Rheumatoid Arthritis
Conditions
Brief summary
The primary purpose of the protocol is to describe the pharmacokinetics of a single dose of Abatacept 125 mg in Rheumatoid Arthritis patients delivered via the autoinjector device or the approved prefilled syringe.
Detailed description
SC=Subcutaneous
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Key Inclusion Criteria: * Subjects ≥18 years of age * Diagnosis of Rheumatoid Arthritis confirmed by participant's physician * Disease activity under control Key
Exclusion criteria
* Change in disease-modifying antirheumatic drug (DMARD) therapy within 3 months of enrollment * Exposure to investigational drug within 4 weeks or 5 half lives whichever is longer * Current or prior use of Rituximab ≤6 months * Current or prior use of the following within 4 weeks or 5 half lives whichever is longer: biologic DMARDS, Tofacitinib, Cyclophosphamide, Mycophenolate Mofetil & d-Penicillamine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adjusted Geometric Mean of Maximum Observed Serum Concentration (Cmax) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population | Day 1 to Day 71 | Serum concentrations of abatacept were analyzed using a validated enzyme-linked immunosorbent assay (ELISA). Cmax was measured in micrograms per milliliter (μg/mL). Blood samples for pharmacokinetic (PK) parameters were collected at Day 1 pre-dose at 0 hour (h), 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. |
| Adjusted Geometric Mean of Area Under the Serum Concentration-time Curve (AUC) From Zero to the Last Time of the Last Quantifiable Concentration (0-T) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | Day 1 to Day 71 | Serum concentrations of abatacept were analyzed using ELISA. AUC (0-T) was measured in μg\*h/mL. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. |
| Adjusted Geometric Mean of Area Under the Serum Concentration-time Curve From Time Zero to Extrapolated to Infinity, AUC (INF), of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | Day 1 to Day 71 | Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 hour (h), 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. AUC (INF) was measured in μg\*h/mL |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Geometric Mean of Volume of Distribution (V/F) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population | Day 1 to Day 71 | Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. V/F was measured in liters per kilogram body weight (L/kg) |
| Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died | Day 1 to 76 days post single dose | AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug. Includes data Day 1 up to 76 days (71 days + 5 day window) post the single dose of study drug. |
| Median of Time to Reach Cmax in Serum (Tmax) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | Day 1 to Day 71 | Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. Tmax was measured in hours (h). |
| Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Day 57, Day 71 | Blood samples were screened at baseline, Day 57 and Day 71 for the presence of drug-specific antibodies using Electrochemiluminescence (ECL). A positive immunogenicity response relative to baseline for Anti-Cytotoxic T Lymphocyte Antigen 4-T Cell (CTLA4) and 'possibly immunoglobulin (Ig)', and 'Ig and/or Junction Region', respectively, was defined as: A missing baseline immunogenicity measurement and a positive analytical laboratory reported immunogenicity response post-baseline; A negative baseline immunogenicity response and a positive analytical laboratory reported immunogenicity response post-baseline; A positive baseline immunogenicity response and a positive analytical laboratory reported immunogenicity response post-baseline that has a titer value strictly greater than the baseline titer value. Baseline=Pre-dose value. |
| Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Day 1 to 76 days post last dose | Marked abnormality criteria: lower limit of normal (LLN); upper limit of normal (ULN); pretreatment (preRX); cells per microliter (cµ/L); milligram per deciliter (mg/dL); milliequivalent (mEq): Hematology: leukocytes (\*10\^3 c/µL): \<0.75\*LLN or \>1.25\*ULN, or if preRX \<LLN, use \<0.8\*preRX or \>ULN, or if preRX\>ULN, use \>1.2\*preRX or \<LLN; eosinophils (\*10\^3 cµ/L): if value \>0.750\*10\^3 c/µL; lymphocytes (\*10\^3 cµ/L): if value \<0.750\*10\^3 c/µL or if value \>7.50\*10\^3 c/µL. Chemistry: blood urea nitrogen (mg/dL): \>2\*preRX; creatinine (mg/dL): \>1.5\*preRX; potassium (mEq/L): \<0.9\*LLN or \>1.1\*ULN, or if preRX\<LLN, use \<0.9\*preRX or \>ULN, or if preRX\>ULN, use 1.1\*preRX or \<LLN; glucose (mg/dL): \<65 mg/dL (low) or \>220 mg/dL (high). Urine Blood, urine red blood cell (RBC), urine white blood cell (WBC): if missing PreRX use \>= 2, or if Value \>= 4, or if preRX = 0 or 0.5 then use \>= 2, or if preRX = 1 then use \>= 3, or if preRX = 2 or 3 then use \>= 4. |
| Number of Participants With Adverse Events of Special Interest | Day 1 to 76 days post single dose | Prospectively identified events of special interest which were a subset of all AEs, and were either SAEs or non-serious AEs, included the following categories: Infections, Autoimmune Disorders, Malignancy, local site reactions, any AE occurring within 24 hours of SC injection. AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. |
| Mean of Terminal Phase Elimination Half-life in Serum (T-HALF) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | Day 1 to Day 71 | Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. T-HALF was measured in hours (h). |
| Geometric Mean of Total Body Clearance (CL/F) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | Day 1 to Day 71 | Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. CL/F was measured in milliliters per hour per kilogram body weight (mL/h/kg). |
Countries
Argentina, Mexico, Peru, South Africa, United States
Participant flow
Pre-assignment details
356 participants enrolled and 224 randomized. 132 not randomized and reasons for non-randomization: 106 no longer met study criteria, 15 other, 9 withdrew consent, and 2 lost to follow-up.
