A Phase 3B, Multi-Center, Randomized, Double-blind Study to Evaluate Remission and Joint Damage Progression in Methotrexate-naïve Early Erosive Rheumatoid Arthritis Subjects Treated With Abatacept Plus Methotrexate Compared With Methotrexate - Low Dose Sub-Study
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 108
- 主要终点
- Time to Disease Relapse Through Month 12 (Kaplan-Meier Cumulative Percentage of Events of Disease Relapse)
研究概览
简要总结
The purpose of this exploratory sub-study was to evaluate from a clinical perspective the impact on disease activity of lowering the dose of abatacept from 10 mg/kg to 5 mg/kg in subjects who had achieved remission (Disease Activity Score 28 [DAS 28]-erythrocyte sedimentation rate [ESR] < 2.6) at Day 701 of study IM101023.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects who have completed the main study, are willing to participate and have a DAS 28 ESR score of < 2.6 on Day 701 of the main study
排除标准
- 未提供
研究组 & 干预措施
Abatacept (10 mg/Kg)
干预措施: Abatacept (Drug)
Abatacept (5 mg/Kg)
干预措施: Abatacept (Drug)
结局指标
主要结局
Time to Disease Relapse Through Month 12 (Kaplan-Meier Cumulative Percentage of Events of Disease Relapse)
时间窗: Months 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
An event of disease relapse was defined as additional Disease-modifying antirheumatic drug (DMARD) therapy given, or 2 or more courses of high steroids given, or return to abatacept 10 mg/kg (rescue medication given), or DAS28 C-reactive protein (CRP) score \>=3.2 at 2 consecutive visits. Time to disease relapse was evaluated using life tables (Kaplan-Meier Cumulative Percentage of Events of Disease Relapse).
次要结局
- Number of Participants Experiencing Disease Relapse(After 12 Months of treatment)
- Mean Time-Matched Baseline DAS28 CRP Scores(Baseline)
- Adjusted Mean Change From Baseline in DAS28 CRP During Double-Blind Treatment(Baseline, Days 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337, 365)
- Percentage of Participants With Pre-specified Autoimmune Disorders (ADs) Reported During Double-Blind Treatment, by Intensity(From start of substudy up to 56 days post last dose in the double-blind period or start of the open-label rescue period, whichever occurred first until end of study (study duration was 115 weeks))
- Percentage of Participants With 2 Consecutive DAS 28 CRP Scores ≥ 3.2 (Loss of Low Disease Activity Status)(After 12 months of treatment)
- Percentage of Participants Given Additional DMARD Therapy During Double-Blind Treatment(After 12 months of treatment)
- Percentage of Participants Who at Any Time During Double-Blind Treatment Were Given 2 or More Courses of High-Dose Steroids(After 12 months of treatment)
- Percentage of Participants Given Rescue Medication Therapy During Double-Blind Treatment(After 12 months of treatment)
- Percentage of Participants Who Modified Therapy During Double-Blind Treatment(After 12 months of treatment)
- Percentage of Participants Who Lost Remission Status(After 12 months of treatment)
- Steady-state Trough Serum Concentration (Cmin) of Abatacept During Double-Blind Treatment(Day 701 of the main study; sub-study Days 1, 85, 169, 253)
- Percentage of Participants With Adverse Events (AEs), Serious AEs (SAEs), Deaths, and Discontinuations During Double-Blind Treatment(From start of substudy up to 56 days post last dose in the double-blind period or start of the open-label rescue period, whichever occurred first until end of study (study duration was 115 weeks))
- Percentage of Participants With Infection and Infestation AEs Reported During Double-Blind Treatment(From start of substudy up to 56 days post last dose in the double-blind period or start of the open-label rescue period, whichever occurred first until end of study (study duration was 115 weeks))
- Percentage of Participants With Malignant Neoplasms Reported During Double-Blind Treatment(From start of substudy up to 56 days post last dose in the double-blind period or start of the open-label rescue period, whichever occurred first until end of study (study duration was 115 weeks))
- Percentage of Participants With Prespecified Acute Infusional Adverse Events (AIAEs) During Double-Blind Treatment, by Intensity(From start of substudy up to 56 days post last dose in the double-blind period or start of the open-label rescue period, whichever occurred first until end of study (study duration was 115 weeks))
- Percentage of Participants With Prespecified Peri-Infusional Adverse Events (PAIAEs) During Double-Blind Treatment, by Intensity(From start of substudy up to 56 days post last dose in the double-blind period or start of the open-label rescue period, whichever occurred first until end of study (study duration was 115 weeks))
- Percentage of Participants With Laboratory Values Meeting the Marked Abnormality Criteria During Double-Blind Treatment(From start of substudy up to 56 days post last dose in the double-blind period or start of the open-label rescue period, whichever occurred first until end of study (study duration was 115 weeks))
- Clinically Significant Changes in Vital Signs and Physical Findings(From start of substudy up to 56 days post last dose in the double-blind period or start of the open-label rescue period, whichever occurred first until end of study (study duration was 115 weeks))
- Participants With Positive Antibody Responses to Abatacept (Electrochemiluminescence [ECL] Method) During Double-Blind Treatment(After 12 months of treatment)
