Efficacy and Safety of Subcutaneous Abatacept in Adults With Active Psoriatic Arthritis

NCT ID: NCT01860976

Last Updated: 2022-04-05

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

489 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-17

Study Completion Date

2020-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to compare subcutaneous Abatacept to placebo in the treatment of psoriatic arthritis

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

ASTRAEA=Active PSoriaTic ARthritis RAndomizEd TriAl

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Psoriatic Arthritis

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Abatacept

Abatacept 125 mg/syringe (125 mg/mL) solution subcutaneously once a week for 168 days double blind/197 days open label/365 days long term extension

Group Type EXPERIMENTAL

Abatacept

Intervention Type DRUG

Placebo

Placebo matching with Abatacept 0 mg solution subcutaneously once a week 168 days double blind

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Abatacept

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Orencia

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Subjects at least 18 years of age who have a diagnosis of PsA by Classification Criteria for Psoriatic Arthritis (CASPAR)
* Subjects have active PsA as shown by a minimum of ≥3 swollen joints and ≥3 tender joints (66/68 joint counts) at screening and randomization/Day 1 (prior to study drug administration). At least one of the swollen joints must be in the digit of the hand or foot
* Subjects with at least one confirmed ≥2 cm target lesion of plaque psoriasis in a region of the body that can be evaluated excluding the axilla, genitals, groin, palms, and soles
* Subjects must have had an inadequate response or intolerance to at least one non-biologic disease-modifying anti-rheumatic drug (DMARD)
* Subjects may have been exposed to TNFi therapy. Subjects may have discontinued for any reason (inadequate response, intolerance or other)
* Subjects may enroll on certain concomitant non-biologic DMARDs (Methotrexate, Leflunomide, Sulfasalazine, or Hydroxychloroquine) provided the medication has been used for at least 3 months with a stable dose for at least 28 days prior to randomization (Day 1)
* If using oral corticosteroids (≤10 mg mg/day Prednisone equivalent), dose must be stable ≥14 days prior to randomization (Day 1)
* Subjects may enroll on systemic retinoids (eg: Acitretin) provided the medication has been used for at least 3 months with a stable dose for at least 28 days prior to randomization (Day 1)

Exclusion Criteria

* Subjects with guttate, pustular, or erythrodermic psoriasis
* Subjects who have had prior exposure to Abatacept (CTLA 4Ig) or other CTLA4 therapies
* Subjects who have been exposed to any investigational drug within 4 weeks or 5 half lives, whichever is longer
* Female subjects who had a breast cancer screening study that is suspicious for malignancy, and in whom the possibility of malignancy cannot be reasonably excluded following additional clinical, laboratory or other diagnostic evaluations
* Subjects with a history of cancer within the last 5 years (other than non-melanoma skin cell cancers cured by local resection). Existing non-melanoma skin cell cancers must be removed prior to dosing. Subjects with carcinoma in situ, treated with definitive surgical intervention prior to study enrollment are allowed
* Subjects with any bacterial infection within the last 60 days prior to screening (enrollment), unless treated and resolved with antibiotics, or any chronic bacterial infection (such as chronic pyelonephritis, osteomyelitis and bronchiectasis)
* Subjects at risk for tuberculosis (TB). Specifically, subjects with:

