Rheumatoid Arthritis
Conditions
Keywords
Rheumatoid Arthritis (RA)
Brief summary
The purpose of the study is to determine whether subcutaneous abatacept administered to patients with rheumatoid arthritis is associated with increased immunogenicity or increased safety events upon withdrawal and reintroduction.
Interventions
Solution in pre-filled syringes, Subcutaneously, 125 mg, Weekly, (Short Term (3 periods - 12 weeks each; Long Term)
Solution in pre-filled syringes, Subcutaneously, 0 mg, Weekly, Period II 12 weeks (Short Term)
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of Rheumatoid Arthritis * Disease Activity Score (DAS)28-C-Reactive Protein (CRP) score ≥ 3.2 and ≤5.1 * On background methotrexate at least 3 months (≥10mg weekly) * Must be able to self injection or allow a care giver to do it for them * Discontinue all Biologics and Disease-Modifying Anti-rheumatic Drugs (DMARDs) except for methotrexate
Exclusion criteria
* Participants who had prior exposure to abatacept or CTLA-4 Ig * Received treatment with rituximab. * Participants who have received treatment with leflunomide within 1 year of screening * Participants who have received treatment with immunoadsorption columns (such as Prosorba columns), mycophenolate mofetil (Cellcept®), cyclosporine A or other calcineurin inhibitors, or D-Penicillamine.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Double-blind Withdrawal (DBW) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Antibody Responses by Enzyme-Linked Immunosorbent Assay (ELISA) at Day 169 | Day 169 | Serum samples from all treated adult participants with active rheumatoid arthritis (RA) were screened for the presence of drug-specific antibodies using an enzyme-linked immunosorbent assay (ELISA). Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. |
| Re-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Groups | Day 253 (short term) | Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | For on-treatment visits: Day 1-Day 85, includes ≤21 Days after last dose or up to 1st dose of DBW Period. For follow-up post visits for participants who discontinued drug in LI: Day 22 after last dose of drug to Day 85 after last dose of drug | ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative. |
| DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Days 86-169, includes ≤21 Days after last dose or up to 1st dose of RI Period | Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. Samples were obtained during treatment (TRT) visits. |
| DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Post Visits | Day 22 after last dose of drug to Day 85 after last dose of drug | Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. |
| DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time | Days 86-169, includes ≤21 Days after last dose or up to 1st dose of RI Period | ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative. |
| DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL At Post Visits | Day 22 after last dose of drug to Day 85 after last dose of drug | ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative. |
| RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | For on-treatment visits: Days 170-253, includes ≤21 Days after last dose or up to 1st dose of LTE Period. For follow-up post visits for participants who discontinued drug in RI: Day 22 after last dose of drug to Day 85 after last dose of drug | Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. |
| RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | For on-treatment visits: Days 170-253, includes ≤21 Days after last dose or up to 1st dose of LTE Period. For follow-up post visits for participants who discontinued drug in RI: Day 22 after last dose of drug to Day 85 after last dose of drug | ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative. |
| Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | For on-TRT visits: Days 1-253 (ST). For follow-up post visits for participants who discontinued drug in the ST: Day 22 after last dose of ST drug to Day 85 after last dose of ST drug | Serum samples from Abatacept-treated adult participants with active rheumatoid arthritis (RA) were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. ST was defined as the LI Period, the DBW Period, and the RI Period (Days 1-253). |
| Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | For on-TRT visits: Days 1-253 (ST). For follow-up post visits for participants who discontinued drug in the ST: Day 22 after last dose of ST drug to Day 85 after last dose of ST drug | ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative. |
| Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Days 1 (Baseline),15, 29, 57, 78, 85, 113, 141, 169, 197, 225, and 253 (short term) | The DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline. |
| Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Days 85, 169, and 253 (short term) | DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline. |
| Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Days 1 (Baseline),15, 29, 57, 78, 85, 113, 141, 169, 197, 225, and 253 (short term) | The disability section of the full HAQ includes 20 questions to assess physical functions in 8 domains: dressing, arising, eating, walking, hygiene, reach, grip and common activities. The questions are evaluated on a 4-point scale: 0=without any difficulty, 1= with some difficulty, 2= with much difficulty, and 3= unable to do. Higher scores= greater dysfunction. A disability index was calculated by summing the worst scores in each domain and dividing by the number of domains answered. Clinically meaningful HAQ response=an improvement of at least 0.3 units from baseline in HAQ disability Index. |
| Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Days 1 (Baseline),15, 29, 57, 78, 85, 113, 141, 169, 197, 225, and 253 (short term) | The disability section of the full HAQ includes 20 questions to assess physical functions in 8 domains: dressing, arising, eating, walking, hygiene, reach, grip and common activities. The questions are evaluated on a 4-point scale: 0=without any difficulty, 1= with some difficulty, 2= with much difficulty, and 3= unable to do. Higher scores= greater dysfunction. A disability index was calculated by summing the worst scores in each domain and dividing by the number of domains answered. Clinically meaningful HAQ response=an improvement of at least 0.3 units from baseline in HAQ disability Index. |
| LI; Mean Change in DAS 28 (CRP) From Baseline Over Time | Days 1 (Baseline), 15, 29, 57, 78, 85 | DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline. |
| LI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over Time | Days 15, 29, 57, 78, 85 | DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline. |
| DBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over Time | Days 85 (Period 2 Baseline), 113, 141, and 169 | DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline. |
| DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time | Days 85, 113, 141, and 169 | A participant had an RA flare if at least 2 of the following criteria were met: * Doubling of tender and swollen joint count from Day 78 * Increase in DAS28-CRP score ≥ 1.2 from Day 78 * Prematurely discontinued from Double-blind Withdrawal Period (Period 2) and continued to Re-introduction Period (Period 3) |
| RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Days 169 (Period III Baseline), 197, 225, and 253 | DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline. |
| LI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation | From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier | AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. |
| LI Period; Number of Participants With AEs of Special Interest | From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier | AEs of special interest are those AEs that may be associated with the use of immunomodulatory drugs, including all infections and opportunistic infections; autoimmune disorders; malignancies; acute infusional AEs (pre-specified AEs occurring within 1 hour of start of infusion), peri-infusional AEs (pre-specified AEs occurring within 24 hours of the start of infusion),local injection site reaction (pre-specified AEs occurring at the site of SC injection)and systemic injection site reactions (pre-specified systemic AEs such as hypersensitivity reactions occurring within 24 hours of SC injection) |
| LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier | Upper Normal Limit (ULN), Lower Normal Limit (LLN), Baseline (BL). Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 cells/ microliter (uL); eosinophils: \>0.750 \* 10\^3 cells/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 cells/uL/ \>7.50 \* 10\^3 cells/uL. |
| LI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier | Marked abnormality criteria: Alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; aspartate aminotransferase (AST): \>3\* ULN, or if BL\>ULN then use \>4\* BL; alanine aminotransferase (ALT): \>3\* ULN, or if BL\>ULN then use \>4\* BL; G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; Bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; blood urea nitrogen (BUN): \>2\* BL; creatinine: \>1.5\* BL |
| LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier | Marked abnormality criteria: Sodium (Na): \<0.95\*LLN/ \>1.05\*ULN, or if BL\<LLN then use \<0.95\* BL or \>ULN, or if BL\>ULN then use\>1.05\* BL or \<LLN; potassium (K): \<0.9\* LLN/\>1.1\*ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; (Cl): \<0.9\* LLN/\>1.1\* ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; calcium (Ca): \<0.8\* LLN/\>1.2\* ULN, or if BL\<LLN then use \<0.75\* BL or \>ULN, or if BL\>ULN then use\>1.25\* BL or \<LLN; phosphorous (P): \<0.75\* LLN/ \>1.25\* ULN, or if BL\<LLN then use 0.67\* BL or \>ULN, or if BL\>ULN then use\>1.33\* BL or \<LLN |
| LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier | MA criteria: serum glucose (Glu): \<65 mg/dL/\>220 mg/dL;fasting serum Glu: \<0.8\* LLN/\>1.5\*upper limits of normal (ULN),or if BL\< lower limits of normal (LLN) then use 0.8\*BL or \> upper limits of normal (ULN),or if BL\>ULN then use \>2.0\*BL or \<LLN;total protein: \<0.9\*LLN/\>1.1\*ULN,or if BL\<LLN then use \<0.9\*BL or \>ULN,or if BL\>UNL then use \>1.1\*BL or \<LLN; albumin: \<0.9\*LLN,or if BL\<LLN then use \<0.75 BL;uric acid: \>1.5\*ULN,or if BL\>ULN then use \>2\*BL. Urinalysis: Urine protein,urine Glu,urine blood,leukocyte esterase,Red Blood Cells (RBCs), White Blood Cells (WBCs):Use ≥2 when BL value missing or when pre-dose=0 or 0.5; use ≥3 when pre-dose=1, use ≥4 when pre-dose=2 or 3 |
| LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Days 1, 15, 29, 57, 78, and 85 | Blood pressure was taken in participants while seated and measured in millimeters of mercury (mmHg). Pressures were assessed at screening, at baseline on Day 1 prior to infusion of IV abatacept, at 30 and 60 minutes after IV infusion of abatacept on Day 1, and at all office visits prior to SC injection of abatacept. Vital signs were also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely. |
| LI Period; Mean Heart Rate (HR) | Days 1, 15, 29, 57, 78, and 85 | Heart rate was taken in participants while seated and measured in beats per minute (bpm). Heart rate was assessed at screening, at baseline on Day 1 prior to infusion of IV abatacept, at 30 and 60 minutes after IV infusion of abatacept on Day 1, and at all office visits prior to SC injection of abatacept. Heart rate was also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely. |
| LI Period; Mean Temperature (T) | Days 1, 15, 29, 57, 78, and 85 | Temperature was taken in participants while seated and measured in degrees celsius. Temperature was assessed at screening, at baseline on Day 1 prior to infusion of IV abatacept, at 30 and 60 minutes after IV infusion of abatacept on Day 1, and at all office visits prior to SC injection of abatacept. Temperature was also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely. |
| DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier | AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. |
| DBW; Number of Participants With AEs of Special Interest | From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier | AEs of special interest are those AEs that may be associated with the use of immunomodulatory drugs, including all infections and opportunistic infections; autoimmune disorders; malignancies; acute infusional AEs (pre-specified AEs occurring within 1 hour of start of infusion), peri-infusional AEs (pre-specified AEs occurring within 24 hours of the start of infusion),local injection site reaction (pre-specified AEs occurring at the site of SC injection)and systemic injection site reactions (pre-specified systemic AEs such as hypersensitivity reactions occurring within 24 hours of SC injection) |
| DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier | Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 cells/uL; eosinophils: \>0.750 \* 10\^3 cells/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 cells/uL/ \>7.50 \* 10\^3 cells/uL. |
| DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier | Marked abnormality criteria: Alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; aspartate aminotransferase (AST): \>3\* ULN, or if BL\>ULN then use \>4\* BL; alanine aminotransferase (ALT): \>3\* ULN, or if BL\>ULN then use \>4\* BL; G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; Bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; blood urea nitrogen (BUN): \>2\* BL; creatinine: \>1.5\* BL |
| DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier | Marked abnormality criteria: Sodium (Na): \<0.95\*LLN/ \>1.05\*ULN, or if BL\<LLN then use \<0.95\* BL or \>ULN, or if BL\>ULN then use\>1.05\* BL or \<LLN; potassium (K): \<0.9\* LLN/\>1.1\*ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; (Cl): \<0.9\* LLN/\>1.1\* ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; calcium (Ca): \<0.8\* LLN/\>1.2\* ULN, or if BL\<LLN then use \<0.75\* BL or \>ULN, or if BL\>ULN then use\>1.25\* BL or \<LLN; phosphorous (P): \<0.75\* LLN/ \>1.25\* ULN, or if BL\<LLN then use 0.67\* BL or \>ULN, or if BL\>ULN then use\>1.33\* BL or \<LLN |
| DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier | MA criteria: serum glucose (Glu): \<65 mg/dL/\>220 mg/dL;fasting serum Glu: \<0.8\* LLN/\>1.5\*ULN,or if BL\<LLN then use 0.8\*BL or \>ULN,or if BL\>ULN then use \>2.0\*BL or \<LLN;total protein: \<0.9\*LLN/\>1.1\*ULN,or if BL\<LLN then use \<0.9\*BL or \>UNL,or if BL\>UNL then use \>1.1\*BL or \<LLN; albumin: \<0.9\*LLN,or if BL\<LLN then use \<0.75 BL;uric acid: \>1.5\*ULN,or if BL\>ULN then use \>2\*BL. Urinalysis (Urine protein,urine Glu,urine blood,leukocyte esterase,Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]):Use ≥2 when BL value missing or when pre-dose=0 or 0.5; use ≥3 when pre-dose=1, use ≥4 when pre-dose=2 or 3 |
| DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Days 113, 141, and 169 | Blood pressures were taken in participants while seated, just prior to study drug injection, and measured in millimeters of mercury (mmHg). |
| DBW Period; Mean Heart Rate (HR) During Period 2 | Days 113, 141, and 169 | Heart Rate was taken in participants while seated, just prior to study drug injection, and measured in beats per minute (bpm) |
| DBW Period; Mean Temperature (T) During Period II | Days 113, 141, and 169 | Participants were seated and temperature taken just prior to study drug injection. |
| RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier. | AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. |
| RI; Number of Participants With AEs of Special Interest | From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier. | AEs of special interest are those AEs that may be associated with the use of immunomodulatory drugs, including all infections and opportunistic infections; autoimmune disorders; malignancies; acute infusional AEs (pre-specified AEs occurring within 1 hour of start of infusion), peri-infusional AEs (pre-specified AEs occurring within 24 hours of the start of infusion),local injection site reaction (pre-specified AEs occurring at the site of SC injection)and systemic injection site reactions (pre-specified systemic AEs such as hypersensitivity reactions occurring within 24 hours of SC injection) |
| RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier. | Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 cells/uL; eosinophils: \>0.750 \* 10\^3 cells/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 cells/uL/ \>7.50 \* 10\^3 cells/uL. |
| RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier. | Marked abnormality criteria: Alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; aspartate aminotransferase (AST): \>3\* ULN, or if BL\>ULN then use \>4\* BL; alanine aminotransferase (ALT): \>3\* ULN, or if BL\>ULN then use \>4\* BL; G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; Bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; blood urea nitrogen (BUN): \>2\* BL; creatinine: \>1.5\* BL |
| RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier. | Marked abnormality criteria: Sodium (Na): \<0.95\*LLN/ \>1.05\*ULN, or if BL\<LLN then use \<0.95\* BL or \>ULN, or if BL\>ULN then use\>1.05\* BL or \<LLN; potassium (K): \<0.9\* LLN/\>1.1\*ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; (Cl): \<0.9\* LLN/\>1.1\* ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; calcium (Ca): \<0.8\* LLN/\>1.2\* ULN, or if BL\<LLN then use \<0.75\* BL or \>ULN, or if BL\>ULN then use\>1.25\* BL or \<LLN; phosphorous (P): \<0.75\* LLN/ \>1.25\* ULN, or if BL\<LLN then use 0.67\* BL or \>ULN, or if BL\>ULN then use\>1.33\* BL or \<LLN |
| RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier. | MA criteria: serum glucose (Glu): \<65 mg/dL/\>220 mg/dL;fasting serum Glu: \<0.8\* LLN/\>1.5\*ULN,or if BL\<LLN then use 0.8\*BL or \>ULN,or if BL\>ULN then use \>2.0\*BL or \<LLN;total protein: \<0.9\*LLN/\>1.1\*ULN,or if BL\<LLN then use \<0.9\*BL or \>UNL,or if BL\>UNL then use \>1.1\*BL or \<LLN; albumin: \<0.9\*LLN,or if BL\<LLN then use \<0.75 BL;uric acid: \>1.5\*ULN,or if BL\>ULN then use \>2\*BL. Urinalysis (Urine protein,urine Glu,urine blood,leukocyte esterase,Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]):Use ≥2 when BL value missing or when pre-dose=0 or 0.5; use ≥3 when pre-dose=1, use ≥4 when pre-dose=2 or 3 |
| RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Days 169, 197, 225, and 253 | — |
| RI Period; Mean Heart Rate (HR) During Period III | Days 169, 197, 225, and 253 | — |
| RI Period; Mean Temperature (T) During Period III | Days 169, 197, 225, and 253 | — |
| Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 197 through Day 253 | Pharmacokinetics is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. Cmin=minimum observed plasma concentration of single-dose abatacept. Cmin for each participant was listed by study visit and immunogenicity status (seropositive vs. seronegative) was determined by ELISA. |
| Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 197 through Day 253 | Pharmacokinetics is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. Cmin=minimum observed plasma concentration of single-dose abatacept. Cmin for each participant was listed by study visit and immunogenicity status (seropositive vs. seronegative) was determined by ECL. |
| ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | Baseline, Day 253 | Venous blood was collected and tested for anti-nuclear antibodies, anti-dsDNA antibodies, and rheumatoid factor. ANA were detected by means of immunofluorescent antibodies. An anti-DNA radioimmunoassay was used for detection of anti-dsDNA antibodies (Diagnostic Products Corporation). RF was measured by an immunoturbidimetric assay (Roche Tina-Quant). Determinations of antibody or RF status were made at baseline and Day 253. |
| LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | For Period 1 non-responders: as of Study Day 85 and up to Day 1821. For ST completers: as of Study Day 253 and up to Day 1821. | DAS28=continuous disease measure composite of 4 variables: number of tender joints out of 28, number of swollen joints out of 28, level of serum reactant protein CRP, and participant global assessment of disease activity measured on a visual analogue scale. DAS28-CRP has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Last day of ST is Day 85 for Period I Nonresponders and Day 253 for ST Completers . Data are not available(NA) for the period from Day 113 to Day 253 for Period 1 non-responders. Note: Day 85 and Day 337 assessments for the Period I Nonresponder cohort in fact represent consecutive assessments with an interval of approximately 1 month. For Period I nonresponder, study days do not represent treatment days. Study Day 337 for a Period I nonresponder actually corresponds to that participant's Treatment Day 169. |
| LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | For Period I non-responders: as of Study Day 85 and up to Study Day 1821. For ST completers: as of Study Day 253 and up to Study Day 1821 | DAS28=continuous disease measure composite of 4 variables: number of tender joints out of 28, number of swollen joints out of 28, level of serum reactant protein CRP, and participant global assessment of disease activity measured on a visual analogue scale. Clinical remission=DAS28-CRP score\<2.6. Percent=Number of participants meeting remission divided by number of participants evaluated. Last day of ST is Day 85 for Period I Nonresponders and Day 253 for ST Completers . Data are not available (NA) for the period from Day 113 to Day 253 for Period 1 non-responders. Note: Day 85 and Day 337 assessments for the Period I Nonresponder cohort in fact represent consecutive assessments with an interval of approximately 1 month. For Period I nonresponder, study days do not represent treatment days. Study Day 337 for a Period I nonresponder actually corresponds to that participant's Treatment Day 169. |
| LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | For Period 1 non-responders: as of Study Day 85 and up to Day 1821. For ST completers: as of Study Day 253 and up to Day 1821. | DAS28:continuous disease measure composite of 4 variables: number of tender joints out of 28 joints, number of swollen joints out of 28 joints, level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. Low disease activity score: ≤ 3.2. Percent=Number of participants with Low Disease Activity divided by number of participants evaluated. Last day of ST is Day 85 for Period I Nonresponders and Day 253 for ST Completers . Data are not available(NA) for the period from Day 113 to Day 253 for Period 1 non-responders. Note: Day 85 and Day 337 assessments for the Period I Nonresponder cohort in fact represent consecutive assessments with an interval of approximately 1 month. For Period I nonresponder, study days do not represent treatment days. Study Day 337 for a Period I nonresponder actually corresponds to that participant's Treatment Day 169. |
| LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Days 1 (Baseline),15, 29, 57, 78, 85, 253, 337, 365, 449, 533, 617, 729, 813, 897, 981, 1093, 1177, 1261, 1345, 1457, 1541,1625,1709,1821,1905,1989, 2073 | The disability section of the full HAQ includes 20 questions to assess physical functions in 8 domains: dressing, arising, eating, walking, hygiene, reach, grip and common activities. The questions are evaluated on a 4-point scale: 0=without any difficulty, 1= with some difficulty, 2= with much difficulty, and 3= unable to do. Higher scores= greater dysfunction. A disability index (DI) was calculated by summing the worst scores in each domain and dividing by the number of domains answered. Clinically meaningful HAQ response=an improvement of at least 0.3 units from baseline in HAQ DI. Percent=number of participants with HAQ response divided by number of participants in the analysis. Since Period I Non-responders proceeded directly to the LTE at the end of Period I (Day 85), study days do not represent treatment days. |
| LTE: Overall Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses (ECL Method) for On-Treatment Visits, Post Last Dose Visits, and Overall Study - All Participants Treated in LTE | Days 337, 365, 449, 533, 617, 729, 813, 897, 981, 1093, 1177, 1261, 1457, 1625, 1821, 1989 and 28, 56, 85, 168 days post last dose in LTE | Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using electrochemiluminescence (ECL). The percent of participants with a positive abatacept induced immunogenicity response against cytotoxic T-lymphocyte antigen 4 (CTLA4) and possibly immunoglobulin (Ig), or against Ig and/or Junction Region was calculated by number of participants with a positive response divided by number of participants evaluated. Overall for on-treatment includes treatment visits on Days 337, 365, 449, 533, 617, 729, 813, 897, 981, 1093, 1177, 1261, 1457, 1625, 1821, and 1989. |
| LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014), up to 56 days post last dose. For ST completers: as of Day 253 and up to completion of LTE (FEB 2014) up to 56 days post last dose. | AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. SAEs include hospitalizations for elective surgical procedures.All deaths reported during the LTE including those that occurred \> 56 days after the last dose. Related AE or SAE defined as AE or SAE with Certain, Probable, Possible, or Missing relationship to study medication. All participants who completed the ST period could enter the open label LTE on Day 253; LI Period 1 non-responders could directly enter the LTE. |
| LTE: Number of Participants With AEs of Special Interest During LTE | For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014) up to 56 days post last dose. For ST completers: as of Day 253 and up to completion of LTE (FEB 2014) up to 56 days post last dose. | AEs of special interest in LTE are those AEs that may be associated with the use of immunomodulatory drugs, including all infections and opportunistic infections; autoimmune disorders; malignancies, local injection site reaction (pre-specified AEs occurring at the site of SC injection) and systemic injection site reactions (pre-specified systemic AEs such as hypersensitivity reactions occurring within 24 hours of SC injection) |
| LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014). For ST completers: as of Day 253 and up to completion of LTE (FEB 2014). Data included up to 56 days post last dose. | Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 cells/uL; eosinophils: \>0.750 \* 10\^3 cells/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 cells/uL/ \>7.50 \* 10\^3 cells/uL. |
| RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo Group | Day 253 (short term) | Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. |
| LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014). For ST completers: as of Day 253 and up to completion of LTE (FEB 2014). Data included up to 56 days post last dose. | Marked abnormality criteria: Sodium (Na): \<0.95\*LLN/ \>1.05\*ULN, or if BL\<LLN then use \<0.95\* BL or \>ULN, or if BL\>ULN then use\>1.05\* BL or \<LLN; potassium (K): \<0.9\* LLN/\>1.1\*ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; (Cl): \<0.9\* LLN/\>1.1\* ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; calcium (Ca): \<0.8\* LLN/\>1.2\* ULN, or if BL\<LLN then use \<0.75\* BL or \>ULN, or if BL\>ULN then use\>1.25\* BL or \<LLN; phosphorous (P): \<0.75\* LLN/ \>1.25\* ULN, or if BL\<LLN then use 0.67\* BL or \>ULN, or if BL\>ULN then use\>1.33\* BL or \<LLN |
| LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014). For ST completers: as of Day 253 and up to completion of LTE (FEB 2014). Data included up to 56 days post last dose. | MA criteria: serum glucose (Glu): \<65 mg/dL/\>220 mg/dL;fasting serum Glu: \<0.8\* LLN/\>1.5\*ULN,or if BL\<LLN then use 0.8\*BL or \>ULN,or if BL\>ULN then use \>2.0\*BL or \<LLN;total protein: \<0.9\*LLN/\>1.1\*ULN,or if BL\<LLN then use \<0.9\*BL or \>UNL,or if BL\>UNL then use \>1.1\*BL or \<LLN; albumin: \<0.9\*LLN,or if BL\<LLN then use \<0.75 BL;uric acid: \>1.5\*ULN,or if BL\>ULN then use \>2\*BL. Urinalysis (Urine protein,urine Glu,urine blood,leukocyte esterase,Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]):Use ≥2 when BL value missing or when pre-dose=0 or 0.5; use ≥3 when pre-dose=1, use ≥4 when pre-dose=2 or 3 |
| LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Days 337, 365, 449, 533, 617, 729,813, 897,981, 1093, 1177,1261,1345, 1457,1541,1625,1709,1821,1905,1989,2073 | During LTE, blood pressure was taken in participants while seated, measured in millimeters of mercury (mmHg) and were assessed at all office visits prior to SC injection of abatacept. Vital signs were also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely. |
| LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Days 337, 365, 449, 533, 617, 729,813, 897,981, 1093, 1177,1261, 1345, 1457,1541,1625,1709,1821,1905,1989,2073 | During LTE, blood pressure was taken in participants while seated, measured in millimeters of mercury (mmHg) and were assessed at all office visits prior to SC injection of abatacept. Vital signs were also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely. |
| LTE: Mean Heart Rate (HR) During LTE | Days 337, 365, 449, 533, 617, 729,813, 897,981, 1093, 1177,1261, 1345, 1457,1541,1625,1709,1821,1905,1989,2073 | During LTE, heart rate was taken in participants while seated, measured in beats per minute (bpm) and was assessed at all office visits prior to SC injection of abatacept. Heart rate was also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely. |
| LTE: Mean Temperature (T) During LTE | Days 337, 365, 449,533, 617, 729,813, 897,981, 1093, 1177,1261, 1345, 1457,1541,1625,1709,1821,1905,1989,2073 | During LTE, temperature was taken in participants while seated, measured in degrees celsius and was assessed at all office visits prior to SC injection of abatacept. Temperature was also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely. |
| LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014). For ST completers: as of Day 253 and up to completion of LTE (FEB 2014). Data included up to 56 days post last dose. | Marked abnormality criteria: Alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; aspartate aminotransferase (AST): \>3\* ULN, or if BL\>ULN then use \>4\* BL; alanine aminotransferase (ALT): \>3\* ULN, or if BL\>ULN then use \>4\* BL; G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; Bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; blood urea nitrogen (BUN): \>2\* BL; creatinine: \>1.5\* BL |
| Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | For on-treatment visits: Day 1-Day 85, includes ≤21 Days after last dose or up to 1st dose of DBW Period. For follow-up post visits for participants who discontinued drug in LI: Day 22 after last dose of drug to Day 85 after last dose of drug | Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. |
Countries
Argentina, Canada, Mexico, South Africa, United States
Participant flow
Recruitment details
Participants with Rheumatoid Arthritis (American College of Rheumatology Class I, II or III) were enrolled. Study initiated November 2007. Short Term (ST) results and some long term extension (LTE) results up to a database lock in 2010 were released earlier. Study concluded February 2014. Final LTE results are now included.
Pre-assignment details
270 participants enrolled; 167 were treated in the Short Term (ST) study. 103 were not treated (10 withdrew consent, 2 lost to follow-up, 91 no longer met study criteria). ST study included 3 Periods: Lead-In (LI), Doubleblind Withdrawal (DBW), and Reintroduction (RI).150 participants entered the LTE study.
Participants by arm
| Arm | Count |
|---|---|
| Period 1 Non-Responders Participants received abatacept (ABA) intravenous (IV) loading dose and subcutaneous (SC) injections (fixed dose of 125 mg abatacept) on Day 1 followed by weekly SC injections of ABA up to Day 85 during the Lead-in Period (Period 1). Period 1 non-responders skipped Periods 2 and 3 and entered the long term extension (LTE). | 37 |
| Abatacept Received in Period 2 Participants received ABA IV loading dose and SC injections (fixed dose of 125 mg abatacept) on Day 1 followed by weekly SC injections of ABA up to Day 85 during the Lead-in Period (Period 1). Period 1 responders continued into Period 2 and were randomized to ABA (Day 85-169). | 40 |
| Placebo Received in Period 2 Participants received ABA IV loading dose and SC injections (fixed dose of 125 mg abatacept) on Day 1 followed by weekly SC injections of ABA up to Day 85 during the Lead-in Period (Period 1). Period 1 responders continued into Period 2 and were randomized to Placebo (Day 85-169). | 80 |
| Total | 157 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 |
|---|---|---|---|---|---|---|---|---|---|
| Double-blind Withdrawal (DBW) Period 2 | Lack of Efficacy | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 0 |
| Double-blind Withdrawal (DBW) Period 2 | Poor/Non-Compliance | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
| Lead-in (LI) Period 1 | Administrative Reason By Sponsor | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Lead-in (LI) Period 1 | Adverse Event | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Lead-in (LI) Period 1 | Lack of Efficacy | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Lead-in (LI) Period 1 | Lost to Follow-up | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Lead-in (LI) Period 1 | Missed 2 Consecutive Doses of Study Drug | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Lead-in (LI) Period 1 | Participant Withdrew Consent | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Long Term Extension (LTE) | Adverse Event | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 5 |
| Long Term Extension (LTE) | Death | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 3 |
| Long Term Extension (LTE) | Lack of Efficacy | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 3 |
| Long Term Extension (LTE) | Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Long Term Extension (LTE) | Other | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 6 |
| Long Term Extension (LTE) | Participant Withdrew Consent | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 5 |
| Long Term Extension (LTE) | Poor/Non-compliance | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
| Long Term Extension (LTE) | Pregnancy | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
| Re-introduction (RI) Period 3 | No Longer Meets Study Criteria | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
| Re-introduction (RI) Period 3 | Participant Withdrew Consent | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
Baseline characteristics
| Characteristic | Period 1 Non-Responders | Abatacept Received in Period 2 | Placebo Received in Period 2 | Total |
|---|---|---|---|---|
| Age, Continuous | 53.4 years STANDARD_DEVIATION 12.7 | 48.9 years STANDARD_DEVIATION 14.2 | 49.1 years STANDARD_DEVIATION 12.8 | 49.8 years STANDARD_DEVIATION 13.1 |
| Sex: Female, Male Female | 30 Participants | 34 Participants | 67 Participants | 131 Participants |
| Sex: Female, Male Male | 7 Participants | 6 Participants | 13 Participants | 26 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 6 / 10 | 29 / 37 | 33 / 40 | 66 / 80 |
| serious Total, serious adverse events | 2 / 10 | 12 / 37 | 11 / 40 | 27 / 80 |
Outcome results
Double-blind Withdrawal (DBW) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Antibody Responses by Enzyme-Linked Immunosorbent Assay (ELISA) at Day 169
Serum samples from all treated adult participants with active rheumatoid arthritis (RA) were screened for the presence of drug-specific antibodies using an enzyme-linked immunosorbent assay (ELISA). Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody.
Time frame: Day 169
Population: Participants treated in the DBW Period with at least 1 immunogenicity result (ELISA) during DBW Period. N=Number of Participants Analyzed, n=number of participants with data for that time point
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | Double-blind Withdrawal (DBW) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Antibody Responses by Enzyme-Linked Immunosorbent Assay (ELISA) at Day 169 | Anti-abatacept (n=37, n=71) | 0 percentage of participants |
| Abatacept in DBW Period | Double-blind Withdrawal (DBW) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Antibody Responses by Enzyme-Linked Immunosorbent Assay (ELISA) at Day 169 | Anti-CTLA4-T (n=38, n=73) | 0 percentage of participants |
| Abatacept in DBW Period | Double-blind Withdrawal (DBW) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Antibody Responses by Enzyme-Linked Immunosorbent Assay (ELISA) at Day 169 | Total (n=38, n=73) | 0 percentage of participants |
| Placebo in DBW Period | Double-blind Withdrawal (DBW) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Antibody Responses by Enzyme-Linked Immunosorbent Assay (ELISA) at Day 169 | Anti-abatacept (n=37, n=71) | 1.4 percentage of participants |
| Placebo in DBW Period | Double-blind Withdrawal (DBW) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Antibody Responses by Enzyme-Linked Immunosorbent Assay (ELISA) at Day 169 | Anti-CTLA4-T (n=38, n=73) | 8.2 percentage of participants |
| Placebo in DBW Period | Double-blind Withdrawal (DBW) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Antibody Responses by Enzyme-Linked Immunosorbent Assay (ELISA) at Day 169 | Total (n=38, n=73) | 9.6 percentage of participants |
Re-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Groups
Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody.
Time frame: Day 253 (short term)
Population: Participants treated in RI period with at least 1 immunogenicity result (ELISA) during RI period. N=Number of Participants Analyzed, n=number of participants with data for that time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | Re-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Groups | Anti-abatacept (n=38, n=73) | 0 percentage of participants |
| Abatacept in DBW Period | Re-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Groups | Anti-CTLA4-T (n=38, n=73) | 2.6 percentage of participants |
| Abatacept in DBW Period | Re-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Groups | Total (n=38, n=73) | 2.6 percentage of participants |
| Placebo in DBW Period | Re-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Groups | Anti-abatacept (n=38, n=73) | 0 percentage of participants |
| Placebo in DBW Period | Re-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Groups | Anti-CTLA4-T (n=38, n=73) | 2.7 percentage of participants |
| Placebo in DBW Period | Re-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Groups | Total (n=38, n=73) | 2.7 percentage of participants |
DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period
Blood pressures were taken in participants while seated, just prior to study drug injection, and measured in millimeters of mercury (mmHg).
Time frame: Days 113, 141, and 169
Population: Participants who received at least 1 dose of study medication in DBW period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 113 SBP before injection (n=39, n=78) | 119.4 mm mercury (Hg) | Standard Deviation 13.29 |
| Abatacept in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 113 DBP before injection (n=39, 78) | 74.2 mm mercury (Hg) | Standard Deviation 10.44 |
| Abatacept in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 141 SBP before injection (n=39, n=76) | 120.3 mm mercury (Hg) | Standard Deviation 12.73 |
| Abatacept in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 169 SBP before injection (n=40, n=80) | 119.6 mm mercury (Hg) | Standard Deviation 13.87 |
| Abatacept in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 141 DBP before injection (n=39, n=76) | 76.3 mm mercury (Hg) | Standard Deviation 10.46 |
| Abatacept in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 169 DBP before injection (n=40, n=80) | 74.0 mm mercury (Hg) | Standard Deviation 9.51 |
| Placebo in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 141 DBP before injection (n=39, n=76) | 76.0 mm mercury (Hg) | Standard Deviation 10.6 |
| Placebo in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 169 SBP before injection (n=40, n=80) | 119.4 mm mercury (Hg) | Standard Deviation 14.11 |
| Placebo in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 113 DBP before injection (n=39, 78) | 74.4 mm mercury (Hg) | Standard Deviation 9.34 |
| Placebo in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 113 SBP before injection (n=39, n=78) | 120.4 mm mercury (Hg) | Standard Deviation 15.6 |
| Placebo in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 169 DBP before injection (n=40, n=80) | 74.7 mm mercury (Hg) | Standard Deviation 8.94 |
| Placebo in DBW Period | DBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind Period | Day 141 SBP before injection (n=39, n=76) | 121.2 mm mercury (Hg) | Standard Deviation 14.98 |
DBW; Number of Participants With AEs of Special Interest
AEs of special interest are those AEs that may be associated with the use of immunomodulatory drugs, including all infections and opportunistic infections; autoimmune disorders; malignancies; acute infusional AEs (pre-specified AEs occurring within 1 hour of start of infusion), peri-infusional AEs (pre-specified AEs occurring within 24 hours of the start of infusion),local injection site reaction (pre-specified AEs occurring at the site of SC injection)and systemic injection site reactions (pre-specified systemic AEs such as hypersensitivity reactions occurring within 24 hours of SC injection)
Time frame: From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication in DBW period
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | DBW; Number of Participants With AEs of Special Interest | Infections and infestations | 5 participants |
| Abatacept in DBW Period | DBW; Number of Participants With AEs of Special Interest | Malignancies | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With AEs of Special Interest | Autoimmune disorders (prespecified) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With AEs of Special Interest | Acute infusional events (prespecified) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With AEs of Special Interest | Peri-infusional events (prespecified) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With AEs of Special Interest | Local injection site reactions (prespecified) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With AEs of Special Interest | Systemic injection reactions (prespecified) | 1 participants |
| Placebo in DBW Period | DBW; Number of Participants With AEs of Special Interest | Systemic injection reactions (prespecified) | 1 participants |
| Placebo in DBW Period | DBW; Number of Participants With AEs of Special Interest | Infections and infestations | 7 participants |
| Placebo in DBW Period | DBW; Number of Participants With AEs of Special Interest | Peri-infusional events (prespecified) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With AEs of Special Interest | Acute infusional events (prespecified) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With AEs of Special Interest | Malignancies | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With AEs of Special Interest | Local injection site reactions (prespecified) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With AEs of Special Interest | Autoimmune disorders (prespecified) | 0 participants |
DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation
AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event.
