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Subcutaneous Pharmacokinetics of Belatacept

Pharmacokinetics, Safety and Immunogenicity of Single Doses of Belatacept Administered Subcutaneously to Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00569803
Enrollment
153
Registered
2007-12-07
Start date
2007-12-31
Completion date
2008-08-31
Last updated
2016-09-22

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

Conditions

Transplantation

Brief summary

Pharmacokinetics, Bioavailability, Safety and Immunogenicity of Single Doses of Belatacept Administered Subcutaneously to Healthy Subjects

Interventions

DRUGbelatacept

single dose, 116 days

DRUGPlacebo

Subcutaneous injection of placebo solution (product ID: 224818-N000- 029)

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Men and women ages 18 to 65 years old * Subjects must weigh less than or equal to 100 kg

Exclusion criteria

* Inability to tolerate injections or IV infusions * autoimmune disorders * TB * herpes * HCV * HBV * HIV * bacterial or viral infection * history of cancer

Design outcomes

Primary

MeasureTime frameDescription
Apparent Volume of Distribution at Steady State (Vss/F) for SC BelataceptImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116Apparent volume of distribution at steady state (Vss/F) was derived from concentration versus time data for all participants treated with subcutaneous (SC) Belatacept.
Maximum Observed Serum Concentration (Cmax) of BelataceptImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116Maximum observed serum concentration (Cmax) values were derived from serum concentration versus time data and reported in micrograms per milliliter (ug/mL).
Time of Maximum Observed Serum Concentration (Tmax) of BelataceptImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116Time of maximum observed serum concentration (Tmax) values were derived from serum concentration versus time data for all participants treated with Belatacept.
Adjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUC(0-T)) for BelataceptImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116Area under the serum concentration-time curve from time zero to the time of last quantifiable concentration (AUC(0-T)) was derived from serum concentration versus time data. Adjusted geometric means were reported in microgram hours per milliliter (ug\*h/mL).
Adjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) for BelataceptImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116Area under the serum concentration-time curve from time zero extrapolated to infinite time (AUC(INF)) was derived from serum concentration versus time data. Adjusted geometric means were reported in microgram hours per milliliter (ug\*h/mL)
Serum Half-life (T-HALF) of BelataceptImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116Serum half-life (T-HALF) was determined from serum concentration versus time data and was reported in hours.
Apparent Total Body Clearance (CLT/F) of SC BelataceptImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116Apparent total body clearance (CLT/F) was derived from serum concentration versus time data for all participants who received subcutaneous (SC) Belatacept injections. Units reported in milliliters per hour (mL/h).
Total Body Clearance (CLT) of IV BelataceptImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116Total body clearance (CLT) was derived from serum concentration versus time data for all participants that were treated with IV Belatacept. Units reported in milliliters per hour (mL/h)
Volume of Distribution at Steady State (VSS) for IV BelataceptImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116Volume of distribution at steady state (VSS) was derived from serum concentration versus time data for all participants treated with IV Belatacept.

