MedPath

Belatacept

Generic Name
Belatacept
Brand Names
Nulojix
Drug Type
Biotech
CAS Number
706808-37-9
Unique Ingredient Identifier
E3B2GI648A
Background

Belatacept is a soluble fusion protein, which links the extracellular domain of human cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) to the modified Fc (hinge, CH2, and CH3 domains) portion of human immunoglobulin G1 (IgG1). Structurally, abatacept is a glycosylated fusion protein with a MALDI-MS molecular weight of 92,300 Da and it is a homodimer of two homologous polypeptide chains of 357 amino acids each. It is produced through recombinant DNA technology in mammalian CHO cells. The drug has activity as a selective co-stimulation modulator with inhibitory activity on T lymphocytes. It is approved for the treatment of rheumatoid arthritis. Belatacept selectively blocks the process of T-cell activation. It was developed by Bristol-Myers-Squibb. Belatacept is only 2 amino acids different from abatacept (Orencia). FDA approved on June 15, 2011.

Indication

For prophylaxis of organ rejection. It is also used concomitantly with basiliximumab for induction therapy, mycophenolate, and corticosteriods in kidney transplant recepients that are seropositive for the Epstein-Barr virus.

Associated Conditions
Kidney Transplant Rejection

Belatacept Therapy for the Failing Renal Allograft

Phase 3
Completed
Conditions
Failing Renal Allograft
Interventions
First Posted Date
2013-08-13
Last Posted Date
2021-01-26
Lead Sponsor
Andrew B Adams
Target Recruit Count
13
Registration Number
NCT01921218
Locations
🇺🇸

Emory University, Atlanta, Georgia, United States

Comparison of NODAT in Kidney Transplant Patients Receiving Belatacept Versus Standard Immunosuppression

Phase 4
Conditions
New Onset Diabetes After Transplant
Kidney Transplantation
Interventions
First Posted Date
2013-06-11
Last Posted Date
2013-06-11
Lead Sponsor
University of Arizona
Target Recruit Count
32
Registration Number
NCT01875224
Locations
🇺🇸

University of Arizona, Tucson, Arizona, United States

Early Conversion From CNI to Belatacept in Renal Transplant Recipients With Delayed and Slow Graft Function

Phase 2
Conditions
Delayed Graft Function
Kidney Transplant
Interventions
Drug: Calcineurin Inhibitor
First Posted Date
2013-04-22
Last Posted Date
2017-01-30
Lead Sponsor
Nair, Vinay, D.O.
Target Recruit Count
90
Registration Number
NCT01837043
Locations
🇺🇸

Mount Sinai School of Medicine Recanati/Miller Transplantation Institute, New York, New York, United States

A Study in Maintenance Kidney Transplant Recipients Following Conversion to Nulojix® (Belatacept)-Based

Phase 3
Completed
Conditions
Kidney Transplantation
Interventions
First Posted Date
2013-03-29
Last Posted Date
2021-01-05
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
446
Registration Number
NCT01820572
Locations
🇺🇸

Transplant Research Institute (PI Address), Los Angeles, California, United States

🇺🇸

Cedars-Sinai Medical Center, Los Angeles, California, United States

🇺🇸

Saint Barnabas Medical Center, Livingston, New Jersey, United States

and more 59 locations

Pharmacokinetics, Safety and Tolerability of Single-dose Belatacept in Adolescent Kidney Transplant Recipients

Phase 2
Completed
Conditions
Kidney Transplant
Interventions
First Posted Date
2013-02-15
Last Posted Date
2017-07-24
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
16
Registration Number
NCT01791491
Locations
🇺🇸

Boston Childrens Hospital, Boston, Massachusetts, United States

🇺🇸

University Of Alabama At Birmingham, Birmingham, Alabama, United States

🇺🇸

Childrens Hospital Of La, Los Angeles, California, United States

and more 5 locations

Belatacept Early Steroid Withdrawal Trial

Phase 4
Completed
Conditions
Renal Transplantation
Interventions
First Posted Date
2012-11-20
Last Posted Date
2021-07-28
Lead Sponsor
University of Cincinnati
Target Recruit Count
316
Registration Number
NCT01729494
Locations
🇺🇸

University of Wisconsin-Madison, Madison, Wisconsin, United States

🇺🇸

Tampa General Hospital, Tampa, Florida, United States

🇺🇸

The Christ Hospital, Cincinnati, Ohio, United States

and more 5 locations

Belatacept and Risk of Post-transplant Lymphoproliferative Disorder in US Renal Transplant Recipients

Completed
Conditions
Kidney Transplantation
Transplantation, Kidney
Interventions
Drug: Calcineurin inhibitors (CNI)
First Posted Date
2012-08-03
Last Posted Date
2022-07-22
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
775
Registration Number
NCT01656343

Belatacept in Renal Transplantation With Intermediate Risk Maryland Aggregate Pathology Index (MAPI) Scores

Not Applicable
Completed
Conditions
End-Stage Renal Disease
Interventions
First Posted Date
2011-12-21
Last Posted Date
2018-06-14
Lead Sponsor
University of Maryland
Target Recruit Count
20
Registration Number
NCT01496417
Locations
🇺🇸

University of Maryland, Baltimore, Maryland, United States

Calcineurin Inhibitor-free, Steroid-free Immunosuppressive Regimen in Simultaneous Islet-Kidney Transplantation for Uremic Type 1 Diabetic Patients

Not Applicable
Withdrawn
Conditions
Islets of Langerhans Transplantation
Diabetes Mellitus, Type 1
Kidney Transplantation
Interventions
First Posted Date
2009-12-16
Last Posted Date
2013-05-08
Lead Sponsor
University of Wisconsin, Madison
Registration Number
NCT01033500
Locations
🇺🇸

University of Wisconsin, Madison, Wisconsin, United States

A Belatacept Compassionate Use Study for Patients With a Kidney Transplant

Conditions
Renal Transplantation
First Posted Date
2008-07-21
Last Posted Date
2021-11-23
Lead Sponsor
Bristol-Myers Squibb
Registration Number
NCT00719225
Locations
🇺🇸

Scripps Green Hospital, La Jolla, California, United States

🇺🇸

Tulane Abdominal Transplant Institute, New Orleans, Louisiana, United States

🇺🇸

Office Of Dr. Allan Kirk, Atlanta, Georgia, United States

and more 4 locations
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