Skip to content

Study to Characterize the Pharmacokinetics of a Single Dose of SC Abatacept 125 mg Using the BD Autoinjector or the Prefilled Syringe

Phase Ib, Multicenter, Randomized, Open-Label, Parallel-Group Study to Characterize the Pharmacokinetics of a Single Dose of Abatacept 125 mg Administered Subcutaneously Using the BD Physioject™ Autoinjector or the UltraSafe Passive Needle Guard Prefilled Syringe

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01890473
Enrollment
356
Registered
2013-07-01
Start date
2013-07-31
Completion date
2014-11-30
Last updated
2015-11-26

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

Conditions

Rheumatoid Arthritis

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

DRUGAbatacept

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

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

MeasureTime frameDescription
Adjusted Geometric Mean of Maximum Observed Serum Concentration (Cmax) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis PopulationDay 1 to Day 71Serum 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 PopulationDay 1 to Day 71Serum 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 PopulationDay 1 to Day 71Serum 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

MeasureTime frameDescription
Geometric Mean of Volume of Distribution (V/F) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis PopulationDay 1 to Day 71Serum 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 DiedDay 1 to 76 days post single doseAE=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 PopulationDay 1 to Day 71Serum 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 BaselineDay 57, Day 71Blood 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 CriteriaDay 1 to 76 days post last doseMarked 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 InterestDay 1 to 76 days post single doseProspectively 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 PopulationDay 1 to Day 71Serum 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 PopulationDay 1 to Day 71Serum 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

ArmCount
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
Total224

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up10
Overall StudyPoor/non-compliance10

Baseline characteristics

Characteristic125 mg Abatacept Via Autoinjector125 mg Abatacept Via Prefilled SyringeTotal
Age, Continuous53.0 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 participants38 participants59 participants
Age, Customized
Less than (<) 65
90 participants75 participants165 participants
Sex: Female, Male
Female
90 Participants87 Participants177 Participants
Sex: Female, Male
Male
21 Participants26 Participants47 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 1110 / 113
serious
Total, serious adverse events
0 / 1111 / 113

Outcome results

Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)
125 mg Abatacept Via AutoinjectorAdjusted 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 Population4991 μg*h/mL
125 mg Abatacept Via Prefilled SyringeAdjusted 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 Population5304 μg*h/mL
Comparison: The PK comparability of the two devices was assessed via a linear model for each key PK parameter in log scale, using log (AUC (0-T) without a formal test.90% CI: [0.843, 1.05]
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)
125 mg Abatacept Via AutoinjectorAdjusted 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 Population5308 μg*h/mL
125 mg Abatacept Via Prefilled SyringeAdjusted 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 Population5437 μg*h/mL
Comparison: The PK comparability of the two devices was assessed via a linear model for each key PK parameter in log scale, using log AUC(INF) without a formal test.90% CI: [0.888, 1.07]
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)
125 mg Abatacept Via AutoinjectorAdjusted Geometric Mean of Maximum Observed Serum Concentration (Cmax) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population11.5 μg/mL
125 mg Abatacept Via Prefilled SyringeAdjusted Geometric Mean of Maximum Observed Serum Concentration (Cmax) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population12.6 μg/mL
Comparison: The PK comparability of the two devices was assessed via a linear model for each key PK parameter in log scale (using log (Cmax) without a formal test.90% CI: [0.815, 1.01]
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
125 mg Abatacept Via AutoinjectorGeometric Mean of Total Body Clearance (CL/F) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population0.31 mL/h/kgGeometric Coefficient of Variation 52
125 mg Abatacept Via Prefilled SyringeGeometric Mean of Total Body Clearance (CL/F) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population0.30 mL/h/kgGeometric Coefficient of Variation 62
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
125 mg Abatacept Via AutoinjectorGeometric Mean of Volume of Distribution (V/F) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population0.12 L/kgGeometric Coefficient of Variation 43
125 mg Abatacept Via Prefilled SyringeGeometric Mean of Volume of Distribution (V/F) of a Single Dose of Subcutaneous (SC) Abatacept - PK-Evaluable Analysis Population0.12 L/kgGeometric Coefficient of Variation 62
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
125 mg Abatacept Via AutoinjectorMean of Terminal Phase Elimination Half-life in Serum (T-HALF) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population285 hStandard Deviation 89.54
125 mg Abatacept Via Prefilled SyringeMean of Terminal Phase Elimination Half-life in Serum (T-HALF) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population302 hStandard Deviation 99.82
Secondary

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.