Secondary

MeasureTime frameDescription
Effect of Number of Injection Sites on Subcutaneous Belatacept AbsorptionImmediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116AUC(0-T) and AUC(INF) for Belatacept were derived from serum concentration versus time data to assess the effect of number of injection sites on the subcutaneous absorption of Belatacept. All treatments were dose-normalized to 50mg. Adjusted geometric means reported in microgram hours per milliliter (ug\*h/mL). AUC(0-T) = Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration. AUC(INF) = Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time.
Number of Participants With Vital Sign Abnormalities1 day pre-dose, Days 1, 2, 5, 14, 28, 42, 86 and 116Vital signs (body temperature, respiratory rate, seated blood pressure, and heart rate) were recorded at screening. All significant findings were evaluated by the investigator, and all abnormalities were listed.
Number of Participants With Injection Site Reactions0.5, 2, 6 and 24 hours post-dose, Days 3, 4, 5, 6, 7, 8, 14, 21 and 116Participants were assessed for erythema, heat, pain, pruritis and swelling at the injection sites and were characterized by the investigator as mild, moderate or severe reactions.
Number of Participants With Physical Examination AbnormalitiesDays 1, 2, 5, 14, 28, 42, 86, 116All clinically significant deviations from normal physical examinations were reported.
Number of Participants With Electrocardiogram (ECG) AbnormalitiesDays 1 and 116Participants underwent a 12-lead ECG assessment at Screening (Day 1) and Study Discharge (Day 116). All investigator-assessed ECG abnormalities were reported.
Number of Participants With Marked Hematology Laboratory AbnormalitiesDay 1 Pre-dose, Days 2, 5, 14, 28, 42, 86, 116LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose. Lab values that met the following criteria were marked as abnormalities: Hemoglobin (grams per deciliter:g/dL): \<0.85\*Pre-Rx. Hematocrit (%): \<0.85\*Pre-Rx. Platelet Count (\*10\^9 cells per liter:c/L): \<0.85\*LLN or \>1.5\*ULN (if Pre-Rx\<LLN, use \<0.85\*Pre-Rx). Leukocytes (\*10\^3 cells per microliter: c/uL): \<0.9\*LLN, \>1.2\*ULN (if Pre-Rx\<LLN, use \<0.85\*Pre-Rx or \>ULN, if Pre-Rx\>ULN, use \>1.15\*Pre-Rx or \<LLN) Neutrophils+Bands (\*10\^3 c/uL): \<=1.500. Lymphocytes (\*10\^3 c/uL): \<0.750 or \>7.500. Monocytes (\*10\^3 c/uL): \>2.000. Basophils (\*10\^3 c/uL): \>0.400. Eosinophils (\*10\^3 c/uL): \>0.750.
Number of Participants With Marked Serum Chemistry AbnormalitiesDay 1 Pre-dose, Days 2, 5, 14, 28, 42, 86, 116LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose. Lab values that met the following criteria were marked as abnormalities: Alkaline Phosphatase (units per liter: U/L), Aspartate Aminotransferase (U/L), Alanine Aminotransferase (U/L): \>1.25\*ULN (if Pre-Rx\>ULN, use \>1.25\*Pre-Rx). Bilirubin (milligrams per deciliter: mg/dL): \>1.1\*ULN (if Pre-Rx\>ULN, use \>1.25\*Pre-Rx). Blood Urea Nitrogen (mg/dL): \>1.1\*ULN (if Pre-Rx\>ULN, use \>1.2\*Pre-Rx). Creatinine (mg/dL): \>1.33\*Pre-Rx. Sodium (milliequivalents per Liter: mEq/L): \<0.95\*LLN, \>1.05\*ULN (if Pre-Rx\<LLN: \<0.95\*Pre-Rx, \>ULN. If Pre-Rx\>ULN: \>1.05\*Pre-Rx, \<LLN). Potassium(mEq/L), Chloride (mEq/L), Calcium(mg/dL): \<0.9\*LLN, \>1.1\*ULN (if Pre-Rx\<LLN: \<0.9\*Pre-Rx, \>ULN. If Pre-Rx\>ULN: \>1.1\*Pre-Rx, \<LLN). Phosphorus (mg/dL): \<0.85\*LLN, \>1.25\*ULN (if Pre-Rx\<LLN, \<0.85\*Pre-Rx, \>ULN. if Pre-Rx\>ULN: \>1.25\*Pre-Rx, \<LLN).
Number of Participants With Marked Laboratory AbnormalitiesDay 1 Pre-dose, Days 2, 5, 14, 28, 42, 86, 116LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose. Lab values that met the following criteria were marked as abnormalities: Glucose (mg/dL): \<0.8\*LLN, \>1.5\*ULN (if Pre-Rx\<LLN: \<0.8\*Pre-Rx, \>ULN. If Pre-Rx\>ULN: \>2.0\*Pre-Rx, \<LLN). Protein (grams per deciliter: g/dL): \<0.9\*LLN, \>1.1\*ULN (if Pre-Rx\<LLN: \<0.9\*Pre-Rx, \>ULN. If Pre-Rx\>ULN: \>1.1\*Pre-Rx, \<LLN). Albumin (g/dL): \<0.9\*LLN (if Pre-Rx\<LLN: \<0.9\*Pre-Rx). Uric Acid (mg.dL): \>1.2\*ULN (if Pre-Rx\>ULN: \>1.25\*Pre-Rx). Lactate Dehydrogenase (U/L): \>1.25\*ULN (if Pre-Rx\>ULN: \>1.5\*Pre-Rx)
Number of Participants With Positive Immunogenicity to BelataceptDays 1, 14, 28, 42, 56, 86, 116The number of participants with positive immunogenicity to Belatacept was reported for each arm. Positive immunogenicity was defined as the presence of a positive antibody response generated against Belatacept.

Countries

United States

Participant flow

Pre-assignment details

153 participants were enrolled, with 106 discontinuing prior to study drug administration because they no longer met study criteria or they withdrew consent. 47 participants met all eligibility criteria and received study medication. 1 subject, who received an incomplete dose due to an injection syringe leak, was replaced.

Participants by arm

ArmCount
Belatacept 50 mg Subcutaneous Injection
Belatacept 50 mg subcutaneous (SC) injection into anterior thigh, 0.4 mL injection volume
5
Belatacept 100 mg Subcutaneous Injection
Belatacept 100 mg SC injection into anterior thigh, 0.8 mL injection volume
5
Belatacept 125 mg Subcutaneous Injection
Belatacept 125 mg SC injection into anterior thigh, 1.0 mL injection volume
5
Belatacept 150 mg Subcutaneous Injections
Participants received 2 SC injections of 75 mg Belatacept each, in the anterior thighs. One injection was given in each thigh, with the second injection immediately following the first injection.
6
Belatacept 200 mg Subcutaneous Injections
Participants received 2 SC injections of 100 mg Belatacept each, in the anterior thighs. One injection was given in each thigh, with the second injection immediately following the first injection.
5
Belatacept 250 mg Subcutaneous Injections
Participants received 2 SC injections of 125 mg Belatacept each, in the anterior thighs. One injection was given in each thigh, with the second injection immediately following the first injection.
5
Belatacept 125 mg Intravenous Infusion
125 mg Belatacept intravenous (IV) injection
10
Placebo
Subcutaneous injection of placebo solution (product ID: 224818-N000- 029)
6
Total47

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall Studyinjection syringe leaked during dosing00010000
Overall StudyLost to Follow-up10000000
Overall StudyWithdrawal by Subject00000001

