=140 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=137 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=69 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=139 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants in Mucosal Healing (Per Mayo Score) at Week 12: IP1C
24 participants
20 participants
11 participants
36 participants

SECONDARY outcome

Timeframe: Week 12 (Day IP-85)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. A clinical response is defined as a reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with an accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=139 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=69 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=137 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=140 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Clinical Response (Per Mayo Score) at Week 12 Analyzed by Cochran-Armitage Trend Test for Dose-Response Relationship: IP1C
41 participants
14 participants
26 participants
30 participants

SECONDARY outcome

Timeframe: Baseline

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

The Inflammatory Bowel Disease Questionnaire (IBDQ) was used to measure disease specific quality of life. The IBDQ consists of a self-administered 32-item questionnaire that evaluates quality of life across 4 dimensional scores: Bowel, Systemic, Social and Emotional. The response to each question can range from 1 to 7, with 1 indicating severe problem and 7 indicating normal health. The total IBDQ is computed as the sum of the responses to the individual IBDQ questions. The total score can range between 32 to 224 with higher scores indicating a better quality of life.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=141 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=139 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=70 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=140 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Baseline Inflammatory Bowel Disease Questionnaire (IBDQ) Score: IP1C
120.0 units on a scale
Standard Deviation 35.43
121.5 units on a scale
Standard Deviation 36.42
126.9 units on a scale
Standard Deviation 35.93
124.3 units on a scale
Standard Deviation 33.43

SECONDARY outcome

Timeframe: Baseline (Day IP-1), Day IP-85 (Week 12)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Inflammatory Bowel Disease Questionnaire (IBDQ) was used to measure disease specific quality of life. The IBDQ consists of a self-administered 32-item questionnaire that evaluates quality of life across 4 dimensional scores: Bowel, Systemic, Social and Emotional. The response to each question can range from 1 to 7, with 1 indicating severe problem and 7 indicating normal health. The total IBDQ is computed as the sum of the responses to the individual IBDQ questions. The total score can range between 32 to 224 with higher scores indicating a better quality of life.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=97 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=99 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=46 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=112 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Mean Change From Baseline To Week 12 in Inflammatory Bowel Disease Questionnaire (IBDQ): IP1C
9.45 units on a scale
Standard Error 3.514
13.36 units on a scale
Standard Error 3.476
9.87 units on a scale
Standard Error 5.108
23.68 units on a scale
Standard Error 3.268

SECONDARY outcome

Timeframe: Day IP-85 (Week 12)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. An absolute rectal bleeding subscore of ≤1 point was indicative of mild disease.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=104 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=106 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=53 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=118 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Mayo Rectal Bleeding Subscores Indicating Mild Disease (≤1 Point) at Week 12: IP1C
Rectal Subscore=0
28 participants
36 participants
16 participants
47 participants
IP; Number of Participants With Mayo Rectal Bleeding Subscores Indicating Mild Disease (≤1 Point) at Week 12: IP1C
Rectal Subscore=1
31 participants
30 participants
13 participants
27 participants

SECONDARY outcome

Timeframe: Day IP-85 (Week 12)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. An absolute stool frequency subscore of ≤1 point was indicative of mild disease.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=104 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=106 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=53 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=118 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Mayo Stool Frequency Subscores Indicating Mild Disease (≤1 Point) at Week 12: IP1C
Stool Frequency Subscore=0
13 participants
8 participants
4 participants
14 participants
IP; Number of Participants With Mayo Stool Frequency Subscores Indicating Mild Disease (≤1 Point) at Week 12: IP1C
Stool Frequency Subscore=1
14 participants
21 participants
10 participants
32 participants

SECONDARY outcome

Timeframe: Day IP-85 (Week 12)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. An absolute PGA subscore of ≤1 point was indicative of mild disease.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=104 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=106 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=53 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=118 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Mayo Physician Global Assessment (PGA) Subscores Indicating Mild Disease (≤1 Point) at Week 12: IP1C
PGA Subscore=0
2 participants
4 participants
3 participants
11 participants
IP; Number of Participants With Mayo Physician Global Assessment (PGA) Subscores Indicating Mild Disease (≤1 Point) at Week 12: IP1C
PGA Subscore=1
22 participants
25 participants
15 participants
34 participants

SECONDARY outcome

Timeframe: Week 12 (Day IP-85)

Population: All participants in ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing. Prior inadequate response/intolerance was to an approved anti-TNF agent at an approved labeled dose for ≥8 weeks.

The Mayo Scoring system (range 0-12 points, high scores=greater severity of disease) is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Clinical response=reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point. Inadequate response/intolerance=inadequate response/intolerance to an approved anti-TNF agent prior to this study at an approved labeled dose for ≥8 weeks.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=45 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=24 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=46 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=45 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants Who Are Anti-TNF-Inadequate Responders/Anti-TNF Intolerant With Clinical Response At Week 12 Analyzed by Cochran-Armitage Trend Test for Dose-Response Relationship: IP1C
12 participants
4 participants
7 participants
8 participants

SECONDARY outcome

Timeframe: Week 12 (Day IP-85)

Population: All participants in ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing. Prior inadequate response/intolerance was to an approved anti-TNF agent at an approved labeled dose for ≥8 weeks.

The Mayo Scoring system (range 0-12 points, high scores=greater severity of disease) is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Clinical response=reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point. Inadequate response/intolerance=inadequate response/intolerance to an approved anti-TNF agent prior to this study at an approved labeled dose for ≥8 weeks.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=45 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=46 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=24 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=45 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Clinical Response At Week 12 Among Participants With Anti-TNF (Infliximab) Failure/Intolerance: IP1C
8 participants
7 participants
4 participants
12 participants

SECONDARY outcome

Timeframe: Week 12 (Day IP-85)

Population: All participants in ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing. Prior inadequate response/intolerance was to an approved anti-TNF agent at an approved labeled dose for ≥8 weeks.

