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Phase IIIB Subcutaneous Missed Dose Study

A Phase IIIb, Multi-Center, Randomized, Withdrawal Study to Evaluate the Immunogenicity and Safety of Subcutaneous Administered Abatacept in Adults With Active Rheumatoid Arthritis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00533897
Enrollment
270
Registered
2007-09-24
Start date
2007-11-30
Completion date
2014-02-28
Last updated
2015-04-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Rheumatoid Arthritis

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

DRUGAbatacept

Solution in pre-filled syringes, Subcutaneously, 125 mg, Weekly, (Short Term (3 periods - 12 weeks each; Long Term)

DRUGPlacebo

Solution in pre-filled syringes, Subcutaneously, 0 mg, Weekly, Period II 12 weeks (Short Term)

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
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 169Day 169Serum 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 GroupsDay 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

MeasureTime frameDescription
LI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeFor 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 drugECL 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 TimeDays 86-169, includes ≤21 Days after last dose or up to 1st dose of RI PeriodSerum 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 VisitsDay 22 after last dose of drug to Day 85 after last dose of drugSerum 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 TimeDays 86-169, includes ≤21 Days after last dose or up to 1st dose of RI PeriodECL 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 VisitsDay 22 after last dose of drug to Day 85 after last dose of drugECL 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 GroupFor 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 drugSerum 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 GroupFor 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 drugECL 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 GroupsFor 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 drugSerum 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 GroupsFor 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 drugECL 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 GroupsDays 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 GroupsDays 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 GroupsDays 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 GroupsDays 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 TimeDays 1 (Baseline), 15, 29, 57, 78, 85DAS28 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 TimeDays 15, 29, 57, 78, 85DAS28 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 TimeDays 85 (Period 2 Baseline), 113, 141, and 169DAS28 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 TimeDays 85, 113, 141, and 169A 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 TimeDays 169 (Period III Baseline), 197, 225, and 253DAS28 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 DiscontinuationFrom 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 earlierAE=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 InterestFrom 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 earlierAEs 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) CriteriaFrom 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 earlierUpper 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 CriteriaFrom 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 earlierMarked 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 CriteriaFrom 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 earlierMarked 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 CriteriaFrom 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 earlierMA 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 85Blood 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 85Heart 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 85Temperature 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 DiscontinuationFrom 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 earlierAE=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 InterestFrom 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 earlierAEs 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 CriteriaFrom 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 earlierMarked 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 CriteriaFrom 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 earlierMarked 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 CriteriaFrom 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 earlierMarked 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 CriteriaFrom 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 earlierMA 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 PeriodDays 113, 141, and 169Blood 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 2Days 113, 141, and 169Heart 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 IIDays 113, 141, and 169Participants 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 DiscontinuationFrom 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 InterestFrom 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 CriteriaFrom 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 CriteriaFrom 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 CriteriaFrom 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 CriteriaFrom 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 IIIDays 169, 197, 225, and 253
RI Period; Mean Heart Rate (HR) During Period IIIDays 169, 197, 225, and 253
RI Period; Mean Temperature (T) During Period IIIDays 169, 197, 225, and 253
Short Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 197 through Day 253Pharmacokinetics 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 GroupsDay 197 through Day 253Pharmacokinetics 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 GroupsBaseline, Day 253Venous 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 LTEFor 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 LTEFor 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 1821DAS28=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 LTEFor 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 LTEStudy 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, 2073The 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 LTEDays 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 LTESerum 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 LTEFor 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 LTEFor 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 GroupDay 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 LTEFor 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 LTEFor 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 LTEDays 337, 365, 449, 533, 617, 729,813, 897,981, 1093, 1177,1261,1345, 1457,1541,1625,1709,1821,1905,1989,2073During 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 LTEDays 337, 365, 449, 533, 617, 729,813, 897,981, 1093, 1177,1261, 1345, 1457,1541,1625,1709,1821,1905,1989,2073During 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 LTEDays 337, 365, 449, 533, 617, 729,813, 897,981, 1093, 1177,1261, 1345, 1457,1541,1625,1709,1821,1905,1989,2073During 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 LTEDays 337, 365, 449,533, 617, 729,813, 897,981, 1093, 1177,1261, 1345, 1457,1541,1625,1709,1821,1905,1989,2073During 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 LTEFor 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 TimeFor 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 drugSerum 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

ArmCount
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
Total157

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Double-blind Withdrawal (DBW) Period 2Lack of Efficacy01200000
Double-blind Withdrawal (DBW) Period 2Poor/Non-Compliance00100000
Lead-in (LI) Period 1Administrative Reason By Sponsor20000000
Lead-in (LI) Period 1Adverse Event10000000
Lead-in (LI) Period 1Lack of Efficacy30000000
Lead-in (LI) Period 1Lost to Follow-up10000000
Lead-in (LI) Period 1Missed 2 Consecutive Doses of Study Drug10000000
Lead-in (LI) Period 1Participant Withdrew Consent20000000
Long Term Extension (LTE)Adverse Event00000025
Long Term Extension (LTE)Death00000013
Long Term Extension (LTE)Lack of Efficacy00000053
Long Term Extension (LTE)Lost to Follow-up00000011
Long Term Extension (LTE)Other00000016
Long Term Extension (LTE)Participant Withdrew Consent00000025
Long Term Extension (LTE)Poor/Non-compliance00000010
Long Term Extension (LTE)Pregnancy00000002
Re-introduction (RI) Period 3No Longer Meets Study Criteria00000100
Re-introduction (RI) Period 3Participant Withdrew Consent00000100

Baseline characteristics

CharacteristicPeriod 1 Non-RespondersAbatacept Received in Period 2Placebo Received in Period 2Total
Age, Continuous53.4 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 Participants34 Participants67 Participants131 Participants
Sex: Female, Male
Male
7 Participants6 Participants13 Participants26 Participants

Adverse events

Event typeEG000
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 / 1029 / 3733 / 4066 / 80
serious
Total, serious adverse events
2 / 1012 / 3711 / 4027 / 80