Baseline characteristics

CharacteristicBelatacept 50 mg Subcutaneous InjectionBelatacept 100 mg Subcutaneous InjectionBelatacept 125 mg Subcutaneous InjectionBelatacept 150 mg Subcutaneous InjectionsBelatacept 200 mg Subcutaneous InjectionsBelatacept 250 mg Subcutaneous InjectionsBelatacept 125 mg Intravenous InfusionPlaceboTotal
Age, Continuous30 years
STANDARD_DEVIATION 11
27 years
STANDARD_DEVIATION 12
28 years
STANDARD_DEVIATION 12
34 years
STANDARD_DEVIATION 18
31 years
STANDARD_DEVIATION 11
31 years
STANDARD_DEVIATION 10
32 years
STANDARD_DEVIATION 16
27 years
STANDARD_DEVIATION 6
30 years
STANDARD_DEVIATION 12
Sex: Female, Male
Female
4 Participants2 Participants2 Participants2 Participants3 Participants2 Participants2 Participants4 Participants21 Participants
Sex: Female, Male
Male
1 Participants3 Participants3 Participants4 Participants2 Participants3 Participants8 Participants2 Participants26 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
2 / 53 / 53 / 54 / 62 / 52 / 57 / 101 / 623 / 41
serious
Total, serious adverse events
0 / 50 / 50 / 50 / 60 / 50 / 50 / 100 / 60 / 41

Outcome results

Primary

Adjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) for Belatacept

Area under the serum concentration-time curve from time zero extrapolated to infinite time (AUC(INF)) was derived from serum concentration versus time data. Adjusted geometric means were reported in microgram hours per milliliter (ug\*h/mL)

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with Belatacept

ArmMeasureValue (GEOMETRIC_MEAN)
Belatacept 50 mg Subcutaneous InjectionAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) for Belatacept2639 ug*h/mL
Belatacept 100 mg Subcutaneous InjectionAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) for Belatacept1851 ug*h/mL
Belatacept 125 mg Subcutaneous InjectionAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) for Belatacept2380 ug*h/mL
Belatacept 150 mg Subcutaneous InjectionsAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) for Belatacept2719 ug*h/mL
Belatacept 200 mg Subcutaneous InjectionsAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) for Belatacept2666 ug*h/mL
Belatacept 250 mg Subcutaneous InjectionsAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) for Belatacept2201 ug*h/mL
Belatacept 125 mg Intravenous InfusionAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time (AUC(INF)) for Belatacept3031 ug*h/mL
90% CI: [0.69, 1.1]
90% CI: [0.48, 0.77]
90% CI: [0.62, 1]
90% CI: [0.71, 1.14]
90% CI: [0.69, 1.12]
90% CI: [0.57, 0.92]
Primary

Adjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUC(0-T)) for Belatacept

Area under the serum concentration-time curve from time zero to the time of last quantifiable concentration (AUC(0-T)) was derived from serum concentration versus time data. Adjusted geometric means were reported in microgram hours per milliliter (ug\*h/mL).

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with Belatacept

ArmMeasureValue (GEOMETRIC_MEAN)
Belatacept 50 mg Subcutaneous InjectionAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUC(0-T)) for Belatacept2587 ug*h/mL
Belatacept 100 mg Subcutaneous InjectionAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUC(0-T)) for Belatacept1848 ug*h/mL
Belatacept 125 mg Subcutaneous InjectionAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUC(0-T)) for Belatacept2371 ug*h/mL
Belatacept 150 mg Subcutaneous InjectionsAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUC(0-T)) for Belatacept2703 ug*h/mL
Belatacept 200 mg Subcutaneous InjectionsAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUC(0-T)) for Belatacept2650 ug*h/mL
Belatacept 250 mg Subcutaneous InjectionsAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUC(0-T)) for Belatacept2193 ug*h/mL
Belatacept 125 mg Intravenous InfusionAdjusted Geometric Means of Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUC(0-T)) for Belatacept3023 ug*h/mL
90% CI: [0.68, 1.08]
90% CI: [0.48, 0.77]
90% CI: [0.62, 0.99]
90% CI: [0.71, 1.13]
90% CI: [0.69, 1.11]
90% CI: [0.57, 0.92]
Primary

Apparent Total Body Clearance (CLT/F) of SC Belatacept

Apparent total body clearance (CLT/F) was derived from serum concentration versus time data for all participants who received subcutaneous (SC) Belatacept injections. Units reported in milliliters per hour (mL/h).

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with SC Belatacept

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Belatacept 50 mg Subcutaneous InjectionApparent Total Body Clearance (CLT/F) of SC Belatacept47.4 mL/hGeometric Coefficient of Variation 27
Belatacept 100 mg Subcutaneous InjectionApparent Total Body Clearance (CLT/F) of SC Belatacept67.5 mL/hGeometric Coefficient of Variation 34
Belatacept 125 mg Subcutaneous InjectionApparent Total Body Clearance (CLT/F) of SC Belatacept52.5 mL/hGeometric Coefficient of Variation 31
Belatacept 150 mg Subcutaneous InjectionsApparent Total Body Clearance (CLT/F) of SC Belatacept46.0 mL/hGeometric Coefficient of Variation 26
Belatacept 200 mg Subcutaneous InjectionsApparent Total Body Clearance (CLT/F) of SC Belatacept46.9 mL/hGeometric Coefficient of Variation 21
Belatacept 250 mg Subcutaneous InjectionsApparent Total Body Clearance (CLT/F) of SC Belatacept56.8 mL/hGeometric Coefficient of Variation 20
Primary

Apparent Volume of Distribution at Steady State (Vss/F) for SC Belatacept

Apparent volume of distribution at steady state (Vss/F) was derived from concentration versus time data for all participants treated with subcutaneous (SC) Belatacept.

