Methotrexate-Inadequate Response Study

NCT ID: NCT00559585

Last Updated: 2015-11-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2492 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2014-09-30

Brief Summary

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The purpose of this study is to determine whether a weekly subcutaneous dose of abatacept yields clinical efficacy comparable to that of monthly intravenous doses of abatacept in participants with rheumatoid arthritis and an inadequate response to current methotrexate therapy.

Detailed Description

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Conditions

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Rheumatoid Arthritis (RA)

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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Subcutaneous (SC) Abatacept

Participants received 125 mg weekly SC abatacept injections (with an intravenous \[IV\] abatacept loading dose on Day 1, based on weight). A double-dummy design was used to protect the blind, thus, participants also received IV injections of placebo (IV Placebo) with the exception that on Day 1 a loading dose of IV abatacept replaced the IV Placebo treatment.

Group Type ACTIVE_COMPARATOR

Subcutaneous (SC) Abatacept

Intervention Type DRUG

Participants received 125 mg weekly SC abatacept injections (with an intravenous \[IV\] abatacept loading dose on Day 1, based on weight). A double-dummy design was used to protect the blind, thus, participants also received IV injections of placebo (IV Placebo) with the exception that on Day 1 a loading dose of IV abatacept replaced the IV Placebo treatment.

Intravenous (IV) Abatacept

Participants received IV abatacept infusions on Days 1, 15, 29, and every 28 days, thereafter. A double-dummy design was used to protect the blind, thus, participants also received SC injections of placebo (SC Placebo).

Group Type ACTIVE_COMPARATOR

Intravenous (IV) Abatacept

Intervention Type DRUG

Participants received IV abatacept infusions on Days 1, 15, 29, and every 28 days, thereafter. A double-dummy design was used to protect the blind, thus, participants also received SC injections of placebo (SC Placebo).

500mg (for body weight up to 60 kg)

750 mg (body weight between 61 and 100 kg)

1g (body weight above 100 kg)infusions

Interventions

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Subcutaneous (SC) Abatacept

Participants received 125 mg weekly SC abatacept injections (with an intravenous \[IV\] abatacept loading dose on Day 1, based on weight). A double-dummy design was used to protect the blind, thus, participants also received IV injections of placebo (IV Placebo) with the exception that on Day 1 a loading dose of IV abatacept replaced the IV Placebo treatment.

Intervention Type DRUG

Intravenous (IV) Abatacept

Participants received IV abatacept infusions on Days 1, 15, 29, and every 28 days, thereafter. A double-dummy design was used to protect the blind, thus, participants also received SC injections of placebo (SC Placebo).

500mg (for body weight up to 60 kg)

750 mg (body weight between 61 and 100 kg)

1g (body weight above 100 kg)infusions

Intervention Type DRUG

Other Intervention Names

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Orencia BMS-188667 Orencia BMS-188667

Eligibility Criteria

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Inclusion Criteria

* Subjects who are considered methotrexate inadequate responders
* 10 or more swollen joints (66 joint count) and 12 or more tender joints (68 joint count)

Exclusion Criteria

* Subjects who failed one or multiple anti-tumor necrosis factor (TNF) therapies
* Subjects who meet diagnostic criteria for any other rheumatic disease (e.g., lupus erythematous)
* Subjects with active vasculitis of a major organ system (except for subcutaneous rheumatoid nodules)
* Subjects with severe chronic or recurrent bacterial infections
* Subjects who have received treatment with rituximab

An Anti-TNF Failure Sub-study was initiated (recruited separately from Main study) using the same treatment as the Main study in order to assess the immunogenicity and safety in the Anti-TNF Failure population. The Sub-study terminated due to low recruitment and participants were permitted to roll into the LT Open Label Period.
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, Pc

Birmingham, Alabama, United States

Site Status

Coastal Clinical Research, Inc

Mobile, Alabama, United States

Site Status

Advanced Arthritis Care & Research

Scottsdale, Arizona, United States

Site Status

Catalina Pointe Clinical Research, Inc.