Time frame: From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication in DBW period
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related AEs | 2 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Deaths | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | SAEs | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related SAEs | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs Leading to Discontinuation | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs | 13 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs Leading to Discontinuation | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related AEs | 9 participants |
| Placebo in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs Leading to Discontinuation | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Deaths | 2 participants |
| Placebo in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs Leading to Discontinuation | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | SAEs | 2 participants |
| Placebo in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs | 29 participants |
| Placebo in DBW Period | DBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related SAEs | 0 participants |
DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria
Marked abnormality criteria: Sodium (Na): \<0.95\*LLN/ \>1.05\*ULN, or if BL\<LLN then use \<0.95\* BL or \>ULN, or if BL\>ULN then use\>1.05\* BL or \<LLN; potassium (K): \<0.9\* LLN/\>1.1\*ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; (Cl): \<0.9\* LLN/\>1.1\* ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; calcium (Ca): \<0.8\* LLN/\>1.2\* ULN, or if BL\<LLN then use \<0.75\* BL or \>ULN, or if BL\>ULN then use\>1.25\* BL or \<LLN; phosphorous (P): \<0.75\* LLN/ \>1.25\* ULN, or if BL\<LLN then use 0.67\* BL or \>ULN, or if BL\>ULN then use\>1.33\* BL or \<LLN
Time frame: From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication in DBW period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during the DBW period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Na | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Na | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low K | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High K | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Cl | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Cl | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Ca | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Ca | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low P | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High P | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Ca | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Na | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Cl | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Na | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High P | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low K | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Ca | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High K | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low P | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Cl | 0 participants |
DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria
Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 cells/uL; eosinophils: \>0.750 \* 10\^3 cells/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 cells/uL/ \>7.50 \* 10\^3 cells/uL.
Time frame: From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication in DBW period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during the DBW period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low erythrocytes (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low neutrophils+bands (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High PLT (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High eosinophils (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low hematocrit (n=39, n=79) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High basophils (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low leukocytes (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High monocytes (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low PLT (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low lymphocytes (n=40, n=80) | 2 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High leukocytes (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High lymphocytes (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low HGB (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High lymphocytes (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low HGB (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low hematocrit (n=39, n=79) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low erythrocytes (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low PLT (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High PLT (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low leukocytes (n=40, n=80) | 1 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High leukocytes (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low neutrophils+bands (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High eosinophils (n=40, n=80) | 2 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High basophils (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High monocytes (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low lymphocytes (n=40, n=80) | 4 participants |
DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria
Marked abnormality criteria: Alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; aspartate aminotransferase (AST): \>3\* ULN, or if BL\>ULN then use \>4\* BL; alanine aminotransferase (ALT): \>3\* ULN, or if BL\>ULN then use \>4\* BL; G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; Bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; blood urea nitrogen (BUN): \>2\* BL; creatinine: \>1.5\* BL
Time frame: From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication in DBW period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during the DBW period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALT | 1 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High bilirubin | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High AST | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High BUN | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High GGT | 2 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High creatinine | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALP | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High creatinine | 1 participants |
| Placebo in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALP | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High AST | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALT | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High GGT | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High bilirubin | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High BUN | 0 participants |
DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria
MA criteria: serum glucose (Glu): \<65 mg/dL/\>220 mg/dL;fasting serum Glu: \<0.8\* LLN/\>1.5\*ULN,or if BL\<LLN then use 0.8\*BL or \>ULN,or if BL\>ULN then use \>2.0\*BL or \<LLN;total protein: \<0.9\*LLN/\>1.1\*ULN,or if BL\<LLN then use \<0.9\*BL or \>UNL,or if BL\>UNL then use \>1.1\*BL or \<LLN; albumin: \<0.9\*LLN,or if BL\<LLN then use \<0.75 BL;uric acid: \>1.5\*ULN,or if BL\>ULN then use \>2\*BL. Urinalysis (Urine protein,urine Glu,urine blood,leukocyte esterase,Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]):Use ≥2 when BL value missing or when pre-dose=0 or 0.5; use ≥3 when pre-dose=1, use ≥4 when pre-dose=2 or 3
Time frame: From Day 85 through Day 169, up to 56 days post last dose in DBW Period or up to first dose in RI Period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication in DBW period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during the DBW period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low Glu (n=40, n=80) | 2 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High Glu (n=40, n=80) | 1 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low fasting Glu (n=27, n=51) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High fasting Glu (n=27, n=51) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low total protein (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High total protein (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low albumin (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High uric acid (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine protein (n=40, n=80) | 1 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine Glu (n=40, n=80) | 0 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine blood (n=40, n=80) | 3 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High leukocyte esterase (n=10, n=21) | 1 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine RBC (n=13, n=23) | 1 participants |
| Abatacept in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine WBC (n=15, n=28) | 6 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine blood (n=40, n=80) | 10 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low Glu (n=40, n=80) | 5 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High uric acid (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High Glu (n=40, n=80) | 3 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine RBC (n=13, n=23) | 5 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low fasting Glu (n=27, n=51) | 1 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine protein (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High fasting Glu (n=27, n=51) | 1 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High leukocyte esterase (n=10, n=21) | 4 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low total protein (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine Glu (n=40, n=80) | 1 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High total protein (n=40, n=80) | 0 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine WBC (n=15, n=28) | 12 participants |
| Placebo in DBW Period | DBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low albumin (n=40, n=80) | 0 participants |
DBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over Time
DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline.
Time frame: Days 85 (Period 2 Baseline), 113, 141, and 169
Population: Intent To Treat Analysis Population (DBW Period, Participants randomized in DBW period who received at least 1 dose of study medication in DBW period). N=Number of Participants Analyzed, n=number of participants with data for that time point and at DBW period baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | DBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over Time | Day 113, n=39, n=76 | 0.19 units on a scale | Standard Error 0.18 |
| Abatacept in DBW Period | DBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over Time | Day 141 , n=38, n=73 | 0.14 units on a scale | Standard Error 0.17 |
| Abatacept in DBW Period | DBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over Time | Day 169, n=38, n=72 | -0.06 units on a scale | Standard Error 0.19 |
| Placebo in DBW Period | DBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over Time | Day 113, n=39, n=76 | 0.16 units on a scale | Standard Error 0.11 |
| Placebo in DBW Period | DBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over Time | Day 141 , n=38, n=73 | 0.35 units on a scale | Standard Error 0.15 |
| Placebo in DBW Period | DBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over Time | Day 169, n=38, n=72 | 0.40 units on a scale | Standard Error 0.14 |
DBW Period; Mean Heart Rate (HR) During Period 2
Heart Rate was taken in participants while seated, just prior to study drug injection, and measured in beats per minute (bpm)
Time frame: Days 113, 141, and 169
Population: Participants who received at least 1 dose of study medication in DBW period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | DBW Period; Mean Heart Rate (HR) During Period 2 | Day 113 HR before injection (n=40, n=78) | 75.8 beats per minute (bpm) | Standard Deviation 8.07 |
| Abatacept in DBW Period | DBW Period; Mean Heart Rate (HR) During Period 2 | Day 141 HR before injection (n=39, n=76) | 75.9 beats per minute (bpm) | Standard Deviation 9.35 |
| Abatacept in DBW Period | DBW Period; Mean Heart Rate (HR) During Period 2 | Day 169 HR before injection (n=40, n=80) | 73.8 beats per minute (bpm) | Standard Deviation 8.19 |
| Placebo in DBW Period | DBW Period; Mean Heart Rate (HR) During Period 2 | Day 113 HR before injection (n=40, n=78) | 73.9 beats per minute (bpm) | Standard Deviation 8.39 |
| Placebo in DBW Period | DBW Period; Mean Heart Rate (HR) During Period 2 | Day 141 HR before injection (n=39, n=76) | 74.5 beats per minute (bpm) | Standard Deviation 8.45 |
| Placebo in DBW Period | DBW Period; Mean Heart Rate (HR) During Period 2 | Day 169 HR before injection (n=40, n=80) | 74.2 beats per minute (bpm) | Standard Deviation 8.5 |
DBW Period; Mean Temperature (T) During Period II
Participants were seated and temperature taken just prior to study drug injection.
Time frame: Days 113, 141, and 169
Population: Participants who received at least 1 dose of study medication in DBW period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | DBW Period; Mean Temperature (T) During Period II | Day 113 T before infusion (n=40, n=78) | 36.34 degrees Celsius | Standard Deviation 0.488 |
| Abatacept in DBW Period | DBW Period; Mean Temperature (T) During Period II | Day 141 T before injection (n=39, n=76) | 36.31 degrees Celsius | Standard Deviation 0.355 |
| Abatacept in DBW Period | DBW Period; Mean Temperature (T) During Period II | Day 169 T before injection (n=40, n=80) | 36.38 degrees Celsius | Standard Deviation 0.364 |
| Placebo in DBW Period | DBW Period; Mean Temperature (T) During Period II | Day 113 T before infusion (n=40, n=78) | 36.44 degrees Celsius | Standard Deviation 0.37 |
| Placebo in DBW Period | DBW Period; Mean Temperature (T) During Period II | Day 141 T before injection (n=39, n=76) | 36.36 degrees Celsius | Standard Deviation 0.347 |
| Placebo in DBW Period | DBW Period; Mean Temperature (T) During Period II | Day 169 T before injection (n=40, n=80) | 36.32 degrees Celsius | Standard Deviation 0.373 |
DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL At Post Visits
ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative.
Time frame: Day 22 after last dose of drug to Day 85 after last dose of drug
Population: These data were not summarized since there were no participants at any post visits
DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time
ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative.
Time frame: Days 86-169, includes ≤21 Days after last dose or up to 1st dose of RI Period
Population: All participants treated in DBW period with at least 1 immunogenicity result (ECL) during DBW period. N=Number of Participants Analyzed, n=number of participants with data for that time point
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time | Overall onTRT visits CTLA4 and Possibly Ig,n=40,80 | 0 percentage of participants |
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time | Overall onTRT visits Ig and/or JNC region, n=40,80 | 0 percentage of participants |
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time | Overall on TRT visits: Total Abs, n=40,80 | 0 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time | Overall onTRT visits CTLA4 and Possibly Ig,n=40,80 | 6.3 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time | Overall onTRT visits Ig and/or JNC region, n=40,80 | 3.8 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time | Overall on TRT visits: Total Abs, n=40,80 | 10.0 percentage of participants |
DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Post Visits
Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody.
Time frame: Day 22 after last dose of drug to Day 85 after last dose of drug
Population: These data were not summarized since there were no participants at any post visits.
DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time
Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. Samples were obtained during treatment (TRT) visits.
Time frame: Days 86-169, includes ≤21 Days after last dose or up to 1st dose of RI Period
Population: All participants treated in DBW period with at least 1 immunogenicity result (ELISA) during DBW period. N=Number of Participants Analyzed, n=number of participants with data for that time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall on TRT visits: anti-ABA, n=39,78 | 0 percentage of participants |
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall on TRT visits anti-CTLA4, n=40,80 | 0 percentage of participants |
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall on TRT visits: Total, n=40,80 | 0 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall on TRT visits: anti-ABA, n=39,78 | 1.3 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall on TRT visits anti-CTLA4, n=40,80 | 7.5 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall on TRT visits: Total, n=40,80 | 8.8 percentage of participants |
DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time
A participant had an RA flare if at least 2 of the following criteria were met: * Doubling of tender and swollen joint count from Day 78 * Increase in DAS28-CRP score ≥ 1.2 from Day 78 * Prematurely discontinued from Double-blind Withdrawal Period (Period 2) and continued to Re-introduction Period (Period 3)
Time frame: Days 85, 113, 141, and 169
Population: Intent To Treat Analysis Population (DBW Period, Participants randomized in DBW period who received at least 1 dose of study medication in DBW period). N=Number of Participants Analyzed, n=number of participants with data for that time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time | Day 85, n=31, n=66 | 0 percentage of participants |
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time | Day 113, n=33, n=77 | 9.1 percentage of participants |
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time | Day 141, n=32, n=73 | 6.3 percentage of participants |
| Abatacept in DBW Period | DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time | Day 169, n=33, n=74 | 6.1 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time | Day 169, n=33, n=74 | 9.5 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time | Day 85, n=31, n=66 | 1.5 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time | Day 141, n=32, n=73 | 6.8 percentage of participants |
| Placebo in DBW Period | DBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over Time | Day 113, n=33, n=77 | 2.6 percentage of participants |
Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time
Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody.
Time frame: For on-treatment visits: Day 1-Day 85, includes ≤21 Days after last dose or up to 1st dose of DBW Period. For follow-up post visits for participants who discontinued drug in LI: Day 22 after last dose of drug to Day 85 after last dose of drug
Population: All participants treated in LI Period who had at least 1 immunogenicity result (ELISA) during LI period. N=Number of Participants Analyzed, n=number of participants with data for that time point
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall anti-ABA (n=162) | 1.2 percentage of participants |
| Abatacept in DBW Period | Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall on TRT visits: anti-ABA (n=162) | 1.2 percentage of participants |
| Abatacept in DBW Period | Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall on TRT visits: anti-CTLA4 (n=165) | 0 percentage of participants |
| Abatacept in DBW Period | Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall on TRT visits: Total (n=165) | 1.2 percentage of participants |
| Abatacept in DBW Period | Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall post visits: anti-ABA (n=3) | 0 percentage of participants |
| Abatacept in DBW Period | Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall post visits: anti-CTLA4 (n=3) | 0 percentage of participants |
| Abatacept in DBW Period | Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall post visits: Total (n=3) | 0 percentage of participants |
| Abatacept in DBW Period | Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall anti-CTLA4 (n=165) | 0 percentage of participants |
| Abatacept in DBW Period | Lead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time | Overall Total (n=165) | 1.2 percentage of participants |
LI; Mean Change in DAS 28 (CRP) From Baseline Over Time
DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline.
Time frame: Days 1 (Baseline), 15, 29, 57, 78, 85
Population: Participants who received at least 1 dose of study medication during LI period. N=Number of Participants Analyzed, n=number of participants with data for that time point and at baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | LI; Mean Change in DAS 28 (CRP) From Baseline Over Time | Day 15, n=150 | -0.72 units on a scale | Standard Error 0.06 |
| Abatacept in DBW Period | LI; Mean Change in DAS 28 (CRP) From Baseline Over Time | Day 29, n=165 | -1.00 units on a scale | Standard Error 0.07 |
| Abatacept in DBW Period | LI; Mean Change in DAS 28 (CRP) From Baseline Over Time | Day 57, n=164 | -1.35 units on a scale | Standard Error 0.08 |
| Abatacept in DBW Period | LI; Mean Change in DAS 28 (CRP) From Baseline Over Time | Day 78, n=143 | -1.39 units on a scale | Standard Error 0.1 |
| Abatacept in DBW Period | LI; Mean Change in DAS 28 (CRP) From Baseline Over Time | Day 85, n=161 | -1.53 units on a scale | Standard Error 0.1 |
LI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation
AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event.
Time frame: From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication during LI period
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation | Related SAEs | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation | SAEs Leading to Discontinuation | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation | AEs | 82 participants |
| Abatacept in DBW Period | LI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation | Related AEs | 29 participants |
| Abatacept in DBW Period | LI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation | AEs Leading to Discontinuation | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation | Deaths | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to Discontinuation | SAEs | 3 participants |
LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria
Marked abnormality criteria: Sodium (Na): \<0.95\*LLN/ \>1.05\*ULN, or if BL\<LLN then use \<0.95\* BL or \>ULN, or if BL\>ULN then use\>1.05\* BL or \<LLN; potassium (K): \<0.9\* LLN/\>1.1\*ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; (Cl): \<0.9\* LLN/\>1.1\* ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; calcium (Ca): \<0.8\* LLN/\>1.2\* ULN, or if BL\<LLN then use \<0.75\* BL or \>ULN, or if BL\>ULN then use\>1.25\* BL or \<LLN; phosphorous (P): \<0.75\* LLN/ \>1.25\* ULN, or if BL\<LLN then use 0.67\* BL or \>ULN, or if BL\>ULN then use\>1.33\* BL or \<LLN
Time frame: From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication during LI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | High Cl | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | Low Ca | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | Low Cl | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | High Ca | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | Low P | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | High P | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | Low Na | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | High Na | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | Low K | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria | High K | 0 participants |
LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria
Upper Normal Limit (ULN), Lower Normal Limit (LLN), Baseline (BL). Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 cells/ microliter (uL); eosinophils: \>0.750 \* 10\^3 cells/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 cells/uL/ \>7.50 \* 10\^3 cells/uL.
Time frame: From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication during LI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | High lymphocytes | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | Low HGB | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | Low hematocrit | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | Low erythrocytes | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | Low PLT | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | High PLT | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | Low leukocytes | 3 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | High leukocytes | 4 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | Low neutrophils+bands | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | High eosinophils | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | High basophils | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | High monocytes | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) Criteria | Low lymphocytes | 7 participants |
LI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria
Marked abnormality criteria: Alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; aspartate aminotransferase (AST): \>3\* ULN, or if BL\>ULN then use \>4\* BL; alanine aminotransferase (ALT): \>3\* ULN, or if BL\>ULN then use \>4\* BL; G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; Bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; blood urea nitrogen (BUN): \>2\* BL; creatinine: \>1.5\* BL
Time frame: From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication during LI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALP | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALT | 2 participants |
| Abatacept in DBW Period | LI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High AST | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High GGT | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High bilirubin | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High BUN | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High creatinine | 3 participants |
LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria
MA criteria: serum glucose (Glu): \<65 mg/dL/\>220 mg/dL;fasting serum Glu: \<0.8\* LLN/\>1.5\*upper limits of normal (ULN),or if BL\< lower limits of normal (LLN) then use 0.8\*BL or \> upper limits of normal (ULN),or if BL\>ULN then use \>2.0\*BL or \<LLN;total protein: \<0.9\*LLN/\>1.1\*ULN,or if BL\<LLN then use \<0.9\*BL or \>ULN,or if BL\>UNL then use \>1.1\*BL or \<LLN; albumin: \<0.9\*LLN,or if BL\<LLN then use \<0.75 BL;uric acid: \>1.5\*ULN,or if BL\>ULN then use \>2\*BL. Urinalysis: Urine protein,urine Glu,urine blood,leukocyte esterase,Red Blood Cells (RBCs), White Blood Cells (WBCs):Use ≥2 when BL value missing or when pre-dose=0 or 0.5; use ≥3 when pre-dose=1, use ≥4 when pre-dose=2 or 3
Time frame: From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication during LI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during LI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine protein (n=167) | 3 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low Glu (n=167) | 9 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High Glu (n=167) | 4 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low fasting Glu (n=92) | 3 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High fasting glucose (n=92) | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low protein (n=167) | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High protein (n=167) | 1 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low Albumin (n=167) | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High uric acid (n=167) | 0 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine Glu (n=167) | 3 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine blood (n=167) | 17 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High leukocyte esterase (n=46) | 9 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine RBC (n=44) | 7 participants |
| Abatacept in DBW Period | LI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine WBC (n=63) | 26 participants |
LI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over Time
DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline.