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with SC Belatacept

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Belatacept 50 mg Subcutaneous InjectionApparent Volume of Distribution at Steady State (Vss/F) for SC Belatacept10.79 LitersGeometric Coefficient of Variation 31.02
Belatacept 100 mg Subcutaneous InjectionApparent Volume of Distribution at Steady State (Vss/F) for SC Belatacept15.30 LitersGeometric Coefficient of Variation 28.79
Belatacept 125 mg Subcutaneous InjectionApparent Volume of Distribution at Steady State (Vss/F) for SC Belatacept14.12 LitersGeometric Coefficient of Variation 36.63
Belatacept 150 mg Subcutaneous InjectionsApparent Volume of Distribution at Steady State (Vss/F) for SC Belatacept12.75 LitersGeometric Coefficient of Variation 14.2
Belatacept 200 mg Subcutaneous InjectionsApparent Volume of Distribution at Steady State (Vss/F) for SC Belatacept13.34 LitersGeometric Coefficient of Variation 13.77
Belatacept 250 mg Subcutaneous InjectionsApparent Volume of Distribution at Steady State (Vss/F) for SC Belatacept15.82 LitersGeometric Coefficient of Variation 11.92
Primary

Maximum Observed Serum Concentration (Cmax) of Belatacept

Maximum observed serum concentration (Cmax) values were derived from serum concentration versus time data and reported in micrograms per milliliter (ug/mL).

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with Belatacept

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Belatacept 50 mg Subcutaneous InjectionMaximum Observed Serum Concentration (Cmax) of Belatacept3.9 ug/mLGeometric Coefficient of Variation 30
Belatacept 100 mg Subcutaneous InjectionMaximum Observed Serum Concentration (Cmax) of Belatacept6.2 ug/mLGeometric Coefficient of Variation 34
Belatacept 125 mg Subcutaneous InjectionMaximum Observed Serum Concentration (Cmax) of Belatacept8.5 ug/mLGeometric Coefficient of Variation 50
Belatacept 150 mg Subcutaneous InjectionsMaximum Observed Serum Concentration (Cmax) of Belatacept11.1 ug/mLGeometric Coefficient of Variation 19
Belatacept 200 mg Subcutaneous InjectionsMaximum Observed Serum Concentration (Cmax) of Belatacept14.5 ug/mLGeometric Coefficient of Variation 16
Belatacept 250 mg Subcutaneous InjectionsMaximum Observed Serum Concentration (Cmax) of Belatacept14.5 ug/mLGeometric Coefficient of Variation 18
Belatacept 125 mg Intravenous InfusionMaximum Observed Serum Concentration (Cmax) of Belatacept42.4 ug/mLGeometric Coefficient of Variation 16
Primary

Serum Half-life (T-HALF) of Belatacept

Serum half-life (T-HALF) was determined from serum concentration versus time data and was reported in hours.

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with Belatacept

ArmMeasureValue (MEAN)Dispersion
Belatacept 50 mg Subcutaneous InjectionSerum Half-life (T-HALF) of Belatacept112 hoursStandard Deviation 25.7
Belatacept 100 mg Subcutaneous InjectionSerum Half-life (T-HALF) of Belatacept100 hoursStandard Deviation 10.1
Belatacept 125 mg Subcutaneous InjectionSerum Half-life (T-HALF) of Belatacept135 hoursStandard Deviation 47.6
Belatacept 150 mg Subcutaneous InjectionsSerum Half-life (T-HALF) of Belatacept158 hoursStandard Deviation 46.9
Belatacept 200 mg Subcutaneous InjectionsSerum Half-life (T-HALF) of Belatacept161 hoursStandard Deviation 45.3
Belatacept 250 mg Subcutaneous InjectionsSerum Half-life (T-HALF) of Belatacept150 hoursStandard Deviation 43.6
Belatacept 125 mg Intravenous InfusionSerum Half-life (T-HALF) of Belatacept130 hoursStandard Deviation 27.6
Primary

Time of Maximum Observed Serum Concentration (Tmax) of Belatacept

Time of maximum observed serum concentration (Tmax) values were derived from serum concentration versus time data for all participants treated with Belatacept.