Tucson, Arizona, United States

Site Status

St. Joseph'S Mercy Clinic

Hot Springs, Arkansas, United States

Site Status

Talbert Medical Group

Huntington Beach, California, United States

Site Status

Allergy & Rheumatology Medical Clinic, Inc.

La Jolla, California, United States

Site Status

Valerius Medical Group &Research Ctr. Of Greater Long Beach

Long Beach, California, United States

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Stanford University School Of Medicine

Palo Alto, California, United States

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San Diego Arthritis Medical Clinic

San Diego, California, United States

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Boulder Medical Center

Boulder, Colorado, United States

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Arthritis Assoc And Osteo Ctr Of Col Sprgs

Colorado Springs, Colorado, United States

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Denver Arthritis Clinic

Denver, Colorado, United States

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Arthritis Center Of The Rockies, Pc

Loveland, Colorado, United States

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Guadagnoli, Germano

Bridgeport, Connecticut, United States

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Joao Nascimento

Bridgeport, Connecticut, United States

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Clinical Research Center Of Ct/Ny

Danbury, Connecticut, United States

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Arthritis And Rheumatic Disease Specialties

Aventura, Florida, United States

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Arthritis & Osteoporosis Treatment Center, Pa

Orange Park, Florida, United States

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Rheumatology Associates Of Central Florida

Orlando, Florida, United States

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The Arthritis Center

Palm Harbor, Florida, United States

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Sarasota Arthritis Research Center

Sarasota, Florida, United States

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Arthritis & Rheumatology Of Georgia,Pc

Atlanta, Georgia, United States

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Boise Rheumatology/ Intermountain Research Center, Inc

Boise, Idaho, United States

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Coeur D'Alene Arthrit Clin

Coeur d'Alene, Idaho, United States

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Quincy Medical Group

Quincy, Illinois, United States

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Rockford Orthopedic Associates, Ltd.

Rockford, Illinois, United States

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The Arthritis Center

Springfield, Illinois, United States

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Klein And Associates, M.D., Pa

Cumberland, Maryland, United States

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Clinical Pharmacology Study Group

Worcester, Massachusetts, United States

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Shores Rheumatology, P. C.

Saint Clair Shores, Michigan, United States

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Arthritis Assoicates Of Mississippi

Jackson, Mississippi, United States

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Kansas City Internal Medicine

Lee's Summit, Missouri, United States

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Physician Research Collaboration, Llc

Lincoln, Nebraska, United States

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Allergy And Arthritis Associates

Dover, New Jersey, United States

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Albuquerque Clinical Trials, Inc.

Albuquerque, New Mexico, United States

Site Status

Albuquerque Rehabilitation & Rheumatology Pc

Albuquerque, New Mexico, United States

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The Center For Rheumatology, Llp

Albany, New York, United States

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Southern Tier Arthritis & Rheumatism

Olean, New York, United States

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Arthritis Health Associates

Syracuse, New York, United States

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Asheville Rheumatology & Osteoporosis Research Asso P. A.

Asheville, North Carolina, United States

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The Arthritis Clinic & Carolina Bone & Joint

Charlotte, North Carolina, United States

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Rheumatology

Durham, North Carolina, United States

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Physicians East, Pa

Greenville, North Carolina, United States

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Carolina Pharmaceutical Research

Statesville, North Carolina, United States

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Carolina Arthritis Associates

Wilmington, North Carolina, United States

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Cincinnati Rheumatic Disease Study Group

Cincinnati, Ohio, United States

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Health Research Of Oklahoma

Oklahoma City, Oklahoma, United States

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Oklahoma Center For Arthritis Therapy And Research

Tulsa, Oklahoma, United States

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Healthcare Research Consultants

Tulsa, Oklahoma, United States

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Pro Research

Eugene, Oregon, United States

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Portland Rheumatology Clinic, Llc

Lake Oswego, Oregon, United States

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East Penn Rheumatology Associates

Bethlehem, Pennsylvania, United States

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Rheumatology Associates

Providence, Rhode Island, United States

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Low Country Rheumatology, Pa