The Mayo Scoring system (range 0-12 points, high scores=greater severity of disease) is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Clinical remission is defined as a Mayo score of ≤ 2 points with no individual subscore exceeding 1 point. Inadequate response/intolerance =inadequate response/intolerance to an approved anti-TNF agent prior to this study at an approved labeled dose for ≥8 weeks.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=45 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=46 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=24 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=45 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants in Clinical Remission at Week 12 Among Participants With Anti-TNF (Infliximab) Failure/Intolerance: IP1C
2 participants
0 participants
0 participants
4 participants

SECONDARY outcome

Timeframe: Week 12 (Day IP-85)

Population: All participants in ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing. Prior inadequate response/intolerance was to an approved anti-TNF agent at an approved labeled dose for ≥8 weeks.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. Mucosal healing was defined as endoscopic subscore ≤ 1 point. Inadequate response/intolerance = inadequate response/intolerance to an approved anti-TNF agent prior to this study at an approved labeled dose for ≥8 weeks.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=45 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=46 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=24 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=45 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants in Mucosal Healing at Week 12 Among Participants With Anti-TNF (Infliximab) Failure/Intolerance: IP1C
4 participants
4 participants
1 participants
13 participants

SECONDARY outcome

Timeframe: Day IP-1 through Day IP-85

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion 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. Related AE=relationship of certain, probable, possible, or missing. 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.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=141 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=139 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=70 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=140 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
n=51 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
n=50 Participants
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation: IP1C + IP2C
AEs
85 participants
92 participants
39 participants
86 participants
26 participants
27 participants
IP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation: IP1C + IP2C
Related AEs
48 participants
46 participants
23 participants
37 participants
10 participants
11 participants
IP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation: IP1C + IP2C
Deaths
1 participants
0 participants
0 participants
0 participants
0 participants
0 participants
IP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation: IP1C + IP2C
SAEs
22 participants
20 participants
8 participants
7 participants
6 participants
4 participants
IP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation: IP1C + IP2C
Related SAEs
4 participants
1 participants
1 participants
3 participants
1 participants
0 participants
IP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation: IP1C + IP2C
AEs Leading to Discontinuation
4 participants
6 participants
2 participants
5 participants
1 participants
0 participants
IP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation: IP1C + IP2C
SAEs Leading to Discontinuation
1 participants
2 participants
1 participants
3 participants
1 participants
0 participants

SECONDARY outcome

Timeframe: Day IP-1 through Day IP-85

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion 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
IP1C-ABA 30/~10 mg/kg
n=141 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=139 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=70 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=140 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
n=51 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
n=50 Participants
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Serious Infections
5 participants
0 participants
1 participants
0 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Infections and Infestations
23 participants
29 participants
8 participants
25 participants
12 participants
7 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Opportunistic Infections-Total
0 participants
1 participants
1 participants
0 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Opportunistic Infections-candidiasis
0 participants
0 participants
1 participants
0 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Opportunistic Infections-esophageal candidiasis
0 participants
1 participants
0 participants
0 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Malignancies-Total
1 participants
0 participants
0 participants
1 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Malignancies-basal cell carcinoma
1 participants
0 participants
0 participants
0 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Malignancies-malignant melanoma
0 participants
0 participants
0 participants
1 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Autoimmune Disorders-Total
2 participants
1 participants
0 participants
4 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Autoimmune Disorders-uveitis
1 participants
1 participants
0 participants
1 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Autoimmune Disorders-episcleritis
0 participants
0 participants
0 participants
1 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Autoimmune Disorders-scleritis
0 participants
0 participants
0 participants
1 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Autoimmune Disorders-rheumatoid arthritis
0 participants
0 participants
0 participants
1 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Autoimmune Disorders-psoriasis
1 participants
0 participants
0 participants
0 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Acute Infusional AEs
4 participants
4 participants
0 participants
2 participants
0 participants
0 participants
IP; Number of Participants With AEs Of Special Interest: IP1C + IP2C
Peri Infusional AEs
17 participants
20 participants
5 participants
14 participants
2 participants
4 participants

SECONDARY outcome

Timeframe: Day IP-1 through Day IP-85

Population: As the results of this study were presented in a synoptic report, physical examination evaluations were not summarized. Laboratory abnormalities and vital signs were collected and summarized.

Complete physical examination was obtained at the Screening Visit, Day MP-365, and OL Final Visit/Early Termination visits. Interim physical examinations were performed at other study visits. Interim physical exam were not as comprehensive as the initial full examination but did note any changes in the participant's condition since the last assessment and did not preclude examination of any of the body systems as clinically indicated. Participants were observed for AEs and vital signs (blood pressure, heart rate, and temperature).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day IP-1 through Day IP-85

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

High=greater than Upper Normal Limit (ULN), Low=lower than Lower Normal Limit (LLN). LLN/ULN= Hemoglobin (HGB): \>3 g/dL decrease from Baseline (BL); Hematocrit: \<0.75 x BL; Erythrocytes: \<0.75 x BL; Platelets (PLT): \<0.67 x LLN/\>1.5 x ULN; Leukocytes: \<0.75 x LLN/ \>1.25 x ULN; neutrophils+bands: \<1.0 x 10\^3 c/uL; eosinophils: \>0.750 x 10\^3 c/uL; monocytes: \>2000 mm3; lymphocytes: \<0.750 x 10\^3 c/uL/ \>7.50 x 10\^3 c/uL.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=141 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=139 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=70 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=140 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
Low HGB; n=136, n=134, n=67, n=133
3 participants
2 participants
6 participants
1 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
Low hematocrit; n=134, n=133, n=67, n=131
1 participants
2 participants
4 participants
1 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
Low erythrocytes; n=136, n=134, n=67, n=133
2 participants
2 participants
4 participants
1 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
Low PLT; n=136, n=133, n=66, n=133
1 participants
0 participants
1 participants
0 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
High PLT; n=136, n=133, n=66, n=133
0 participants
2 participants
0 participants
0 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
Low leukocytes; n=136, n=134, n=67, n=133
1 participants
0 participants
4 participants
1 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
High leukocytes; n=136, n=134, n=67, n=133
10 participants
6 participants
3 participants
5 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
Low neutrophils + bands; n=136, n=134, n=67, n=131
0 participants
0 participants
1 participants
0 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
High eosinophils; n=136, n=134, n=67, n=131
6 participants
4 participants
3 participants
4 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
High monocytes; n=136, n=134, n=67, n=131
0 participants
0 participants
1 participants
0 participants
IP; Number of Participants With Marked Hematology Laboratory Abnormalities: IP1C
Low lymphocytes; n=136, n=134, n=67, n=131
23 participants
13 participants
11 participants
26 participants