Outcome results

Primary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDouble-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 169Anti-abatacept (n=37, n=71)0 percentage of participants
Abatacept in DBW PeriodDouble-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 169Anti-CTLA4-T (n=38, n=73)0 percentage of participants
Abatacept in DBW PeriodDouble-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 169Total (n=38, n=73)0 percentage of participants
Placebo in DBW PeriodDouble-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 169Anti-abatacept (n=37, n=71)1.4 percentage of participants
Placebo in DBW PeriodDouble-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 169Anti-CTLA4-T (n=38, n=73)8.2 percentage of participants
Placebo in DBW PeriodDouble-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 169Total (n=38, n=73)9.6 percentage of participants
Comparison: A continuity corrected Chi-square test was used to compare percentage of positive antibody responses of SC placebo vs. SC abatacept (Period II treatment groups) on Day 169. P-value was evaluated at 0.05 significance level (2-sided). 95% confidence interval (CI) for difference (SC PLA - SC ABA) between ABA and PLA in the immunogenicity rates was also calculated. Point estimates of the immunogenicity rates within the two Period II treatment group and the corresponding 95% CIs were also provided.p-value: 0.11995% CI: [0.83, 18.34]Chi-squared, Corrected
Primary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRe-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period GroupsAnti-abatacept (n=38, n=73)0 percentage of participants
Abatacept in DBW PeriodRe-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period GroupsAnti-CTLA4-T (n=38, n=73)2.6 percentage of participants
Abatacept in DBW PeriodRe-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period GroupsTotal (n=38, n=73)2.6 percentage of participants
Placebo in DBW PeriodRe-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period GroupsAnti-abatacept (n=38, n=73)0 percentage of participants
Placebo in DBW PeriodRe-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period GroupsAnti-CTLA4-T (n=38, n=73)2.7 percentage of participants
Placebo in DBW PeriodRe-introduction (RI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period GroupsTotal (n=38, n=73)2.7 percentage of participants
Comparison: Immunogenicity rates of the Period II treatment groups on Day 253 were analyzed similarly as on Day 169. However, no statistical test was carried out and no p-value was provided. Provided were: point estimates of the immunogenicity rates within the Period II treatment groups and corresponding 95% CIs, and point estimate for the difference in immunogenicity rates between these groups and corresponding 95% CI. There was no adjustment made for multiple comparisons.95% CI: [-8.21, 8.43]
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 113 SBP before injection (n=39, n=78)119.4 mm mercury (Hg)Standard Deviation 13.29
Abatacept in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 113 DBP before injection (n=39, 78)74.2 mm mercury (Hg)Standard Deviation 10.44
Abatacept in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 141 SBP before injection (n=39, n=76)120.3 mm mercury (Hg)Standard Deviation 12.73
Abatacept in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 169 SBP before injection (n=40, n=80)119.6 mm mercury (Hg)Standard Deviation 13.87
Abatacept in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 141 DBP before injection (n=39, n=76)76.3 mm mercury (Hg)Standard Deviation 10.46
Abatacept in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 169 DBP before injection (n=40, n=80)74.0 mm mercury (Hg)Standard Deviation 9.51
Placebo in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 141 DBP before injection (n=39, n=76)76.0 mm mercury (Hg)Standard Deviation 10.6
Placebo in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 169 SBP before injection (n=40, n=80)119.4 mm mercury (Hg)Standard Deviation 14.11
Placebo in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 113 DBP before injection (n=39, 78)74.4 mm mercury (Hg)Standard Deviation 9.34
Placebo in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 113 SBP before injection (n=39, n=78)120.4 mm mercury (Hg)Standard Deviation 15.6
Placebo in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 169 DBP before injection (n=40, n=80)74.7 mm mercury (Hg)Standard Deviation 8.94
Placebo in DBW PeriodDBW; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Double Blind PeriodDay 141 SBP before injection (n=39, n=76)121.2 mm mercury (Hg)Standard Deviation 14.98
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDBW; Number of Participants With AEs of Special InterestInfections and infestations5 participants
Abatacept in DBW PeriodDBW; Number of Participants With AEs of Special InterestMalignancies0 participants
Abatacept in DBW PeriodDBW; Number of Participants With AEs of Special InterestAutoimmune disorders (prespecified)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With AEs of Special InterestAcute infusional events (prespecified)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With AEs of Special InterestPeri-infusional events (prespecified)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With AEs of Special InterestLocal injection site reactions (prespecified)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With AEs of Special InterestSystemic injection reactions (prespecified)1 participants
Placebo in DBW PeriodDBW; Number of Participants With AEs of Special InterestSystemic injection reactions (prespecified)1 participants
Placebo in DBW PeriodDBW; Number of Participants With AEs of Special InterestInfections and infestations7 participants
Placebo in DBW PeriodDBW; Number of Participants With AEs of Special InterestPeri-infusional events (prespecified)0 participants
Placebo in DBW PeriodDBW; Number of Participants With AEs of Special InterestAcute infusional events (prespecified)0 participants
Placebo in DBW PeriodDBW; Number of Participants With AEs of Special InterestMalignancies0 participants
Placebo in DBW PeriodDBW; Number of Participants With AEs of Special InterestLocal injection site reactions (prespecified)0 participants
Placebo in DBW PeriodDBW; Number of Participants With AEs of Special InterestAutoimmune disorders (prespecified)0 participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationRelated AEs2 participants
Abatacept in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationDeaths0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationSAEs0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationRelated SAEs0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs Leading to Discontinuation0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs13 participants
Abatacept in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs Leading to Discontinuation0 participants
Placebo in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationRelated AEs9 participants
Placebo in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs Leading to Discontinuation0 participants
Placebo in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationDeaths2 participants
Placebo in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs Leading to Discontinuation0 participants
Placebo in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationSAEs2 participants
Placebo in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs29 participants
Placebo in DBW PeriodDBW; Number of Participants With Death, Serious SAEs, Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationRelated SAEs0 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Na0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Na0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow K0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh K0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Cl0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Cl0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Ca0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Ca0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow P0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh P0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Ca0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Na0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Cl0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Na0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh P0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow K0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Ca0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh K0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow P0 participants
Placebo in DBW PeriodDBW; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Cl0 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow erythrocytes (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow neutrophils+bands (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh PLT (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh eosinophils (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow hematocrit (n=39, n=79)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh basophils (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow leukocytes (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh monocytes (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow PLT (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow lymphocytes (n=40, n=80)2 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh leukocytes (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh lymphocytes (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow HGB (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh lymphocytes (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow HGB (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow hematocrit (n=39, n=79)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow erythrocytes (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow PLT (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh PLT (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow leukocytes (n=40, n=80)1 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh leukocytes (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow neutrophils+bands (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh eosinophils (n=40, n=80)2 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh basophils (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh monocytes (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow lymphocytes (n=40, n=80)4 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALT1 participants
Abatacept in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh bilirubin0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh AST0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh BUN0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh GGT2 participants
Abatacept in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh creatinine0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALP0 participants
Placebo in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh creatinine1 participants
Placebo in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALP0 participants
Placebo in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh AST0 participants
Placebo in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALT0 participants
Placebo in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh GGT0 participants
Placebo in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh bilirubin0 participants
Placebo in DBW PeriodDBW; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh BUN0 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow Glu (n=40, n=80)2 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh Glu (n=40, n=80)1 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow fasting Glu (n=27, n=51)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh fasting Glu (n=27, n=51)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow total protein (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh total protein (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow albumin (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh uric acid (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine protein (n=40, n=80)1 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine Glu (n=40, n=80)0 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine blood (n=40, n=80)3 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh leukocyte esterase (n=10, n=21)1 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine RBC (n=13, n=23)1 participants
Abatacept in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine WBC (n=15, n=28)6 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine blood (n=40, n=80)10 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow Glu (n=40, n=80)5 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh uric acid (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh Glu (n=40, n=80)3 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine RBC (n=13, n=23)5 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow fasting Glu (n=27, n=51)1 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine protein (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh fasting Glu (n=27, n=51)1 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh leukocyte esterase (n=10, n=21)4 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow total protein (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine Glu (n=40, n=80)1 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh total protein (n=40, n=80)0 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine WBC (n=15, n=28)12 participants
Placebo in DBW PeriodDBW; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow albumin (n=40, n=80)0 participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodDBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over TimeDay 113, n=39, n=760.19 units on a scaleStandard Error 0.18
Abatacept in DBW PeriodDBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over TimeDay 141 , n=38, n=730.14 units on a scaleStandard Error 0.17
Abatacept in DBW PeriodDBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over TimeDay 169, n=38, n=72-0.06 units on a scaleStandard Error 0.19
Placebo in DBW PeriodDBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over TimeDay 113, n=39, n=760.16 units on a scaleStandard Error 0.11
Placebo in DBW PeriodDBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over TimeDay 141 , n=38, n=730.35 units on a scaleStandard Error 0.15
Placebo in DBW PeriodDBW Period; Mean Change in DAS 28 (CRP) From DBW Period Baseline (Day 85) Over TimeDay 169, n=38, n=720.40 units on a scaleStandard Error 0.14
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodDBW Period; Mean Heart Rate (HR) During Period 2Day 113 HR before injection (n=40, n=78)75.8 beats per minute (bpm)Standard Deviation 8.07
Abatacept in DBW PeriodDBW Period; Mean Heart Rate (HR) During Period 2Day 141 HR before injection (n=39, n=76)75.9 beats per minute (bpm)Standard Deviation 9.35
Abatacept in DBW PeriodDBW Period; Mean Heart Rate (HR) During Period 2Day 169 HR before injection (n=40, n=80)73.8 beats per minute (bpm)Standard Deviation 8.19
Placebo in DBW PeriodDBW Period; Mean Heart Rate (HR) During Period 2Day 113 HR before injection (n=40, n=78)73.9 beats per minute (bpm)Standard Deviation 8.39
Placebo in DBW PeriodDBW Period; Mean Heart Rate (HR) During Period 2Day 141 HR before injection (n=39, n=76)74.5 beats per minute (bpm)Standard Deviation 8.45
Placebo in DBW PeriodDBW Period; Mean Heart Rate (HR) During Period 2Day 169 HR before injection (n=40, n=80)74.2 beats per minute (bpm)Standard Deviation 8.5
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodDBW Period; Mean Temperature (T) During Period IIDay 113 T before infusion (n=40, n=78)36.34 degrees CelsiusStandard Deviation 0.488
Abatacept in DBW PeriodDBW Period; Mean Temperature (T) During Period IIDay 141 T before injection (n=39, n=76)36.31 degrees CelsiusStandard Deviation 0.355
Abatacept in DBW PeriodDBW Period; Mean Temperature (T) During Period IIDay 169 T before injection (n=40, n=80)36.38 degrees CelsiusStandard Deviation 0.364
Placebo in DBW PeriodDBW Period; Mean Temperature (T) During Period IIDay 113 T before infusion (n=40, n=78)36.44 degrees CelsiusStandard Deviation 0.37
Placebo in DBW PeriodDBW Period; Mean Temperature (T) During Period IIDay 141 T before injection (n=39, n=76)36.36 degrees CelsiusStandard Deviation 0.347
Placebo in DBW PeriodDBW Period; Mean Temperature (T) During Period IIDay 169 T before injection (n=40, n=80)36.32 degrees CelsiusStandard Deviation 0.373
Secondary

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

Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over TimeOverall onTRT visits CTLA4 and Possibly Ig,n=40,800 percentage of participants
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over TimeOverall onTRT visits Ig and/or JNC region, n=40,800 percentage of participants
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over TimeOverall on TRT visits: Total Abs, n=40,800 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over TimeOverall onTRT visits CTLA4 and Possibly Ig,n=40,806.3 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over TimeOverall onTRT visits Ig and/or JNC region, n=40,803.8 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over TimeOverall on TRT visits: Total Abs, n=40,8010.0 percentage of participants
Secondary

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.

Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall on TRT visits: anti-ABA, n=39,780 percentage of participants
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall on TRT visits anti-CTLA4, n=40,800 percentage of participants
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall on TRT visits: Total, n=40,800 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall on TRT visits: anti-ABA, n=39,781.3 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall on TRT visits anti-CTLA4, n=40,807.5 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall on TRT visits: Total, n=40,808.8 percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over TimeDay 85, n=31, n=660 percentage of participants
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over TimeDay 113, n=33, n=779.1 percentage of participants
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over TimeDay 141, n=32, n=736.3 percentage of participants
Abatacept in DBW PeriodDBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over TimeDay 169, n=33, n=746.1 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over TimeDay 169, n=33, n=749.5 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over TimeDay 85, n=31, n=661.5 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over TimeDay 141, n=32, n=736.8 percentage of participants
Placebo in DBW PeriodDBW Period; Percentage of Participants With Rheumatoid Arthritis (RA) Flare Over TimeDay 113, n=33, n=772.6 percentage of participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall anti-ABA (n=162)1.2 percentage of participants
Abatacept in DBW PeriodLead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall on TRT visits: anti-ABA (n=162)1.2 percentage of participants
Abatacept in DBW PeriodLead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall on TRT visits: anti-CTLA4 (n=165)0 percentage of participants
Abatacept in DBW PeriodLead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall on TRT visits: Total (n=165)1.2 percentage of participants
Abatacept in DBW PeriodLead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall post visits: anti-ABA (n=3)0 percentage of participants
Abatacept in DBW PeriodLead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall post visits: anti-CTLA4 (n=3)0 percentage of participants
Abatacept in DBW PeriodLead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall post visits: Total (n=3)0 percentage of participants
Abatacept in DBW PeriodLead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall anti-CTLA4 (n=165)0 percentage of participants
Abatacept in DBW PeriodLead-in (LI) Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over TimeOverall Total (n=165)1.2 percentage of participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodLI; Mean Change in DAS 28 (CRP) From Baseline Over TimeDay 15, n=150-0.72 units on a scaleStandard Error 0.06
Abatacept in DBW PeriodLI; Mean Change in DAS 28 (CRP) From Baseline Over TimeDay 29, n=165-1.00 units on a scaleStandard Error 0.07
Abatacept in DBW PeriodLI; Mean Change in DAS 28 (CRP) From Baseline Over TimeDay 57, n=164-1.35 units on a scaleStandard Error 0.08
Abatacept in DBW PeriodLI; Mean Change in DAS 28 (CRP) From Baseline Over TimeDay 78, n=143-1.39 units on a scaleStandard Error 0.1
Abatacept in DBW PeriodLI; Mean Change in DAS 28 (CRP) From Baseline Over TimeDay 85, n=161-1.53 units on a scaleStandard Error 0.1
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to DiscontinuationRelated SAEs0 participants
Abatacept in DBW PeriodLI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to DiscontinuationSAEs Leading to Discontinuation1 participants
Abatacept in DBW PeriodLI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to DiscontinuationAEs82 participants
Abatacept in DBW PeriodLI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to DiscontinuationRelated AEs29 participants
Abatacept in DBW PeriodLI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to DiscontinuationAEs Leading to Discontinuation1 participants
Abatacept in DBW PeriodLI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to DiscontinuationDeaths1 participants
Abatacept in DBW PeriodLI; Number of Participants With Deaths, Serious Adverse Events (SAEs), SAEs Leading to Discontinuation, Adverse Events (AEs), Related AEs, or AEs Leading to DiscontinuationSAEs3 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaHigh Cl0 participants
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaLow Ca0 participants
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaLow Cl0 participants
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaHigh Ca0 participants
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaLow P1 participants
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaHigh P1 participants
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaLow Na0 participants
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaHigh Na0 participants
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaLow K0 participants
Abatacept in DBW PeriodLI; Number of Participants With Electrolyte Values Meeting the Marked Abnormality CriteriaHigh K0 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaHigh lymphocytes0 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaLow HGB0 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaLow hematocrit0 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaLow erythrocytes1 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaLow PLT1 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaHigh PLT0 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaLow leukocytes3 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaHigh leukocytes4 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaLow neutrophils+bands0 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaHigh eosinophils1 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaHigh basophils0 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaHigh monocytes0 participants
Abatacept in DBW PeriodLI; Number of Participants With Hematology Values Meeting the Marked Abnormality (MA) CriteriaLow lymphocytes7 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALP0 participants
Abatacept in DBW PeriodLI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALT2 participants
Abatacept in DBW PeriodLI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh AST1 participants
Abatacept in DBW PeriodLI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh GGT0 participants
Abatacept in DBW PeriodLI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh bilirubin0 participants
Abatacept in DBW PeriodLI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh BUN1 participants
Abatacept in DBW PeriodLI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh creatinine3 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine protein (n=167)3 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow Glu (n=167)9 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh Glu (n=167)4 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow fasting Glu (n=92)3 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh fasting glucose (n=92)0 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow protein (n=167)1 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh protein (n=167)1 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow Albumin (n=167)0 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh uric acid (n=167)0 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine Glu (n=167)3 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine blood (n=167)17 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh leukocyte esterase (n=46)9 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine RBC (n=44)7 participants
Abatacept in DBW PeriodLI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine WBC (n=63)26 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over TimeDay 15, n=15026.0 percentage of participants
Abatacept in DBW PeriodLI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over TimeDay 29, n=16540.6 percentage of participants
Abatacept in DBW PeriodLI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over TimeDay 57, n=16456.1 percentage of participants
Abatacept in DBW PeriodLI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over TimeDay 78, n=14359.4 percentage of participants
Abatacept in DBW PeriodLI; Percentage of Participants With Clinically Meaningful Improvement in DAS (CRP) Over TimeDay 85, n=16164.6 percentage of participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodLI Period; Mean Heart Rate (HR)Day 15 HR before injection (n=160)76.0 bpmStandard Deviation 7.91
Abatacept in DBW PeriodLI Period; Mean Heart Rate (HR)Day 29 HR before injection (n=166)75.5 bpmStandard Deviation 9.03
Abatacept in DBW PeriodLI Period; Mean Heart Rate (HR)Day 57 HR before injection (n=164)75.5 bpmStandard Deviation 8.95
Abatacept in DBW PeriodLI Period; Mean Heart Rate (HR)Day 1 HR before infusion (n=167)73.9 bpmStandard Deviation 9.78
Abatacept in DBW PeriodLI Period; Mean Heart Rate (HR)Day 78 HR before injection (n=158)75.1 bpmStandard Deviation 7.78
Abatacept in DBW PeriodLI Period; Mean Heart Rate (HR)Day 85 HR before injection (n=160)74.7 bpmStandard Deviation 8.64
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 29 DBP before injection (n=161)76.1 mmHgStandard Deviation 9.43
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 57 DBP before injection (n=157)75.7 mmHgStandard Deviation 9.82
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 78 DBP before injection (n=157)75.4 mmHgStandard Deviation 10.29
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 1 SBP before infusion (n=160)125.0 mmHgStandard Deviation 18.42
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 15 SBP before injection (n=156)122.3 mmHgStandard Deviation 14.55
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 29 SBP before injection (n=161)122.0 mmHgStandard Deviation 14.02
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 57 SBP before injection (n=157)121.4 mmHgStandard Deviation 14.87
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 78 SBP before injection (n=157)120.3 mmHgStandard Deviation 14.38
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 85 SBP before injection (n=159)122.0 mmHgStandard Deviation 15.19
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 1 DBP before infusion (n=160)76.0 mmHgStandard Deviation 10.88
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 15 DBP before injection (n=156)75.8 mmHgStandard Deviation 9.63
Abatacept in DBW PeriodLI Period; Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Day 85 DBP before injection (n=159)75.2 mmHgStandard Deviation 9.45
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodLI Period; Mean Temperature (T)Day 1 T before infusion (n=167)36.39 degrees CelsiusStandard Deviation 0.387
Abatacept in DBW PeriodLI Period; Mean Temperature (T)Day 15 T before injection (n=160)36.34 degrees CelsiusStandard Deviation 0.351
Abatacept in DBW PeriodLI Period; Mean Temperature (T)Day 29 T before injection (n=166)36.39 degrees CelsiusStandard Deviation 0.371
Abatacept in DBW PeriodLI Period; Mean Temperature (T)Day 57 T before injection (n=164)36.38 degrees CelsiusStandard Deviation 0.329
Abatacept in DBW PeriodLI Period; Mean Temperature (T)Day 78 T before injection (n=158)36.33 degrees CelsiusStandard Deviation 0.333
Abatacept in DBW PeriodLI Period; Mean Temperature (T)Day 85 T before injection (n=160)36.35 degrees CelsiusStandard Deviation 0.368
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLI Period; Number of Participants With AEs of Special InterestInfections and infestations42 participants
Abatacept in DBW PeriodLI Period; Number of Participants With AEs of Special InterestMalignancies0 participants
Abatacept in DBW PeriodLI Period; Number of Participants With AEs of Special InterestAutoimmune events (prespecified)0 participants
Abatacept in DBW PeriodLI Period; Number of Participants With AEs of Special InterestAcute infusional events (prespecified)1 participants
Abatacept in DBW PeriodLI Period; Number of Participants With AEs of Special InterestPeri-infusional events (prespecified)2 participants
Abatacept in DBW PeriodLI Period; Number of Participants With AEs of Special InterestLocal injection site reactions (prespecified)2 participants
Abatacept in DBW PeriodLI Period; Number of Participants With AEs of Special InterestSystemic injection reactions (prespecified)9 participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeOverall onTRT visits CTLA4 and Possibly Ig, n=1651.2 percentage of participants
Abatacept in DBW PeriodLI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeOverall onTRT visits Ig and/or JNC region, n=1650 percentage of participants
Abatacept in DBW PeriodLI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeOverall onTRT visits Total, n=1651.2 percentage of participants
Abatacept in DBW PeriodLI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeOverall post visits CTLA4 and possibly Ig, n=30 percentage of participants
Abatacept in DBW PeriodLI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeOverall post visits Ig and/or JNC region, n=30 percentage of participants
Abatacept in DBW PeriodLI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeOverall post visits: Total, n=30 percentage of participants
Abatacept in DBW PeriodLI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeOverall CTLA4 and possibly Ig, n=1651.2 percentage of participants
Abatacept in DBW PeriodLI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeOverall Ig and/or JNC region, n=1650 percentage of participants
Abatacept in DBW PeriodLI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by Electrochemiluminescence (ECL) Over TimeOverall Total (n=165)1.2 percentage of participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 15; Treatment Day 15 (n=31, 106)-0.48 units on a scaleStandard Error 0.14
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 85; Treatment Day 85 (n=36, 112)-0.35 units on a scaleStandard Error 0.21
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 253; Treatment Day 85 (n=0, n=109)NA units on a scale
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 337; Treatment Day 169 (n=34,n=113)-1.51 units on a scaleStandard Error 0.16
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 365; Treatment Day 197 (n=31, n=110)-1.83 units on a scaleStandard Error 0.19
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 533; Treatment Day 365 (n=32, n=106)-1.86 units on a scaleStandard Error 0.19
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 729; Treatment Day 561 (n=30, n=106-1.81 units on a scaleStandard Error 0.19
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 1093; Treatment Day 925 (n=26, n=98)-1.94 units on a scaleStandard Error 0.18
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 1261; Treatment Day 1093 (n=25, n=96)-1.70 units on a scaleStandard Error 0.15
Abatacept in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 1821; Treatment Day 1653 (n=20, n=67)-1.86 units on a scaleStandard Error 0.2
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 1093; Treatment Day 925 (n=26, n=98)-2.12 units on a scaleStandard Error 0.12
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 15; Treatment Day 15 (n=31, 106)-0.79 units on a scaleStandard Error 0.06
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 533; Treatment Day 365 (n=32, n=106)-2.28 units on a scaleStandard Error 0.12
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 85; Treatment Day 85 (n=36, 112)-1.91 units on a scaleStandard Error 0.09
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 1821; Treatment Day 1653 (n=20, n=67)-2.55 units on a scaleStandard Error 0.14
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 253; Treatment Day 85 (n=0, n=109)-2.29 units on a scaleStandard Error 0.09
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 729; Treatment Day 561 (n=30, n=106-2.16 units on a scaleStandard Error 0.12
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 337; Treatment Day 169 (n=34,n=113)-2.34 units on a scaleStandard Error 0.09
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 1261; Treatment Day 1093 (n=25, n=96)-2.20 units on a scaleStandard Error 0.13
Placebo in DBW PeriodLTE: DAS28-CRP Mean Change From Baseline (Day 1) Over Time - All Participants Treated in LTEStudy Day 365; Treatment Day 197 (n=31, n=110)-2.23 units on a scaleStandard Error 0.1
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 729 (n=30, n=106)74.2 bpmStandard Deviation 8.6
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 337 (n=35, n=110)74.3 bpmStandard Deviation 7.07
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 365 (n=32, n=109)74.2 bpmStandard Deviation 7.76
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 449 (n=32, n=108)74.4 bpmStandard Deviation 6.62
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 533 (n=32, n=108)75.8 bpmStandard Deviation 6.62
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 617 (n=30, n=107)75.7 bpmStandard Deviation 6.96
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 813 (n=30, n=103)72.4 bpmStandard Deviation 7.57
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 897 (n=30, n=102)76.1 bpmStandard Deviation 7.71
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 981 (n=28, n=100)74.4 bpmStandard Deviation 8
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1093 (n=26, n=99)76.3 bpmStandard Deviation 8.35
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1177 (n=25, n=97)77.6 bpmStandard Deviation 6.89
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1261 (n=25, n=92)75.7 bpmStandard Deviation 7.97
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1345 (n=24, n=82)73.5 bpmStandard Deviation 8.54
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1457 (n=21, n=79)75.0 bpmStandard Deviation 7.67
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1541 (n=21, n=79)77.3 bpmStandard Deviation 7.34
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1625 (n=21, n=77)76.9 bpmStandard Deviation 7.77
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1709 (n=21, n=74)78.7 bpmStandard Deviation 6.86
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1821 (n=20, n=33)79.5 bpmStandard Deviation 7.8
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1905 (n=18, n=0)77.1 bpmStandard Deviation 8.97
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1989 (n= 13, n=0)77.2 bpmStandard Deviation 9.53
Abatacept in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 2073 (n=1, n=0)63.0 bpmStandard Deviation 0
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1625 (n=21, n=77)75.2 bpmStandard Deviation 8.12
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1261 (n=25, n=92)74.4 bpmStandard Deviation 8.91
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1177 (n=25, n=97)75.3 bpmStandard Deviation 9
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 337 (n=35, n=110)74.9 bpmStandard Deviation 8.76
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1905 (n=18, n=0)NA bpm