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with Belatacept

ArmMeasureValue (MEDIAN)
Belatacept 50 mg Subcutaneous InjectionTime of Maximum Observed Serum Concentration (Tmax) of Belatacept84 hours
Belatacept 100 mg Subcutaneous InjectionTime of Maximum Observed Serum Concentration (Tmax) of Belatacept60 hours
Belatacept 125 mg Subcutaneous InjectionTime of Maximum Observed Serum Concentration (Tmax) of Belatacept96 hours
Belatacept 150 mg Subcutaneous InjectionsTime of Maximum Observed Serum Concentration (Tmax) of Belatacept60 hours
Belatacept 200 mg Subcutaneous InjectionsTime of Maximum Observed Serum Concentration (Tmax) of Belatacept60 hours
Belatacept 250 mg Subcutaneous InjectionsTime of Maximum Observed Serum Concentration (Tmax) of Belatacept72 hours
Belatacept 125 mg Intravenous InfusionTime of Maximum Observed Serum Concentration (Tmax) of Belatacept0.5 hours
Primary

Total Body Clearance (CLT) of IV Belatacept

Total body clearance (CLT) was derived from serum concentration versus time data for all participants that were treated with IV Belatacept. Units reported in milliliters per hour (mL/h)

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with IV Belatacept

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Belatacept 50 mg Subcutaneous InjectionTotal Body Clearance (CLT) of IV Belatacept41.2 mL/hGeometric Coefficient of Variation 21
Primary

Volume of Distribution at Steady State (VSS) for IV Belatacept

Volume of distribution at steady state (VSS) was derived from serum concentration versus time data for all participants treated with IV Belatacept.

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with IV Belatacept

ArmMeasureValue (MEAN)Dispersion
Belatacept 50 mg Subcutaneous InjectionVolume of Distribution at Steady State (VSS) for IV Belatacept7.3 LitersStandard Deviation 1.27
Secondary

Effect of Number of Injection Sites on Subcutaneous Belatacept Absorption

AUC(0-T) and AUC(INF) for Belatacept were derived from serum concentration versus time data to assess the effect of number of injection sites on the subcutaneous absorption of Belatacept. All treatments were dose-normalized to 50mg. Adjusted geometric means reported in microgram hours per milliliter (ug\*h/mL). AUC(0-T) = Area Under the Serum Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration. AUC(INF) = Area Under the Serum Concentration-time Curve From Time Zero Extrapolated to Infinite Time.

Time frame: Immediately before dose, 0.5, 2, 6, 12, 24, 36, 48, 60, 72, 84 hours post-dose, Days 5, 6, 7, 8, 14, 21, 28, 35, 42, 56, 86 and 116

Population: All participants treated with Belatacept

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Belatacept 50 mg Subcutaneous InjectionEffect of Number of Injection Sites on Subcutaneous Belatacept AbsorptionAUC(0-T)898 ug*h/mL
Belatacept 50 mg Subcutaneous InjectionEffect of Number of Injection Sites on Subcutaneous Belatacept AbsorptionAUC(INF)906 ug*h/mL
Belatacept 100 mg Subcutaneous InjectionEffect of Number of Injection Sites on Subcutaneous Belatacept AbsorptionAUC(0-T)1002 ug*h/mL
Belatacept 100 mg Subcutaneous InjectionEffect of Number of Injection Sites on Subcutaneous Belatacept AbsorptionAUC(INF)1007 ug*h/mL
90% CI: [0.75, 1.07]
90% CI: [0.75, 1.07]
Secondary

Number of Participants With Electrocardiogram (ECG) Abnormalities

Participants underwent a 12-lead ECG assessment at Screening (Day 1) and Study Discharge (Day 116). All investigator-assessed ECG abnormalities were reported.

Time frame: Days 1 and 116

Population: All treated participants

ArmMeasureGroupValue (NUMBER)
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Electrocardiogram (ECG) AbnormalitiesScreening (Day 1)0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Electrocardiogram (ECG) AbnormalitiesStudy Discharge (Day 116)0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Electrocardiogram (ECG) AbnormalitiesScreening (Day 1)0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Electrocardiogram (ECG) AbnormalitiesStudy Discharge (Day 116)0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Electrocardiogram (ECG) AbnormalitiesScreening (Day 1)2 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Electrocardiogram (ECG) AbnormalitiesStudy Discharge (Day 116)2 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Electrocardiogram (ECG) AbnormalitiesScreening (Day 1)0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Electrocardiogram (ECG) AbnormalitiesStudy Discharge (Day 116)0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Electrocardiogram (ECG) AbnormalitiesScreening (Day 1)1 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Electrocardiogram (ECG) AbnormalitiesStudy Discharge (Day 116)1 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Electrocardiogram (ECG) AbnormalitiesScreening (Day 1)0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Electrocardiogram (ECG) AbnormalitiesStudy Discharge (Day 116)0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Electrocardiogram (ECG) AbnormalitiesStudy Discharge (Day 116)1 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Electrocardiogram (ECG) AbnormalitiesScreening (Day 1)1 participants
PlaceboNumber of Participants With Electrocardiogram (ECG) AbnormalitiesScreening (Day 1)0 participants
PlaceboNumber of Participants With Electrocardiogram (ECG) AbnormalitiesStudy Discharge (Day 116)0 participants
Secondary

Number of Participants With Injection Site Reactions

Participants were assessed for erythema, heat, pain, pruritis and swelling at the injection sites and were characterized by the investigator as mild, moderate or severe reactions.