SECONDARY outcome

Timeframe: Day IP-1 through Day IP-85

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

Low=lower than LLN, High=greater than ULN. LLN/ULN= Alkaline phosphatase (ALP): \>2 x ULN; aspartate aminotransferase (AST): \>3 x ULN; alanine aminotransferase (ALT): \>3 x ULN; G-Glutamyl transferase (GGT): \>2 x ULN; Bilirubin: \>2 x ULN; blood urea nitrogen (BUN): \>2 x BL; creatinine: \>4 x BL; Sodium (Na): \<0.95 x LLN/ \>1.05 x ULN; potassium (K): \<0.9 x LLN/ \>1.1 x ULN; calcium (Ca): \<0.8 x LLN/\>1.2 x ULN; phosphorous (P): \<0.75 x LLN/ \>1.2 5 x ULN

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=141 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=139 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=70 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=140 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
High ALP, n=137, n=135, n=66, n=135
1 participants
0 participants
0 participants
0 participants
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
High ALT; n=137, n=135, n=66, n=135
0 participants
1 participants
0 participants
0 participants
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
High GGT; n=137, n=135, n=66, n=135
6 participants
2 participants
0 participants
2 participants
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
High BUN; n=127, n=130, n=62, n=124
0 participants
2 participants
2 participants
3 participants
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
High creatinine; n=137, n=135, n=66, n=135
0 participants
0 participants
0 participants
1 participants
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
Low Na; n=138, n=135, n=66, n=135
0 participants
0 participants
2 participants
0 participants
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
Low K; n=138, n=135, n=66, n=135
1 participants
2 participants
2 participants
0 participants
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
High K; n=138, n=135, n=66, n=135
0 participants
1 participants
0 participants
1 participants
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
Low Ca; n=137, n=135, n=66, n=135
0 participants
1 participants
2 participants
0 participants
IP; Number of Participants With Marked Liver and Kidney Function and Electrolyte Laboratory Abnormalities: IP1C
Low P; n=137, 135, n=66, n=135
0 participants
1 participants
0 participants
3 participants

SECONDARY outcome

Timeframe: Day IP-1 through Day IP-85

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

Low=lower than LLN, High=greater than ULN. LLN/ULN= serum glucose (Glu): \<65 mg/dL/ \>220 mg/dL; total protein: \< 0.9 x LLN/ \>1.1 x ULN; albumin:\<0.9 x LLN; uric acid: \>1.5 x ULN. For Urinalysis (Urine protein, urine Glu, urine blood, leukocyte esterase, Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]): Use ≥2 when BL value missing or value ≥4, 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
IP1C-ABA 30/~10 mg/kg
n=141 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=139 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=70 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
n=140 Participants
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
High leukocyte esterase; n=54, n=51, n=27, n=52
1 participants
5 participants
2 participants
2 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
Low Glu; n=88, n=91, n=41, n=105
1 participants
6 participants
2 participants
0 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
High Glu; n=88, n=91, n=41, n=105
0 participants
0 participants
1 participants
0 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
Low protein; n=137, n=135, n=66, n=135
5 participants
3 participants
3 participants
0 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
High protein; n=137, n=135, n=66, n=135
0 participants
1 participants
0 participants
0 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
Low albumin; n=137, n=135, n=66, n=135
7 participants
5 participants
3 participants
0 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
High urine protein; n=132, n=129, n=66, n=128
5 participants
3 participants
2 participants
4 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
High urine Glu; n=132, n=129, n=66, n=128
4 participants
1 participants
2 participants
4 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
High urine blood; n=132, n=129, n=66, n=128
6 participants
7 participants
4 participants
11 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
High urine RBC; n=47, n=42, n=17, n=52
9 participants
8 participants
4 participants
12 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP1C
High urine WBC; n=64, n=56, n=27, n=58
14 participants
21 participants
3 participants
14 participants

SECONDARY outcome

Timeframe: Day IP-1 through Day IP-85

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

High=greater than Upper Normal Limit (ULN), Low=lower than Lower Normal Limit (LLN). LLN/ULN= Hemoglobin (HGB): \>3 g/dL decrease from Baseline (BL); Hematocrit: \<0.75 x BL; Erythrocytes: \<0.75 x BL; Platelets (PLT): \<0.67 x LLN/\>1.5 x ULN; Leukocytes: \<0.75 x LLN/ \>1.25 x ULN; eosinophils: \>0.750 x 10\^3 c/uL; monocytes: \>2000 mm3; lymphocytes: \<0.750 x 10\^3 c/uL/ \>7.50 x 10\^3 c/uL; blood urea nitrogen (BUN): \>2 x BL; creatinine: \>4 x BL; Sodium (Na): \<0.95 x LLN/ \>1.05 x ULN; potassium (K): \<0.9 x LLN/ \>1.1 x ULN; phosphorous (P): \<0.75 x LLN/ \>1.2 5 x ULN;

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=51 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=50 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low Na; n=50, n=50
1 participants
0 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low K; n=50, n=50
2 participants
1 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low P; n=50, n=50
1 participants
0 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low Glu; n=37, n=28
0 participants
2 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High Glu; n=37, n=28
0 participants
2 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low protein; n=50, n=50
2 participants
0 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low albumin; n=50, n=50
2 participants
0 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High urine protein; n=50, n=48
0 participants
4 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low HGB; n=50, n=49
2 participants
2 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low hematocrit; n=50, n=49
1 participants
0 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low erythrocytes; n=50, n=49
1 participants
0 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High PLT; n=50, n=49
0 participants
1 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low leukocytes; n=50, n=49
0 participants
1 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High leukocytes; n=50, n=49
3 participants
4 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High eosinophils; n=49, n=49
3 participants
1 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High monocytes; n=49, n=49
0 participants
1 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
Low lymphocytes; n=49, n=49
5 participants
3 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High BUN; n=46, n=44
3 participants
1 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High creatinine; n=50, n=50
1 participants
0 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High urine Glu; n=50, n=48
0 participants
2 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High urine blood; n=50, n=48
2 participants
3 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High leukocyte esterase; n=21, n=16
4 participants
2 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High urine RBC; n=15, n=20
0 participants
4 participants
IP; Number of Participants With Marked Hematology, Liver and Kidney Function, and Electrolyte Laboratory Abnormalities: IP2C
High urine WBC; n=24, n=23
7 participants
6 participants