Charleston, South Carolina, United States

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Columbia Arthritis Center

Columbia, South Carolina, United States

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Carolina Health Specialists

Myrtle Beach, South Carolina, United States

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Acme Research, Llc

Orangeburg, South Carolina, United States

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Arthritis Clinic

Jackson, Tennessee, United States

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Rheumatology Consultants Pllc

Knoxville, Tennessee, United States

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The Arthritis Group, Pc

Memphis, Tennessee, United States

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St. Thomas Hospital Tower East

Nashville, Tennessee, United States

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Walter F. Chase

Austin, Texas, United States

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Rheumatic Disease Clinical Research Center, Llc

Houston, Texas, United States

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Accurate Clinical Research

Houston, Texas, United States

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Texas Research Center

Sugarland, Texas, United States

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Arthritis Clinic Of Northern Virginia, P.C.

Arlington, Virginia, United States

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Center For Arthritis & Rheumatic Diseases, Pc

Chesapeake, Virginia, United States

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South Puget Sound Clinincal Research Center

Olympia, Washington, United States

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Tacoma Center For Arthritis Research Ps

Tacoma, Washington, United States

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Local Institution

Buenos Aires, Buenos Aires, Argentina

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Buenos Aires, Buenos Aires, Argentina

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Buenos Aires, Buenos Aires, Argentina

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Ciudad Autonoma, Buenos Aires, Argentina

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Córdoba, Córdoba Province, Argentina

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Córdoba, Córdoba Province, Argentina

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Rosario, Santa Fe, Santa Fe Province, Argentina

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Santa Fe, Santa Fe Province, Argentina

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San Miguel de Tucumán, Tucumán Province, Argentina

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St Leonards, New South Wales, Australia

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Cairns, Queensland, Australia

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Maroochydore, Queensland, Australia

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Woodville, South Australia, Australia

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Heidelberg, Victoria, Australia

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Shenton Park, Western Australia, Australia

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Brussels, , Belgium

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Brussels, , Belgium

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Hasselt, , Belgium

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Leuven, , Belgium

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Wilrijk, , Belgium

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Yvoir, , Belgium

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Goiânia, Goiás, Brazil

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Goiânia, Goiás, Brazil

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Juiz de Fora, Minas Gerais, Brazil

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Curitiba, Paraná, Brazil

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Curitiba, Paraná, Brazil

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Recife, Pernambuco, Brazil

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Rio de Janeiro, Rio de Janeiro, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Campinas, São Paulo, Brazil

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Campinas, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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Winnipeg, Manitoba, Canada

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St. John's, Newfoundland and Labrador, Canada

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Hamilton, Ontario, Canada

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Hamilton, Ontario, Canada

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Mississauga, Ontario, Canada

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Ottawa, Ontario, Canada

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Ste-Foy, Quebec, Canada

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Ste-Foy, Quebec, Canada

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Trois-Rivières, Quebec, Canada

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Saskatoon, Saskatchewan, Canada

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Santiago, Santiago Metropolitan, Chile

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Santiago, Santiago Metropolitan, Chile

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Santiago, Santiago Metropolitan, Chile

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Bordeaux, , France

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Brest, , France

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Chambray-lès-Tours, , France

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Le Mans, , France

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Lille, , France

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Marseille, , France

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Nice, , France

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Paris, , France

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Poitiers, , France

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Strasbourg, , France

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Berlin, , Germany

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Leipzig, , Germany

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München, , Germany

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München, , Germany

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Heraklion Crete, , Greece

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Budapest, , Hungary

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Debrecen, , Hungary

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Secunderabad, Andhra Pradesh, India

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Navrangpura, Ahmedabad, Gujarat, India

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Bangalore, Karnataka, India

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Bangalore, , India

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Hyderabad, , India

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Lucknow, , India

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New Delhi, , India

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Dublin, Dublin, Ireland

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Napoli, , Italy

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Padua, , Italy

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Pavia, , Italy

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Roma, , Italy

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Siena, , Italy

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Aguascalientes, Aguascalientes, Mexico

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Chihuahua City, Chihuahua, Mexico

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Tijuana, Estado de Baja California, Mexico