Time frame: Days 15, 29, 57, 78, 85
Population: Participants who received at least 1 dose of study medication during LI period. N=Number of Participants Analyzed, n=number of participants with data for that time point and at baseline.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over Time | Day 15, n=150 | 26.0 percentage of participants |
| Abatacept in DBW Period | LI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over Time | Day 29, n=165 | 40.6 percentage of participants |
| Abatacept in DBW Period | LI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over Time | Day 57, n=164 | 56.1 percentage of participants |
| Abatacept in DBW Period | LI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over Time | Day 78, n=143 | 59.4 percentage of participants |
| Abatacept in DBW Period | LI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over Time | Day 85, n=161 | 64.6 percentage of participants |
LI Period; Mean Heart Rate (HR)
Heart rate was taken in participants while seated and measured in beats per minute (bpm). Heart rate was assessed at screening, at baseline on Day 1 prior to infusion of IV abatacept, at 30 and 60 minutes after IV infusion of abatacept on Day 1, and at all office visits prior to SC injection of abatacept. Heart rate was also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely.
Time frame: Days 1, 15, 29, 57, 78, and 85
Population: Participants who received at least 1 dose of study medication during LI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point during the LI period.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | LI Period; Mean Heart Rate (HR) | Day 15 HR before injection (n=160) | 76.0 bpm | Standard Deviation 7.91 |
| Abatacept in DBW Period | LI Period; Mean Heart Rate (HR) | Day 29 HR before injection (n=166) | 75.5 bpm | Standard Deviation 9.03 |
| Abatacept in DBW Period | LI Period; Mean Heart Rate (HR) | Day 57 HR before injection (n=164) | 75.5 bpm | Standard Deviation 8.95 |
| Abatacept in DBW Period | LI Period; Mean Heart Rate (HR) | Day 1 HR before infusion (n=167) | 73.9 bpm | Standard Deviation 9.78 |
| Abatacept in DBW Period | LI Period; Mean Heart Rate (HR) | Day 78 HR before injection (n=158) | 75.1 bpm | Standard Deviation 7.78 |
| Abatacept in DBW Period | LI Period; Mean Heart Rate (HR) | Day 85 HR before injection (n=160) | 74.7 bpm | Standard Deviation 8.64 |
LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Blood pressure was taken in participants while seated and measured in millimeters of mercury (mmHg). Pressures were assessed at screening, at baseline on Day 1 prior to infusion of IV abatacept, at 30 and 60 minutes after IV infusion of abatacept on Day 1, and at all office visits prior to SC injection of abatacept. Vital signs were also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely.
Time frame: Days 1, 15, 29, 57, 78, and 85
Population: Participants who received at least 1 dose of study medication during LI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point during the LI period.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 29 DBP before injection (n=161) | 76.1 mmHg | Standard Deviation 9.43 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 57 DBP before injection (n=157) | 75.7 mmHg | Standard Deviation 9.82 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 78 DBP before injection (n=157) | 75.4 mmHg | Standard Deviation 10.29 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 1 SBP before infusion (n=160) | 125.0 mmHg | Standard Deviation 18.42 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 15 SBP before injection (n=156) | 122.3 mmHg | Standard Deviation 14.55 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 29 SBP before injection (n=161) | 122.0 mmHg | Standard Deviation 14.02 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 57 SBP before injection (n=157) | 121.4 mmHg | Standard Deviation 14.87 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 78 SBP before injection (n=157) | 120.3 mmHg | Standard Deviation 14.38 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 85 SBP before injection (n=159) | 122.0 mmHg | Standard Deviation 15.19 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 1 DBP before infusion (n=160) | 76.0 mmHg | Standard Deviation 10.88 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 15 DBP before injection (n=156) | 75.8 mmHg | Standard Deviation 9.63 |
| Abatacept in DBW Period | LI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) | Day 85 DBP before injection (n=159) | 75.2 mmHg | Standard Deviation 9.45 |
LI Period; Mean Temperature (T)
Temperature was taken in participants while seated and measured in degrees celsius. Temperature was assessed at screening, at baseline on Day 1 prior to infusion of IV abatacept, at 30 and 60 minutes after IV infusion of abatacept on Day 1, and at all office visits prior to SC injection of abatacept. Temperature was also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely.
Time frame: Days 1, 15, 29, 57, 78, and 85
Population: Participants who received at least 1 dose of study medication during LI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point during the LI period.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | LI Period; Mean Temperature (T) | Day 1 T before infusion (n=167) | 36.39 degrees Celsius | Standard Deviation 0.387 |
| Abatacept in DBW Period | LI Period; Mean Temperature (T) | Day 15 T before injection (n=160) | 36.34 degrees Celsius | Standard Deviation 0.351 |
| Abatacept in DBW Period | LI Period; Mean Temperature (T) | Day 29 T before injection (n=166) | 36.39 degrees Celsius | Standard Deviation 0.371 |
| Abatacept in DBW Period | LI Period; Mean Temperature (T) | Day 57 T before injection (n=164) | 36.38 degrees Celsius | Standard Deviation 0.329 |
| Abatacept in DBW Period | LI Period; Mean Temperature (T) | Day 78 T before injection (n=158) | 36.33 degrees Celsius | Standard Deviation 0.333 |
| Abatacept in DBW Period | LI Period; Mean Temperature (T) | Day 85 T before injection (n=160) | 36.35 degrees Celsius | Standard Deviation 0.368 |
LI Period; Number of Participants With AEs of Special Interest
AEs of special interest are those AEs that may be associated with the use of immunomodulatory drugs, including all infections and opportunistic infections; autoimmune disorders; malignancies; acute infusional AEs (pre-specified AEs occurring within 1 hour of start of infusion), peri-infusional AEs (pre-specified AEs occurring within 24 hours of the start of infusion),local injection site reaction (pre-specified AEs occurring at the site of SC injection)and systemic injection site reactions (pre-specified systemic AEs such as hypersensitivity reactions occurring within 24 hours of SC injection)
Time frame: From Day 1 through Day 85, up to 56 days post last dose in Lead-in Period or up to first dose in next period, whichever occurred earlier
Population: Participants who received at least 1 dose of study medication during LI period
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LI Period; Number of Participants With AEs of Special Interest | Infections and infestations | 42 participants |
| Abatacept in DBW Period | LI Period; Number of Participants With AEs of Special Interest | Malignancies | 0 participants |
| Abatacept in DBW Period | LI Period; Number of Participants With AEs of Special Interest | Autoimmune events (prespecified) | 0 participants |
| Abatacept in DBW Period | LI Period; Number of Participants With AEs of Special Interest | Acute infusional events (prespecified) | 1 participants |
| Abatacept in DBW Period | LI Period; Number of Participants With AEs of Special Interest | Peri-infusional events (prespecified) | 2 participants |
| Abatacept in DBW Period | LI Period; Number of Participants With AEs of Special Interest | Local injection site reactions (prespecified) | 2 participants |
| Abatacept in DBW Period | LI Period; Number of Participants With AEs of Special Interest | Systemic injection reactions (prespecified) | 9 participants |
LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time
ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative.
Time frame: For on-treatment visits: Day 1-Day 85, includes ≤21 Days after last dose or up to 1st dose of DBW Period. For follow-up post visits for participants who discontinued drug in LI: Day 22 after last dose of drug to Day 85 after last dose of drug
Population: All participants treated in Period 1 (Lead-in Period). N=Number of Participants Analyzed, n=number of participants with data for that time point
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | Overall onTRT visits CTLA4 and Possibly Ig, n=165 | 1.2 percentage of participants |
| Abatacept in DBW Period | LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | Overall onTRT visits Ig and/or JNC region, n=165 | 0 percentage of participants |
| Abatacept in DBW Period | LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | Overall onTRT visits Total, n=165 | 1.2 percentage of participants |
| Abatacept in DBW Period | LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | Overall post visits CTLA4 and possibly Ig, n=3 | 0 percentage of participants |
| Abatacept in DBW Period | LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | Overall post visits Ig and/or JNC region, n=3 | 0 percentage of participants |
| Abatacept in DBW Period | LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | Overall post visits: Total, n=3 | 0 percentage of participants |
| Abatacept in DBW Period | LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | Overall CTLA4 and possibly Ig, n=165 | 1.2 percentage of participants |
| Abatacept in DBW Period | LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | Overall Ig and/or JNC region, n=165 | 0 percentage of participants |
| Abatacept in DBW Period | LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over Time | Overall Total (n=165) | 1.2 percentage of participants |
LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE
DAS28=continuous disease measure composite of 4 variables: number of tender joints out of 28, number of swollen joints out of 28, level of serum reactant protein CRP, and participant global assessment of disease activity measured on a visual analogue scale. DAS28-CRP has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Last day of ST is Day 85 for Period I Nonresponders and Day 253 for ST Completers . Data are not available(NA) for the period from Day 113 to Day 253 for Period 1 non-responders. Note: Day 85 and Day 337 assessments for the Period I Nonresponder cohort in fact represent consecutive assessments with an interval of approximately 1 month. For Period I nonresponder, study days do not represent treatment days. Study Day 337 for a Period I nonresponder actually corresponds to that participant's Treatment Day 169.
Time frame: For Period 1 non-responders: as of Study Day 85 and up to Day 1821. For ST completers: as of Study Day 253 and up to Day 1821.
Population: The LTE Treated Population contained those participants who received at least 1 dose of study medication during the LTE. Participants in LTE either completed Period 3 or were nonresponders at the end of Period 1. n=number of participants with both baseline and post-baseline measurements.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 15; Treatment Day 15 (n=31, 106) | -0.48 units on a scale | Standard Error 0.14 |
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 85; Treatment Day 85 (n=36, 112) | -0.35 units on a scale | Standard Error 0.21 |
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 253; Treatment Day 85 (n=0, n=109) | NA units on a scale | — |
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 337; Treatment Day 169 (n=34,n=113) | -1.51 units on a scale | Standard Error 0.16 |
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 365; Treatment Day 197 (n=31, n=110) | -1.83 units on a scale | Standard Error 0.19 |
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 533; Treatment Day 365 (n=32, n=106) | -1.86 units on a scale | Standard Error 0.19 |
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 729; Treatment Day 561 (n=30, n=106 | -1.81 units on a scale | Standard Error 0.19 |
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 1093; Treatment Day 925 (n=26, n=98) | -1.94 units on a scale | Standard Error 0.18 |
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 1261; Treatment Day 1093 (n=25, n=96) | -1.70 units on a scale | Standard Error 0.15 |
| Abatacept in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 1821; Treatment Day 1653 (n=20, n=67) | -1.86 units on a scale | Standard Error 0.2 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 1093; Treatment Day 925 (n=26, n=98) | -2.12 units on a scale | Standard Error 0.12 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 15; Treatment Day 15 (n=31, 106) | -0.79 units on a scale | Standard Error 0.06 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 533; Treatment Day 365 (n=32, n=106) | -2.28 units on a scale | Standard Error 0.12 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 85; Treatment Day 85 (n=36, 112) | -1.91 units on a scale | Standard Error 0.09 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 1821; Treatment Day 1653 (n=20, n=67) | -2.55 units on a scale | Standard Error 0.14 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 253; Treatment Day 85 (n=0, n=109) | -2.29 units on a scale | Standard Error 0.09 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 729; Treatment Day 561 (n=30, n=106 | -2.16 units on a scale | Standard Error 0.12 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 337; Treatment Day 169 (n=34,n=113) | -2.34 units on a scale | Standard Error 0.09 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 1261; Treatment Day 1093 (n=25, n=96) | -2.20 units on a scale | Standard Error 0.13 |
| Placebo in DBW Period | LTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTE | Study Day 365; Treatment Day 197 (n=31, n=110) | -2.23 units on a scale | Standard Error 0.1 |
LTE: Mean Heart Rate (HR) During LTE
During LTE, heart rate was taken in participants while seated, measured in beats per minute (bpm) and was assessed at all office visits prior to SC injection of abatacept. Heart rate was also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely.
Time frame: Days 337, 365, 449, 533, 617, 729,813, 897,981, 1093, 1177,1261, 1345, 1457,1541,1625,1709,1821,1905,1989,2073
Population: Participants who received at least 1 dose of study medication in LTE period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 729 (n=30, n=106) | 74.2 bpm | Standard Deviation 8.6 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 337 (n=35, n=110) | 74.3 bpm | Standard Deviation 7.07 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 365 (n=32, n=109) | 74.2 bpm | Standard Deviation 7.76 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 449 (n=32, n=108) | 74.4 bpm | Standard Deviation 6.62 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 533 (n=32, n=108) | 75.8 bpm | Standard Deviation 6.62 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 617 (n=30, n=107) | 75.7 bpm | Standard Deviation 6.96 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 813 (n=30, n=103) | 72.4 bpm | Standard Deviation 7.57 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 897 (n=30, n=102) | 76.1 bpm | Standard Deviation 7.71 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 981 (n=28, n=100) | 74.4 bpm | Standard Deviation 8 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1093 (n=26, n=99) | 76.3 bpm | Standard Deviation 8.35 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1177 (n=25, n=97) | 77.6 bpm | Standard Deviation 6.89 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1261 (n=25, n=92) | 75.7 bpm | Standard Deviation 7.97 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1345 (n=24, n=82) | 73.5 bpm | Standard Deviation 8.54 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1457 (n=21, n=79) | 75.0 bpm | Standard Deviation 7.67 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1541 (n=21, n=79) | 77.3 bpm | Standard Deviation 7.34 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1625 (n=21, n=77) | 76.9 bpm | Standard Deviation 7.77 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1709 (n=21, n=74) | 78.7 bpm | Standard Deviation 6.86 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1821 (n=20, n=33) | 79.5 bpm | Standard Deviation 7.8 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1905 (n=18, n=0) | 77.1 bpm | Standard Deviation 8.97 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1989 (n= 13, n=0) | 77.2 bpm | Standard Deviation 9.53 |
| Abatacept in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 2073 (n=1, n=0) | 63.0 bpm | Standard Deviation 0 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1625 (n=21, n=77) | 75.2 bpm | Standard Deviation 8.12 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1261 (n=25, n=92) | 74.4 bpm | Standard Deviation 8.91 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1177 (n=25, n=97) | 75.3 bpm | Standard Deviation 9 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 337 (n=35, n=110) | 74.9 bpm | Standard Deviation 8.76 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1905 (n=18, n=0) | NA bpm | — |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 365 (n=32, n=109) | 75.7 bpm | Standard Deviation 8.45 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1709 (n=21, n=74) | 74.7 bpm | Standard Deviation 8.83 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 449 (n=32, n=108) | 75.7 bpm | Standard Deviation 7.76 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1345 (n=24, n=82) | 73.6 bpm | Standard Deviation 8.62 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 533 (n=32, n=108) | 74.7 bpm | Standard Deviation 8.32 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 2073 (n=1, n=0) | NA bpm | — |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 617 (n=30, n=107) | 76.0 bpm | Standard Deviation 8.35 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 729 (n=30, n=106) | 75.1 bpm | Standard Deviation 8.7 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1457 (n=21, n=79) | 76.8 bpm | Standard Deviation 7.96 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 813 (n=30, n=103) | 76.2 bpm | Standard Deviation 9.23 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1821 (n=20, n=33) | 78.2 bpm | Standard Deviation 6.78 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 897 (n=30, n=102) | 76.3 bpm | Standard Deviation 8.15 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1541 (n=21, n=79) | 75.1 bpm | Standard Deviation 8.51 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 981 (n=28, n=100) | 76.5 bpm | Standard Deviation 10.75 |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1989 (n= 13, n=0) | NA bpm | — |
| Placebo in DBW Period | LTE: Mean Heart Rate (HR) During LTE | Day 1093 (n=26, n=99) | 75.0 bpm | Standard Deviation 9.2 |
LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE
During LTE, blood pressure was taken in participants while seated, measured in millimeters of mercury (mmHg) and were assessed at all office visits prior to SC injection of abatacept. Vital signs were also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely.