SECONDARY outcome

Timeframe: Day IP-1 through Day IP-85

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

Low=lower than LLN, High=greater than ULN. LLN/ULN= serum glucose (Glu): \<65 mg/dL/ \>220 mg/dL; total protein: \< 0.9 x LLN/ \>1.1 x ULN; albumin:\<0.9 x LLN. For Urinalysis (Urine protein, urine Glu, urine blood, leukocyte esterase, Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]): Use ≥2 when BL value missing or value ≥4, 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
IP1C-ABA 30/~10 mg/kg
n=51 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=50 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
Low Glu; n=37, n=28
0 participants
2 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
High Glu; n=37, n=28
0 participants
2 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
Low protein; n=50, n=50
2 participants
0 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
Low albumin; n=50, n=50
2 participants
0 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
High urine protein; n=50, n=48
0 participants
4 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
High urine Glu; n=50, n=48
0 participants
2 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
High urine blood; n=50, n=48
2 participants
3 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
High leukocyte esterase; n=21, n=16
4 participants
2 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
High urine RBC; n=15, n=20
0 participants
4 participants
IP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities: IP2C
High urine WBC; n=24, n=23
7 participants
6 participants

SECONDARY outcome

Timeframe: For participants treated in MP: Day IP-1 (Baseline) to Day MP-1 (Day IP-85). For participants treated in OL directly after IP: Day IP-1 to Day OL-1. For participants treated only in IP: All measurements after Day IP-1 (including follow-up visits)

Population: All subjects with at least one post-baseline immunogenicity measurement during the study period were included in the immunogenicity data set. "Positive" was defined as "positive post-baseline IP-1" and with a titer value greater than the baseline titer value. Participants with missing baseline titer were assumed "negative" at baseline.

A electrochemiluminescent immunoassay screened sera for drug-specific antibodies, immunocompetition was used to identify specific anti-Abatacept reactivity. CTLA4 and Possibly Ig category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction category=reactivity against constant regions and/or hinge region of human IgG1. Drug-induced seropositivity was defined as a post-baseline titer higher than Baseline, or any post-baseline positivity if Baseline value was missing.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=189 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=185 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
n=66 Participants
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP; Number of Participants With Abatacept-Induced Antibodies: IP1C + IP2C
Total
6 participants
19 participants
4 participants
IP; Number of Participants With Abatacept-Induced Antibodies: IP1C + IP2C
CTLA4/Possibly Ig
2 participants
17 participants
4 participants
IP; Number of Participants With Abatacept-Induced Antibodies: IP1C + IP2C
Ig and/or Ig Junction
4 participants
3 participants
0 participants

SECONDARY outcome

Timeframe: Month 12 (Day MP-365)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. Clinical remission is defined as a Mayo score of ≤ 2 points with no individual subscore exceeding 1 point.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=64 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=64 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
MP; Number of Participants in Clinical Remission at Month 12
8 participants
9 participants

SECONDARY outcome

Timeframe: Month 12 (Day MP-365)

Population: All participants in the ITT Population were included in the efficacy analyses. Participants with missing Mayo score were defined as not having achieved clinical response, remission, or mucosal healing.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. Mucosal healing was defined as endoscopic subscore ≤ 1 point

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=17 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=12 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
MP; Number of Participants With Mayo Endoscopic Subscores Indicating Mucosal Healing (≤1 Point) at Month 12
11 participants
10 participants

SECONDARY outcome

Timeframe: Month 6 (Day MP-169), Month 12 (Day MP-365)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary endpoint analysis to determine the percentage of participants in clinical remission at both Month 6 and Month 12 was not conducted for the MP as planned.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. Clinical remission is defined as a Mayo score of ≤ 2 points with no individual subscore exceeding 1 point.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day MP-365 (Month 12)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary endpoint analyses for corticosteroid sparing were not conducted for the MP as planned.

Baseline corticosteroids equivalent of ≤30 mg prednisone daily. The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater frequency or severity. Clinical remission is defined as a Mayo score of ≤ 2 points with no individual subscore exceeding 1 point.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day MP-365

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary endpoint analysis for changes from baseline in IBDQ responses were not conducted for the MP as planned.

The Inflammatory Bowel Disease Questionnaire (IBDQ) was used to measure disease specific quality of life. The IBDQ consists of a self-administered 32-item questionnaire that evaluates quality of life across 4 dimensional scores: Bowel, Systemic, Social and Emotional. The response to each question can range from 1 to 7, with 1 indicating severe problem and 7 indicating normal health. The total IBDQ is computed as the sum of the responses to the individual IBDQ questions. The total score can range between 32 to 224 with higher scores indicating a better quality of life.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day MP-365

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary endpoint analysis for changes from baseline in SF-36 responses were not conducted for the MP as planned.

The SF-36 is a validated instrument to measure health-related quality of life across multiple disease states. Individual subscale scores and 2 summary scores are calculated: (1) physical component summary (PCS) which includes physical functioning, role-physical, bodily pain, and general health; (2) mental component summary (MCS) which includes vitality, social functioning, role-emotional, and mental health. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight, with values ranging from worse health (0) to best health (100).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day MP-365 (Month 12)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary endpoint analyses for corticosteroid sparing were not conducted for the MP as planned.

Baseline corticosteroids equivalent of ≤30 mg prednisone daily. The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater frequency or severity. Clinical remission is defined as a Mayo score of ≤ 2 points with no individual subscore exceeding 1 point.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day MP-365 (Month 12)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary endpoint analysis to determine the percentage of participants with rectal subscores indicating mild disease (≤1) was not conducted for the MP as planned.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. An absolute rectal bleeding subscore of ≤1 point was indicative of mild disease.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day MP-365 (Month 12)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary endpoint analysis to determine the percentage of participants with stool frequency subscores indicating mild disease (≤1) was not conducted for the MP as planned.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. An absolute stool frequency subscore of ≤1 point was indicative of mild disease.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day MP-365 (Month 12)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary endpoint analysis to determine the percentage of participants with PGA subscores indicating mild disease (≤1) was not conducted for the MP as planned.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. An absolute PGA subscore of ≤1 point was indicative of mild disease.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Month 12 (Day MP-365)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary subgroup analyses of clinical response in subjects who have had an inadequate response and/or intolerance to anti-TNF therapy was not conducted for the MP as planned.

The Mayo Scoring system (range 0-12 points, high scores=greater severity of disease) is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Clinical response=reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point. Inadequate response/intolerance=inadequate response/intolerance to an approved anti-TNF agent prior to this study at an approved labeled dose for ≥8 weeks.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Month 12 (Day MP-365)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary subgroup analyses of clinical remission in subjects who have had an inadequate response and/or intolerance to anti-TNF therapy was not conducted for the MP as planned.

