Safety and Efficacy of Abatacept Versus Placebo in Participants With Psoriatic Arthritis

NCT ID: NCT00534313

Last Updated: 2012-08-01

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

191 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Study Completion Date

2011-05-31

Brief Summary

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The purpose of this study is to determine an optimal abatacept dosing regimen for the treatment of active arthritis due to psoriatic arthritis in patients who have had a prior inadequate response to disease-modifying antirheumatic drugs, including methotrexate and tumor necrosis factor alpha-blockade compounds.

Detailed Description

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Conditions

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Psoriatic Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Abatacept (30/10)

Abatacept (30 mg/kg) was administered as intravenous (iv) infusion over approximately 30 minutes on Days 1 and 15, followed by 10 mg/kg (fixed dose) abatacept infusion on Day 29 and every 28 days thereafter up to and including Day 141. The dose was calculated based on screening visit weight of participants for dosing on Days 1 and 15 followed by fixed dosing as per rheumatoid arthritis label (participants weighing \<60 kg received 500 mg, participants weighing 60 to 100 kg received 750 mg, and participants weighing \>100 kg received 1000 mg) thereafter.

Group Type ACTIVE_COMPARATOR

Abatacept

Intervention Type DRUG

Solution, intravenous, monthly, short-term = 24 weeks (6 months)

Abatacept (10/10)

Abatacept (10 mg/kg) was administered as iv infusion over approximately 30 minutes on Days 1, 15, and 29 and every 28 days thereafter up to and including Day 141 in the double-blind period and continued for next 18 months in the open-label period till Day 729. All participants received a dose based on their screening visit weight as per rheumatoid arthritis label (participants weighing \<60 kg received 500 mg, participants weighing 60 to 100 kg received 750 mg, and participants weighing \>100 kg received 1000 mg).

Group Type ACTIVE_COMPARATOR

Abatacept

Intervention Type DRUG

Solution, intravenous, monthly, short-term = 24 weeks (6 months)

Abatacept (3/3)

Abatacept (3 mg/kg) was administered as iv infusion over approximately 30 minutes on Days 1, 15, and 29 and every 28 days thereafter up to and including Day 141. The dose was calculated based on screening visit weight of participants.

Group Type ACTIVE_COMPARATOR

Abatacept

Intervention Type DRUG

Solution, intravenous, monthly, short-term = 24 weeks (6 months)

Placebo

Placebo solution (5% dextrose in water for injection, 0.9% sodium chloride injection) by iv infusion was administered on Days 1, 15, and 29 and every 28 days thereafter till Day 141.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Solution, intravenous, placebo (double dummy), monthly, short-term = 24 weeks (6 months)

Interventions

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Abatacept

Solution, intravenous, monthly, short-term = 24 weeks (6 months)

Intervention Type DRUG

Placebo

Solution, intravenous, placebo (double dummy), monthly, short-term = 24 weeks (6 months)

Intervention Type DRUG

Other Intervention Names

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Orencia BMS-188667

Eligibility Criteria

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Inclusion Criteria

* Meeting classification criteria for psoriatic arthritis for a duration of disease of at least 3 months
* Prior failure (inefficacy or intolerance) of therapy with disease-modifying antirheumatic drugs; if patient had prior failure of methotrexate, he or she must have been taking at least 15 mg per week for at least 2 months
* If recent failure(inefficacy or intolerance) of a tumor necrosis factor α-blockade compound, participant must be washed out prior to first dose: 56 days for infliximab and 28 days for etanercept and adalimumab
* Disease activity as defined by a tender joint count of ≥3, swollen joint count of ≥3, and clinically detectable synovitis at screening and Day 01 (prior to infusion)
* Active psoriasis with a qualifying target lesion ≥2 cm in diameter
* Able to undergo magnetic resonance imaging
* Use of appropriate birth control by women of child bearing potential (WOCBP)

Exclusion Criteria

* WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 10 weeks after the last dose of investigational product
* Women who are pregnant or breastfeeding or who plan to become pregnant or to start breastfeeding during the duration of the study
* Women with a positive pregnancy test on enrollment or prior to investigational product administration.
* Participants scheduled for or anticipating joint replacement surgery.
* Those with a recent history of clinically significant drug or alcohol abuse
* Concomitant illness that in the investigator's opinion is likely to require systemic glucocorticosteroid therapy during the study (for example: moderate to severe asthma)
* Current symptoms of severe, progressive, or uncontrolled renal, hepatic, hematologic, pulmonary, cardiac, neurologic, ophthalmologic, or cerebral disease.
* Unwillingness or inability to undergo screening based on current local or country guidelines/standards to evaluate the presence of cancer
* Cancer within the last 5 years
* Current malignancy or signs of possible malignancy detected by screening procedures for which the workup to exclude malignancy has not been completed or malignancy cannot be excluded
* At risk for or history (within 3 years) of tuberculosis
* Any serious bacterial infection within the last 3 months, not treated and resolved with antibiotics, or any chronic bacterial infection (such as, but not limited to, chronic pyelonephritis, osteomyelitis, and bronchiectasis)
* Evidence of active or latent bacterial or viral infection infections at the time of potential enrollment
* Herpes zoster or cytomegalovirus resolving less than 2 months prior to signing informed consent
* Receipt of any live vaccines within 3 months of the anticipated first dose of study medication or anticipation of the need for a live vaccine at any time during and for 3 months after the duration of the study