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 365 (n=32, n=109)75.7 bpmStandard Deviation 8.45
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1709 (n=21, n=74)74.7 bpmStandard Deviation 8.83
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 449 (n=32, n=108)75.7 bpmStandard Deviation 7.76
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1345 (n=24, n=82)73.6 bpmStandard Deviation 8.62
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 533 (n=32, n=108)74.7 bpmStandard Deviation 8.32
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 2073 (n=1, n=0)NA bpm
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 617 (n=30, n=107)76.0 bpmStandard Deviation 8.35
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 729 (n=30, n=106)75.1 bpmStandard Deviation 8.7
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1457 (n=21, n=79)76.8 bpmStandard Deviation 7.96
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 813 (n=30, n=103)76.2 bpmStandard Deviation 9.23
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1821 (n=20, n=33)78.2 bpmStandard Deviation 6.78
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 897 (n=30, n=102)76.3 bpmStandard Deviation 8.15
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1541 (n=21, n=79)75.1 bpmStandard Deviation 8.51
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 981 (n=28, n=100)76.5 bpmStandard Deviation 10.75
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1989 (n= 13, n=0)NA bpm
Placebo in DBW PeriodLTE: Mean Heart Rate (HR) During LTEDay 1093 (n=26, n=99)75.0 bpmStandard Deviation 9.2
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 337 (n=35, 110)76.3 mmHgStandard Deviation 6.69
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 365 (n=32, 108)75.1 mmHgStandard Deviation 10.42
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 449 (n=32, n=108)77.3 mmHgStandard Deviation 9.48
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 533 (n=32, n=108)75.5 mmHgStandard Deviation 8.43
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 617 (n=30, n=107)74.2 mmHgStandard Deviation 8.81
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 729 (n=30, n=106)73.2 mmHgStandard Deviation 8.42
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 813 (n=30, n=101)75.7 mmHgStandard Deviation 9.39
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 897 (n=30, n=102)76.8 mmHgStandard Deviation 8.41
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 981 (n=28, n=100)77.4 mmHgStandard Deviation 6.55
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1093 (n=26, n=99)76.7 mmHgStandard Deviation 7.11
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1177 (n=25, n=96)76.3 mmHgStandard Deviation 6.32
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1261 (n=25, n=92)75.4 mmHgStandard Deviation 8.18
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1345 (n=24, n=82)75.3 mmHgStandard Deviation 6.08
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1457 (n=21, n=79)75.6 mmHgStandard Deviation 9.18
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1541 (n=21, n=79)76.9 mmHgStandard Deviation 8.14
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1625 (n=21, n=77)77.2 mmHgStandard Deviation 5.89
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1709 (n=21, n=74)75.0 mmHgStandard Deviation 9.47
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay1821 (n=20, n=33)76.0 mmHgStandard Deviation 7.99
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1905 (n=18, n=0)73.2 mmHgStandard Deviation 7.96
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1989 (n=13, n=0)77.0 mmHgStandard Deviation 5.31
Abatacept in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 2073 (n=1, n=0)69.0 mmHgStandard Deviation 0
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1177 (n=25, n=96)75.9 mmHgStandard Deviation 8.58
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 337 (n=35, 110)75.4 mmHgStandard Deviation 11.18
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1905 (n=18, n=0)NA mmHg
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 365 (n=32, 108)75.1 mmHgStandard Deviation 8.94
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1261 (n=25, n=92)75.6 mmHgStandard Deviation 8.59
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 449 (n=32, n=108)73.8 mmHgStandard Deviation 9.12
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1709 (n=21, n=74)75.4 mmHgStandard Deviation 9.09
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 533 (n=32, n=108)75.4 mmHgStandard Deviation 9.14
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1345 (n=24, n=82)75.6 mmHgStandard Deviation 9.03
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 617 (n=30, n=107)74.8 mmHgStandard Deviation 9.45
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 2073 (n=1, n=0)NA mmHg
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 729 (n=30, n=106)76.1 mmHgStandard Deviation 9.86
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1457 (n=21, n=79)77.1 mmHgStandard Deviation 10.04
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 813 (n=30, n=101)76.4 mmHgStandard Deviation 9.3
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay1821 (n=20, n=33)78.3 mmHgStandard Deviation 7.57
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 897 (n=30, n=102)75.5 mmHgStandard Deviation 9.09
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1541 (n=21, n=79)76.0 mmHgStandard Deviation 9.15
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 981 (n=28, n=100)76.1 mmHgStandard Deviation 9.67
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1989 (n=13, n=0)NA mmHg
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1093 (n=26, n=99)75.9 mmHgStandard Deviation 9.88
Placebo in DBW PeriodLTE: Mean Seated Diastolic Blood Pressure (DBP) During LTEDay 1625 (n=21, n=77)74.9 mmHgStandard Deviation 9.01
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1709 (n=21, n=74)123.0 mm HgStandard Deviation 13.08
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 337 (n=35, n=110)125.7 mm HgStandard Deviation 13.76
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 365 (n=32, n=108)122.7 mm HgStandard Deviation 14.26
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 449 (n=32, n=108)122.9 mm HgStandard Deviation 15.08
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 533 (n=32, n=108)123.0 mm HgStandard Deviation 14.48
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 617 (n= 30, n=107)121.7 mm HgStandard Deviation 13.26
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 729 (n=30, n=106)122.2 mm HgStandard Deviation 11.77
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 813 (n=30, n=101)126.6 mm HgStandard Deviation 12.66
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 897 (n=30, n=102)123.9 mm HgStandard Deviation 11.92
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 981 (n=28, n=100)123.3 mm HgStandard Deviation 12.23
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1093 (n=26, n=99)127.2 mm HgStandard Deviation 18.41
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1177 (n=25, n=96)125.8 mm HgStandard Deviation 11.17
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1261 (n=25, n=92)124.9 mm HgStandard Deviation 11.04
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1345 (n=24, n=82)124.5 mm HgStandard Deviation 13.11
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1457 (n=21, n=79)124.1 mm HgStandard Deviation 14.75
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1541 (n=21, n=79)126.1 mm HgStandard Deviation 15.06
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1625 (n=21, n=77)122.4 mm HgStandard Deviation 9.09
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1821 (n=20, n=33)125.4 mm HgStandard Deviation 13.22
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1905 (n=18, n=0)121.8 mm HgStandard Deviation 13.14
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1989 (n=13, n=0)124.6 mm HgStandard Deviation 9.56
Abatacept in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 2073 (n=1, n=0)113.0 mm HgStandard Deviation 0
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1625 (n=21, n=77)120.3 mm HgStandard Deviation 13.76
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1177 (n=25, n=96)123.0 mm HgStandard Deviation 15.96
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 337 (n=35, n=110)120.8 mm HgStandard Deviation 15.92
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1709 (n=21, n=74)121.9 mm HgStandard Deviation 14.9
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 365 (n=32, n=108)120.4 mm HgStandard Deviation 15.11
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1261 (n=25, n=92)119.7 mm HgStandard Deviation 13.64
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 449 (n=32, n=108)119.5 mm HgStandard Deviation 14.88
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 2073 (n=1, n=0)NA mm Hg
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 533 (n=32, n=108)120.7 mm HgStandard Deviation 15.75
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1345 (n=24, n=82)121.9 mm HgStandard Deviation 14.49
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 617 (n= 30, n=107)118.7 mm HgStandard Deviation 15.3
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1821 (n=20, n=33)124.3 mm HgStandard Deviation 10.95
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 729 (n=30, n=106)121.5 mm HgStandard Deviation 17.41
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1457 (n=21, n=79)125.5 mm HgStandard Deviation 18.41
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 813 (n=30, n=101)120.6 mm HgStandard Deviation 15.65
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1989 (n=13, n=0)NA mm Hg
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 897 (n=30, n=102)122.5 mm HgStandard Deviation 14.92
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1541 (n=21, n=79)122.3 mm HgStandard Deviation 14.53
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 981 (n=28, n=100)122.9 mm HgStandard Deviation 15.03
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1905 (n=18, n=0)NA mm Hg
Placebo in DBW PeriodLTE: Mean Seated Systolic Blood Pressure (SBP) During LTEDay 1093 (n=26, n=99)123.7 mm HgStandard Deviation 15.11
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1177 (n=25, n=97)36.41 degrees CelsiusStandard Deviation 0.277
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 617 (n=30, n=106)36.38 degrees CelsiusStandard Deviation 0.248
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1261 (n=25, n=92)36.39 degrees CelsiusStandard Deviation 0.256
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 337 (n=35, n=110)36.29 degrees CelsiusStandard Deviation 0.285
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1345 (n=24,n=82)36.29 degrees CelsiusStandard Deviation 0.285
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 729 (n=30, n=106)36.47 degrees CelsiusStandard Deviation 0.252
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1457 (n=21, n=79)36.32 degrees CelsiusStandard Deviation 0.253
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 449 (n=32, n=108)36.40 degrees CelsiusStandard Deviation 0.354
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1541 (n=21, n=79)36.34 degrees CelsiusStandard Deviation 0.223
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 813 (n=30, n=103)36.49 degrees CelsiusStandard Deviation 0.284
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1625 (n=21, n=77)36.37 degrees CelsiusStandard Deviation 0.215
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1709 (n=21, n=74)36.35 degrees CelsiusStandard Deviation 0.178
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 897 (n=30, n=102)36.44 degrees CelsiusStandard Deviation 0.254
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1821 (n=20, n=33)36.25 degrees CelsiusStandard Deviation 0.315
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 981 (n=28, n=100)36.48 degrees CelsiusStandard Deviation 0.259
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1905 (n=18, n=0)36.37 degrees CelsiusStandard Deviation 0.211
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 533 (n=32, n=108)36.42 degrees CelsiusStandard Deviation 0.358
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1989 (n=13, n=0)36.35 degrees CelsiusStandard Deviation 0.139
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1093 (n=26, n=99)36.35 degrees CelsiusStandard Deviation 0.37
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 2073 (n=1, n=0)36.40 degrees CelsiusStandard Deviation 0
Abatacept in DBW PeriodLTE: Mean Temperature (T) During LTEDay 365 (n=32, n=108)36.35 degrees CelsiusStandard Deviation 0.37
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 2073 (n=1, n=0)NA degrees Celsius
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 337 (n=35, n=110)36.31 degrees CelsiusStandard Deviation 0.37
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 365 (n=32, n=108)36.30 degrees CelsiusStandard Deviation 0.393
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 449 (n=32, n=108)36.30 degrees CelsiusStandard Deviation 0.294
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 533 (n=32, n=108)36.30 degrees CelsiusStandard Deviation 0.312
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 617 (n=30, n=106)36.37 degrees CelsiusStandard Deviation 0.316
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 729 (n=30, n=106)36.27 degrees CelsiusStandard Deviation 0.332
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 813 (n=30, n=103)36.30 degrees CelsiusStandard Deviation 0.324
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 981 (n=28, n=100)36.30 degrees CelsiusStandard Deviation 0.295
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1093 (n=26, n=99)36.28 degrees CelsiusStandard Deviation 0.278
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1177 (n=25, n=97)36.24 degrees CelsiusStandard Deviation 0.327
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1261 (n=25, n=92)36.24 degrees CelsiusStandard Deviation 0.276
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1345 (n=24,n=82)36.23 degrees CelsiusStandard Deviation 0.232
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1457 (n=21, n=79)36.23 degrees CelsiusStandard Deviation 0.242
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1541 (n=21, n=79)36.24 degrees CelsiusStandard Deviation 0.198
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1625 (n=21, n=77)36.20 degrees CelsiusStandard Deviation 0.214
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1709 (n=21, n=74)36.24 degrees CelsiusStandard Deviation 0.249
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1821 (n=20, n=33)36.26 degrees CelsiusStandard Deviation 0.228
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1905 (n=18, n=0)NA degrees Celsius
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 1989 (n=13, n=0)NA degrees Celsius
Placebo in DBW PeriodLTE: Mean Temperature (T) During LTEDay 897 (n=30, n=102)36.26 degrees CelsiusStandard Deviation 0.325
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTEMalignancies1 participants
Abatacept in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTEAutoimmune disorders (prespecified)3 participants
Abatacept in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTEInfections and infestations23 participants
Abatacept in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTELocal injection site reactions (prespecified)0 participants
Abatacept in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTESystemic injection reactions (prespecified)3 participants
Placebo in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTELocal injection site reactions (prespecified)3 participants
Placebo in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTESystemic injection reactions (prespecified)11 participants
Placebo in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTEInfections and infestations78 participants
Placebo in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTEAutoimmune disorders (prespecified)8 participants
Placebo in DBW PeriodLTE: Number of Participants With AEs of Special Interest During LTEMalignancies3 participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE)Related SAEs0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE)Related AEs9 participants
Abatacept in DBW PeriodLTE: 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 Discontinuation1 participants
Abatacept in DBW PeriodLTE: 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 Discontinuation2 participants
Abatacept in DBW PeriodLTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE)Deaths1 participants
Placebo in DBW PeriodLTE: 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 Discontinuation5 participants
Placebo in DBW PeriodLTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE)Deaths6 participants
Placebo in DBW PeriodLTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE)Related SAEs3 participants
Placebo in DBW PeriodLTE: 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 Discontinuation5 participants
Placebo in DBW PeriodLTE: Number of Participants With Death, Related SAEs, SAEs Leading to Discontinuation, Related AEs, or AEs Leading to Discontinuation During Long Term Extension (LTE)Related AEs45 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTELow K0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTELow P0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTEHigh Cl1 participants
Abatacept in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTEHigh P1 participants
Abatacept in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTEHigh Na1 participants
Placebo in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTEHigh P0 participants
Placebo in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTEHigh Na0 participants
Placebo in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTELow K3 participants
Placebo in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTEHigh Cl0 participants
Placebo in DBW PeriodLTE: Number of Participants With Electrolyte Values Meeting the Marked Abnormality Criteria During LTELow P5 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow hematocrit0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTEHigh leukocytes0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow PLT0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow neutrophils+bands0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow erythrocytes0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTEHigh eosinophils3 participants
Abatacept in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow leukocytes1 participants
Abatacept in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow lymphocytes5 participants
Abatacept in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow HGB1 participants
Placebo in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow lymphocytes9 participants
Placebo in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow HGB4 participants
Placebo in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow hematocrit2 participants