ArmMeasureValue (MEDIAN)
125 mg Abatacept Via AutoinjectorMedian of Time to Reach Cmax in Serum (Tmax) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population96.0 h
125 mg Abatacept Via Prefilled SyringeMedian of Time to Reach Cmax in Serum (Tmax) of a Single Dose of SC Abatacept - PK-Evaluable Analysis Population96.0 h
Secondary

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.

ArmMeasureGroupValue (NUMBER)
125 mg Abatacept Via AutoinjectorNumber of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who DiedRelated SAEs0 participants
125 mg Abatacept Via AutoinjectorNumber of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who DiedDeath0 participants
125 mg Abatacept Via AutoinjectorNumber of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who DiedDiscontinued due to AE0 participants
125 mg Abatacept Via AutoinjectorNumber of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who DiedSAE0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who DiedDiscontinued due to AE0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who DiedDeath0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who DiedRelated SAEs0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants Who Had Serious Adverse Events (SAEs), Adverse Events (AEs) That Led to Discontinuation, or Who DiedSAE1 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
125 mg Abatacept Via AutoinjectorNumber of Participants With Adverse Events of Special InterestAutoimmune Disorders0 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Adverse Events of Special InterestLocal site reactions1 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Adverse Events of Special InterestMalignancy0 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Adverse Events of Special InterestAEs within 24 hours of SC injection10 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Adverse Events of Special InterestInfections19 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Adverse Events of Special InterestAEs within 24 hours of SC injection7 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Adverse Events of Special InterestInfections17 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Adverse Events of Special InterestAutoimmune Disorders0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Adverse Events of Special InterestMalignancy0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Adverse Events of Special InterestLocal site reactions3 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
125 mg Abatacept Via AutoinjectorNumber of Participants With a Positive Immunogenicity Response Relative to BaselineDay 57 CTLA4, possibly Ig (n=109,111)10 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With a Positive Immunogenicity Response Relative to BaselineDay 57 Ig and/or junction (n=109,111)4 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With a Positive Immunogenicity Response Relative to BaselineDay 71 CTLA4, possibly Ig (n=105,112)23 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With a Positive Immunogenicity Response Relative to BaselineDay 71 Ig and/or junction (n=105,112)1 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With a Positive Immunogenicity Response Relative to BaselineOverall CTLA4, possibly Ig (n=109,113)24 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With a Positive Immunogenicity Response Relative to BaselineOverall Ig and/or junction (n=109,113)4 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With a Positive Immunogenicity Response Relative to BaselineOverall CTLA4, possibly Ig (n=109,113)24 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With a Positive Immunogenicity Response Relative to BaselineDay 57 CTLA4, possibly Ig (n=109,111)13 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With a Positive Immunogenicity Response Relative to BaselineDay 71 Ig and/or junction (n=105,112)5 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With a Positive Immunogenicity Response Relative to BaselineDay 57 Ig and/or junction (n=109,111)5 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With a Positive Immunogenicity Response Relative to BaselineOverall Ig and/or junction (n=109,113)8 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With a Positive Immunogenicity Response Relative to BaselineDay 71 CTLA4, possibly Ig (n=105,112)22 participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaLymphocytes Low (n=107,107)2 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaLeukocytes High (n=109, 110)1 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaLeukocytes Low (n=109, 110)0 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaEosinophils High (n=107,107)1 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaBlood Urea Nitrogen High (n=109,111)1 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaCreatinine High (n=109,111)2 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaPotassium Low (n=109,111)0 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaGlucose High (n=109,110)2 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaGlucose Low (n=109,110)3 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaUrine Blood High (n=104,107)7 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaUrine RBC High (n=28, 26)5 participants
125 mg Abatacept Via AutoinjectorNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaUrine WBC High (n=35, 33)11 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaUrine RBC High (n=28, 26)2 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaPotassium Low (n=109,111)1 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaLeukocytes High (n=109, 110)0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaUrine Blood High (n=104,107)1 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaLeukocytes Low (n=109, 110)1 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaGlucose High (n=109,110)0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaEosinophils High (n=107,107)0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaLymphocytes Low (n=107,107)5 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaUrine WBC High (n=35, 33)13 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaBlood Urea Nitrogen High (n=109,111)0 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaGlucose Low (n=109,110)3 participants
125 mg Abatacept Via Prefilled SyringeNumber of Participants With Blood Hematology, Chemistry Laboratory Values and Urinalysis Laboratory Values Meeting the Marked Abnormality CriteriaCreatinine High (n=109,111)0 participants

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