The Mayo Scoring system (range 0-12 points, high scores=greater severity of disease) is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Clinical remission is defined as a Mayo score of ≤ 2 points with no individual subscore exceeding 1 point. Inadequate response/intolerance =inadequate response/intolerance to an approved anti-TNF agent prior to this study at an approved labeled dose for ≥8 weeks.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Month 12 (Day MP-365)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary subgroup analyses of mucosal healing in subjects who have had an inadequate response and/or intolerance to anti-TNF therapy was not conducted for the MP as planned.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. Mucosal healing was defined as endoscopic subscore ≤1 point. Inadequate response/intolerance = inadequate response/intolerance to an approved anti-TNF agent prior to this study at an approved labeled dose for ≥8 weeks.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: For participants not entering OL: All measurements starting after Day MP-1 (including follow-up visits). For participants entering OL: From first measurement after Day MP-1 to Day MP-365 (Day OL-1).

Population: All subjects with at least one post-baseline immunogenicity measurement during the study period were included in the immunogenicity data set. "Positive" was defined as "positive post-baseline IP-1" and with a titer value greater than the baseline titer value. Participants with missing baseline titer were assumed "negative" at baseline.

A electrochemiluminescent immunoassay screened sera for drug-specific antibodies, immunocompetition was used to identify specific anti-Abatacept reactivity. CTLA4 and Possibly Ig category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction category=reactivity against constant regions and/or hinge region of human IgG1. Drug-induced seropositivity was defined as a post-baseline titer higher than Baseline, or any post-baseline positivity if Baseline value was missing.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=62 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=47 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
MP; Number of Participants With Abatacept-Induced Antibodies
Total
8 participants
20 participants
MP; Number of Participants With Abatacept-Induced Antibodies
CTLA4/Possibly Ig
8 participants
17 participants
MP; Number of Participants With Abatacept-Induced Antibodies
Ig and/or Ig Junction
0 participants
3 participants

SECONDARY outcome

Timeframe: Day MP-1 through Day MP-365

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion 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. Related AE=relationship of certain, probable, possible, or missing. 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.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=65 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=66 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
MP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
AEs
39 participants
36 participants
MP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
Related AEs
12 participants
13 participants
MP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
Deaths
1 participants
0 participants
MP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
SAEs
7 participants
4 participants
MP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
Related SAEs
2 participants
2 participants
MP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
AEs Leading to Discontinuation
1 participants
3 participants
MP; Number of Participants With Adverse Events (AEs), Related AEs, Deaths, Serious AEs (SAEs), Related SAEs, and AEs Leading to Discontinuation
SAEs Leading to Discontinuation
1 participants
1 participants

SECONDARY outcome

Timeframe: Day MP-1 through Day MP-365

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion 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
IP1C-ABA 30/~10 mg/kg
n=65 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=66 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
MP; Number of Participants With AEs of Special Interest
Infections and Infestations
39 participants
36 participants
MP; Number of Participants With AEs of Special Interest
Serious Infections
5 participants
2 participants
MP; Number of Participants With AEs of Special Interest
Opportunistic Infections-Total
1 participants
0 participants
MP; Number of Participants With AEs of Special Interest
Opportunistic Infections-pneumonia herpes viral
1 participants
0 participants
MP; Number of Participants With AEs of Special Interest
Malignancies-Total
0 participants
1 participants
MP; Number of Participants With AEs of Special Interest
Malignancies-breast cancer
0 participants
1 participants
MP; Number of Participants With AEs of Special Interest
Autoimmune Disorders-Total
2 participants
0 participants
MP; Number of Participants With AEs of Special Interest
Autoimmune Disorders-erythema nodosum
1 participants
0 participants
MP; Number of Participants With AEs of Special Interest
Autoimmune Disorders-pemphigoid
1 participants
0 participants
MP; Number of Participants With AEs of Special Interest
Acute Infusional AEs
2 participants
1 participants
MP; Number of Participants With AEs of Special Interest
Peri-infusional AEs
3 participants
2 participants

SECONDARY outcome

Timeframe: Day IP-85 through Day MP-365

Population: As the results of this study were presented in a synoptic report, physical examination evaluations were not summarized. Laboratory abnormalities and vital signs were collected and summarized.

Complete physical examination was obtained at the Screening Visit, Day MP-365, and OL Final Visit/Early Termination visits. Interim physical examinations were performed at other study visits. Interim physical exam were not as comprehensive as the initial full examination but did note any changes in the participant's condition since the last assessment and did not preclude examination of any of the body systems as clinically indicated. Participants were observed for AEs and vital signs (blood pressure, heart rate, and temperature).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day IP-85 through Day MP-365

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

High=greater than ULN, Low=lower than LLN. LLN/ULN= HGB: \>3 g/dL decrease from Baseline (BL); Hematocrit: \<0.75 x BL; Erythrocytes: \<0.75 x BL; PLT: \<0.67 x LLN/\>1.5 x ULN; Leukocytes: \<0.75 x LLN/ \>1.25 x ULN; neutrophils+bands: \<1.0 x 10\^3 c/uL; eosinophils: \>0.750 x 10\^3 c/uL; monocytes: \>2000 mm3; lymphocytes: \<0.750 x 10\^3 c/uL/ \>7.50 x 10\^3 c/uL; GGT: \>2 x ULN; Bilirubin: \>2 x ULN; BUN: \>2 x BL; Na: \<0.95 x LLN/ \>1.05 x ULN; K: \<0.9 x LLN/ \>1.1 x ULN; Ca: \<0.8 x LLN/\>1.2 x ULN

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=65 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=66 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low HGB; n=64, n=61
1 participants
2 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low hematocrit; n=64, n=60
3 participants
2 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low erythrocytes; n=64, n=61
1 participants
2 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High PLT; n= 64, n=61
0 participants
1 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low leukocytes; n=64, n=60
2 participants
0 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High leukocytes; n=64, n=60
2 participants
0 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low neutrophils + bands; n=64, n=60
1 participants
0 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High eosinophils; n=64, n=60
2 participants
3 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High monocytes; n=64, n=60
1 participants
0 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low lymphocytes; n=64, n=60
7 participants
6 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High lymphocytes; n=64, n=60
1 participants
0 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High GGT; n=64, n=62
3 participants
2 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High bilirubin, n=64, n=61
1 participants
0 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High BUN; n=57, n=59
4 participants
3 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low Na; n=64, n=62
0 participants
1 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low K; n=64, n=62
1 participants
1 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low Ca; n=64, n=61
1 participants
0 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low Glu; n=45, n=38
0 participants
2 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High Glu; n=45, n=38
3 participants
3 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
Low protein; n=64, n=61
0 participants
1 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High urine protein; n=58, n=58
4 participants
1 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High urine Glu; n=58, n=58
2 participants
1 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High urine blood; n=58, n=58
3 participants
7 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High leukocyte esterase; n=23, n=18
2 participants
5 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High urine RBC; n=24, n=17
4 participants
4 participants
MP; Number of Participants With Marked Hematology Laboratory Abnormalities
High urine WBC; n=29, n=21
8 participants
10 participants

SECONDARY outcome

Timeframe: Day IP-85 through Day MP-365

Population: The As Treated analysis population was used for all safety summaries and was defined to include all participants who received at least one infusion of study medication.