* Current clinical, radiographic or laboratory evidence of active TB
* A history of active TB within the last 3 years even if it was treated
* A history of active TB greater than 3 years ago unless there is documentation that the prior anti-TB treatment was appropriate in duration and type
* Latent TB which was not successfully treated
* Subjects with a positive TB screening test indicative of latent TB will not be eligible for the study unless they have no evidence of current TB on chest x-ray at screening and they are actively being treated for TB with isoniazid (INH) or other therapy for latent TB given according to local health authority guidelines (eg: Center for Disease Control). Treatment must have been given for at least 4 weeks prior to randomization (Day 1). These subjects should complete treatment according to local health authority guidelines
* Subjects with herpes zoster that resolved less than 2 months prior to enrollment
* Subjects with evidence (as measured by the investigator) of active or latent bacterial, active viral, or serious latent viral infections at the time of enrollment, including subjects with evidence of Immunodeficiency Virus (HIV) infection
* Subjects who are not currently treated with a non-biologic DMARD and have clinical or radiographic evidence of arthritis mutilans (eg: digital telescoping or "pencil-in-cup" radiographic changes)
* Subjects who have failed more than 2 TNFi due to inefficacy defined as inadequate response after 3 months treatment at a therapeutic dose
* Subjects who have received TNFi therapy within 4 weeks for etanercept or within 8 weeks for adalimumab, certolizumab, infliximab, or golimumab
* Subjects who have received prior use of apremilast within 4 weeks, ustekinumab within 20 weeks or briakinumab within 8 weeks
* Subjects who have discontinued a non-biologic DMARD or systemic retinoid within four weeks or five half-lives, whichever is longer, prior to randomization (Day 1)
* Use of any of the following within 28 days or five half lives whichever is longer prior to randomization (Day 1): Cyclosporine A, oral Tacrolimus, Mycophenolate Mofetil (MMF), Hydroxyurea, Fumaric Acid Esters, Paclitaxel, 6-Thioguanine, 6-Mercatopurine, or Tofacitinib
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Arizona Arthritis & Rheumatology Research PLLC

Phoenix, Arizona, United States

Site Status

Arthritis Asso & Osteo Ctr Of Colorado Springs

Colorado Springs, Colorado, 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

Klein And Associates, M.D., Pa

Hagerstown, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

St. Paul Rheumatology, P.A.

Eagan, Minnesota, United States

Site Status

Box Arthritis And Rheumatology Of The Carolinas, Pllc

Charlotte, North Carolina, United States

Site Status

Paramount Medical Research & Consulting, Llc

Middleburg Heights, Ohio, United States

Site Status

Health Research Of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

East Penn Rheumatology Associates, P.C.