Time frame: 0.5, 2, 6 and 24 hours post-dose, Days 3, 4, 5, 6, 7, 8, 14, 21 and 116

Population: All treated participants

ArmMeasureGroupValue (NUMBER)
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Injection Site Reactionsmild reaction0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Injection Site Reactionssevere reaction0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Injection Site Reactionsmoderate reaction0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Injection Site Reactionssevere reaction0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Injection Site Reactionsmoderate reaction0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Injection Site Reactionsmild reaction1 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Injection Site Reactionssevere reaction0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Injection Site Reactionsmild reaction1 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Injection Site Reactionsmoderate reaction0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Injection Site Reactionsmild reaction0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Injection Site Reactionsmoderate reaction0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Injection Site Reactionssevere reaction0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Injection Site Reactionsmoderate reaction1 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Injection Site Reactionsmild reaction1 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Injection Site Reactionssevere reaction0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Injection Site Reactionsmoderate reaction0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Injection Site Reactionsmild reaction0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Injection Site Reactionssevere reaction0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Injection Site Reactionsmoderate reaction0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Injection Site Reactionsmild reaction0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Injection Site Reactionssevere reaction0 participants
PlaceboNumber of Participants With Injection Site Reactionsmild reaction0 participants
PlaceboNumber of Participants With Injection Site Reactionsmoderate reaction0 participants
PlaceboNumber of Participants With Injection Site Reactionssevere reaction0 participants
Secondary

Number of Participants With Marked Hematology Laboratory Abnormalities

LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose. Lab values that met the following criteria were marked as abnormalities: Hemoglobin (grams per deciliter:g/dL): \<0.85\*Pre-Rx. Hematocrit (%): \<0.85\*Pre-Rx. Platelet Count (\*10\^9 cells per liter:c/L): \<0.85\*LLN or \>1.5\*ULN (if Pre-Rx\<LLN, use \<0.85\*Pre-Rx). Leukocytes (\*10\^3 cells per microliter: c/uL): \<0.9\*LLN, \>1.2\*ULN (if Pre-Rx\<LLN, use \<0.85\*Pre-Rx or \>ULN, if Pre-Rx\>ULN, use \>1.15\*Pre-Rx or \<LLN) Neutrophils+Bands (\*10\^3 c/uL): \<=1.500. Lymphocytes (\*10\^3 c/uL): \<0.750 or \>7.500. Monocytes (\*10\^3 c/uL): \>2.000. Basophils (\*10\^3 c/uL): \>0.400. Eosinophils (\*10\^3 c/uL): \>0.750.

Time frame: Day 1 Pre-dose, Days 2, 5, 14, 28, 42, 86, 116

Population: All treated participants

ArmMeasureGroupValue (NUMBER)
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesHemoglobin0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesLeukocytes0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesBasophils (absolute)0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesMonocytes (absolute)0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesNeutrophils + Bands (absolute)0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesHematocrit0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesPlatelet Count0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesEosinophils (absolute)0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesLymphocytes (absolute)0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesPlatelet Count0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesLymphocytes (absolute)0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesHemoglobin0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesMonocytes (absolute)0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesBasophils (absolute)0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesEosinophils (absolute)0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesLeukocytes0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesNeutrophils + Bands (absolute)0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesHematocrit0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesNeutrophils + Bands (absolute)0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesMonocytes (absolute)0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesEosinophils (absolute)0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesLeukocytes0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesHemoglobin0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesBasophils (absolute)0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesHematocrit0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesPlatelet Count0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Hematology Laboratory AbnormalitiesLymphocytes (absolute)0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesHematocrit0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesMonocytes (absolute)0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesPlatelet Count0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesLeukocytes1 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesEosinophils (absolute)0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesNeutrophils + Bands (absolute)2 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesHemoglobin0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesLymphocytes (absolute)0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesBasophils (absolute)0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesBasophils (absolute)0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesNeutrophils + Bands (absolute)1 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesLeukocytes0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesHematocrit0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesPlatelet Count0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesMonocytes (absolute)0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesLymphocytes (absolute)1 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesEosinophils (absolute)0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesHemoglobin0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesHematocrit0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesPlatelet Count0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesLeukocytes0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesHemoglobin0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesNeutrophils + Bands (absolute)0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesLymphocytes (absolute)0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesMonocytes (absolute)0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesBasophils (absolute)0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Hematology Laboratory AbnormalitiesEosinophils (absolute)0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Hematology Laboratory AbnormalitiesBasophils (absolute)0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Hematology Laboratory AbnormalitiesLeukocytes0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Hematology Laboratory AbnormalitiesNeutrophils + Bands (absolute)0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Hematology Laboratory AbnormalitiesHemoglobin0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Hematology Laboratory AbnormalitiesPlatelet Count0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Hematology Laboratory AbnormalitiesHematocrit0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Hematology Laboratory AbnormalitiesMonocytes (absolute)0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Hematology Laboratory AbnormalitiesLymphocytes (absolute)0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Hematology Laboratory AbnormalitiesEosinophils (absolute)0 participants
PlaceboNumber of Participants With Marked Hematology Laboratory AbnormalitiesLeukocytes0 participants
PlaceboNumber of Participants With Marked Hematology Laboratory AbnormalitiesMonocytes (absolute)0 participants
PlaceboNumber of Participants With Marked Hematology Laboratory AbnormalitiesHematocrit0 participants
PlaceboNumber of Participants With Marked Hematology Laboratory AbnormalitiesHemoglobin0 participants
PlaceboNumber of Participants With Marked Hematology Laboratory AbnormalitiesNeutrophils + Bands (absolute)0 participants
PlaceboNumber of Participants With Marked Hematology Laboratory AbnormalitiesBasophils (absolute)0 participants
PlaceboNumber of Participants With Marked Hematology Laboratory AbnormalitiesPlatelet Count0 participants
PlaceboNumber of Participants With Marked Hematology Laboratory AbnormalitiesLymphocytes (absolute)0 participants
PlaceboNumber of Participants With Marked Hematology Laboratory AbnormalitiesEosinophils (absolute)0 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities

LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose. Lab values that met the following criteria were marked as abnormalities: Glucose (mg/dL): \<0.8\*LLN, \>1.5\*ULN (if Pre-Rx\<LLN: \<0.8\*Pre-Rx, \>ULN. If Pre-Rx\>ULN: \>2.0\*Pre-Rx, \<LLN). Protein (grams per deciliter: g/dL): \<0.9\*LLN, \>1.1\*ULN (if Pre-Rx\<LLN: \<0.9\*Pre-Rx, \>ULN. If Pre-Rx\>ULN: \>1.1\*Pre-Rx, \<LLN). Albumin (g/dL): \<0.9\*LLN (if Pre-Rx\<LLN: \<0.9\*Pre-Rx). Uric Acid (mg.dL): \>1.2\*ULN (if Pre-Rx\>ULN: \>1.25\*Pre-Rx). Lactate Dehydrogenase (U/L): \>1.25\*ULN (if Pre-Rx\>ULN: \>1.5\*Pre-Rx)

Time frame: Day 1 Pre-dose, Days 2, 5, 14, 28, 42, 86, 116

Population: All treated participants

ArmMeasureGroupValue (NUMBER)
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesGlucose, Fasting Serum1 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesAlbumin0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesProtein, Total0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesUric Acid0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesLactate Dehydrogenase0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesAlbumin0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesLactate Dehydrogenase0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesGlucose, Fasting Serum1 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesProtein, Total0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesUric Acid0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesGlucose, Fasting Serum0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesUric Acid0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesProtein, Total0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesLactate Dehydrogenase0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Laboratory AbnormalitiesAlbumin0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesLactate Dehydrogenase0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesGlucose, Fasting Serum0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesUric Acid0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesProtein, Total0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesAlbumin0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesUric Acid0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesAlbumin0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesProtein, Total0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesLactate Dehydrogenase0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesGlucose, Fasting Serum0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesUric Acid0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesAlbumin0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesGlucose, Fasting Serum0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesLactate Dehydrogenase0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Laboratory AbnormalitiesProtein, Total0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Laboratory AbnormalitiesLactate Dehydrogenase0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Laboratory AbnormalitiesGlucose, Fasting Serum0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Laboratory AbnormalitiesProtein, Total0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Laboratory AbnormalitiesAlbumin0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Laboratory AbnormalitiesUric Acid0 participants
PlaceboNumber of Participants With Marked Laboratory AbnormalitiesAlbumin0 participants
PlaceboNumber of Participants With Marked Laboratory AbnormalitiesProtein, Total0 participants
PlaceboNumber of Participants With Marked Laboratory AbnormalitiesGlucose, Fasting Serum0 participants
PlaceboNumber of Participants With Marked Laboratory AbnormalitiesLactate Dehydrogenase0 participants
PlaceboNumber of Participants With Marked Laboratory AbnormalitiesUric Acid0 participants
Secondary

Number of Participants With Marked Serum Chemistry Abnormalities

LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose. Lab values that met the following criteria were marked as abnormalities: Alkaline Phosphatase (units per liter: U/L), Aspartate Aminotransferase (U/L), Alanine Aminotransferase (U/L): \>1.25\*ULN (if Pre-Rx\>ULN, use \>1.25\*Pre-Rx). Bilirubin (milligrams per deciliter: mg/dL): \>1.1\*ULN (if Pre-Rx\>ULN, use \>1.25\*Pre-Rx). Blood Urea Nitrogen (mg/dL): \>1.1\*ULN (if Pre-Rx\>ULN, use \>1.2\*Pre-Rx). Creatinine (mg/dL): \>1.33\*Pre-Rx. Sodium (milliequivalents per Liter: mEq/L): \<0.95\*LLN, \>1.05\*ULN (if Pre-Rx\<LLN: \<0.95\*Pre-Rx, \>ULN. If Pre-Rx\>ULN: \>1.05\*Pre-Rx, \<LLN). Potassium(mEq/L), Chloride (mEq/L), Calcium(mg/dL): \<0.9\*LLN, \>1.1\*ULN (if Pre-Rx\<LLN: \<0.9\*Pre-Rx, \>ULN. If Pre-Rx\>ULN: \>1.1\*Pre-Rx, \<LLN). Phosphorus (mg/dL): \<0.85\*LLN, \>1.25\*ULN (if Pre-Rx\<LLN, \<0.85\*Pre-Rx, \>ULN. if Pre-Rx\>ULN: \>1.25\*Pre-Rx, \<LLN).