Participants by arm
| Arm | Count |
|---|---|
| 125 mg Abatacept Via Autoinjector A single dose of 125 mg abatacept was administered subcutaneously (SC) via an autoinjector. | 111 |
| 125 mg Abatacept Via Prefilled Syringe A single dose of 125 mg abatacept was administered SC via a Prefilled Syringe (PFS). | 113 |
| Total | 224 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 1 | 0 |
| Overall Study | Poor/non-compliance | 1 | 0 |
Baseline characteristics
| Characteristic | 125 mg Abatacept Via Autoinjector | 125 mg Abatacept Via Prefilled Syringe | Total |
|---|---|---|---|
| Age, Continuous | 53.0 years STANDARD_DEVIATION 13.34 | 56.8 years STANDARD_DEVIATION 12.36 | 54.9 years STANDARD_DEVIATION 12.97 |
| Age, Customized Greater than, equal to (>=) 65 | 21 participants | 38 participants | 59 participants |
| Age, Customized Less than (<) 65 | 90 participants | 75 participants | 165 participants |
| Sex: Female, Male Female | 90 Participants | 87 Participants | 177 Participants |
| Sex: Female, Male Male | 21 Participants | 26 Participants | 47 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 111 | 0 / 113 |
| serious Total, serious adverse events | 0 / 111 | 1 / 113 |
Outcome results
Adjusted Geometric Mean of Area Under the Serum Concentration-time Curve (AUC) From Zero to the Last Time of the Last Quantifiable Concentration (0-T) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population
Serum concentrations of abatacept were analyzed using ELISA. AUC (0-T) was measured in μg\*h/mL. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC.
Time frame: Day 1 to Day 71
Population: PK-evaluable analysis population: All randomized and treated participants with adequately evaluable PK parameters were summarized.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| 125 mg Abatacept Via Autoinjector | Adjusted Geometric Mean of Area Under the Serum Concentration-time Curve (AUC) From Zero to the Last Time of the Last Quantifiable Concentration (0-T) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 4991 μg*h/mL |
| 125 mg Abatacept Via Prefilled Syringe | Adjusted Geometric Mean of Area Under the Serum Concentration-time Curve (AUC) From Zero to the Last Time of the Last Quantifiable Concentration (0-T) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 5304 μg*h/mL |
Adjusted Geometric Mean of Area Under the Serum Concentration-time Curve From Time Zero to Extrapolated to Infinity, AUC (INF), of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population
Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 hour (h), 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. AUC (INF) was measured in μg\*h/mL
Time frame: Day 1 to Day 71
Population: PK-evaluable analysis population: All randomized and treated participants with adequately evaluable PK parameters were summarized.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| 125 mg Abatacept Via Autoinjector | Adjusted Geometric Mean of Area Under the Serum Concentration-time Curve From Time Zero to Extrapolated to Infinity, AUC (INF), of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 5308 μg*h/mL |
| 125 mg Abatacept Via Prefilled Syringe | Adjusted Geometric Mean of Area Under the Serum Concentration-time Curve From Time Zero to Extrapolated to Infinity, AUC (INF), of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 5437 μg*h/mL |
Adjusted Geometric Mean of Maximum Observed Serum Concentration (Cmax) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population
Serum concentrations of abatacept were analyzed using a validated enzyme-linked immunosorbent assay (ELISA). Cmax was measured in micrograms per milliliter (μg/mL). Blood samples for pharmacokinetic (PK) parameters were collected at Day 1 pre-dose at 0 hour (h), 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC.
Time frame: Day 1 to Day 71
Population: PK-evaluable analysis population: All randomized and treated participants with adequately evaluable PK parameters were summarized.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| 125 mg Abatacept Via Autoinjector | Adjusted Geometric Mean of Maximum Observed Serum Concentration (Cmax) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population | 11.5 μg/mL |
| 125 mg Abatacept Via Prefilled Syringe | Adjusted Geometric Mean of Maximum Observed Serum Concentration (Cmax) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population | 12.6 μg/mL |
Geometric Mean of Total Body Clearance (CL/F) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population
Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. CL/F was measured in milliliters per hour per kilogram body weight (mL/h/kg).