Placebo in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow erythrocytes1 participants
Placebo in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow PLT1 participants
Placebo in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow leukocytes5 participants
Placebo in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTEHigh leukocytes6 participants
Placebo in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTELow neutrophils+bands2 participants
Placebo in DBW PeriodLTE: Number of Participants With Hematology Values Meeting the Marked Abnormality Criteria During LTEHigh eosinophils14 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh AST0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh ALT2 participants
Abatacept in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh GGT1 participants
Abatacept in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh bilirubin0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh BUN0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh creatinine4 participants
Placebo in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh BUN7 participants
Placebo in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh AST3 participants
Placebo in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh bilirubin1 participants
Placebo in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh ALT2 participants
Placebo in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh creatinine11 participants
Placebo in DBW PeriodLTE: Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality Criteria During LTEHigh GGT8 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTELow Glu (n=35, n=113)6 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh Glu (n=35, n=113)1 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTELow fasting Glu (n=14, n=75)4 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh fasting Glu (n=14, n=75)0 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTELow total protein (n=35, n=113)1 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTELow albumin (n=35, n=113)1 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine protein (n=35, n=113)2 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine Glu (n=35, n=113)1 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine blood (n=35, n=113)5 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine WBC (n=22, n=81)12 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine RBC (n=16, n=66)1 participants
Abatacept in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh leukocyte esterase (n=19, n=67)6 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine RBC (n=16, n=66)27 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTELow Glu (n=35, n=113)16 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine protein (n=35, n=113)11 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh Glu (n=35, n=113)6 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine WBC (n=22, n=81)39 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTELow fasting Glu (n=14, n=75)2 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine Glu (n=35, n=113)3 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh fasting Glu (n=14, n=75)6 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh leukocyte esterase (n=19, n=67)18 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTELow total protein (n=35, n=113)0 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTEHigh urine blood (n=35, n=113)30 participants
Placebo in DBW PeriodLTE: Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality Criteria During LTELow albumin (n=35, n=113)0 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: 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 LTEOverall Study (n=149)20.1 percentage of participants
Abatacept in DBW PeriodLTE: 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 LTEOverall on Treatment Visit Days (n=147)15.6 percentage of participants
Abatacept in DBW PeriodLTE: 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 LTE28 Days post last dose (n=110)7.3 percentage of participants
Abatacept in DBW PeriodLTE: 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 LTE56 Days post last dose (n=16)6.3 percentage of participants
Abatacept in DBW PeriodLTE: 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 LTE85 Days post last dose (n=103)7.8 percentage of participants
Abatacept in DBW PeriodLTE: 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 LTE168 Days post last dose (n=21)23.8 percentage of participants
Abatacept in DBW PeriodLTE: 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 LTEOverall Post Visits (n=126)12.7 percentage of participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 337 (n=34, n=113)50.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 1093 (n=26, 90)73.1 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 253 (n=0, n=109)NA percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 1261 (n=25, n=96)48.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 729 (n=30, n=106)53.3 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 1821 (n=20, n=67)60.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 85 (n=36, n=112)11.1 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 1821 (n=20, n=67)59.7 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 85 (n=36, n=112)36.6 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 253 (n=0, n=109)59.6 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 337 (n=34, n=113)59.3 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 729 (n=30, n=106)54.7 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 1093 (n=26, 90)51.0 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants Who Achieved Clinical Remission in the Long Term Extension - All Participants Treated in LTEStudy Day 1261 (n=25, n=96)59.4 percentage of participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 365; Treatment Day 197 (n=32, n=111)53.1 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 981; Treatment Day 813 (n=29, n=100)44.8 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 85; Treatment Day 85 (n=37, n=112)40.5 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1093; Treatment Day 925 (n=28, n=99)50.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 449; Treatment Day 281 (n=32, n=109)56.3 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1177; Treatment Day 1009 (n=26, n=99)61.5 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 29; Treatment Day 29 (n=36, n=113)27.8 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1261; Treatment Day 1093 (n=25, n=97)60.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 533; Treatment Day 365 (n=32, n=108)59.4 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1345; Treatment Day 1177 (n=25, n=89)64.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 253; Treatment Day 85 (n=0, n=109)NA percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1457; Treatment Day 1289 (n=24, n=79)66.7 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 617; Treatment Day 449 (n=31, n=107)54.8 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1541; Treatment Day 1373 (n=21, n=75)61.9 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 78; Treatment Day 78 (n=34, n=103)41.2 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1625; Treatment Day 1457 (n=21, n=73)52.4 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 729; Treatment Day 561 (n=30, n=107)60.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1709; Treatment Day 1541 (n=20, n=71)60.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 337; Treatment Day 169 (n=34, n=113)50.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1821; Treatment Day 1653 (n=20, n=68)65.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 813; Treatment Day 645 (n=30, n=106)53.3 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1905; Treatment Day 1737 (n=19, n=5)63.2 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 57; Treatment Day 57 (n=36, n=112)44.4 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1989; Treatment Day 1821 (n=19, n=0)68.4 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 897; Treatment Day 729 (n=30, n=103)50.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 2073; Treatment Day 1905 (n=5, n=0)100.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 15; Treatment Day 15 (n=34, n=110)20.6 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 2073; Treatment Day 1905 (n=5, n=0)NA percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 15; Treatment Day 15 (n=34, n=110)44.5 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 29; Treatment Day 29 (n=36, n=113)56.6 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 57; Treatment Day 57 (n=36, n=112)64.3 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 78; Treatment Day 78 (n=34, n=103)68.0 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 85; Treatment Day 85 (n=37, n=112)74.1 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 253; Treatment Day 85 (n=0, n=109)78.0 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 337; Treatment Day 169 (n=34, n=113)79.6 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 365; Treatment Day 197 (n=32, n=111)78.4 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 449; Treatment Day 281 (n=32, n=109)73.4 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 533; Treatment Day 365 (n=32, n=108)72.2 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 617; Treatment Day 449 (n=31, n=107)70.1 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 729; Treatment Day 561 (n=30, n=107)70.1 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 813; Treatment Day 645 (n=30, n=106)71.7 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 897; Treatment Day 729 (n=30, n=103)76.7 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 981; Treatment Day 813 (n=29, n=100)73.0 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1093; Treatment Day 925 (n=28, n=99)73.7 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1177; Treatment Day 1009 (n=26, n=99)68.7 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1261; Treatment Day 1093 (n=25, n=97)70.1 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1345; Treatment Day 1177 (n=25, n=89)70.8 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1457; Treatment Day 1289 (n=24, n=79)72.2 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1541; Treatment Day 1373 (n=21, n=75)69.3 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1625; Treatment Day 1457 (n=21, n=73)74.0 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1709; Treatment Day 1541 (n=20, n=71)74.6 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1821; Treatment Day 1653 (n=20, n=68)73.5 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1905; Treatment Day 1737 (n=19, n=5)80.0 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With HAQ Response Over Time - All Participants Treated in LTEStudy Day 1989; Treatment Day 1821 (n=19, n=0)NA percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 337 (n=34, n=113)67.6 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 1093 (n=26, n=98)80.8 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 253 (n=0, n=109)NA percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 1261 (n=25, n=96)68.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 729 (n=30, n=106)73.3 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 1821 (n=20, n=67)80.0 percentage of participants
Abatacept in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 85 (n=36, n=112)27.8 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 1821 (n=20, n=67)88.1 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 85 (n=36, n=112)66.1 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 253 (n=0, n=109)75.2 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 337 (n=34, n=113)76.1 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 729 (n=30, n=106)73.6 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 1093 (n=26, n=98)67.3 percentage of participants
Placebo in DBW PeriodLTE: Percent of Participants With Low Disease Activity in Long Term Extension: All Participants Treated in LTEStudy Day 1261 (n=25, n=96)75.0 percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRI; Number of Participants With AEs of Special InterestAutoimmune disorders (prespecified)0 participants
Abatacept in DBW PeriodRI; Number of Participants With AEs of Special InterestLocal injection site reactions (prespecified)0 participants
Abatacept in DBW PeriodRI; Number of Participants With AEs of Special InterestInfections and infestations7 participants
Abatacept in DBW PeriodRI; Number of Participants With AEs of Special InterestMalignancies0 participants
Abatacept in DBW PeriodRI; Number of Participants With AEs of Special InterestAcute infusional events (prespecified)0 participants
Abatacept in DBW PeriodRI; Number of Participants With AEs of Special InterestPeri-infusional events (prespecified)0 participants
Abatacept in DBW PeriodRI; Number of Participants With AEs of Special InterestSystemic injection reactions (prespecified)0 participants
Placebo in DBW PeriodRI; Number of Participants With AEs of Special InterestMalignancies0 participants
Placebo in DBW PeriodRI; Number of Participants With AEs of Special InterestAutoimmune disorders (prespecified)0 participants
Placebo in DBW PeriodRI; Number of Participants With AEs of Special InterestAcute infusional events (prespecified)0 participants
Placebo in DBW PeriodRI; Number of Participants With AEs of Special InterestSystemic injection reactions (prespecified)0 participants
Placebo in DBW PeriodRI; Number of Participants With AEs of Special InterestPeri-infusional events (prespecified)0 participants
Placebo in DBW PeriodRI; Number of Participants With AEs of Special InterestLocal injection site reactions (prespecified)0 participants
Placebo in DBW PeriodRI; Number of Participants With AEs of Special InterestInfections and infestations8 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With AEs of Special InterestInfections and infestations7 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With AEs of Special InterestPeri-infusional events (prespecified)1 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With AEs of Special InterestAutoimmune disorders (prespecified)0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With AEs of Special InterestSystemic injection reactions (prespecified)1 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With AEs of Special InterestLocal injection site reactions (prespecified)0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With AEs of Special InterestAcute infusional events (prespecified)0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With AEs of Special InterestMalignancies0 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs Leading to Discontinuation0 participants
Abatacept in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationSAEs0 participants
Abatacept in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationRelated AEs1 participants
Abatacept in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs15 participants
Abatacept in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationDeaths0 participants
Abatacept in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationRelated SAEs0 participants
Abatacept in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationSAEs Leading to Discontinuation0 participants
Placebo in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs17 participants
Placebo in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationSAEs Leading to Discontinuation0 participants
Placebo in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationRelated SAEs0 participants
Placebo in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationRelated AEs4 participants
Placebo in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationSAEs0 participants
Placebo in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationAEs Leading to Discontinuation0 participants
Placebo in DBW PeriodRI; Number of Participants With Death, Serious Adverse Events (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs, Related AEs, or AEs Leading to DiscontinuationDeaths0 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 DiscontinuationAEs Leading to Discontinuation0 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 DiscontinuationDeaths0 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 DiscontinuationSAEs1 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 DiscontinuationRelated SAEs0 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 DiscontinuationSAEs Leading to Discontinuation0 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 DiscontinuationAEs16 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 DiscontinuationRelated AEs4 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Na0 participants
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Na0 participants
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow K0 participants
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh K0 participants
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Cl0 participants
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Cl0 participants
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Ca0 participants
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Ca0 participants
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow P0 participants
Abatacept in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh P0 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow P1 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Na0 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Cl0 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Cl0 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Na0 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh P0 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Ca0 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow K0 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Ca0 participants
Placebo in DBW PeriodRI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh K0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Ca0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh K0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Cl0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Cl0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow P0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Ca0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow Na0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh P0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaHigh Na0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Electrolytes Values Meeting the Marked Abnormality CriteriaLow K1 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow lymphocytes2 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh eosinophils0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow leukocytes0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow erythrocytes0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow neutrophils+bands0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh leukocytes0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow HGB0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow hematocrit0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh monocytes0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow PLT0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh lymphocytes0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh basophils0 participants