Bethlehem, Pennsylvania, United States

Site Status

Clinical Research Center Of Reading, Llc

Wyomissing, Pennsylvania, United States

Site Status

West Tennessee Research Institute

Jackson, Tennessee, United States

Site Status

Rheumatology Consultants Pllc

Knoxville, Tennessee, United States

Site Status

Seattle Rheumatology Associates

Seattle, Washington, United States

Site Status

Arthritis Northwest

Spokane, Washington, United States

Site Status

Local Institution

Ciudad Autonoma Beunos Aires, Buenos Aires, Argentina

Site Status

Instituto de Asistencia Reumatologica Integral

San Fernando, Buenos Aires, Argentina

Site Status

Caici

Rosario, Santa Fe Province, Argentina

Site Status

Centro Medico Privado De Reumatologia

San Miguel de Tucumán, Tucumán Province, Argentina

Site Status

Instituto De Rehabilitacion Psicofisica

Buenos Aires, , Argentina

Site Status

Instituto Reumatologico Strusberg

Córdoba, , Argentina

Site Status

Local Institution

Juiz de Fora, Minas Gerais, Brazil

Site Status

Local Institution

Curitiba, Paraná, Brazil

Site Status

Nexus Clinical Research

St. John's, Newfoundland and Labrador, Canada

Site Status

Toronto Western Hospital, University Health Network

Toronto, Ontario, Canada

Site Status

Manna Research

Toronto, Ontario, Canada

Site Status

Groupe De Recherche En Rhumatologie Et Maladies Osseuses

Québec, Quebec, Canada

Site Status

Local Institution

Viña del Mar, Región de Valparaíso, Chile

Site Status

Local Institution

Santiago, Santiago Metropolitan, Chile

Site Status

Local Institution

Santiago, , Chile

Site Status

Riesgo De Fractura

Bogota, Cundinamarca, Colombia

Site Status

Servimed E.U

Bucaramanga, , Colombia

Site Status

Clinica de Artritis Temprana

Cali, , Colombia

Site Status

Local Institution

Prague, , Czechia

Site Status

Local Institution

Prague, , Czechia

Site Status

Local Institution

Prague, , Czechia

Site Status

Local Institution

Chambray-lès-Tours, , France

Site Status

Local Institution

Lille, , France

Site Status

Local Institution

Montpellier, , France

Site Status

Local Institution

Poitiers, , France

Site Status

Local Institution

Strasbourg, , France

Site Status

Local Institution

Bad Abbach, , Germany

Site Status

Local Institution

Erlangen, , Germany

Site Status

Local Institution

Freiburg im Breisgau, , Germany

Site Status

Local Institution

Hamburg, , Germany

Site Status

Local Institution

München, , Germany

Site Status

Local Institution

Ratingen, , Germany

Site Status

Local Institution

Trier, , Germany

Site Status

Local Institution

Athens, , Greece

Site Status

Local Institution

Crete, , Greece

Site Status

Local Institution

Ashkelon, , Israel

Site Status

Local Institution

Haifa, , Israel

Site Status

Local Institution

Ramat Gan, , Israel

Site Status

Local Institution

Tel Aviv, , Israel

Site Status

Local Institution

Florence, , Italy

Site Status

Local Institution

Milan, , Italy

Site Status

Local Institution

Palermo, , Italy

Site Status

Local Institution

Viale Europa Cantanzaro, , Italy

Site Status

Local Institution

Guadalajara, Jalisco, Mexico

Site Status

Local Institution

Zapopan, Jalisco, Mexico

Site Status

Local Institution

Mexico City, Mexico City, Mexico

Site Status

Local Institution

Monterrey, N.l., Nuevo León, Mexico

Site Status

Local Institution

Mérida, Yucatán, Mexico

Site Status

Local Institution

Mérida, Yucatán, Mexico

Site Status

Local Institution

Aguascalientes, , Mexico

Site Status

Clinica San Felipe

Lima, , Peru

Site Status

Hospital Nacional Guillermo Almenara Irigoyen

Lima, , Peru

Site Status

Instituto De Ginecologia Y Reproduccion Inv. Clinical Sac

Lima, , Peru

Site Status

Local Institution

Elblag, Warminsko-mazurski, Poland

Site Status

Local Institution

Dąbrówka, , Poland

Site Status

Local Institution

Mysłowice, , Poland

Site Status

Local Institution

Warsaw, , Poland

Site Status

Local Institution

Pretoria, Gauteng, South Africa

Site Status

Local Institution

Pretoria, Gauteng, South Africa

Site Status

Local Institution

Cape Town, Western Cape, South Africa

Site Status

Local Institution

Pinelands, Cape Town, Western Cape, South Africa

Site Status

Local Institution

Stellenbosch, Western Cape, South Africa

Site Status

Local Institution

A Coruña, , Spain

Site Status

Local Institution

Santander, , Spain

Site Status

Local Institution

Seville, , Spain

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Argentina Brazil Canada Chile Colombia Czechia France Germany Greece Israel Italy Mexico Peru Poland South Africa Spain

References

Explore related publications, articles, or registry entries linked to this study.

McInnes IB, Ferraccioli G, D'Agostino MA, Le Bars M, Banerjee S, Ahmad HA, Elbez Y, Mease PJ. Body mass index and treatment response to subcutaneous abatacept in patients with psoriatic arthritis: a post hoc analysis of a phase III trial. RMD Open. 2019 May 30;5(1):e000934. doi: 10.1136/rmdopen-2019-000934. eCollection 2019.

Reference Type DERIVED
PMID: 31245054 (View on PubMed)

Strand V, Alemao E, Lehman T, Johnsen A, Banerjee S, Ahmad HA, Mease PJ. Improved patient-reported outcomes in patients with psoriatic arthritis treated with abatacept: results from a phase 3 trial. Arthritis Res Ther. 2018 Dec 6;20(1):269. doi: 10.1186/s13075-018-1769-7.

Reference Type DERIVED
PMID: 30522501 (View on PubMed)

Mease PJ, Gottlieb AB, van der Heijde D, FitzGerald O, Johnsen A, Nys M, Banerjee S, Gladman DD. Efficacy and safety of abatacept, a T-cell modulator, in a randomised, double-blind, placebo-controlled, phase III study in psoriatic arthritis. Ann Rheum Dis. 2017 Sep;76(9):1550-1558. doi: 10.1136/annrheumdis-2016-210724. Epub 2017 May 4.

Reference Type DERIVED
PMID: 28473423 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

IM101-332

Identifier Type: -

Identifier Source: org_study_id

2012-002798-80

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.