Time frame: Day 1 to Day 71
Population: PK-evaluable analysis population: All randomized and treated participants with adequately evaluable PK parameters were summarized.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 125 mg Abatacept Via Autoinjector | Geometric Mean of Total Body Clearance (CL/F) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 0.31 mL/h/kg | Geometric Coefficient of Variation 52 |
| 125 mg Abatacept Via Prefilled Syringe | Geometric Mean of Total Body Clearance (CL/F) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 0.30 mL/h/kg | Geometric Coefficient of Variation 62 |
Geometric Mean of Volume of Distribution (V/F) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population
Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. V/F was measured in liters per kilogram body weight (L/kg)
Time frame: Day 1 to Day 71
Population: PK-evaluable analysis population: All randomized and treated participants with adequately evaluable PK parameters were summarized.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 125 mg Abatacept Via Autoinjector | Geometric Mean of Volume of Distribution (V/F) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population | 0.12 L/kg | Geometric Coefficient of Variation 43 |
| 125 mg Abatacept Via Prefilled Syringe | Geometric Mean of Volume of Distribution (V/F) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population | 0.12 L/kg | Geometric Coefficient of Variation 62 |
Mean of Terminal Phase Elimination Half-life in Serum (T-HALF) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population
Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. T-HALF was measured in hours (h).
Time frame: Day 1 to Day 71
Population: PK-evaluable analysis population: All randomized and treated participants with adequately evaluable PK parameters were summarized.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 125 mg Abatacept Via Autoinjector | Mean of Terminal Phase Elimination Half-life in Serum (T-HALF) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 285 h | Standard Deviation 89.54 |
| 125 mg Abatacept Via Prefilled Syringe | Mean of Terminal Phase Elimination Half-life in Serum (T-HALF) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 302 h | Standard Deviation 99.82 |
Median of Time to Reach Cmax in Serum (Tmax) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population
Serum concentrations of abatacept were analyzed using ELISA. Blood samples were collected at Day 1 pre-dose at 0 h, 1, 2, and 8 h post dose, and on subsequent Days, 2 (24 h post dose), 3 (48 h), 5 (96 h), 8 (168 h), 15 (336 h), 29 (672 h) , 43 (1008 h), 57 (1344 h) and 71 (1680 h) following the single administration of abatacept SC. Tmax was measured in hours (h).
Time frame: Day 1 to Day 71
Population: PK-evaluable analysis population: All randomized and treated participants with adequately evaluable PK parameters were summarized.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| 125 mg Abatacept Via Autoinjector | Median of Time to Reach Cmax in Serum (Tmax) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 96.0 h |
| 125 mg Abatacept Via Prefilled Syringe | Median of Time to Reach Cmax in Serum (Tmax) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population | 96.0 h |
Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug. Includes data Day 1 up to 76 days (71 days + 5 day window) post the single dose of study drug.
Time frame: Day 1 to 76 days post single dose
Population: All treated participants were included in safety analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 125 mg Abatacept Via Autoinjector | Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died | Related SAEs | 0 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died | Death | 0 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died | Discontinued due to AE | 0 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died | SAE | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died | Discontinued due to AE | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died | Death | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died | Related SAEs | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who Died | SAE | 1 participants |
Number of Participants With Adverse Events of Special Interest
Prospectively identified events of special interest which were a subset of all AEs, and were either SAEs or non-serious AEs, included the following categories: Infections, Autoimmune Disorders, Malignancy, local site reactions, any AE occurring within 24 hours of SC injection. AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization.
Time frame: Day 1 to 76 days post single dose
Population: All treated participants were included in safety analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 125 mg Abatacept Via Autoinjector | Number of Participants With Adverse Events of Special Interest | Autoimmune Disorders | 0 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Adverse Events of Special Interest | Local site reactions | 1 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Adverse Events of Special Interest | Malignancy | 0 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Adverse Events of Special Interest | AEs within 24 hours of SC injection | 10 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Adverse Events of Special Interest | Infections | 19 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Adverse Events of Special Interest | AEs within 24 hours of SC injection | 7 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Adverse Events of Special Interest | Infections | 17 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Adverse Events of Special Interest | Autoimmune Disorders | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Adverse Events of Special Interest | Malignancy | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Adverse Events of Special Interest | Local site reactions | 3 participants |
Number of Participants With a Positive Immunogenicity Response Relative to Baseline
Blood samples were screened at baseline, Day 57 and Day 71 for the presence of drug-specific antibodies using Electrochemiluminescence (ECL). A positive immunogenicity response relative to baseline for Anti-Cytotoxic T Lymphocyte Antigen 4-T Cell (CTLA4) and 'possibly immunoglobulin (Ig)', and 'Ig and/or Junction Region', respectively, was defined as: A missing baseline immunogenicity measurement and a positive analytical laboratory reported immunogenicity response post-baseline; A negative baseline immunogenicity response and a positive analytical laboratory reported immunogenicity response post-baseline; A positive baseline immunogenicity response and a positive analytical laboratory reported immunogenicity response post-baseline that has a titer value strictly greater than the baseline titer value. Baseline=Pre-dose value.