Abatacept in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh PLT0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh leukocytes1 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow HGB0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow hematocrit0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow erythrocytes0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow PLT0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh PLT0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow leukocytes0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow neutrophils+bands0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh eosinophils0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh basophils0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh monocytes0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow lymphocytes0 participants
Placebo in DBW PeriodRI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh lymphocytes0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh eosinophils0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow PLT0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow lymphocytes0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh basophils0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow erythrocytes0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow HGB0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh monocytes0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh leukocytes0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow leukocytes0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow hematocrit0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaLow neutrophils+bands0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh PLT0 participants
PLA Switched to ABA With PLA IV Loading Dose [RI]RI; Number of Participants With Hematology Values Meeting the Marked Abnormality CriteriaHigh lymphocytes0 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh AST0 participants
Abatacept in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh bilirubin0 participants
Abatacept in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh GGT1 participants
Abatacept in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALP0 participants
Abatacept in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh creatinine0 participants
Abatacept in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh BUN0 participants
Abatacept in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALT2 participants
Placebo in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh GGT0 participants
Placebo in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALP0 participants
Placebo in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh AST0 participants
Placebo in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh ALT0 participants
Placebo in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh bilirubin0 participants
Placebo in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh BUN0 participants
Placebo in DBW PeriodRI; Number of Participants With Liver and Kidney Function Values Meeting the Marked Abnormality CriteriaHigh creatinine0 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 CriteriaHigh bilirubin0 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 CriteriaHigh AST0 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 CriteriaHigh creatinine0 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 CriteriaHigh BUN0 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 CriteriaHigh GGT0 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 CriteriaHigh ALT0 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 CriteriaHigh ALP0 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow total protein (n=40, n=35, n=44)0 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow Glu (n=40, n=35, n=44)1 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine glucose (n=40, n=34, n=44)0 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh total protein (n=40, n=35, n=44)0 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine RBC (n=17, n=14, n=15)6 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine protein (n=40, n=35, n=44)0 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow albumin (n=40, n=35, n=44)0 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow fasting Glu (n=27, n=20, n=28)1 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh uric acid (n=40, n=35, n=44)0 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine WBC (n=19, n=15, n=15)6 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh leukocyte esterase (n=14, n=8, n=7)4 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh fasting glucose (n=27, n=20, n=28)0 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh Glu (n=40, n=35, n=44)0 participants
Abatacept in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine blood (n=40, n=35, n=44)6 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine blood (n=40, n=35, n=44)4 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine glucose (n=40, n=34, n=44)0 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow Glu (n=40, n=35, n=44)1 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh Glu (n=40, n=35, n=44)1 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow fasting Glu (n=27, n=20, n=28)0 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh fasting glucose (n=27, n=20, n=28)0 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow total protein (n=40, n=35, n=44)0 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh total protein (n=40, n=35, n=44)0 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaLow albumin (n=40, n=35, n=44)0 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh uric acid (n=40, n=35, n=44)0 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine protein (n=40, n=35, n=44)0 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh leukocyte esterase (n=14, n=8, n=7)2 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh urine RBC (n=17, n=14, n=15)3 participants
Placebo in DBW PeriodRI; Number of Participants With Other Chemistry and Urinalysis Values Meeting the Marked Abnormality CriteriaHigh 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 CriteriaLow 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 CriteriaHigh 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 CriteriaHigh 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 CriteriaLow 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 CriteriaHigh 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 CriteriaLow 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 CriteriaLow 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 CriteriaHigh 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 CriteriaHigh 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 CriteriaHigh 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 CriteriaHigh 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 CriteriaHigh 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 CriteriaHigh 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 CriteriaHigh urine protein (n=40, n=35, n=44)1 participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodRI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over TimeDay 253, n=38, n=30, n=42-0.23 units on a scaleStandard Error 0.16
Abatacept in DBW PeriodRI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over TimeDay 225, n=38, n=33, n=42-0.31 units on a scaleStandard Error 0.2
Abatacept in DBW PeriodRI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over TimeDay 197, n=39, n=33, n=44-0.26 units on a scaleStandard Error 0.17
Placebo in DBW PeriodRI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over TimeDay 253, n=38, n=30, n=42-0.93 units on a scaleStandard Error 0.2
Placebo in DBW PeriodRI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over TimeDay 197, n=39, n=33, n=44-0.56 units on a scaleStandard Error 0.17
Placebo in DBW PeriodRI Period; Mean Change in DAS 28 (CRP) From RI Period Baseline (Day 169) Over TimeDay 225, n=38, n=33, n=42-0.59 units on a scaleStandard 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 TimeDay 253, n=38, n=30, n=42-0.89 units on a scaleStandard 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 TimeDay 225, n=38, n=33, n=42-0.66 units on a scaleStandard 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 TimeDay 197, n=39, n=33, n=44-0.50 units on a scaleStandard Error 0.16
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodRI Period; Mean Heart Rate (HR) During Period IIIDay 225 HR before injection (n=40, n=35, n=42)73.2 beats per minute (bpm)Standard Deviation 7
Abatacept in DBW PeriodRI Period; Mean Heart Rate (HR) During Period IIIDay 169 HR before infusion (n=40, n=35, n=44)73.4 beats per minute (bpm)Standard Deviation 8.54
Abatacept in DBW PeriodRI Period; Mean Heart Rate (HR) During Period IIIDay 253 HR before injection (n=40, n=35, n=43)73.6 beats per minute (bpm)Standard Deviation 8.53
Abatacept in DBW PeriodRI Period; Mean Heart Rate (HR) During Period IIIDay 197 HR before injection (n=40, n=35, n=43)73.1 beats per minute (bpm)Standard Deviation 7.52
Placebo in DBW PeriodRI Period; Mean Heart Rate (HR) During Period IIIDay 225 HR before injection (n=40, n=35, n=42)73.9 beats per minute (bpm)Standard Deviation 7.43
Placebo in DBW PeriodRI Period; Mean Heart Rate (HR) During Period IIIDay 197 HR before injection (n=40, n=35, n=43)75.1 beats per minute (bpm)Standard Deviation 7.25
Placebo in DBW PeriodRI Period; Mean Heart Rate (HR) During Period IIIDay 169 HR before infusion (n=40, n=35, n=44)73.8 beats per minute (bpm)Standard Deviation 10.13
Placebo in DBW PeriodRI Period; Mean Heart Rate (HR) During Period IIIDay 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 IIIDay 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 IIIDay 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 IIIDay 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 IIIDay 225 HR before injection (n=40, n=35, n=42)73.2 beats per minute (bpm)Standard Deviation 7.6
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 197 DBP before injection (n=40, n=35, n=43)72.9 mm mercury (Hg)Standard Deviation 9.24
Abatacept in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 197 SBP before injection (n=40, n=35, n=43)119.1 mm mercury (Hg)Standard Deviation 14.07
Abatacept in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 225 DBP before injection (n=40, n=35, n=42)73.6 mm mercury (Hg)Standard Deviation 10.56
Abatacept in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 253 DBP before injection (n=40, n=35, n=44)74.7 mm mercury (Hg)Standard Deviation 11.24
Abatacept in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 169 SBP before infusion (n=39, n=35, n=44)121.3 mm mercury (Hg)Standard Deviation 15.81
Abatacept in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 225 SBP before injection (n=40, n=35, n=42)117.8 mm mercury (Hg)Standard Deviation 14.19
Abatacept in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 169 DBP before infusion (n=39, n=35, n=44)74.7 mm mercury (Hg)Standard Deviation 10.46
Abatacept in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 253 SBP before injection (n=40, 35, n=43)118.3 mm mercury (Hg)Standard Deviation 15
Placebo in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 169 DBP before infusion (n=39, n=35, n=44)73.5 mm mercury (Hg)Standard Deviation 9.61
Placebo in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 225 SBP before injection (n=40, n=35, n=42)118.8 mm mercury (Hg)Standard Deviation 16.55
Placebo in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 253 SBP before injection (n=40, 35, n=43)116.1 mm mercury (Hg)Standard Deviation 14.86
Placebo in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 225 DBP before injection (n=40, n=35, n=42)73.7 mm mercury (Hg)Standard Deviation 7.84
Placebo in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 197 SBP before injection (n=40, n=35, n=43)118.4 mm mercury (Hg)Standard Deviation 15.62
Placebo in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 169 SBP before infusion (n=39, n=35, n=44)116.6 mm mercury (Hg)Standard Deviation 14.78
Placebo in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 253 DBP before injection (n=40, n=35, n=44)71.5 mm mercury (Hg)Standard Deviation 9.92
Placebo in DBW PeriodRI Period; Mean Seated Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During Period IIIDay 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 IIIDay 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 IIIDay 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 IIIDay 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 IIIDay 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 IIIDay 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 IIIDay 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 IIIDay 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 IIIDay 225 SBP before injection (n=40, n=35, n=42)121.0 mm mercury (Hg)Standard Deviation 16.88
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodRI Period; Mean Temperature (T) During Period IIIDay 169 T before infusion (n=40, n=35, n=44)36.32 degrees CelsiusStandard Deviation 0.423
Abatacept in DBW PeriodRI Period; Mean Temperature (T) During Period IIIDay 197 T before injection (n=40, n=35, n=43)36.39 degrees CelsiusStandard Deviation 0.405
Abatacept in DBW PeriodRI Period; Mean Temperature (T) During Period IIIDay 225 T before injection (n=40, n=35, n=42)36.27 degrees CelsiusStandard Deviation 0.375
Abatacept in DBW PeriodRI Period; Mean Temperature (T) During Period IIIDay 253 T before injection (n=40, n=34, n=42)36.28 degrees CelsiusStandard Deviation 0.473
Placebo in DBW PeriodRI Period; Mean Temperature (T) During Period IIIDay 253 T before injection (n=40, n=34, n=42)36.32 degrees CelsiusStandard Deviation 0.587
Placebo in DBW PeriodRI Period; Mean Temperature (T) During Period IIIDay 169 T before infusion (n=40, n=35, n=44)36.29 degrees CelsiusStandard Deviation 0.473
Placebo in DBW PeriodRI Period; Mean Temperature (T) During Period IIIDay 225 T before injection (n=40, n=35, n=42)36.38 degrees CelsiusStandard Deviation 0.444
Placebo in DBW PeriodRI Period; Mean Temperature (T) During Period IIIDay 197 T before injection (n=40, n=35, n=43)36.37 degrees CelsiusStandard Deviation 0.424
PLA Switched to ABA With PLA IV Loading Dose [RI]RI Period; Mean Temperature (T) During Period IIIDay 253 T before injection (n=40, n=34, n=42)36.33 degrees CelsiusStandard Deviation 0.383
PLA Switched to ABA With PLA IV Loading Dose [RI]RI Period; Mean Temperature (T) During Period IIIDay 197 T before injection (n=40, n=35, n=43)36.35 degrees CelsiusStandard Deviation 0.354
PLA Switched to ABA With PLA IV Loading Dose [RI]RI Period; Mean Temperature (T) During Period IIIDay 225 T before injection (n=40, n=35, n=42)36.36 degrees CelsiusStandard Deviation 0.32
PLA Switched to ABA With PLA IV Loading Dose [RI]RI Period; Mean Temperature (T) During Period IIIDay 169 T before infusion (n=40, n=35, n=44)36.26 degrees CelsiusStandard Deviation 0.396
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall onTRT visits CTLA4 and Possibly Ig,n=40,780 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall onTRT visits Ig and/or JNC region, n=40,780 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall onTRT visits: Total, n=40,780 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall post visits: CTLA4 and possibly Ig, n=1,4100.0 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall post visits: Ig and/or JNC region, n=1,40 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall post visits: Total, n=1,4100.0 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall post visits: Ig and/or JNC region, n=1,40 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall onTRT visits CTLA4 and Possibly Ig,n=40,780 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall post visits: CTLA4 and possibly Ig, n=1,425.0 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall onTRT visits Ig and/or JNC region, n=40,780 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall post visits: Total, n=1,425.0 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ECL Over Time by DBW Treatment GroupOverall onTRT visits: Total, n=40,780 percentage of participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo GroupAnti-abatacept (n=32, n=41)0 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo GroupAnti-CTLA4-T (n=32, n=41)0 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo GroupTotal (n=32, n=41)0 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo GroupAnti-abatacept (n=32, n=41)0 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo GroupAnti-CTLA4-T (n=32, n=41)4.9 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA at Day 253, by DBW Period Placebo GroupTotal (n=32, n=41)4.9 percentage of participants
Comparison: Immunogenicity rates of the Period II treatment groups on Day 253 were analyzed similarly as on Day 169. However, no statistical test was carried out and no p-value was provided. Provided were: point estimates of the immunogenicity rates within the Period II treatment groups and corresponding 95% CIs, and point estimate for the difference in immunogenicity rates between these groups and corresponding 95% CI. There was no adjustment made for multiple comparisons.95% CI: [-4.5, 14.25]
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall onTRT visits: anti-ABA, n=39,772.6 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall onTRT visits anti-CTLA4, n=40,785.0 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall onTRT visits: Total, n=40,787.5 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall post visits: anti-ABA, n=1,40 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall post visits: anti-CTLA4, n=1,40 percentage of participants
Abatacept in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall post visits: Total, n=1,40 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall post visits: anti-CTLA4, n=1,425.0 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall onTRT visits: anti-ABA, n=39,771.3 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall post visits: anti-ABA, n=1,40 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall onTRT visits anti-CTLA4, n=40,783.8 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall post visits: Total, n=1,425.0 percentage of participants
Placebo in DBW PeriodRI Period; Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 Antibody Responses by ELISA Over Time by DBW Treatment GroupOverall onTRT visits: Total, n=40,785.1 percentage of participants
Secondary