Time frame: Days 337, 365, 449, 533, 617, 729,813, 897,981, 1093, 1177,1261, 1345, 1457,1541,1625,1709,1821,1905,1989,2073
Population: Participants who received at least 1 dose of study medication in LTE period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 337 (n=35, 110) | 76.3 mmHg | Standard Deviation 6.69 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 365 (n=32, 108) | 75.1 mmHg | Standard Deviation 10.42 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 449 (n=32, n=108) | 77.3 mmHg | Standard Deviation 9.48 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 533 (n=32, n=108) | 75.5 mmHg | Standard Deviation 8.43 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 617 (n=30, n=107) | 74.2 mmHg | Standard Deviation 8.81 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 729 (n=30, n=106) | 73.2 mmHg | Standard Deviation 8.42 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 813 (n=30, n=101) | 75.7 mmHg | Standard Deviation 9.39 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 897 (n=30, n=102) | 76.8 mmHg | Standard Deviation 8.41 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 981 (n=28, n=100) | 77.4 mmHg | Standard Deviation 6.55 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1093 (n=26, n=99) | 76.7 mmHg | Standard Deviation 7.11 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1177 (n=25, n=96) | 76.3 mmHg | Standard Deviation 6.32 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1261 (n=25, n=92) | 75.4 mmHg | Standard Deviation 8.18 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1345 (n=24, n=82) | 75.3 mmHg | Standard Deviation 6.08 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1457 (n=21, n=79) | 75.6 mmHg | Standard Deviation 9.18 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1541 (n=21, n=79) | 76.9 mmHg | Standard Deviation 8.14 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1625 (n=21, n=77) | 77.2 mmHg | Standard Deviation 5.89 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1709 (n=21, n=74) | 75.0 mmHg | Standard Deviation 9.47 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day1821 (n=20, n=33) | 76.0 mmHg | Standard Deviation 7.99 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1905 (n=18, n=0) | 73.2 mmHg | Standard Deviation 7.96 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1989 (n=13, n=0) | 77.0 mmHg | Standard Deviation 5.31 |
| Abatacept in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 2073 (n=1, n=0) | 69.0 mmHg | Standard Deviation 0 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1177 (n=25, n=96) | 75.9 mmHg | Standard Deviation 8.58 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 337 (n=35, 110) | 75.4 mmHg | Standard Deviation 11.18 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1905 (n=18, n=0) | NA mmHg | — |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 365 (n=32, 108) | 75.1 mmHg | Standard Deviation 8.94 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1261 (n=25, n=92) | 75.6 mmHg | Standard Deviation 8.59 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 449 (n=32, n=108) | 73.8 mmHg | Standard Deviation 9.12 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1709 (n=21, n=74) | 75.4 mmHg | Standard Deviation 9.09 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 533 (n=32, n=108) | 75.4 mmHg | Standard Deviation 9.14 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1345 (n=24, n=82) | 75.6 mmHg | Standard Deviation 9.03 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 617 (n=30, n=107) | 74.8 mmHg | Standard Deviation 9.45 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 2073 (n=1, n=0) | NA mmHg | — |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 729 (n=30, n=106) | 76.1 mmHg | Standard Deviation 9.86 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1457 (n=21, n=79) | 77.1 mmHg | Standard Deviation 10.04 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 813 (n=30, n=101) | 76.4 mmHg | Standard Deviation 9.3 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day1821 (n=20, n=33) | 78.3 mmHg | Standard Deviation 7.57 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 897 (n=30, n=102) | 75.5 mmHg | Standard Deviation 9.09 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1541 (n=21, n=79) | 76.0 mmHg | Standard Deviation 9.15 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 981 (n=28, n=100) | 76.1 mmHg | Standard Deviation 9.67 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1989 (n=13, n=0) | NA mmHg | — |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1093 (n=26, n=99) | 75.9 mmHg | Standard Deviation 9.88 |
| Placebo in DBW Period | LTE: Mean Seated Diastolic Blood Pressure (DBP) During LTE | Day 1625 (n=21, n=77) | 74.9 mmHg | Standard Deviation 9.01 |
LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE
During LTE, blood pressure was taken in participants while seated, measured in millimeters of mercury (mmHg) and were assessed at all office visits prior to SC injection of abatacept. Vital signs were also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely.
Time frame: Days 337, 365, 449, 533, 617, 729,813, 897,981, 1093, 1177,1261,1345, 1457,1541,1625,1709,1821,1905,1989,2073
Population: Participants who received at least 1 dose of study medication in LTE period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1709 (n=21, n=74) | 123.0 mm Hg | Standard Deviation 13.08 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 337 (n=35, n=110) | 125.7 mm Hg | Standard Deviation 13.76 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 365 (n=32, n=108) | 122.7 mm Hg | Standard Deviation 14.26 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 449 (n=32, n=108) | 122.9 mm Hg | Standard Deviation 15.08 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 533 (n=32, n=108) | 123.0 mm Hg | Standard Deviation 14.48 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 617 (n= 30, n=107) | 121.7 mm Hg | Standard Deviation 13.26 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 729 (n=30, n=106) | 122.2 mm Hg | Standard Deviation 11.77 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 813 (n=30, n=101) | 126.6 mm Hg | Standard Deviation 12.66 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 897 (n=30, n=102) | 123.9 mm Hg | Standard Deviation 11.92 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 981 (n=28, n=100) | 123.3 mm Hg | Standard Deviation 12.23 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1093 (n=26, n=99) | 127.2 mm Hg | Standard Deviation 18.41 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1177 (n=25, n=96) | 125.8 mm Hg | Standard Deviation 11.17 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1261 (n=25, n=92) | 124.9 mm Hg | Standard Deviation 11.04 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1345 (n=24, n=82) | 124.5 mm Hg | Standard Deviation 13.11 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1457 (n=21, n=79) | 124.1 mm Hg | Standard Deviation 14.75 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1541 (n=21, n=79) | 126.1 mm Hg | Standard Deviation 15.06 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1625 (n=21, n=77) | 122.4 mm Hg | Standard Deviation 9.09 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1821 (n=20, n=33) | 125.4 mm Hg | Standard Deviation 13.22 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1905 (n=18, n=0) | 121.8 mm Hg | Standard Deviation 13.14 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1989 (n=13, n=0) | 124.6 mm Hg | Standard Deviation 9.56 |
| Abatacept in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 2073 (n=1, n=0) | 113.0 mm Hg | Standard Deviation 0 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1625 (n=21, n=77) | 120.3 mm Hg | Standard Deviation 13.76 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1177 (n=25, n=96) | 123.0 mm Hg | Standard Deviation 15.96 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 337 (n=35, n=110) | 120.8 mm Hg | Standard Deviation 15.92 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1709 (n=21, n=74) | 121.9 mm Hg | Standard Deviation 14.9 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 365 (n=32, n=108) | 120.4 mm Hg | Standard Deviation 15.11 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1261 (n=25, n=92) | 119.7 mm Hg | Standard Deviation 13.64 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 449 (n=32, n=108) | 119.5 mm Hg | Standard Deviation 14.88 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 2073 (n=1, n=0) | NA mm Hg | — |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 533 (n=32, n=108) | 120.7 mm Hg | Standard Deviation 15.75 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1345 (n=24, n=82) | 121.9 mm Hg | Standard Deviation 14.49 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 617 (n= 30, n=107) | 118.7 mm Hg | Standard Deviation 15.3 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1821 (n=20, n=33) | 124.3 mm Hg | Standard Deviation 10.95 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 729 (n=30, n=106) | 121.5 mm Hg | Standard Deviation 17.41 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1457 (n=21, n=79) | 125.5 mm Hg | Standard Deviation 18.41 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 813 (n=30, n=101) | 120.6 mm Hg | Standard Deviation 15.65 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1989 (n=13, n=0) | NA mm Hg | — |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 897 (n=30, n=102) | 122.5 mm Hg | Standard Deviation 14.92 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1541 (n=21, n=79) | 122.3 mm Hg | Standard Deviation 14.53 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 981 (n=28, n=100) | 122.9 mm Hg | Standard Deviation 15.03 |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1905 (n=18, n=0) | NA mm Hg | — |
| Placebo in DBW Period | LTE: Mean Seated Systolic Blood Pressure (SBP) During LTE | Day 1093 (n=26, n=99) | 123.7 mm Hg | Standard Deviation 15.11 |
LTE: Mean Temperature (T) During LTE
During LTE, temperature was taken in participants while seated, measured in degrees celsius and was assessed at all office visits prior to SC injection of abatacept. Temperature was also assessed 7 days after the last injection of abatacept for participants who were withdrawn prematurely.
Time frame: Days 337, 365, 449,533, 617, 729,813, 897,981, 1093, 1177,1261, 1345, 1457,1541,1625,1709,1821,1905,1989,2073
Population: Participants who received at least 1 dose of study medication in LTE period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1177 (n=25, n=97) | 36.41 degrees Celsius | Standard Deviation 0.277 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 617 (n=30, n=106) | 36.38 degrees Celsius | Standard Deviation 0.248 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1261 (n=25, n=92) | 36.39 degrees Celsius | Standard Deviation 0.256 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 337 (n=35, n=110) | 36.29 degrees Celsius | Standard Deviation 0.285 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1345 (n=24,n=82) | 36.29 degrees Celsius | Standard Deviation 0.285 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 729 (n=30, n=106) | 36.47 degrees Celsius | Standard Deviation 0.252 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1457 (n=21, n=79) | 36.32 degrees Celsius | Standard Deviation 0.253 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 449 (n=32, n=108) | 36.40 degrees Celsius | Standard Deviation 0.354 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1541 (n=21, n=79) | 36.34 degrees Celsius | Standard Deviation 0.223 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 813 (n=30, n=103) | 36.49 degrees Celsius | Standard Deviation 0.284 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1625 (n=21, n=77) | 36.37 degrees Celsius | Standard Deviation 0.215 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1709 (n=21, n=74) | 36.35 degrees Celsius | Standard Deviation 0.178 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 897 (n=30, n=102) | 36.44 degrees Celsius | Standard Deviation 0.254 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1821 (n=20, n=33) | 36.25 degrees Celsius | Standard Deviation 0.315 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 981 (n=28, n=100) | 36.48 degrees Celsius | Standard Deviation 0.259 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1905 (n=18, n=0) | 36.37 degrees Celsius | Standard Deviation 0.211 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 533 (n=32, n=108) | 36.42 degrees Celsius | Standard Deviation 0.358 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1989 (n=13, n=0) | 36.35 degrees Celsius | Standard Deviation 0.139 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1093 (n=26, n=99) | 36.35 degrees Celsius | Standard Deviation 0.37 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 2073 (n=1, n=0) | 36.40 degrees Celsius | Standard Deviation 0 |
| Abatacept in DBW Period | LTE: Mean Temperature (T) During LTE | Day 365 (n=32, n=108) | 36.35 degrees Celsius | Standard Deviation 0.37 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 2073 (n=1, n=0) | NA degrees Celsius | — |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 337 (n=35, n=110) | 36.31 degrees Celsius | Standard Deviation 0.37 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 365 (n=32, n=108) | 36.30 degrees Celsius | Standard Deviation 0.393 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 449 (n=32, n=108) | 36.30 degrees Celsius | Standard Deviation 0.294 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 533 (n=32, n=108) | 36.30 degrees Celsius | Standard Deviation 0.312 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 617 (n=30, n=106) | 36.37 degrees Celsius | Standard Deviation 0.316 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 729 (n=30, n=106) | 36.27 degrees Celsius | Standard Deviation 0.332 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 813 (n=30, n=103) | 36.30 degrees Celsius | Standard Deviation 0.324 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 981 (n=28, n=100) | 36.30 degrees Celsius | Standard Deviation 0.295 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1093 (n=26, n=99) | 36.28 degrees Celsius | Standard Deviation 0.278 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1177 (n=25, n=97) | 36.24 degrees Celsius | Standard Deviation 0.327 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1261 (n=25, n=92) | 36.24 degrees Celsius | Standard Deviation 0.276 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1345 (n=24,n=82) | 36.23 degrees Celsius | Standard Deviation 0.232 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1457 (n=21, n=79) | 36.23 degrees Celsius | Standard Deviation 0.242 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1541 (n=21, n=79) | 36.24 degrees Celsius | Standard Deviation 0.198 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1625 (n=21, n=77) | 36.20 degrees Celsius | Standard Deviation 0.214 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1709 (n=21, n=74) | 36.24 degrees Celsius | Standard Deviation 0.249 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1821 (n=20, n=33) | 36.26 degrees Celsius | Standard Deviation 0.228 |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1905 (n=18, n=0) | NA degrees Celsius | — |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 1989 (n=13, n=0) | NA degrees Celsius | — |
| Placebo in DBW Period | LTE: Mean Temperature (T) During LTE | Day 897 (n=30, n=102) | 36.26 degrees Celsius | Standard Deviation 0.325 |
LTE: Number of Participants With AEs of Special Interest During LTE
AEs of special interest in LTE are those AEs that may be associated with the use of immunomodulatory drugs, including all infections and opportunistic infections; autoimmune disorders; malignancies, local injection site reaction (pre-specified AEs occurring at the site of SC injection) and systemic injection site reactions (pre-specified systemic AEs such as hypersensitivity reactions occurring within 24 hours of SC injection)
Time frame: For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014) up to 56 days post last dose. For ST completers: as of Day 253 and up to completion of LTE (FEB 2014) up to 56 days post last dose.
Population: Participants who received at least 1 dose of study medication in LTE period
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Malignancies | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Autoimmune disorders (prespecified) | 3 participants |
| Abatacept in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Infections and infestations | 23 participants |
| Abatacept in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Local injection site reactions (prespecified) | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Systemic injection reactions (prespecified) | 3 participants |
| Placebo in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Local injection site reactions (prespecified) | 3 participants |
| Placebo in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Systemic injection reactions (prespecified) | 11 participants |
| Placebo in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Infections and infestations | 78 participants |
| Placebo in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Autoimmune disorders (prespecified) | 8 participants |
| Placebo in DBW Period | LTE: Number of Participants With AEs of Special Interest During LTE | Malignancies | 3 participants |
LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE)
AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. SAEs include hospitalizations for elective surgical procedures.All deaths reported during the LTE including those that occurred \> 56 days after the last dose. Related AE or SAE defined as AE or SAE with Certain, Probable, Possible, or Missing relationship to study medication. All participants who completed the ST period could enter the open label LTE on Day 253; LI Period 1 non-responders could directly enter the LTE.
Time frame: For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014), up to 56 days post last dose. For ST completers: as of Day 253 and up to completion of LTE (FEB 2014) up to 56 days post last dose.
Population: Participants who received at least 1 dose of study medication in LTE period
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | Related SAEs | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | Related AEs | 9 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | SAEs Leading to Discontinuation | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | AEs Leading to Discontinuation | 2 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | Deaths | 1 participants |
| Placebo in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | AEs Leading to Discontinuation | 5 participants |
| Placebo in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | Deaths | 6 participants |
| Placebo in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | Related SAEs | 3 participants |
| Placebo in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | SAEs Leading to Discontinuation | 5 participants |
| Placebo in DBW Period | LTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE) | Related AEs | 45 participants |
LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE
Marked abnormality criteria: Sodium (Na): \<0.95\*LLN/ \>1.05\*ULN, or if BL\<LLN then use \<0.95\* BL or \>ULN, or if BL\>ULN then use\>1.05\* BL or \<LLN; potassium (K): \<0.9\* LLN/\>1.1\*ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; (Cl): \<0.9\* LLN/\>1.1\* ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; calcium (Ca): \<0.8\* LLN/\>1.2\* ULN, or if BL\<LLN then use \<0.75\* BL or \>ULN, or if BL\>ULN then use\>1.25\* BL or \<LLN; phosphorous (P): \<0.75\* LLN/ \>1.25\* ULN, or if BL\<LLN then use 0.67\* BL or \>ULN, or if BL\>ULN then use\>1.33\* BL or \<LLN
Time frame: For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014). For ST completers: as of Day 253 and up to completion of LTE (FEB 2014). Data included up to 56 days post last dose.
Population: Participants who received at least 1 dose of study medication in LTE period and who had data available during the LTE period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | Low K | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | Low P | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | High Cl | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | High P | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | High Na | 1 participants |
| Placebo in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | High P | 0 participants |
| Placebo in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | High Na | 0 participants |
| Placebo in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | Low K | 3 participants |
| Placebo in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | High Cl | 0 participants |
| Placebo in DBW Period | LTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTE | Low P | 5 participants |
LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE
Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 cells/uL; eosinophils: \>0.750 \* 10\^3 cells/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 cells/uL/ \>7.50 \* 10\^3 cells/uL.
Time frame: For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014). For ST completers: as of Day 253 and up to completion of LTE (FEB 2014). Data included up to 56 days post last dose.
Population: Participants who received at least 1 dose of study medication in LTE period and who had data available during the LTE period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low hematocrit | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | High leukocytes | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low PLT | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low neutrophils+bands | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low erythrocytes | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | High eosinophils | 3 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low leukocytes | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low lymphocytes | 5 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low HGB | 1 participants |
| Placebo in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low lymphocytes | 9 participants |
| Placebo in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low HGB | 4 participants |
| Placebo in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low hematocrit | 2 participants |
| Placebo in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low erythrocytes | 1 participants |
| Placebo in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low PLT | 1 participants |
| Placebo in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low leukocytes | 5 participants |
| Placebo in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | High leukocytes | 6 participants |
| Placebo in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | Low neutrophils+bands | 2 participants |
| Placebo in DBW Period | LTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTE | High eosinophils | 14 participants |
LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE
Marked abnormality criteria: Alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; aspartate aminotransferase (AST): \>3\* ULN, or if BL\>ULN then use \>4\* BL; alanine aminotransferase (ALT): \>3\* ULN, or if BL\>ULN then use \>4\* BL; G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; Bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; blood urea nitrogen (BUN): \>2\* BL; creatinine: \>1.5\* BL
Time frame: For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014). For ST completers: as of Day 253 and up to completion of LTE (FEB 2014). Data included up to 56 days post last dose.
Population: Participants who received at least 1 dose of study medication in LTE period and who had data available during the LTE period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High AST | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High ALT | 2 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High GGT | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High bilirubin | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High BUN | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High creatinine | 4 participants |
| Placebo in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High BUN | 7 participants |
| Placebo in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High AST | 3 participants |
| Placebo in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High bilirubin | 1 participants |
| Placebo in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High ALT | 2 participants |
| Placebo in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High creatinine | 11 participants |
| Placebo in DBW Period | LTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTE | High GGT | 8 participants |
LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE
MA criteria: serum glucose (Glu): \<65 mg/dL/\>220 mg/dL;fasting serum Glu: \<0.8\* LLN/\>1.5\*ULN,or if BL\<LLN then use 0.8\*BL or \>ULN,or if BL\>ULN then use \>2.0\*BL or \<LLN;total protein: \<0.9\*LLN/\>1.1\*ULN,or if BL\<LLN then use \<0.9\*BL or \>UNL,or if BL\>UNL then use \>1.1\*BL or \<LLN; albumin: \<0.9\*LLN,or if BL\<LLN then use \<0.75 BL;uric acid: \>1.5\*ULN,or if BL\>ULN then use \>2\*BL. Urinalysis (Urine protein,urine Glu,urine blood,leukocyte esterase,Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]):Use ≥2 when BL value missing or when pre-dose=0 or 0.5; use ≥3 when pre-dose=1, use ≥4 when pre-dose=2 or 3
Time frame: For Period I non-responders: as of Day 85 and up to completion of LTE (FEB 2014). For ST completers: as of Day 253 and up to completion of LTE (FEB 2014). Data included up to 56 days post last dose.