Time frame: Day 1 Pre-dose, Days 2, 5, 14, 28, 42, 86, 116

Population: All treated participants

ArmMeasureGroupValue (NUMBER)
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesBlood Urea Nitrogen0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesAlkaline Phosphatase0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesCreatinine0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesPhosphorus, Inorganic1 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesAspartate Aminotransferase0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesAlanine Aminotransferase0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesCalcium, Total0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesChloride, Serum0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesPotassium, Serum0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesBilirubin0 participants
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesSodium, Serum0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesCalcium, Total0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesBlood Urea Nitrogen0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesChloride, Serum0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesAlanine Aminotransferase0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesCreatinine0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesPotassium, Serum0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesAspartate Aminotransferase0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesPhosphorus, Inorganic0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesSodium, Serum0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesAlkaline Phosphatase0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesBilirubin0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesCalcium, Total0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesAspartate Aminotransferase0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesBilirubin0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesPhosphorus, Inorganic0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesChloride, Serum0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesAlanine Aminotransferase0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesSodium, Serum0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesBlood Urea Nitrogen0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesPotassium, Serum0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesAlkaline Phosphatase0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Marked Serum Chemistry AbnormalitiesCreatinine0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesCalcium, Total0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesAlkaline Phosphatase0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesAspartate Aminotransferase0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesAlanine Aminotransferase0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesBilirubin0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesBlood Urea Nitrogen0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesCreatinine0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesSodium, Serum0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesPotassium, Serum0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesChloride, Serum0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesPhosphorus, Inorganic0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesAlanine Aminotransferase0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesBilirubin1 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesChloride, Serum0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesCalcium, Total0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesAspartate Aminotransferase0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesPhosphorus, Inorganic0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesSodium, Serum0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesCreatinine0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesBlood Urea Nitrogen0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesPotassium, Serum1 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesAlkaline Phosphatase0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesPotassium, Serum0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesBilirubin1 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesBlood Urea Nitrogen0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesCalcium, Total0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesChloride, Serum0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesCreatinine0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesAlanine Aminotransferase0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesAspartate Aminotransferase0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesPhosphorus, Inorganic0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesAlkaline Phosphatase0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Marked Serum Chemistry AbnormalitiesSodium, Serum0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesChloride, Serum0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesCreatinine0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesBilirubin0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesSodium, Serum0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesAlanine Aminotransferase1 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesPotassium, Serum0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesAspartate Aminotransferase1 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesPhosphorus, Inorganic0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesAlkaline Phosphatase0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesCalcium, Total0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Marked Serum Chemistry AbnormalitiesBlood Urea Nitrogen0 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesPhosphorus, Inorganic0 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesCreatinine0 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesCalcium, Total0 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesAspartate Aminotransferase1 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesPotassium, Serum0 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesAlanine Aminotransferase0 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesBilirubin0 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesBlood Urea Nitrogen1 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesChloride, Serum0 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesAlkaline Phosphatase0 participants
PlaceboNumber of Participants With Marked Serum Chemistry AbnormalitiesSodium, Serum0 participants
Secondary

Number of Participants With Physical Examination Abnormalities

All clinically significant deviations from normal physical examinations were reported.

Time frame: Days 1, 2, 5, 14, 28, 42, 86, 116

Population: All treated participants

ArmMeasureValue (NUMBER)
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Physical Examination Abnormalities0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Physical Examination Abnormalities0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Physical Examination Abnormalities0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Physical Examination Abnormalities0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Physical Examination Abnormalities0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Physical Examination Abnormalities0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Physical Examination Abnormalities0 participants
PlaceboNumber of Participants With Physical Examination Abnormalities0 participants
Secondary

Number of Participants With Positive Immunogenicity to Belatacept

The number of participants with positive immunogenicity to Belatacept was reported for each arm. Positive immunogenicity was defined as the presence of a positive antibody response generated against Belatacept.

Time frame: Days 1, 14, 28, 42, 56, 86, 116

Population: All participants treated with Belatacept

ArmMeasureValue (NUMBER)
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Positive Immunogenicity to Belatacept4 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Positive Immunogenicity to Belatacept5 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Positive Immunogenicity to Belatacept5 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Positive Immunogenicity to Belatacept5 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Positive Immunogenicity to Belatacept5 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Positive Immunogenicity to Belatacept5 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Positive Immunogenicity to Belatacept10 participants
Secondary

Number of Participants With Vital Sign Abnormalities

Vital signs (body temperature, respiratory rate, seated blood pressure, and heart rate) were recorded at screening. All significant findings were evaluated by the investigator, and all abnormalities were listed.

Time frame: 1 day pre-dose, Days 1, 2, 5, 14, 28, 42, 86 and 116

Population: All treated participants

ArmMeasureValue (NUMBER)
Belatacept 50 mg Subcutaneous InjectionNumber of Participants With Vital Sign Abnormalities0 participants
Belatacept 100 mg Subcutaneous InjectionNumber of Participants With Vital Sign Abnormalities0 participants
Belatacept 125 mg Subcutaneous InjectionNumber of Participants With Vital Sign Abnormalities0 participants
Belatacept 150 mg Subcutaneous InjectionsNumber of Participants With Vital Sign Abnormalities0 participants
Belatacept 200 mg Subcutaneous InjectionsNumber of Participants With Vital Sign Abnormalities0 participants
Belatacept 250 mg Subcutaneous InjectionsNumber of Participants With Vital Sign Abnormalities0 participants
Belatacept 125 mg Intravenous InfusionNumber of Participants With Vital Sign Abnormalities0 participants
PlaceboNumber of Participants With Vital Sign Abnormalities0 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026