Low=lower than LLN, High=greater than ULN. LLN/ULN= serum glucose (Glu): \<65 mg/dL/ \>220 mg/dL; fasting serum Glu: \<0.8 x LLN/ \>1.5 x ULN; total protein: \< 0.9 x LLN/ \>1.1 x ULN; albumin:\<0.9 x LLN; uric acid: \>1.5 x ULN. For Urinalysis (Urine protein, urine Glu, urine blood, leukocyte esterase, Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]): Use ≥2 when BL value missing or value ≥4, 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
IP1C-ABA 30/~10 mg/kg
n=65 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=66 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
MP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities
Low Glu; n=45, n=38
0 participants
2 participants
MP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities
High Glu; n=45, n=38
3 participants
3 participants
MP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities
Low protein; n=64, n=61
0 participants
1 participants
MP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities
High urine protein; n=58, n=58
4 participants
1 participants
MP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities
High urine Glu; n=58, n=58
2 participants
1 participants
MP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities
High urine blood; n=58, n=58
3 participants
7 participants
MP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities
High leukocyte esterase; n=23, n=18
2 participants
5 participants
MP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities
High urine RBC; n=24, n=17
4 participants
4 participants
MP; Number of Participants With Marked Chemistry and Urinalysis Laboratory Abnormalities
High urine WBC; n=29, n=21
8 participants
10 participants

SECONDARY outcome

Timeframe: Day OL-1 through Day OL-729

Population: All participants who received at least 1 infusion of open-label study medication at any time were included in the efficacy analyses of the OL. Number of Participants Analyzed=all participants in OL; n=number of evaluable participants.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. A clinical response is defined as a reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with an accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=347 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
OL; Number of Participants With Clinical Response Over Time
Day OL-365 (n=163)
44 participants
OL; Number of Participants With Clinical Response Over Time
Day OL-729 (n=4)
0 participants

SECONDARY outcome

Timeframe: Day OL-1 through Day OL-729

Population: All participants who received at least 1 infusion of open-label study medication at any time were included in the efficacy analyses of the OL. Number of Participants Analyzed=all participants in OL; n=number of evaluable participants.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. Clinical remission is defined as a Mayo score of ≤ 2 points with no individual subscore exceeding 1 point.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=347 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
OL; Number of Participants With Clinical Remission Over Time
Day OL-365 (n=163)
18 participants
OL; Number of Participants With Clinical Remission Over Time
Day OL-729 (n=4)
0 participants

SECONDARY outcome

Timeframe: Open-Label Period (Day OL-1 through Day OL-729)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary subgroup analyses of mucosal healing was not conducted for the OL as planned.

The Mayo Scoring system ranges from 0 - 12 points and is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Higher Mayo scores indicate greater severity of disease. Mucosal healing was defined as endoscopic subscore ≤ 1 point

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=17 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
n=12 Participants
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
OL; Number of Participants With Mayo Endoscopic Subscores Indicating Mucosal Healing (≤1 Point) During OL
0 participants
0 participants

SECONDARY outcome

Timeframe: Last Study Visit (Day OL-729)

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary subgroup analyses of clinical efficacy upon retreatment with abatacept among participants who received study drug during the IP or MP was not conducted for the OL as planned.

The Mayo Scoring system (range 0-12 points, high scores=greater severity of disease) is a composite index consisting of 4 disease variables (stool frequency, rectal bleeding, endoscopy evaluation, and Physician's Global Assessment). Clinical response=reduction from baseline in the Mayo score of ≥ 3 points and ≥ 30%, with accompanying decrease in the rectal bleeding subscore of ≥ 1 point or absolute rectal bleeding subscore of ≤ 1 point. Clinical remission = Mayo score of ≤ 2 points with no individual subscore exceeding 1 point. Change from Baseline= post-Baseline - Baseline value.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: For participants receiving OL medication, all measurements starting after Day OL-1 (including follow-up visits and at 56 and 85 days after last dose)

Population: All subjects with at least one post-baseline immunogenicity measurement during the study period were included in the immunogenicity data set. "Positive" was defined as "positive post-baseline IP-1" and with a titer value greater than the baseline titer value. Participants with missing baseline titer were assumed "negative" at baseline.

A electrochemiluminescent immunoassay screened sera for drug-specific antibodies, immunocompetition was used to identify specific anti-Abatacept reactivity. CTLA4 and Possibly Ig category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction category=reactivity against constant regions and/or hinge region of human IgG1. Drug-induced seropositivity was defined as a post-baseline titer higher than Baseline, or any post-baseline positivity if Baseline value was missing.

Outcome measures

Outcome measures
Measure
IP1C-ABA 30/~10 mg/kg
n=324 Participants
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg.
IP1C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29,and IP-57 at a dose of \~10 mg/kg (weight-tiered).
IP1C-ABA 3 mg/kg
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
IP1C-Placebo
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
IP Cohort 2 (IP2C)-ABA 30/~10 mg/kg
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). Following this, on Days IP-29 and IP-57 abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
IP2C-ABA ~10 mg/kg
During IP, abatacept was administered IV on Days IP-1 and IP-15 at a dose of \~10 mg/kg (weight-tiered). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
OL; Number of Participants With Abatacept-Induced Antibodies
Total
66 participants
OL; Number of Participants With Abatacept-Induced Antibodies
CTLA4/Possibly Ig
59 participants
OL; Number of Participants With Abatacept-Induced Antibodies
Ig and/or Ig Junction
11 participants

SECONDARY outcome

Timeframe: Day OL-1 through Day OL-729

Population: Due to the early termination of the study after preliminary IP1C results were reviewed and the primary efficacy endpoint was not achieved, the secondary subgroup analyses of corticosteroid use was not conducted for the OL as planned.

Participants taking oral corticosteroids (equivalent of ≤ 30 mg prednisone daily) must have met minimum treatment duration at entry into IP and had stable dose for ≥2 weeks prior to entry into the IP.