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

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 253 seronegative (n=36, n=30, n=42\)29.75 ug/mLStandard Deviation 9.872
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 225 seropositive (n=0, n=0, n=0)NA ug/mL
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 253 seropositive (n=0, n=0, n=0)NA ug/mL
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 197 seropositive (n=0, n=0, n=0)NA ug/mL
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 225 seronegative (n=36, n=30, n=42)27.86 ug/mLStandard Deviation 9.514
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 197 seronegative (n=35, n=33, n=41)34.72 ug/mLStandard Deviation 10.479
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 225 seronegative (n=36, n=30, n=42)31.79 ug/mLStandard Deviation 10.46
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 253 seropositive (n=0, n=0, n=0)NA ug/mL
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 197 seronegative (n=35, n=33, n=41)35.61 ug/mLStandard Deviation 10.207
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 253 seronegative (n=36, n=30, n=42\)28.26 ug/mLStandard Deviation 10.211
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 197 seropositive (n=0, n=0, n=0)NA ug/mL
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ECL by RI Treatment GroupsDay 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 GroupsDay 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 GroupsDay 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 GroupsDay 197 seronegative (n=35, n=33, n=41)22.65 ug/mLStandard 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 GroupsDay 253 seronegative (n=36, n=30, n=42\)26.28 ug/mLStandard 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 GroupsDay 225 seronegative (n=36, n=30, n=42)29.06 ug/mLStandard 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 GroupsDay 253 seropositive (n=0, n=0, n=0)NA ug/mL
Secondary