Population: Participants who received at least 1 dose of study medication in LTE period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during the LTE period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | Low Glu (n=35, n=113) | 6 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High Glu (n=35, n=113) | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | Low fasting Glu (n=14, n=75) | 4 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High fasting Glu (n=14, n=75) | 0 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | Low total protein (n=35, n=113) | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | Low albumin (n=35, n=113) | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine protein (n=35, n=113) | 2 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine Glu (n=35, n=113) | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine blood (n=35, n=113) | 5 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine WBC (n=22, n=81) | 12 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine RBC (n=16, n=66) | 1 participants |
| Abatacept in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High leukocyte esterase (n=19, n=67) | 6 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine RBC (n=16, n=66) | 27 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | Low Glu (n=35, n=113) | 16 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine protein (n=35, n=113) | 11 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High Glu (n=35, n=113) | 6 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine WBC (n=22, n=81) | 39 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | Low fasting Glu (n=14, n=75) | 2 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine Glu (n=35, n=113) | 3 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High fasting Glu (n=14, n=75) | 6 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High leukocyte esterase (n=19, n=67) | 18 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | Low total protein (n=35, n=113) | 0 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | High urine blood (n=35, n=113) | 30 participants |
| Placebo in DBW Period | LTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTE | Low albumin (n=35, n=113) | 0 participants |
LTE: Overall Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses (ECL Method) for On-Treatment Visits, Post Last Dose Visits, and Overall Study - All Participants Treated in LTE
Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using electrochemiluminescence (ECL). The percent of participants with a positive abatacept induced immunogenicity response against cytotoxic T-lymphocyte antigen 4 (CTLA4) and possibly immunoglobulin (Ig), or against Ig and/or Junction Region was calculated by number of participants with a positive response divided by number of participants evaluated. Overall for on-treatment includes treatment visits on Days 337, 365, 449, 533, 617, 729, 813, 897, 981, 1093, 1177, 1261, 1457, 1625, 1821, and 1989.
Time frame: Days 337, 365, 449, 533, 617, 729, 813, 897, 981, 1093, 1177, 1261, 1457, 1625, 1821, 1989 and 28, 56, 85, 168 days post last dose in LTE
Population: All participants treated in LTE period with at least 1 immunogenicity result (ECL) during LTE period. n=number of participants evaluated.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Overall Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses (ECL Method) for On-Treatment Visits, Post Last Dose Visits, and Overall Study - All Participants Treated in LTE | Overall Study (n=149) | 20.1 percentage of participants |
| Abatacept in DBW Period | LTE: Overall Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses (ECL Method) for On-Treatment Visits, Post Last Dose Visits, and Overall Study - All Participants Treated in LTE | Overall on Treatment Visit Days (n=147) | 15.6 percentage of participants |
| Abatacept in DBW Period | LTE: Overall Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses (ECL Method) for On-Treatment Visits, Post Last Dose Visits, and Overall Study - All Participants Treated in LTE | 28 Days post last dose (n=110) | 7.3 percentage of participants |
| Abatacept in DBW Period | LTE: Overall Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses (ECL Method) for On-Treatment Visits, Post Last Dose Visits, and Overall Study - All Participants Treated in LTE | 56 Days post last dose (n=16) | 6.3 percentage of participants |
| Abatacept in DBW Period | LTE: Overall Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses (ECL Method) for On-Treatment Visits, Post Last Dose Visits, and Overall Study - All Participants Treated in LTE | 85 Days post last dose (n=103) | 7.8 percentage of participants |
| Abatacept in DBW Period | LTE: Overall Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses (ECL Method) for On-Treatment Visits, Post Last Dose Visits, and Overall Study - All Participants Treated in LTE | 168 Days post last dose (n=21) | 23.8 percentage of participants |
| Abatacept in DBW Period | LTE: Overall Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses (ECL Method) for On-Treatment Visits, Post Last Dose Visits, and Overall Study - All Participants Treated in LTE | Overall Post Visits (n=126) | 12.7 percentage of participants |
LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE
DAS28=continuous disease measure composite of 4 variables: number of tender joints out of 28, number of swollen joints out of 28, level of serum reactant protein CRP, and participant global assessment of disease activity measured on a visual analogue scale. Clinical remission=DAS28-CRP score\<2.6. Percent=Number of participants meeting remission divided by number of participants evaluated. Last day of ST is Day 85 for Period I Nonresponders and Day 253 for ST Completers . Data are not available (NA) for the period from Day 113 to Day 253 for Period 1 non-responders. Note: Day 85 and Day 337 assessments for the Period I Nonresponder cohort in fact represent consecutive assessments with an interval of approximately 1 month. For Period I nonresponder, study days do not represent treatment days. Study Day 337 for a Period I nonresponder actually corresponds to that participant's Treatment Day 169.
Time frame: For Period I non-responders: as of Study Day 85 and up to Study Day 1821. For ST completers: as of Study Day 253 and up to Study Day 1821
Population: The LTE Treated Population contained those participants who received at least 1 dose of study medication during the LTE. Participants in LTE either completed Period 3 or were nonresponders at the end of Period 1. n= number of participants evaluated at each specific timepoint
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 337 (n=34, n=113) | 50.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 1093 (n=26, 90) | 73.1 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 253 (n=0, n=109) | NA percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 1261 (n=25, n=96) | 48.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 729 (n=30, n=106) | 53.3 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 1821 (n=20, n=67) | 60.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 85 (n=36, n=112) | 11.1 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 1821 (n=20, n=67) | 59.7 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 85 (n=36, n=112) | 36.6 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 253 (n=0, n=109) | 59.6 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 337 (n=34, n=113) | 59.3 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 729 (n=30, n=106) | 54.7 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 1093 (n=26, 90) | 51.0 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTE | Study Day 1261 (n=25, n=96) | 59.4 percentage of participants |
LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE
The disability section of the full HAQ includes 20 questions to assess physical functions in 8 domains: dressing, arising, eating, walking, hygiene, reach, grip and common activities. The questions are evaluated on a 4-point scale: 0=without any difficulty, 1= with some difficulty, 2= with much difficulty, and 3= unable to do. Higher scores= greater dysfunction. A disability index (DI) was calculated by summing the worst scores in each domain and dividing by the number of domains answered. Clinically meaningful HAQ response=an improvement of at least 0.3 units from baseline in HAQ DI. Percent=number of participants with HAQ response divided by number of participants in the analysis. Since Period I Non-responders proceeded directly to the LTE at the end of Period I (Day 85), study days do not represent treatment days.
Time frame: Study Days 1 (Baseline),15, 29, 57, 78, 85, 253, 337, 365, 449, 533, 617, 729, 813, 897, 981, 1093, 1177, 1261, 1345, 1457, 1541,1625,1709,1821,1905,1989, 2073
Population: The LTE Treated Population contained those participants who received at least 1 dose of study medication during the LTE. Participants in LTE either completed Period 3 or were non-responders at the end of Period 1. n= number of participants with data who were evaluated
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 365; Treatment Day 197 (n=32, n=111) | 53.1 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 981; Treatment Day 813 (n=29, n=100) | 44.8 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 85; Treatment Day 85 (n=37, n=112) | 40.5 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1093; Treatment Day 925 (n=28, n=99) | 50.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 449; Treatment Day 281 (n=32, n=109) | 56.3 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1177; Treatment Day 1009 (n=26, n=99) | 61.5 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 29; Treatment Day 29 (n=36, n=113) | 27.8 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1261; Treatment Day 1093 (n=25, n=97) | 60.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 533; Treatment Day 365 (n=32, n=108) | 59.4 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1345; Treatment Day 1177 (n=25, n=89) | 64.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 253; Treatment Day 85 (n=0, n=109) | NA percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1457; Treatment Day 1289 (n=24, n=79) | 66.7 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 617; Treatment Day 449 (n=31, n=107) | 54.8 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1541; Treatment Day 1373 (n=21, n=75) | 61.9 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 78; Treatment Day 78 (n=34, n=103) | 41.2 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1625; Treatment Day 1457 (n=21, n=73) | 52.4 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 729; Treatment Day 561 (n=30, n=107) | 60.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1709; Treatment Day 1541 (n=20, n=71) | 60.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 337; Treatment Day 169 (n=34, n=113) | 50.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1821; Treatment Day 1653 (n=20, n=68) | 65.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 813; Treatment Day 645 (n=30, n=106) | 53.3 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1905; Treatment Day 1737 (n=19, n=5) | 63.2 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 57; Treatment Day 57 (n=36, n=112) | 44.4 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1989; Treatment Day 1821 (n=19, n=0) | 68.4 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 897; Treatment Day 729 (n=30, n=103) | 50.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 2073; Treatment Day 1905 (n=5, n=0) | 100.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 15; Treatment Day 15 (n=34, n=110) | 20.6 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 2073; Treatment Day 1905 (n=5, n=0) | NA percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 15; Treatment Day 15 (n=34, n=110) | 44.5 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 29; Treatment Day 29 (n=36, n=113) | 56.6 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 57; Treatment Day 57 (n=36, n=112) | 64.3 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 78; Treatment Day 78 (n=34, n=103) | 68.0 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 85; Treatment Day 85 (n=37, n=112) | 74.1 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 253; Treatment Day 85 (n=0, n=109) | 78.0 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 337; Treatment Day 169 (n=34, n=113) | 79.6 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 365; Treatment Day 197 (n=32, n=111) | 78.4 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 449; Treatment Day 281 (n=32, n=109) | 73.4 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 533; Treatment Day 365 (n=32, n=108) | 72.2 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 617; Treatment Day 449 (n=31, n=107) | 70.1 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 729; Treatment Day 561 (n=30, n=107) | 70.1 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 813; Treatment Day 645 (n=30, n=106) | 71.7 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 897; Treatment Day 729 (n=30, n=103) | 76.7 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 981; Treatment Day 813 (n=29, n=100) | 73.0 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1093; Treatment Day 925 (n=28, n=99) | 73.7 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1177; Treatment Day 1009 (n=26, n=99) | 68.7 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1261; Treatment Day 1093 (n=25, n=97) | 70.1 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1345; Treatment Day 1177 (n=25, n=89) | 70.8 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1457; Treatment Day 1289 (n=24, n=79) | 72.2 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1541; Treatment Day 1373 (n=21, n=75) | 69.3 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1625; Treatment Day 1457 (n=21, n=73) | 74.0 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1709; Treatment Day 1541 (n=20, n=71) | 74.6 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1821; Treatment Day 1653 (n=20, n=68) | 73.5 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1905; Treatment Day 1737 (n=19, n=5) | 80.0 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTE | Study Day 1989; Treatment Day 1821 (n=19, n=0) | NA percentage of participants |
LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE
DAS28:continuous disease measure composite of 4 variables: number of tender joints out of 28 joints, number of swollen joints out of 28 joints, level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. Low disease activity score: ≤ 3.2. Percent=Number of participants with Low Disease Activity divided by number of participants evaluated. Last day of ST is Day 85 for Period I Nonresponders and Day 253 for ST Completers . Data are not available(NA) for the period from Day 113 to Day 253 for Period 1 non-responders. Note: Day 85 and Day 337 assessments for the Period I Nonresponder cohort in fact represent consecutive assessments with an interval of approximately 1 month. For Period I nonresponder, study days do not represent treatment days. Study Day 337 for a Period I nonresponder actually corresponds to that participant's Treatment Day 169.
Time frame: For Period 1 non-responders: as of Study Day 85 and up to Day 1821. For ST completers: as of Study Day 253 and up to Day 1821.
Population: The LTE Treated Population contained those participants who received at least 1 dose of study medication during the LTE. Participants in LTE either completed Period 3 or were nonresponders at the end of Period 1.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 337 (n=34, n=113) | 67.6 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 1093 (n=26, n=98) | 80.8 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 253 (n=0, n=109) | NA percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 1261 (n=25, n=96) | 68.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 729 (n=30, n=106) | 73.3 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 1821 (n=20, n=67) | 80.0 percentage of participants |
| Abatacept in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 85 (n=36, n=112) | 27.8 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 1821 (n=20, n=67) | 88.1 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 85 (n=36, n=112) | 66.1 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 253 (n=0, n=109) | 75.2 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 337 (n=34, n=113) | 76.1 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 729 (n=30, n=106) | 73.6 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 1093 (n=26, n=98) | 67.3 percentage of participants |
| Placebo in DBW Period | LTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTE | Study Day 1261 (n=25, n=96) | 75.0 percentage of participants |
RI; Number of Participants With AEs of Special Interest
AEs of special interest are those AEs that may be associated with the use of immunomodulatory drugs, including all infections and opportunistic infections; autoimmune disorders; malignancies; acute infusional AEs (pre-specified AEs occurring within 1 hour of start of infusion), peri-infusional AEs (pre-specified AEs occurring within 24 hours of the start of infusion),local injection site reaction (pre-specified AEs occurring at the site of SC injection)and systemic injection site reactions (pre-specified systemic AEs such as hypersensitivity reactions occurring within 24 hours of SC injection)
Time frame: From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier.
Population: Participants who received at least 1 dose of study medication in RI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | RI; Number of Participants With AEs of Special Interest | Autoimmune disorders (prespecified) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With AEs of Special Interest | Local injection site reactions (prespecified) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With AEs of Special Interest | Infections and infestations | 7 participants |
| Abatacept in DBW Period | RI; Number of Participants With AEs of Special Interest | Malignancies | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With AEs of Special Interest | Acute infusional events (prespecified) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With AEs of Special Interest | Peri-infusional events (prespecified) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With AEs of Special Interest | Systemic injection reactions (prespecified) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With AEs of Special Interest | Malignancies | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With AEs of Special Interest | Autoimmune disorders (prespecified) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With AEs of Special Interest | Acute infusional events (prespecified) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With AEs of Special Interest | Systemic injection reactions (prespecified) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With AEs of Special Interest | Peri-infusional events (prespecified) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With AEs of Special Interest | Local injection site reactions (prespecified) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With AEs of Special Interest | Infections and infestations | 8 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With AEs of Special Interest | Infections and infestations | 7 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With AEs of Special Interest | Peri-infusional events (prespecified) | 1 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With AEs of Special Interest | Autoimmune disorders (prespecified) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With AEs of Special Interest | Systemic injection reactions (prespecified) | 1 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With AEs of Special Interest | Local injection site reactions (prespecified) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With AEs of Special Interest | Acute infusional events (prespecified) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With AEs of Special Interest | Malignancies | 0 participants |
RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation
AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event.
Time frame: From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier.
Population: Participants who received at least 1 dose of study medication in RI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs Leading to Discontinuation | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | SAEs | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related AEs | 1 participants |
| Abatacept in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs | 15 participants |
| Abatacept in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Deaths | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related SAEs | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | SAEs Leading to Discontinuation | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs | 17 participants |
| Placebo in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | SAEs Leading to Discontinuation | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related SAEs | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related AEs | 4 participants |
| Placebo in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | SAEs | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs Leading to Discontinuation | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Deaths | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs Leading to Discontinuation | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Deaths | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | SAEs | 1 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related SAEs | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | SAEs Leading to Discontinuation | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | AEs | 16 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to Discontinuation | Related AEs | 4 participants |
RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria
Marked abnormality criteria: Sodium (Na): \<0.95\*LLN/ \>1.05\*ULN, or if BL\<LLN then use \<0.95\* BL or \>ULN, or if BL\>ULN then use\>1.05\* BL or \<LLN; potassium (K): \<0.9\* LLN/\>1.1\*ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; (Cl): \<0.9\* LLN/\>1.1\* ULN, or if BL\<LLN then use \<0.9\* BL or \>ULN, or if BL\>ULN then use\>1.1\* BL or \<LLN; calcium (Ca): \<0.8\* LLN/\>1.2\* ULN, or if BL\<LLN then use \<0.75\* BL or \>ULN, or if BL\>ULN then use\>1.25\* BL or \<LLN; phosphorous (P): \<0.75\* LLN/ \>1.25\* ULN, or if BL\<LLN then use 0.67\* BL or \>ULN, or if BL\>ULN then use\>1.33\* BL or \<LLN
Time frame: From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier.
Population: Participants who received at least 1 dose of study medication in RI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during the RI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Na | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Na | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low K | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High K | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Cl | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Cl | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Ca | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Ca | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low P | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High P | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low P | 1 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Na | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Cl | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Cl | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Na | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High P | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Ca | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low K | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Ca | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High K | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Ca | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High K | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Cl | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Cl | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low P | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Ca | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low Na | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High P | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | High Na | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality Criteria | Low K | 1 participants |
RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria
Marked abnormality criteria are: Hemoglobin (HGB): \>3 g/dL decrease from BL; Hematocrit: \<0.75 \* BL; Erythrocytes: \<0.75 \* BL; Platelets (PLT): \<0.67 \* LLN/\>1.5 \* ULN, or if BL \< LLN then use \<0.5 \* BL and \<100,000 mm\^3; Leukocytes: \<0.75 \* LLN/ \>1.25 \* ULN, or if BL\<LLN then use \<0.8 \* BL or \>ULN, or if BL\>ULN then use \>1.2 \* BL or \<LLN; neutrophils+bands: \<1.0 \* 10\^3 cells/uL; eosinophils: \>0.750 \* 10\^3 cells/uL; basophils: \> 400 mm\^3; monocytes: \>2000 mm\^3; lymphocytes: \<0.750 \* 10\^3 cells/uL/ \>7.50 \* 10\^3 cells/uL.
Time frame: From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier.
Population: Participants who received at least 1 dose of study medication in RI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during the RI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low lymphocytes | 2 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High eosinophils | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low leukocytes | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low erythrocytes | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low neutrophils+bands | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High leukocytes | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low HGB | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low hematocrit | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High monocytes | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low PLT | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High lymphocytes | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High basophils | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High PLT | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High leukocytes | 1 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low HGB | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low hematocrit | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low erythrocytes | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low PLT | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High PLT | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low leukocytes | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low neutrophils+bands | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High eosinophils | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High basophils | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High monocytes | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low lymphocytes | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High lymphocytes | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High eosinophils | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low PLT | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low lymphocytes | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High basophils | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low erythrocytes | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low HGB | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High monocytes | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High leukocytes | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low leukocytes | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low hematocrit | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | Low neutrophils+bands | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High PLT | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria | High lymphocytes | 0 participants |
RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria
Marked abnormality criteria: Alkaline phosphatase (ALP): \>2\* ULN, or if BL\>ULN then use \>3\* BL; aspartate aminotransferase (AST): \>3\* ULN, or if BL\>ULN then use \>4\* BL; alanine aminotransferase (ALT): \>3\* ULN, or if BL\>ULN then use \>4\* BL; G-Glutamyl transferase (GGT): \>2\* ULN, or if BL\>ULN then use \>3\* BL; Bilirubin: \>2\* ULN, or if BL\>ULN then use \>4\* BL; blood urea nitrogen (BUN): \>2\* BL; creatinine: \>1.5\* BL
Time frame: From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier.