Outcome measures

Outcome data not reported

Adverse Events

ABA 30/~10 mg/kg,IP1C

Serious events: 22 serious events
Other events: 49 other events
Deaths: 0 deaths

ABA 30/~10mg/kg,IP2C

Serious events: 6 serious events
Other events: 13 other events
Deaths: 0 deaths

ABA 3 mg/kg,IP1C

Serious events: 8 serious events
Other events: 21 other events
Deaths: 0 deaths

ABA ~10 mg/kg,IP1C

Serious events: 20 serious events
Other events: 48 other events
Deaths: 0 deaths

ABA ~10mg/kg,IP2C

Serious events: 4 serious events
Other events: 13 other events
Deaths: 0 deaths

ABA ~10mg/kg, MP

Serious events: 7 serious events
Other events: 20 other events
Deaths: 0 deaths

ABA ~10 mg/kg, OL

Serious events: 66 serious events
Other events: 137 other events
Deaths: 0 deaths

Placebo, IP1C

Serious events: 7 serious events
Other events: 45 other events
Deaths: 0 deaths

Placebo, MP

Serious events: 4 serious events
Other events: 24 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ABA 30/~10 mg/kg,IP1C
n=141 participants at risk
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
ABA 30/~10mg/kg,IP2C
n=51 participants at risk
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg.
ABA 3 mg/kg,IP1C
n=70 participants at risk
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
ABA ~10 mg/kg,IP1C
n=139 participants at risk
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29, and IP-57 at a dose of \~10 mg/kg (weight-tiered).
ABA ~10mg/kg,IP2C
n=50 participants at risk
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29, and IP-57 at a dose of \~10 mg/kg (weight-tiered).
ABA ~10mg/kg, MP
n=65 participants at risk
During MP, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered) every 28 days beginning Day MP-1.
ABA ~10 mg/kg, OL
n=349 participants at risk
During OL, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered) every 28 days beginning Day OL-1.
Placebo, IP1C
n=140 participants at risk
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
Placebo, MP
n=66 participants at risk
During the MP, placebo was administered IV every 28 days beginning Day MP-1 through Day MP-337.
Eye disorders
VISION BLURRED
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Investigations
HAEMOGLOBIN DECREASED
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Investigations
HEPATIC ENZYME INCREASED
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.71%
1/140
0.00%
0/66
Cardiac disorders
MYOCARDIAL INFARCTION
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Cardiac disorders
ACUTE CORONARY SYNDROME
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Vascular disorders
DEEP VEIN THROMBOSIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.72%
1/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Vascular disorders
FEMORAL ARTERIAL STENOSIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Psychiatric disorders
ABNORMAL BEHAVIOUR
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Psychiatric disorders
PERSONALITY CHANGE
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Hepatobiliary disorders
CHOLECYSTITIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.72%
1/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Hepatobiliary disorders
HEPATIC FUNCTION ABNORMAL
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Immune system disorders
HYPERSENSITIVITY
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Immune system disorders
ANAPHYLACTIC REACTION
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.71%
1/140
0.00%
0/66
Nervous system disorders
DIZZINESS
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Nervous system disorders
CEREBRAL ISCHAEMIA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Gastrointestinal disorders
COLITIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
1.4%
2/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Gastrointestinal disorders
DIARRHOEA
1.4%
2/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.57%
2/349
0.00%
0/140
0.00%
0/66
Gastrointestinal disorders
PROCTALGIA
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Gastrointestinal disorders
PANCREATITIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Gastrointestinal disorders
ABDOMINAL PAIN
0.00%
0/141
2.0%
1/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Gastrointestinal disorders
CROHN'S DISEASE
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.72%
1/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Gastrointestinal disorders
COLITIS ULCERATIVE
9.2%
13/141
9.8%
5/51
7.1%
5/70
10.1%
14/139
8.0%
4/50
4.6%
3/65
12.0%
42/349
2.9%
4/140
1.5%
1/66
Gastrointestinal disorders
RECTAL HAEMORRHAGE
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Gastrointestinal disorders
ABDOMINAL PAIN LOWER
0.00%
0/141
0.00%
0/51
1.4%
1/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
0.00%
0/141
2.0%
1/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
SEPSIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
1.5%
1/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
VIRAEMIA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
1.5%
1/66
Infections and infestations
PNEUMONIA
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
1.5%
1/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
SINUSITIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
VARICELLA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
1.5%
1/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
LISTERIOSIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
ANAL ABSCESS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
1.5%
1/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
APPENDICITIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
1.5%
1/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
OTITIS MEDIA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
SEPTIC SHOCK
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
HERPES ZOSTER
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
HIV INFECTION
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
PILONIDAL CYST
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
GASTROENTERITIS
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
LOBAR PNEUMONIA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
VIRAL INFECTION
0.00%
0/141
0.00%
0/51
1.4%
1/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
PELVIC INFECTION
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
ABDOMINAL ABSCESS
1.4%
2/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
OTITIS MEDIA CHRONIC
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
1.5%
1/66
Infections and infestations
CLOSTRIDIAL INFECTION
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
1.5%
1/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
PNEUMONIA HERPES VIRAL
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
1.5%
1/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
CYTOMEGALOVIRUS COLITIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Infections and infestations
URINARY TRACT INFECTION
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Infections and infestations
CLOSTRIDIUM DIFFICILE COLITIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Renal and urinary disorders
NEPHROLITHIASIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.57%
2/349
0.00%
0/140
0.00%
0/66
Renal and urinary disorders
RENAL IMPAIRMENT
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Renal and urinary disorders
GLOMERULONEPHRITIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Renal and urinary disorders
RENAL FAILURE ACUTE
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Metabolism and nutrition disorders
DEHYDRATION
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.71%
1/140
0.00%
0/66
Metabolism and nutrition disorders
MALNUTRITION
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Blood and lymphatic system disorders
ANAEMIA
1.4%
2/141
2.0%
1/51
0.00%
0/70
0.72%
1/139
0.00%
0/50
0.00%
0/65
0.57%
2/349
0.00%
0/140
0.00%
0/66
Blood and lymphatic system disorders
IRON DEFICIENCY ANAEMIA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Skin and subcutaneous tissue disorders
PYODERMA GANGRENOSUM
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Reproductive system and breast disorders
UTERINE POLYP
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Injury, poisoning and procedural complications
ALCOHOL POISONING
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Injury, poisoning and procedural complications
ARTERIAL RESTENOSIS
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Injury, poisoning and procedural complications
ABDOMINAL WOUND DEHISCENCE
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.72%
1/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Musculoskeletal and connective tissue disorders
BACK PAIN
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Musculoskeletal and connective tissue disorders
ARTHRALGIA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Musculoskeletal and connective tissue disorders
FIBROMYALGIA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.72%
1/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Respiratory, thoracic and mediastinal disorders
PNEUMOTHORAX
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Respiratory, thoracic and mediastinal disorders
ACUTE RESPIRATORY FAILURE
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
General disorders
MALAISE
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
General disorders
PYREXIA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
General disorders
ASTHENIA
0.00%
0/141
0.00%
0/51
1.4%
1/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
General disorders
INFUSION RELATED REACTION
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.72%
1/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
0.00%
0/66
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BREAST CANCER
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.00%
0/140
1.5%
1/66
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BOWEN'S DISEASE
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MALIGNANT MELANOMA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.00%
0/349
0.71%
1/140
0.00%
0/66
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BASAL CELL CARCINOMA
0.71%
1/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.57%
2/349
0.00%
0/140
0.00%
0/66
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
CHRONIC MYELOID LEUKAEMIA
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SQUAMOUS CELL CARCINOMA OF SKIN
0.00%
0/141
0.00%
0/51
0.00%
0/70
0.00%
0/139
0.00%
0/50
0.00%
0/65
0.29%
1/349
0.00%
0/140
0.00%
0/66