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

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 253 seropositive (n=1, n=0, n=2)29.49 ug/mL
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 225 seropositive (n=0, n=1, n=1)NA ug/mL
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 225 seronegative (n=36, n=29, n=41)27.86 ug/mLStandard Deviation 9.514
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 253 seronegative (n=34, n=30, n=39)30.17 ug/mLStandard Deviation 9.856
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 197 seronegative (n=33, n=32, n=40)34.45 ug/mLStandard Deviation 10.578
Abatacept in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 197 seropositive (n=2, n=1, n=1)39.17 ug/mLStandard Deviation 10.51
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 225 seropositive (n=0, n=1, n=1)34.18 ug/mL
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 197 seropositive (n=2, n=1, n=1)33.73 ug/mL
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 197 seronegative (n=33, n=32, n=40)35.67 ug/mLStandard Deviation 10.365
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 225 seronegative (n=36, n=29, n=41)31.70 ug/mLStandard Deviation 10.635
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 253 seropositive (n=1, n=0, n=2)NA ug/mL
Placebo in DBW PeriodShort Term; Abatacept Serum Concentration by Immunogenicity Status as Measured by ELISA by RI Treatment GroupsDay 253 seronegative (n=34, n=30, n=39)28.26 ug/mLStandard 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 GroupsDay 197 seronegative (n=33, n=32, n=40)22.76 ug/mLStandard 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 GroupsDay 253 seronegative (n=34, n=30, n=39)26.80 ug/mLStandard 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 GroupsDay 253 seropositive (n=1, n=0, n=2)26.23 ug/mLStandard 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 GroupsDay 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 GroupsDay 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 GroupsDay 225 seronegative (n=36, n=29, n=41)29.24 ug/mLStandard Deviation 13.897
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 78, n=33, n=76-1.76 units on a scaleStandard Error 0.12
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 141, n=38, n=76-1.81 units on a scaleStandard Error 0.17
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 57, n=40. n=79-1.39 units on a scaleStandard Error 0.14
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 169, n=38, n=75-2.03 units on a scaleStandard Error 0.18
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 85, n=40, n=78-1.97 units on a scaleStandard Error 0.11
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 197, n=40, n=79-2.14 units on a scaleStandard Error 0.16
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 29, n=40, n=80-1.07 units on a scaleStandard Error 0.14
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 225, n=39, n=77-2.20 units on a scaleStandard Error 0.17
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 113, n=39, n=80-1.78 units on a scaleStandard Error 0.18
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 253, n=39, n=74-2.22 units on a scaleStandard Error 0.14
Abatacept in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 15, n=38, n=75-0.64 units on a scaleStandard Error 0.1
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 253, n=39, n=74-2.32 units on a scaleStandard Error 0.12
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 15, n=38, n=75-0.87 units on a scaleStandard Error 0.08
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 29, n=40, n=80-1.10 units on a scaleStandard Error 0.09
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 57, n=40. n=79-1.62 units on a scaleStandard Error 0.11
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 78, n=33, n=76-1.89 units on a scaleStandard Error 0.1
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 85, n=40, n=78-1.88 units on a scaleStandard Error 0.11
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 113, n=39, n=80-1.69 units on a scaleStandard Error 0.12
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 141, n=38, n=76-1.54 units on a scaleStandard Error 0.14
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 169, n=38, n=75-1.49 units on a scaleStandard Error 0.14
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 197, n=40, n=79-1.92 units on a scaleStandard Error 0.13
Placebo in DBW PeriodShort Term: Mean Change in Disease Activity Score (DAS) 28 (Using C-Reactive Protein [CRP]) From Baseline Over Time by DBW Treatment GroupsDay 225, n=39, n=77-2.04 units on a scaleStandard Error 0.13
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 85, n=40, n=79-0.74 units on a scaleStandard Error 0.09
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 169, n=38, n=76-0.72 units on a scaleStandard Error 0.11
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 78, n=33, n=77-0.68 units on a scaleStandard Error 0.1
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 197, n=40, n=79-0.76 units on a scaleStandard Error 0.09
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 113, n=40, n=80-0.69 units on a scaleStandard Error 0.08
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 225, n=40, n=77-0.82 units on a scaleStandard Error 0.1
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 57, n=40, n=79-0.58 units on a scaleStandard Error 0.09
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 253, n=39, n=74-0.86 units on a scaleStandard Error 0.09
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 141, n=39, n=78-0.68 units on a scaleStandard Error 0.1
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 29, n=40, n=80-0.46 units on a scaleStandard Error 0.05
Abatacept in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 15, n=40, n=77-0.31 units on a scaleStandard Error 0.06
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 57, n=40, n=79-0.51 units on a scaleStandard Error 0.06
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 15, n=40, n=77-0.30 units on a scaleStandard Error 0.04
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 29, n=40, n=80-0.35 units on a scaleStandard Error 0.04
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 78, n=33, n=77-0.59 units on a scaleStandard Error 0.07
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 85, n=40, n=79-0.63 units on a scaleStandard Error 0.07
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 113, n=40, n=80-0.61 units on a scaleStandard Error 0.06
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 141, n=39, n=78-0.52 units on a scaleStandard Error 0.07
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 169, n=38, n=76-0.50 units on a scaleStandard Error 0.07
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 197, n=40, n=79-0.66 units on a scaleStandard Error 0.06
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 225, n=40, n=77-0.70 units on a scaleStandard Error 0.06
Placebo in DBW PeriodShort Term; Mean Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) From Baseline Over Time by DBW Treatment GroupsDay 253, n=39, n=74-0.72 units on a scaleStandard Error 0.06
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodShort 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 GroupsDay 169 LDAS, n=38, n=7568.4 percentage of participants
Abatacept in DBW PeriodShort 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 GroupsDay 169 Clinical Remission, n=38, n=7547.4 percentage of participants
Abatacept in DBW PeriodShort 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 GroupsDay 253 LDAS, n=39, n=7469.2 percentage of participants
Abatacept in DBW PeriodShort 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 GroupsDay 253 CMI , n=39, n=7487.2 percentage of participants
Abatacept in DBW PeriodShort 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 GroupsDay 253 Clinical Remission, n=39, n=7451.3 percentage of participants
Abatacept in DBW PeriodShort 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 GroupsDay 85 CMI , n=40, n=7880 percentage of participants
Abatacept in DBW PeriodShort 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 GroupsDay 85 LDAS, n=40, n=7867.5 percentage of participants
Abatacept in DBW PeriodShort 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 GroupsDay 85 Clinical Remission, n=40, n=7835.0 percentage of participants
Abatacept in DBW PeriodShort 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 GroupsDay 169 CMI , n=38, n=7578.9 percentage of participants
Placebo in DBW PeriodShort 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 GroupsDay 85 LDAS, n=40, n=7862.8 percentage of participants
Placebo in DBW PeriodShort 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 GroupsDay 169 LDAS, n=38, n=7554.7 percentage of participants
Placebo in DBW PeriodShort 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 GroupsDay 169 CMI , n=38, n=7557.3 percentage of participants
Placebo in DBW PeriodShort 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 GroupsDay 169 Clinical Remission, n=38, n=7528.0 percentage of participants
Placebo in DBW PeriodShort 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 GroupsDay 85 CMI , n=40, n=7876.9 percentage of participants
Placebo in DBW PeriodShort 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 GroupsDay 253 Clinical Remission, n=39, n=7463.5 percentage of participants
Placebo in DBW PeriodShort 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 GroupsDay 85 Clinical Remission, n=40, n=7837.2 percentage of participants
Placebo in DBW PeriodShort 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 GroupsDay 253 CMI , n=39, n=7489.2 percentage of participants
Placebo in DBW PeriodShort 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 GroupsDay 253 LDAS, n=39, n=7479.7 percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 197, n=40, n=7975.0 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 15, n=40, n=7747.5 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 169, n=38, n=7671.1 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 29, n=40, n=8062.5 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 225, n=40, n=7780.0 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 57, n=40, n=7967.5 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 141, n=39, n=7869.2 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 78, n=33, n=7766.7 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 253, n=39, n=7484.6 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 85, n=40, n=7980.0 percentage of Participants
Abatacept in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 113, n=40, n=8075.0 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 85, n=40, n=7969.6 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 113, n=40, n=8067.5 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 141, n=39, n=7862.8 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 169, n=38, n=7656.6 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 197, n=40, n=7974.7 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 225, n=40, n=7776.6 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 253, n=39, n=7474.3 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 15, n=40, n=7742.9 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 29, n=40, n=8052.5 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 57, n=40, n=7962.0 percentage of Participants
Placebo in DBW PeriodShort Term; Percentage of Participants With HAQ-DI Response Over Time by DBW Treatment GroupsDay 78, n=33, n=7767.5 percentage of Participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall onTRT visits Ig and/or JNC region,n=40,800 percentage of Participants
Abatacept in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study post visits: Total, n=1, 4100.0 percentage of Participants
Abatacept in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall post visits CTLA4 and possibly Ig,n=1,4100.0 percentage of Participants
Abatacept in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study CTLA4 and possibly Ig,n=40,802.5 percentage of Participants
Abatacept in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study onTRT visits: Total, n=40,800 percentage of Participants
Abatacept in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study Ig and/or JNC region, n=40, 800 percentage of Participants
Abatacept in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall post visits: Ig and/or JNC region, n=1,40 percentage of Participants
Abatacept in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study Total, n=40,802.5 percentage of Participants
Abatacept in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall onTRT visits CTLA and possibly Ig,n=40,800 percentage of Participants
Placebo in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study Total, n=40,8011.3 percentage of Participants
Placebo in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall onTRT visits CTLA and possibly Ig,n=40,807.5 percentage of Participants
Placebo in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall onTRT visits Ig and/or JNC region,n=40,803.8 percentage of Participants
Placebo in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study onTRT visits: Total, n=40,8010.0 percentage of Participants
Placebo in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall post visits CTLA4 and possibly Ig,n=1,425.0 percentage of Participants
Placebo in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall post visits: Ig and/or JNC region, n=1,40 percentage of Participants
Placebo in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study post visits: Total, n=1, 425.0 percentage of Participants
Placebo in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study CTLA4 and possibly Ig,n=40,808.8 percentage of Participants
Placebo in DBW PeriodShort Term: Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ECL Antibody Responses by DBW Treatment GroupsOverall study Ig and/or JNC region, n=40, 803.8 percentage of Participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study onTRT visits anti-CTLA4, n=40,805.0 percentage of participants
Abatacept in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study post visits: Total, n=1, 40 percentage of participants
Abatacept in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study post visits: anti-ABA, n=1, 40 percentage of participants
Abatacept in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study anti-ABA, n=39, 787.7 percentage of participants
Abatacept in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study onTRT visits: Total, n=40,8012.5 percentage of participants
Abatacept in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study anti-CTLA4, n=40, 805.0 percentage of participants
Abatacept in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study post visits: anti-CTLA4, n=1, 40 percentage of participants
Abatacept in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study Total, n=40,8012.5 percentage of participants
Abatacept in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study onTRT visits: anti-ABA, n=39,787.7 percentage of participants
Placebo in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study Total, n=40,8010.0 percentage of participants
Placebo in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study onTRT visits: anti-ABA, n=39,781.3 percentage of participants
Placebo in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study onTRT visits anti-CTLA4, n=40,808.8 percentage of participants
Placebo in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study onTRT visits: Total, n=40,8010.0 percentage of participants
Placebo in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study post visits: anti-ABA, n=1, 40 percentage of participants
Placebo in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study post visits: anti-CTLA4, n=1, 425.0 percentage of participants
Placebo in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study post visits: Total, n=1, 425.0 percentage of participants
Placebo in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study anti-ABA, n=39, 781.3 percentage of participants
Placebo in DBW PeriodShort Term (ST); Percentage of Participants With Positive Anti-Abatacept or Anti-CTLA4 ELISA Antibody Responses by DBW Treatment GroupsOverall study anti-CTLA4, n=40, 808.8 percentage of participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Abatacept in DBW PeriodST; 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 GroupsBL ANA negative (n=27, n=57)1 participants
Abatacept in DBW PeriodST; 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 GroupsBL ANA positive (n=11, 18)5 participants
Abatacept in DBW PeriodST; 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 GroupsBL dsDNA negative (n=33, n=63)1 participants
Abatacept in DBW PeriodST; 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 GroupsBL dsDNA positive (n=3, n=6)2 participants
Abatacept in DBW PeriodST; 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 GroupsBL RF negative (n=6, n=10)0 participants
Abatacept in DBW PeriodST; 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 GroupsBL RF positive (n=34, n=64)34 participants
Placebo in DBW PeriodST; 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 GroupsBL RF negative (n=6, n=10)0 participants
Placebo in DBW PeriodST; 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 GroupsBL ANA negative (n=27, n=57)3 participants
Placebo in DBW PeriodST; 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 GroupsBL dsDNA positive (n=3, n=6)3 participants
Placebo in DBW PeriodST; 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 GroupsBL ANA positive (n=11, 18)10 participants
Placebo in DBW PeriodST; 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 GroupsBL RF positive (n=34, n=64)63 participants
Placebo in DBW PeriodST; 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 GroupsBL dsDNA negative (n=33, n=63)2 participants

Source: ClinicalTrials.gov · Data processed: Mar 28, 2026