Population: Participants who received at least 1 dose of study medication in RI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during the RI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High AST | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High bilirubin | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High GGT | 1 participants |
| Abatacept in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALP | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High creatinine | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High BUN | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALT | 2 participants |
| Placebo in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High GGT | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALP | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High AST | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALT | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High bilirubin | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High BUN | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High creatinine | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High bilirubin | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High AST | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High creatinine | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High BUN | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High GGT | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALT | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria | High ALP | 0 participants |
RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria
MA criteria: serum glucose (Glu): \<65 mg/dL/\>220 mg/dL;fasting serum Glu: \<0.8\* LLN/\>1.5\*ULN,or if BL\<LLN then use 0.8\*BL or \>ULN,or if BL\>ULN then use \>2.0\*BL or \<LLN;total protein: \<0.9\*LLN/\>1.1\*ULN,or if BL\<LLN then use \<0.9\*BL or \>UNL,or if BL\>UNL then use \>1.1\*BL or \<LLN; albumin: \<0.9\*LLN,or if BL\<LLN then use \<0.75 BL;uric acid: \>1.5\*ULN,or if BL\>ULN then use \>2\*BL. Urinalysis (Urine protein,urine Glu,urine blood,leukocyte esterase,Red Blood Cells \[RBCs\], White Blood Cells \[WBCs\]):Use ≥2 when BL value missing or when pre-dose=0 or 0.5; use ≥3 when pre-dose=1, use ≥4 when pre-dose=2 or 3
Time frame: From Day 169 through Day 253, up to 56 days post last dose in RI Period or up to first dose in LTE, whichever occurred earlier.
Population: Participants who received at least 1 dose of study medication in RI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available during the RI period.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low total protein (n=40, n=35, n=44) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low Glu (n=40, n=35, n=44) | 1 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine glucose (n=40, n=34, n=44) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High total protein (n=40, n=35, n=44) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine RBC (n=17, n=14, n=15) | 6 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine protein (n=40, n=35, n=44) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low albumin (n=40, n=35, n=44) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low fasting Glu (n=27, n=20, n=28) | 1 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High uric acid (n=40, n=35, n=44) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine WBC (n=19, n=15, n=15) | 6 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High leukocyte esterase (n=14, n=8, n=7) | 4 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High fasting glucose (n=27, n=20, n=28) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High Glu (n=40, n=35, n=44) | 0 participants |
| Abatacept in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine blood (n=40, n=35, n=44) | 6 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine blood (n=40, n=35, n=44) | 4 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine glucose (n=40, n=34, n=44) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low Glu (n=40, n=35, n=44) | 1 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High Glu (n=40, n=35, n=44) | 1 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low fasting Glu (n=27, n=20, n=28) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High fasting glucose (n=27, n=20, n=28) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low total protein (n=40, n=35, n=44) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High total protein (n=40, n=35, n=44) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low albumin (n=40, n=35, n=44) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High uric acid (n=40, n=35, n=44) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine protein (n=40, n=35, n=44) | 0 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High leukocyte esterase (n=14, n=8, n=7) | 2 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine RBC (n=17, n=14, n=15) | 3 participants |
| Placebo in DBW Period | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine WBC (n=19, n=15, n=15) | 5 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low total protein (n=40, n=35, n=44) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine glucose (n=40, n=34, n=44) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High fasting glucose (n=27, n=20, n=28) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low albumin (n=40, n=35, n=44) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine blood (n=40, n=35, n=44) | 7 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low fasting Glu (n=27, n=20, n=28) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | Low Glu (n=40, n=35, n=44) | 1 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High leukocyte esterase (n=14, n=8, n=7) | 1 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High Glu (n=40, n=35, n=44) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine WBC (n=19, n=15, n=15) | 4 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High uric acid (n=40, n=35, n=44) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High total protein (n=40, n=35, n=44) | 0 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine RBC (n=17, n=14, n=15) | 6 participants |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria | High urine protein (n=40, n=35, n=44) | 1 participants |
RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time
DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline.
Time frame: Days 169 (Period III Baseline), 197, 225, and 253
Population: Participants who received at least 1 dose of study medication during RI period. N=Number of Participants Analyzed, n=number of participants with data for that time point and at RI period baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Day 253, n=38, n=30, n=42 | -0.23 units on a scale | Standard Error 0.16 |
| Abatacept in DBW Period | RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Day 225, n=38, n=33, n=42 | -0.31 units on a scale | Standard Error 0.2 |
| Abatacept in DBW Period | RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Day 197, n=39, n=33, n=44 | -0.26 units on a scale | Standard Error 0.17 |
| Placebo in DBW Period | RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Day 253, n=38, n=30, n=42 | -0.93 units on a scale | Standard Error 0.2 |
| Placebo in DBW Period | RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Day 197, n=39, n=33, n=44 | -0.56 units on a scale | Standard Error 0.17 |
| Placebo in DBW Period | RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Day 225, n=38, n=33, n=42 | -0.59 units on a scale | Standard Error 0.18 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Day 253, n=38, n=30, n=42 | -0.89 units on a scale | Standard Error 0.17 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Day 225, n=38, n=33, n=42 | -0.66 units on a scale | Standard Error 0.17 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over Time | Day 197, n=39, n=33, n=44 | -0.50 units on a scale | Standard Error 0.16 |
RI Period; Mean Heart Rate (HR) During Period III
Time frame: Days 169, 197, 225, and 253
Population: Participants who received at least 1 dose of study medication in RI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | RI Period; Mean Heart Rate (HR) During Period III | Day 225 HR before injection (n=40, n=35, n=42) | 73.2 beats per minute (bpm) | Standard Deviation 7 |
| Abatacept in DBW Period | RI Period; Mean Heart Rate (HR) During Period III | Day 169 HR before infusion (n=40, n=35, n=44) | 73.4 beats per minute (bpm) | Standard Deviation 8.54 |
| Abatacept in DBW Period | RI Period; Mean Heart Rate (HR) During Period III | Day 253 HR before injection (n=40, n=35, n=43) | 73.6 beats per minute (bpm) | Standard Deviation 8.53 |
| Abatacept in DBW Period | RI Period; Mean Heart Rate (HR) During Period III | Day 197 HR before injection (n=40, n=35, n=43) | 73.1 beats per minute (bpm) | Standard Deviation 7.52 |
| Placebo in DBW Period | RI Period; Mean Heart Rate (HR) During Period III | Day 225 HR before injection (n=40, n=35, n=42) | 73.9 beats per minute (bpm) | Standard Deviation 7.43 |
| Placebo in DBW Period | RI Period; Mean Heart Rate (HR) During Period III | Day 197 HR before injection (n=40, n=35, n=43) | 75.1 beats per minute (bpm) | Standard Deviation 7.25 |
| Placebo in DBW Period | RI Period; Mean Heart Rate (HR) During Period III | Day 169 HR before infusion (n=40, n=35, n=44) | 73.8 beats per minute (bpm) | Standard Deviation 10.13 |
| Placebo in DBW Period | RI Period; Mean Heart Rate (HR) During Period III | Day 253 HR before injection (n=40, n=35, n=43) | 74.4 beats per minute (bpm) | Standard Deviation 7.87 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Heart Rate (HR) During Period III | Day 253 HR before injection (n=40, n=35, n=43) | 74.3 beats per minute (bpm) | Standard Deviation 9.36 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Heart Rate (HR) During Period III | Day 169 HR before infusion (n=40, n=35, n=44) | 74.1 beats per minute (bpm) | Standard Deviation 9.35 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Heart Rate (HR) During Period III | Day 197 HR before injection (n=40, n=35, n=43) | 70.9 beats per minute (bpm) | Standard Deviation 8.87 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Heart Rate (HR) During Period III | Day 225 HR before injection (n=40, n=35, n=42) | 73.2 beats per minute (bpm) | Standard Deviation 7.6 |
RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III
Time frame: Days 169, 197, 225, and 253
Population: Participants who received at least 1 dose of study medication in RI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 197 DBP before injection (n=40, n=35, n=43) | 72.9 mm mercury (Hg) | Standard Deviation 9.24 |
| Abatacept in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 197 SBP before injection (n=40, n=35, n=43) | 119.1 mm mercury (Hg) | Standard Deviation 14.07 |
| Abatacept in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 225 DBP before injection (n=40, n=35, n=42) | 73.6 mm mercury (Hg) | Standard Deviation 10.56 |
| Abatacept in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 253 DBP before injection (n=40, n=35, n=44) | 74.7 mm mercury (Hg) | Standard Deviation 11.24 |
| Abatacept in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 169 SBP before infusion (n=39, n=35, n=44) | 121.3 mm mercury (Hg) | Standard Deviation 15.81 |
| Abatacept in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 225 SBP before injection (n=40, n=35, n=42) | 117.8 mm mercury (Hg) | Standard Deviation 14.19 |
| Abatacept in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 169 DBP before infusion (n=39, n=35, n=44) | 74.7 mm mercury (Hg) | Standard Deviation 10.46 |
| Abatacept in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 253 SBP before injection (n=40, 35, n=43) | 118.3 mm mercury (Hg) | Standard Deviation 15 |
| Placebo in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 169 DBP before infusion (n=39, n=35, n=44) | 73.5 mm mercury (Hg) | Standard Deviation 9.61 |
| Placebo in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 225 SBP before injection (n=40, n=35, n=42) | 118.8 mm mercury (Hg) | Standard Deviation 16.55 |
| Placebo in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 253 SBP before injection (n=40, 35, n=43) | 116.1 mm mercury (Hg) | Standard Deviation 14.86 |
| Placebo in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 225 DBP before injection (n=40, n=35, n=42) | 73.7 mm mercury (Hg) | Standard Deviation 7.84 |
| Placebo in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 197 SBP before injection (n=40, n=35, n=43) | 118.4 mm mercury (Hg) | Standard Deviation 15.62 |
| Placebo in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 169 SBP before infusion (n=39, n=35, n=44) | 116.6 mm mercury (Hg) | Standard Deviation 14.78 |
| Placebo in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 253 DBP before injection (n=40, n=35, n=44) | 71.5 mm mercury (Hg) | Standard Deviation 9.92 |
| Placebo in DBW Period | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 197 DBP before injection (n=40, n=35, n=43) | 71.6 mm mercury (Hg) | Standard Deviation 7.66 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 253 DBP before injection (n=40, n=35, n=44) | 76.3 mm mercury (Hg) | Standard Deviation 11.02 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 169 SBP before infusion (n=39, n=35, n=44) | 118.9 mm mercury (Hg) | Standard Deviation 13.32 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 197 SBP before injection (n=40, n=35, n=43) | 121.0 mm mercury (Hg) | Standard Deviation 14.45 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 253 SBP before injection (n=40, 35, n=43) | 120.3 mm mercury (Hg) | Standard Deviation 16.01 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 169 DBP before infusion (n=39, n=35, n=44) | 74.9 mm mercury (Hg) | Standard Deviation 9.15 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 197 DBP before injection (n=40, n=35, n=43) | 74.9 mm mercury (Hg) | Standard Deviation 9.51 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 225 DBP before injection (n=40, n=35, n=42) | 75.5 mm mercury (Hg) | Standard Deviation 10.65 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period III | Day 225 SBP before injection (n=40, n=35, n=42) | 121.0 mm mercury (Hg) | Standard Deviation 16.88 |
RI Period; Mean Temperature (T) During Period III
Time frame: Days 169, 197, 225, and 253
Population: Participants who received at least 1 dose of study medication in RI period. N=Number of Participants Analyzed. n (when indicated)= number of participants with data available at that time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | RI Period; Mean Temperature (T) During Period III | Day 169 T before infusion (n=40, n=35, n=44) | 36.32 degrees Celsius | Standard Deviation 0.423 |
| Abatacept in DBW Period | RI Period; Mean Temperature (T) During Period III | Day 197 T before injection (n=40, n=35, n=43) | 36.39 degrees Celsius | Standard Deviation 0.405 |
| Abatacept in DBW Period | RI Period; Mean Temperature (T) During Period III | Day 225 T before injection (n=40, n=35, n=42) | 36.27 degrees Celsius | Standard Deviation 0.375 |
| Abatacept in DBW Period | RI Period; Mean Temperature (T) During Period III | Day 253 T before injection (n=40, n=34, n=42) | 36.28 degrees Celsius | Standard Deviation 0.473 |
| Placebo in DBW Period | RI Period; Mean Temperature (T) During Period III | Day 253 T before injection (n=40, n=34, n=42) | 36.32 degrees Celsius | Standard Deviation 0.587 |
| Placebo in DBW Period | RI Period; Mean Temperature (T) During Period III | Day 169 T before infusion (n=40, n=35, n=44) | 36.29 degrees Celsius | Standard Deviation 0.473 |
| Placebo in DBW Period | RI Period; Mean Temperature (T) During Period III | Day 225 T before injection (n=40, n=35, n=42) | 36.38 degrees Celsius | Standard Deviation 0.444 |
| Placebo in DBW Period | RI Period; Mean Temperature (T) During Period III | Day 197 T before injection (n=40, n=35, n=43) | 36.37 degrees Celsius | Standard Deviation 0.424 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Temperature (T) During Period III | Day 253 T before injection (n=40, n=34, n=42) | 36.33 degrees Celsius | Standard Deviation 0.383 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Temperature (T) During Period III | Day 197 T before injection (n=40, n=35, n=43) | 36.35 degrees Celsius | Standard Deviation 0.354 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Temperature (T) During Period III | Day 225 T before injection (n=40, n=35, n=42) | 36.36 degrees Celsius | Standard Deviation 0.32 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | RI Period; Mean Temperature (T) During Period III | Day 169 T before infusion (n=40, n=35, n=44) | 36.26 degrees Celsius | Standard Deviation 0.396 |
RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group
ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative.
Time frame: For on-treatment visits: Days 170-253, includes ≤21 Days after last dose or up to 1st dose of LTE Period. For follow-up post visits for participants who discontinued drug in RI: Day 22 after last dose of drug to Day 85 after last dose of drug
Population: All participants treated in RI period with at least 1 immunogenicity result (ECL) during RI period N=Number of Participants Analyzed, n=number of participants with data for that time point
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall onTRT visits CTLA4 and Possibly Ig,n=40,78 | 0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall onTRT visits Ig and/or JNC region, n=40,78 | 0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall onTRT visits: Total, n=40,78 | 0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall post visits: CTLA4 and possibly Ig, n=1,4 | 100.0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall post visits: Ig and/or JNC region, n=1,4 | 0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall post visits: Total, n=1,4 | 100.0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall post visits: Ig and/or JNC region, n=1,4 | 0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall onTRT visits CTLA4 and Possibly Ig,n=40,78 | 0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall post visits: CTLA4 and possibly Ig, n=1,4 | 25.0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall onTRT visits Ig and/or JNC region, n=40,78 | 0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall post visits: Total, n=1,4 | 25.0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment Group | Overall onTRT visits: Total, n=40,78 | 0 percentage of participants |
RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo Group
Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody.
Time frame: Day 253 (short term)
Population: Participants treated with Placebo in DBW period who were treated in RI period and had at least 1 immunogenicity result (ELISA) during RI period. N=Number of Participants Analyzed, n=number of participants with data for that time point
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo Group | Anti-abatacept (n=32, n=41) | 0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo Group | Anti-CTLA4-T (n=32, n=41) | 0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo Group | Total (n=32, n=41) | 0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo Group | Anti-abatacept (n=32, n=41) | 0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo Group | Anti-CTLA4-T (n=32, n=41) | 4.9 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo Group | Total (n=32, n=41) | 4.9 percentage of participants |
RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group
Serum samples from Abatacept-treated adult participants with active RA were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody.
Time frame: For on-treatment visits: Days 170-253, includes ≤21 Days after last dose or up to 1st dose of LTE Period. For follow-up post visits for participants who discontinued drug in RI: Day 22 after last dose of drug to Day 85 after last dose of drug
Population: All participants treated in RI period with at least 1 immunogenicity result (ELISA) during RI period N=Number of Participants Analyzed, n=number of participants with data for that time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall onTRT visits: anti-ABA, n=39,77 | 2.6 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall onTRT visits anti-CTLA4, n=40,78 | 5.0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall onTRT visits: Total, n=40,78 | 7.5 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall post visits: anti-ABA, n=1,4 | 0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall post visits: anti-CTLA4, n=1,4 | 0 percentage of participants |
| Abatacept in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall post visits: Total, n=1,4 | 0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall post visits: anti-CTLA4, n=1,4 | 25.0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall onTRT visits: anti-ABA, n=39,77 | 1.3 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall post visits: anti-ABA, n=1,4 | 0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall onTRT visits anti-CTLA4, n=40,78 | 3.8 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall post visits: Total, n=1,4 | 25.0 percentage of participants |
| Placebo in DBW Period | RI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment Group | Overall onTRT visits: Total, n=40,78 | 5.1 percentage of participants |
Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups
Pharmacokinetics is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. Cmin=minimum observed plasma concentration of single-dose abatacept. Cmin for each participant was listed by study visit and immunogenicity status (seropositive vs. seronegative) was determined by ECL.
Time frame: Day 197 through Day 253
Population: Participants treated in RI period with at least 1 immunogenicity result (ECL) during RI period. N=Number of Participants Analyzed, n=number of participants with data for that time point
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 253 seronegative (n=36, n=30, n=42\) | 29.75 ug/mL | Standard Deviation 9.872 |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 225 seropositive (n=0, n=0, n=0) | NA ug/mL | — |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 253 seropositive (n=0, n=0, n=0) | NA ug/mL | — |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 197 seropositive (n=0, n=0, n=0) | NA ug/mL | — |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 225 seronegative (n=36, n=30, n=42) | 27.86 ug/mL | Standard Deviation 9.514 |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 197 seronegative (n=35, n=33, n=41) | 34.72 ug/mL | Standard Deviation 10.479 |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 225 seronegative (n=36, n=30, n=42) | 31.79 ug/mL | Standard Deviation 10.46 |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 253 seropositive (n=0, n=0, n=0) | NA ug/mL | — |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 197 seronegative (n=35, n=33, n=41) | 35.61 ug/mL | Standard Deviation 10.207 |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 253 seronegative (n=36, n=30, n=42\) | 28.26 ug/mL | Standard Deviation 10.211 |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 197 seropositive (n=0, n=0, n=0) | NA ug/mL | — |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 225 seropositive (n=0, n=0, n=0) | NA ug/mL | — |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 225 seropositive (n=0, n=0, n=0) | NA ug/mL | — |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 197 seropositive (n=0, n=0, n=0) | NA ug/mL | — |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 197 seronegative (n=35, n=33, n=41) | 22.65 ug/mL | Standard Deviation 8.662 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 253 seronegative (n=36, n=30, n=42\) | 26.28 ug/mL | Standard Deviation 10.645 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 225 seronegative (n=36, n=30, n=42) | 29.06 ug/mL | Standard Deviation 13.776 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment Groups | Day 253 seropositive (n=0, n=0, n=0) | NA ug/mL | — |
Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups
Pharmacokinetics is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. Cmin=minimum observed plasma concentration of single-dose abatacept. Cmin for each participant was listed by study visit and immunogenicity status (seropositive vs. seronegative) was determined by ELISA.