Long-term period participants: Must have met eligibility criteria for short-term period and completed short-term (24-week) period of the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Rheumatology Associates Of North Alabama

Huntsville, Alabama, United States

Site Status

Desert Medical Advances

Palm Desert, California, United States

Site Status

Stanford University School Of Medicine

Palo Alto, California, United States

Site Status

Boling Clinical Trials

Upland, California, United States

Site Status

Joao Nascimento

Bridgeport, Connecticut, United States

Site Status

New England Research Associates, Llc

Trumbull, Connecticut, United States

Site Status

Sarasota Arthritis Research Center

Sarasota, Florida, United States

Site Status

Clinical Pharmacology Study Group

Worcester, Massachusetts, United States

Site Status

Justus Fiechtner, Md, Mph

Lansing, Michigan, United States

Site Status

St. Paul Rheumatology P.A.

Eagan, Minnesota, United States

Site Status

Midwest Arthritis Center

Kalamazoo, Minnesota, United States

Site Status

Arthritis Clinic & Carolina Bone & Joint, Pa

Charlotte, North Carolina, United States

Site Status

Deaconess Hospital

Cincinnati, Ohio, United States

Site Status

Health Research Of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

Altoona Center For Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Rheumatic Disease Associates, Ltd.

Willow Grove, Pennsylvania, United States

Site Status

Chase, Walter F.

Austin, Texas, United States

Site Status

Seattle Rheumatology Associates

Seattle, Washington, United States

Site Status

Arthritis Northwest

Spokane, Washington, United States

Site Status

Local Institution

Capital Federal, Buenos Aires, Argentina

Site Status

Local Institution

Rosario, Santa Fe Province, Argentina

Site Status

Local Institution

Santa Fe, Santa Fe Province, Argentina

Site Status

Local Institution

Cairns, Queensland, Australia

Site Status

Local Institution

Maroochydore, Queensland, Australia

Site Status

Local Institution

Fitzroy, Melbourne, Victoria, Australia

Site Status

Local Institution

Hasselt, , Belgium

Site Status

Local Institution

Leuven, , Belgium

Site Status

Local Institution

St. John's, Newfoundland and Labrador, Canada

Site Status

Local Institution

Montreal, Quebec, Canada

Site Status

Local Institution

Québec, Quebec, Canada

Site Status

Local Institution

Trois-Rivières, Quebec, Canada

Site Status

Local Institution

Chambray-lès-Tours, , France

Site Status

Local Institution

Lille, , France

Site Status

Local Institution

Montpellier, , France

Site Status

Local Institution

Frankfurt am Main, , Germany

Site Status

Local Institution

Hamburg, , Germany

Site Status

Local Institution

Hildesheim, , Germany

Site Status

Local Institution

Napoli, , Italy

Site Status

Local Institution

Potenza, , Italy

Site Status

Local Institution

Reggio Emilia, , Italy

Site Status

Local Institution

Amsterdam, , Netherlands

Site Status

Local Institution

Lillehammer, , Norway

Site Status

Local Institution

Panorama, Western Cape, South Africa

Site Status

Local Institution

A Coruña, , Spain

Site Status

Countries

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Austria Brazil Czechia Denmark Hungary Poland Russia Switzerland United Kingdom United States Argentina Australia Belgium Canada France Germany Italy Netherlands Norway South Africa Spain

References

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Ostergaard M, Bird P, Pachai C, Du S, Wu C, Landis J, Fuerst T, Ahmad HA, Connolly SE, Conaghan PG. Implementation of the OMERACT Psoriatic Arthritis Magnetic Resonance Imaging Scoring System in a randomized phase IIb study of abatacept in psoriatic arthritis. Rheumatology (Oxford). 2022 Nov 2;61(11):4305-4313. doi: 10.1093/rheumatology/keac073.

Reference Type DERIVED
PMID: 35137002 (View on PubMed)

Mease P, Genovese MC, Gladstein G, Kivitz AJ, Ritchlin C, Tak PP, Wollenhaupt J, Bahary O, Becker JC, Kelly S, Sigal L, Teng J, Gladman D. Abatacept in the treatment of patients with psoriatic arthritis: results of a six-month, multicenter, randomized, double-blind, placebo-controlled, phase II trial. Arthritis Rheum. 2011 Apr;63(4):939-48. doi: 10.1002/art.30176.

Reference Type DERIVED
PMID: 21128258 (View on PubMed)

Other Identifiers

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EUDRACT 2007-004241-15

Identifier Type: -

Identifier Source: secondary_id

IM101-158

Identifier Type: -

Identifier Source: org_study_id