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Guadalajara, Jalisco, Mexico

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Guadalajara, Jalisco, Mexico

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Guadalajara, Jalisco, Mexico

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Guadalajara, Jalisco, Mexico

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Mexico City, Mexico City, Mexico

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Morelia, Michioacan, Mexico

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Nuevo León, Nuevo León, Mexico

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Querétaro City, Querétaro, Mexico

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San Luis Potosí City, San Luis Potosí, Mexico

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Mérida, Yucatán, Mexico

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Leeuwarden, , Netherlands

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Lima, Lima Province, Peru

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Lima, Lima Province, Peru

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Lima, Lima Province, Peru

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Lima, Lima Province, Peru

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Callao, Provincia Constitucional del Callao, Peru

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Bialystok, , Poland

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Bialystok, , Poland

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Bydgoszcz, , Poland

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Gmina Końskie, , Poland

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Krakow, , Poland

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Poznan, , Poland

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Poznan, , Poland

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Torun, , Poland

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Warsaw, , Poland

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Yaroslavl, , Russia

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Yekaterinburg, , Russia

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Kempton Park, Gauteng, South Africa

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Muckleneuk, Gauteng, South Africa

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Muckleneuk, Gauteng, South Africa

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Pretoria, Gauteng, South Africa

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Durban, KwaZulu-Natal, South Africa

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Panorama, Western Cape, South Africa

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Seoul, Sungdong-Gu, South Korea

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Daegu, , South Korea

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Daejeon, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Kaohsiung City, , Taiwan

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Taichung, , Taiwan

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Taichung, , Taiwan

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Taichung, , Taiwan

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Denizli, , Turkey (Türkiye)

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Edirne, , Turkey (Türkiye)

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Gaziantep, , Turkey (Türkiye)

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Cambridge, Cambridgeshire, United Kingdom

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Bridgend, Glamorgan, United Kingdom

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London, Greater London, United Kingdom

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Southampton, Hampshire, United Kingdom

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Newcastle upon Tyne, Tyne and Wear, United Kingdom

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Countries

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United States Argentina Australia Belgium Brazil Canada Chile France Germany Greece Hungary India Ireland Italy Mexico Netherlands Peru Poland Russia South Africa South Korea Taiwan Turkey (Türkiye) United Kingdom

References

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Alten R, Bingham CO 3rd, Cohen SB, Curtis JR, Kelly S, Wong D, Genovese MC. Antibody response to pneumococcal and influenza vaccination in patients with rheumatoid arthritis receiving abatacept. BMC Musculoskelet Disord. 2016 May 26;17:231. doi: 10.1186/s12891-016-1082-z.

Reference Type DERIVED
PMID: 27229685 (View on PubMed)

Genovese MC, Tena CP, Covarrubias A, Leon G, Mysler E, Keiserman M, Valente R, Nash P, Simon-Campos JA, Box J, Legerton CW 3rd, Nasonov E, Durez P, Delaet I, Teng J, Alten R. Subcutaneous abatacept for the treatment of rheumatoid arthritis: longterm data from the ACQUIRE trial. J Rheumatol. 2014 Apr;41(4):629-39. doi: 10.3899/jrheum.130112. Epub 2014 Mar 1.

Reference Type DERIVED
PMID: 24584926 (View on PubMed)

Genovese MC, Covarrubias A, Leon G, Mysler E, Keiserman M, Valente R, Nash P, Simon-Campos JA, Porawska W, Box J, Legerton C 3rd, Nasonov E, Durez P, Aranda R, Pappu R, Delaet I, Teng J, Alten R. Subcutaneous abatacept versus intravenous abatacept: a phase IIIb noninferiority study in patients with an inadequate response to methotrexate. Arthritis Rheum. 2011 Oct;63(10):2854-64. doi: 10.1002/art.30463.

Reference Type DERIVED
PMID: 21618201 (View on PubMed)

Related Links

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Other Identifiers

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EUDRACT # 2007-005434-37

Identifier Type: -

Identifier Source: secondary_id

IM101-174

Identifier Type: -

Identifier Source: org_study_id

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