Time frame: Day 197 through Day 253
Population: Participants treated during the RI Period with at least 1 immunogenicity result (ELISA) during this period. N=Number of Participants Analyzed, n=number of participants with data for that time point
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 253 seropositive (n=1, n=0, n=2) | 29.49 ug/mL | — |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 225 seropositive (n=0, n=1, n=1) | NA ug/mL | — |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 225 seronegative (n=36, n=29, n=41) | 27.86 ug/mL | Standard Deviation 9.514 |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 253 seronegative (n=34, n=30, n=39) | 30.17 ug/mL | Standard Deviation 9.856 |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 197 seronegative (n=33, n=32, n=40) | 34.45 ug/mL | Standard Deviation 10.578 |
| Abatacept in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 197 seropositive (n=2, n=1, n=1) | 39.17 ug/mL | Standard Deviation 10.51 |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 225 seropositive (n=0, n=1, n=1) | 34.18 ug/mL | — |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 197 seropositive (n=2, n=1, n=1) | 33.73 ug/mL | — |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 197 seronegative (n=33, n=32, n=40) | 35.67 ug/mL | Standard Deviation 10.365 |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 225 seronegative (n=36, n=29, n=41) | 31.70 ug/mL | Standard Deviation 10.635 |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 253 seropositive (n=1, n=0, n=2) | NA ug/mL | — |
| Placebo in DBW Period | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 253 seronegative (n=34, n=30, n=39) | 28.26 ug/mL | Standard Deviation 10.211 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 197 seronegative (n=33, n=32, n=40) | 22.76 ug/mL | Standard Deviation 8.74 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 253 seronegative (n=34, n=30, n=39) | 26.80 ug/mL | Standard Deviation 10.547 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 253 seropositive (n=1, n=0, n=2) | 26.23 ug/mL | Standard Deviation 0.776 |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 225 seropositive (n=0, n=1, n=1) | 21.69 ug/mL | — |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 197 seropositive (n=2, n=1, n=1) | 18.05 ug/mL | — |
| PLA Switched to ABA With PLA IV Loading Dose [RI] | Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment Groups | Day 225 seronegative (n=36, n=29, n=41) | 29.24 ug/mL | Standard Deviation 13.897 |
Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups
The DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline.
Time frame: Days 1 (Baseline),15, 29, 57, 78, 85, 113, 141, 169, 197, 225, and 253 (short term)
Population: Intent To Treat Analysis Population (DBW Period, Participants randomized in DBW period who received at least 1 dose of study medication in DBW period). N=Number of Participants Analyzed, n=number of participants with data for that time point and at baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 78, n=33, n=76 | -1.76 units on a scale | Standard Error 0.12 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 141, n=38, n=76 | -1.81 units on a scale | Standard Error 0.17 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 57, n=40. n=79 | -1.39 units on a scale | Standard Error 0.14 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 169, n=38, n=75 | -2.03 units on a scale | Standard Error 0.18 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 85, n=40, n=78 | -1.97 units on a scale | Standard Error 0.11 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 197, n=40, n=79 | -2.14 units on a scale | Standard Error 0.16 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 29, n=40, n=80 | -1.07 units on a scale | Standard Error 0.14 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 225, n=39, n=77 | -2.20 units on a scale | Standard Error 0.17 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 113, n=39, n=80 | -1.78 units on a scale | Standard Error 0.18 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 253, n=39, n=74 | -2.22 units on a scale | Standard Error 0.14 |
| Abatacept in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 15, n=38, n=75 | -0.64 units on a scale | Standard Error 0.1 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 253, n=39, n=74 | -2.32 units on a scale | Standard Error 0.12 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 15, n=38, n=75 | -0.87 units on a scale | Standard Error 0.08 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 29, n=40, n=80 | -1.10 units on a scale | Standard Error 0.09 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 57, n=40. n=79 | -1.62 units on a scale | Standard Error 0.11 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 78, n=33, n=76 | -1.89 units on a scale | Standard Error 0.1 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 85, n=40, n=78 | -1.88 units on a scale | Standard Error 0.11 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 113, n=39, n=80 | -1.69 units on a scale | Standard Error 0.12 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 141, n=38, n=76 | -1.54 units on a scale | Standard Error 0.14 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 169, n=38, n=75 | -1.49 units on a scale | Standard Error 0.14 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 197, n=40, n=79 | -1.92 units on a scale | Standard Error 0.13 |
| Placebo in DBW Period | Short Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment Groups | Day 225, n=39, n=77 | -2.04 units on a scale | Standard Error 0.13 |
Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups
The disability section of the full HAQ includes 20 questions to assess physical functions in 8 domains: dressing, arising, eating, walking, hygiene, reach, grip and common activities. The questions are evaluated on a 4-point scale: 0=without any difficulty, 1= with some difficulty, 2= with much difficulty, and 3= unable to do. Higher scores= greater dysfunction. A disability index was calculated by summing the worst scores in each domain and dividing by the number of domains answered. Clinically meaningful HAQ response=an improvement of at least 0.3 units from baseline in HAQ disability Index.
Time frame: Days 1 (Baseline),15, 29, 57, 78, 85, 113, 141, 169, 197, 225, and 253 (short term)
Population: Intent To Treat Analysis Population (DBW Period, Participants randomized in DBW period who received at least 1 dose of study medication in DBW period). N=Number of Participants Analyzed, n=number of participants with data for that time point and at baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 85, n=40, n=79 | -0.74 units on a scale | Standard Error 0.09 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 169, n=38, n=76 | -0.72 units on a scale | Standard Error 0.11 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 78, n=33, n=77 | -0.68 units on a scale | Standard Error 0.1 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 197, n=40, n=79 | -0.76 units on a scale | Standard Error 0.09 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 113, n=40, n=80 | -0.69 units on a scale | Standard Error 0.08 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 225, n=40, n=77 | -0.82 units on a scale | Standard Error 0.1 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 57, n=40, n=79 | -0.58 units on a scale | Standard Error 0.09 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 253, n=39, n=74 | -0.86 units on a scale | Standard Error 0.09 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 141, n=39, n=78 | -0.68 units on a scale | Standard Error 0.1 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 29, n=40, n=80 | -0.46 units on a scale | Standard Error 0.05 |
| Abatacept in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 15, n=40, n=77 | -0.31 units on a scale | Standard Error 0.06 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 57, n=40, n=79 | -0.51 units on a scale | Standard Error 0.06 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 15, n=40, n=77 | -0.30 units on a scale | Standard Error 0.04 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 29, n=40, n=80 | -0.35 units on a scale | Standard Error 0.04 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 78, n=33, n=77 | -0.59 units on a scale | Standard Error 0.07 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 85, n=40, n=79 | -0.63 units on a scale | Standard Error 0.07 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 113, n=40, n=80 | -0.61 units on a scale | Standard Error 0.06 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 141, n=39, n=78 | -0.52 units on a scale | Standard Error 0.07 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 169, n=38, n=76 | -0.50 units on a scale | Standard Error 0.07 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 197, n=40, n=79 | -0.66 units on a scale | Standard Error 0.06 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 225, n=40, n=77 | -0.70 units on a scale | Standard Error 0.06 |
| Placebo in DBW Period | Short Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment Groups | Day 253, n=39, n=74 | -0.72 units on a scale | Standard Error 0.06 |
Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups
DAS28 is a continuous disease measure composite of 4 variables: the number of tender joints out of 28 joints, the number of swollen joints out of 28 joints, the level of the serum reactant protein CRP, and participant global assessment of disease activity measure on a visual analogue scale. DAS28 has numeric thresholds defining high disease activity (\> 5.1), low disease activity (≤ 3.2) and remission (\< 2.6). Clinically meaningful improvement= decrease in DAS28 score of ≥1.2 from baseline.
Time frame: Days 85, 169, and 253 (short term)
Population: Intent To Treat Analysis Population (DBW Period, Participants randomized in DBW period who received at least 1 dose of study medication in DBW period). N=Number of Participants Analyzed, n=number of participants with data for that time point and, when relevant, at baseline.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 169 LDAS, n=38, n=75 | 68.4 percentage of participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 169 Clinical Remission, n=38, n=75 | 47.4 percentage of participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 253 LDAS, n=39, n=74 | 69.2 percentage of participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 253 CMI , n=39, n=74 | 87.2 percentage of participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 253 Clinical Remission, n=39, n=74 | 51.3 percentage of participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 85 CMI , n=40, n=78 | 80 percentage of participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 85 LDAS, n=40, n=78 | 67.5 percentage of participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 85 Clinical Remission, n=40, n=78 | 35.0 percentage of participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 169 CMI , n=38, n=75 | 78.9 percentage of participants |
| Placebo in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 85 LDAS, n=40, n=78 | 62.8 percentage of participants |
| Placebo in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 169 LDAS, n=38, n=75 | 54.7 percentage of participants |
| Placebo in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 169 CMI , n=38, n=75 | 57.3 percentage of participants |
| Placebo in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 169 Clinical Remission, n=38, n=75 | 28.0 percentage of participants |
| Placebo in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 85 CMI , n=40, n=78 | 76.9 percentage of participants |
| Placebo in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 253 Clinical Remission, n=39, n=74 | 63.5 percentage of participants |
| Placebo in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 85 Clinical Remission, n=40, n=78 | 37.2 percentage of participants |
| Placebo in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 253 CMI , n=39, n=74 | 89.2 percentage of participants |
| Placebo in DBW Period | Short Term: Percentage of Participants Achieving Clinically Meaningful Improvement (CMI) in DAS 28 (CRP), Low Disease Activity (LDAS), or Clinical Remission Over Time by DBW Treatment Groups | Day 253 LDAS, n=39, n=74 | 79.7 percentage of participants |
Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups
The disability section of the full HAQ includes 20 questions to assess physical functions in 8 domains: dressing, arising, eating, walking, hygiene, reach, grip and common activities. The questions are evaluated on a 4-point scale: 0=without any difficulty, 1= with some difficulty, 2= with much difficulty, and 3= unable to do. Higher scores= greater dysfunction. A disability index was calculated by summing the worst scores in each domain and dividing by the number of domains answered. Clinically meaningful HAQ response=an improvement of at least 0.3 units from baseline in HAQ disability Index.
Time frame: Days 1 (Baseline),15, 29, 57, 78, 85, 113, 141, 169, 197, 225, and 253 (short term)
Population: Intent To Treat Analysis Population (DBW Period, Participants randomized in DBW period who received at least 1 dose of study medication in DBW period). N=Number of Participants Analyzed, n=number of participants with data for that time point and at baseline.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 197, n=40, n=79 | 75.0 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 15, n=40, n=77 | 47.5 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 169, n=38, n=76 | 71.1 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 29, n=40, n=80 | 62.5 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 225, n=40, n=77 | 80.0 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 57, n=40, n=79 | 67.5 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 141, n=39, n=78 | 69.2 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 78, n=33, n=77 | 66.7 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 253, n=39, n=74 | 84.6 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 85, n=40, n=79 | 80.0 percentage of Participants |
| Abatacept in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 113, n=40, n=80 | 75.0 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 85, n=40, n=79 | 69.6 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 113, n=40, n=80 | 67.5 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 141, n=39, n=78 | 62.8 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 169, n=38, n=76 | 56.6 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 197, n=40, n=79 | 74.7 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 225, n=40, n=77 | 76.6 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 253, n=39, n=74 | 74.3 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 15, n=40, n=77 | 42.9 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 29, n=40, n=80 | 52.5 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 57, n=40, n=79 | 62.0 percentage of Participants |
| Placebo in DBW Period | Short Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment Groups | Day 78, n=33, n=77 | 67.5 percentage of Participants |
Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups
ECL screened sera for drug-specific antibodies; immunocompetition was used to identify specific anti-Abatacept reactivity. Cytotoxic leukocyte antigen 4 (CTLA4) and Possibly Immunoglobulin (Ig) Category=reactivity against extracellular domain of human CTLA4, constant regions of human IgG1, or both (CTLA4Ig; Abatacept molecule). Ig and/or Junction (JNC) 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 or negative.
Time frame: For on-TRT visits: Days 1-253 (ST). For follow-up post visits for participants who discontinued drug in the ST: Day 22 after last dose of ST drug to Day 85 after last dose of ST drug
Population: All participants treated in DBW period with at least 1 immunogenicity result (ECL) during the Short Term. N=Number of Participants Analyzed, n=number of participants with data for that time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall onTRT visits Ig and/or JNC region,n=40,80 | 0 percentage of Participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study post visits: Total, n=1, 4 | 100.0 percentage of Participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall post visits CTLA4 and possibly Ig,n=1,4 | 100.0 percentage of Participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study CTLA4 and possibly Ig,n=40,80 | 2.5 percentage of Participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study onTRT visits: Total, n=40,80 | 0 percentage of Participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study Ig and/or JNC region, n=40, 80 | 0 percentage of Participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall post visits: Ig and/or JNC region, n=1,4 | 0 percentage of Participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study Total, n=40,80 | 2.5 percentage of Participants |
| Abatacept in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall onTRT visits CTLA and possibly Ig,n=40,80 | 0 percentage of Participants |
| Placebo in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study Total, n=40,80 | 11.3 percentage of Participants |
| Placebo in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall onTRT visits CTLA and possibly Ig,n=40,80 | 7.5 percentage of Participants |
| Placebo in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall onTRT visits Ig and/or JNC region,n=40,80 | 3.8 percentage of Participants |
| Placebo in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study onTRT visits: Total, n=40,80 | 10.0 percentage of Participants |
| Placebo in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall post visits CTLA4 and possibly Ig,n=1,4 | 25.0 percentage of Participants |
| Placebo in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall post visits: Ig and/or JNC region, n=1,4 | 0 percentage of Participants |
| Placebo in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study post visits: Total, n=1, 4 | 25.0 percentage of Participants |
| Placebo in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study CTLA4 and possibly Ig,n=40,80 | 8.8 percentage of Participants |
| Placebo in DBW Period | Short Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment Groups | Overall study Ig and/or JNC region, n=40, 80 | 3.8 percentage of Participants |
Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups
Serum samples from Abatacept-treated adult participants with active rheumatoid arthritis (RA) were screened for the presence of drug-specific antibodies using ELISA. Immunogenicity was defined as the presence of a positive anti-abatacept or anti-CTLA4 antibody. ST was defined as the LI Period, the DBW Period, and the RI Period (Days 1-253).
Time frame: For on-TRT visits: Days 1-253 (ST). For follow-up post visits for participants who discontinued drug in the ST: Day 22 after last dose of ST drug to Day 85 after last dose of ST drug
Population: All participants treated in DBW period with at least 1 immunogenicity result (ELISA) during the Short Term. N=Number of Participants Analyzed, n=number of participants with data for that time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study onTRT visits anti-CTLA4, n=40,80 | 5.0 percentage of participants |
| Abatacept in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study post visits: Total, n=1, 4 | 0 percentage of participants |
| Abatacept in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study post visits: anti-ABA, n=1, 4 | 0 percentage of participants |
| Abatacept in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study anti-ABA, n=39, 78 | 7.7 percentage of participants |
| Abatacept in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study onTRT visits: Total, n=40,80 | 12.5 percentage of participants |
| Abatacept in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study anti-CTLA4, n=40, 80 | 5.0 percentage of participants |
| Abatacept in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study post visits: anti-CTLA4, n=1, 4 | 0 percentage of participants |
| Abatacept in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study Total, n=40,80 | 12.5 percentage of participants |
| Abatacept in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study onTRT visits: anti-ABA, n=39,78 | 7.7 percentage of participants |
| Placebo in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study Total, n=40,80 | 10.0 percentage of participants |
| Placebo in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study onTRT visits: anti-ABA, n=39,78 | 1.3 percentage of participants |
| Placebo in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study onTRT visits anti-CTLA4, n=40,80 | 8.8 percentage of participants |
| Placebo in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study onTRT visits: Total, n=40,80 | 10.0 percentage of participants |
| Placebo in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study post visits: anti-ABA, n=1, 4 | 0 percentage of participants |
| Placebo in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study post visits: anti-CTLA4, n=1, 4 | 25.0 percentage of participants |
| Placebo in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study post visits: Total, n=1, 4 | 25.0 percentage of participants |
| Placebo in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study anti-ABA, n=39, 78 | 1.3 percentage of participants |
| Placebo in DBW Period | Short Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment Groups | Overall study anti-CTLA4, n=40, 80 | 8.8 percentage of participants |
ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups
Venous blood was collected and tested for anti-nuclear antibodies, anti-dsDNA antibodies, and rheumatoid factor. ANA were detected by means of immunofluorescent antibodies. An anti-DNA radioimmunoassay was used for detection of anti-dsDNA antibodies (Diagnostic Products Corporation). RF was measured by an immunoturbidimetric assay (Roche Tina-Quant). Determinations of antibody or RF status were made at baseline and Day 253.
Time frame: Baseline, Day 253
Population: Participants treated in DBW period with at least 1 immunogenicity result (immunofluorescence, radioimmunoassay, or immunoturbidimetry) during this period. N=Number of Participants Analyzed, n=number of participants with data for that time point
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Abatacept in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL ANA negative (n=27, n=57) | 1 participants |
| Abatacept in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL ANA positive (n=11, 18) | 5 participants |
| Abatacept in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL dsDNA negative (n=33, n=63) | 1 participants |
| Abatacept in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL dsDNA positive (n=3, n=6) | 2 participants |
| Abatacept in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL RF negative (n=6, n=10) | 0 participants |
| Abatacept in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL RF positive (n=34, n=64) | 34 participants |
| Placebo in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL RF negative (n=6, n=10) | 0 participants |
| Placebo in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL ANA negative (n=27, n=57) | 3 participants |
| Placebo in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL dsDNA positive (n=3, n=6) | 3 participants |
| Placebo in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL ANA positive (n=11, 18) | 10 participants |
| Placebo in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL RF positive (n=34, n=64) | 63 participants |
| Placebo in DBW Period | ST; Number of Participants Positive for Anti-nuclear Antibody (ANA), Anti-double Stranded DNA Antibody (dsDNA), or Rheumatoid Factor (RF) at Day 253 According to Baseline Status (Negative at Baseline or Positive at Baseline) by DBW Treatment Groups | BL dsDNA negative (n=33, n=63) | 2 participants |