Other adverse events

Other adverse events
Measure
ABA 30/~10 mg/kg,IP1C
n=141 participants at risk
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered).
ABA 30/~10mg/kg,IP2C
n=51 participants at risk
During IP, abatacept was administered intravenously (IV) on Days IP-1 and IP-15 at a dose of 30 mg/kg (fixed dose). On Days IP-29 and IP-57, abatacept was administered IV at a dose of \~10 mg/kg.
ABA 3 mg/kg,IP1C
n=70 participants at risk
During IP, abatacept was administered IV on Days IP-1, IP-15, IP-29, and IP-57 at a dose of 3 mg/kg (fixed dose).
ABA ~10 mg/kg,IP1C
n=139 participants at risk
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29, and IP-57 at a dose of \~10 mg/kg (weight-tiered).
ABA ~10mg/kg,IP2C
n=50 participants at risk
During IP, abatacept was administered IV on Days IP-1,IP-15, IP-29, and IP-57 at a dose of \~10 mg/kg (weight-tiered).
ABA ~10mg/kg, MP
n=65 participants at risk
During MP, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered) every 28 days beginning Day MP-1.
ABA ~10 mg/kg, OL
n=349 participants at risk
During OL, abatacept was administered IV at a dose of \~10 mg/kg (weight-tiered) every 28 days beginning Day OL-1.
Placebo, IP1C
n=140 participants at risk
During the IP, placebo was administered IV on Days IP-1, IP-15, IP-29, and IP-57.
Placebo, MP
n=66 participants at risk
During the MP, placebo was administered IV every 28 days beginning Day MP-1 through Day MP-337.
Nervous system disorders
HEADACHE
12.1%
17/141
5.9%
3/51
10.0%
7/70
8.6%
12/139
12.0%
6/50
4.6%
3/65
6.9%
24/349
8.6%
12/140
7.6%
5/66
Nervous system disorders
DIZZINESS
2.8%
4/141
2.0%
1/51
5.7%
4/70
1.4%
2/139
0.00%
0/50
0.00%
0/65
2.0%
7/349
2.1%
3/140
4.5%
3/66
Gastrointestinal disorders
NAUSEA
5.7%
8/141
2.0%
1/51
4.3%
3/70
7.9%
11/139
6.0%
3/50
3.1%
2/65
5.2%
18/349
6.4%
9/140
6.1%
4/66
Gastrointestinal disorders
ABDOMINAL PAIN
5.7%
8/141
3.9%
2/51
1.4%
1/70
0.72%
1/139
6.0%
3/50
4.6%
3/65
4.6%
16/349
3.6%
5/140
6.1%
4/66
Infections and infestations
INFLUENZA
0.71%
1/141
2.0%
1/51
0.00%
0/70
2.2%
3/139
0.00%
0/50
6.2%
4/65
3.4%
12/349
2.1%
3/140
1.5%
1/66
Infections and infestations
NASOPHARYNGITIS
3.5%
5/141
3.9%
2/51
2.9%
2/70
2.2%
3/139
2.0%
1/50
4.6%
3/65
8.3%
29/349
5.7%
8/140
4.5%
3/66
Infections and infestations
URINARY TRACT INFECTION
3.5%
5/141
3.9%
2/51
4.3%
3/70
2.9%
4/139
6.0%
3/50
0.00%
0/65
3.2%
11/349
0.71%
1/140
1.5%
1/66
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
2.1%
3/141
2.0%
1/51
1.4%
1/70
1.4%
2/139
0.00%
0/50
3.1%
2/65
6.3%
22/349
3.6%
5/140
3.0%
2/66
Musculoskeletal and connective tissue disorders
BACK PAIN
2.1%
3/141
2.0%
1/51
0.00%
0/70
1.4%
2/139
0.00%
0/50
6.2%
4/65
3.7%
13/349
2.1%
3/140
7.6%
5/66
Musculoskeletal and connective tissue disorders
ARTHRALGIA
2.8%
4/141
2.0%
1/51
2.9%
2/70
4.3%
6/139
0.00%
0/50
3.1%
2/65
5.2%
18/349
2.9%
4/140
7.6%
5/66
Respiratory, thoracic and mediastinal disorders
COUGH
4.3%
6/141
2.0%
1/51
2.9%
2/70
2.9%
4/139
2.0%
1/50
6.2%
4/65
3.7%
13/349
2.1%
3/140
7.6%
5/66
General disorders
FATIGUE
4.3%
6/141
5.9%
3/51
4.3%
3/70
5.8%
8/139
6.0%
3/50
1.5%
1/65
4.6%
16/349
2.1%
3/140
3.0%
2/66
General disorders
PYREXIA
6.4%
9/141
5.9%
3/51
8.6%
6/70
4.3%
6/139
2.0%
1/50
3.1%
2/65
4.9%
17/349
1.4%
2/140
1.5%
1/66
General disorders
ASTHENIA
5.7%
8/141
0.00%
0/51
1.4%
1/70
2.9%
4/139
0.00%
0/50
0.00%
0/65
1.7%
6/349
1.4%
2/140
1.5%
1/66

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