Time frame: Day 57, Day 71
Population: All treated participants with at least one post baseline immunogenicity result reported were included in the immunogenicity analysis. n=number of participants evaluated at the specific time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 125 mg Abatacept Via Autoinjector | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Day 57 CTLA4, possibly Ig (n=109,111) | 10 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Day 57 Ig and/or junction (n=109,111) | 4 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Day 71 CTLA4, possibly Ig (n=105,112) | 23 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Day 71 Ig and/or junction (n=105,112) | 1 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Overall CTLA4, possibly Ig (n=109,113) | 24 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Overall Ig and/or junction (n=109,113) | 4 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Overall CTLA4, possibly Ig (n=109,113) | 24 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Day 57 CTLA4, possibly Ig (n=109,111) | 13 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Day 71 Ig and/or junction (n=105,112) | 5 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Day 57 Ig and/or junction (n=109,111) | 5 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Overall Ig and/or junction (n=109,113) | 8 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With a Positive Immunogenicity Response Relative to Baseline | Day 71 CTLA4, possibly Ig (n=105,112) | 22 participants |
Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria
Marked abnormality criteria: lower limit of normal (LLN); upper limit of normal (ULN); pretreatment (preRX); cells per microliter (cµ/L); milligram per deciliter (mg/dL); milliequivalent (mEq): Hematology: leukocytes (\*10\^3 c/µL): \<0.75\*LLN or \>1.25\*ULN, or if preRX \<LLN, use \<0.8\*preRX or \>ULN, or if preRX\>ULN, use \>1.2\*preRX or \<LLN; eosinophils (\*10\^3 cµ/L): if value \>0.750\*10\^3 c/µL; lymphocytes (\*10\^3 cµ/L): if value \<0.750\*10\^3 c/µL or if value \>7.50\*10\^3 c/µL. Chemistry: blood urea nitrogen (mg/dL): \>2\*preRX; creatinine (mg/dL): \>1.5\*preRX; potassium (mEq/L): \<0.9\*LLN or \>1.1\*ULN, or if preRX\<LLN, use \<0.9\*preRX or \>ULN, or if preRX\>ULN, use 1.1\*preRX or \<LLN; glucose (mg/dL): \<65 mg/dL (low) or \>220 mg/dL (high). Urine Blood, urine red blood cell (RBC), urine white blood cell (WBC): if missing PreRX use \>= 2, or if Value \>= 4, or if preRX = 0 or 0.5 then use \>= 2, or if preRX = 1 then use \>= 3, or if preRX = 2 or 3 then use \>= 4.
Time frame: Day 1 to 76 days post last dose
Population: All treated participants with laboratory values were included in the safety analysis. n=number of participants evaluated.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Lymphocytes Low (n=107,107) | 2 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Leukocytes High (n=109, 110) | 1 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Leukocytes Low (n=109, 110) | 0 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Eosinophils High (n=107,107) | 1 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Blood Urea Nitrogen High (n=109,111) | 1 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Creatinine High (n=109,111) | 2 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Potassium Low (n=109,111) | 0 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Glucose High (n=109,110) | 2 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Glucose Low (n=109,110) | 3 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Urine Blood High (n=104,107) | 7 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Urine RBC High (n=28, 26) | 5 participants |
| 125 mg Abatacept Via Autoinjector | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Urine WBC High (n=35, 33) | 11 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Urine RBC High (n=28, 26) | 2 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Potassium Low (n=109,111) | 1 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Leukocytes High (n=109, 110) | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Urine Blood High (n=104,107) | 1 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Leukocytes Low (n=109, 110) | 1 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Glucose High (n=109,110) | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Eosinophils High (n=107,107) | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Lymphocytes Low (n=107,107) | 5 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Urine WBC High (n=35, 33) | 13 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Blood Urea Nitrogen High (n=109,111) | 0 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Glucose Low (n=109,110) | 3 participants |
| 125 mg Abatacept Via Prefilled Syringe | Number of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality Criteria | Creatinine High (n=109,111) | 0 participants |