CClinicalTrials.gg
CompletedNCT03882008Updated Jul 30, 2024Results posted

A Study to Evaluate Biomarkers to Predict Efficacy of Abatacept in Rheumatoid Arthritis

A Phase 4 interventional study of Abatacept in Rheumatoid Arthritis, sponsored by University of Washington. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-30.

Sponsored by University of Washington · Phase 4, Interventional, and Other

Phase
Phase 4
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of this study is to evaluate if baseline levels of T cell associated biomarkers predict efficacy of abatacept during 24 weeks of treatment in patients with moderate to severe active Rheumatoid Arthritis (RA) who have had an inadequate response to conventional disease modifying anti-rheumatic drugs (cDMARDs)

02

Conditions studied

  • Rheumatoid Arthritis
03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.

This study's enrollment of 25 is below the median of 90 across 2,377 interventional studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

University of Washington is the lead sponsor of 1,397 studies on the registry; 225 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 132 (86%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or non-pregnant, non-nursing female
  • Age 18 years or greater
  • Body weight less than or equal to 120 kg
  • Classification of Rheumatoid Arthritis according to the 1987 ACR criteria or 2010 ACR/EULAR criteria
  • Symptoms of Rheumatoid Arthritis present for at least 3 months and less that 10 years prior to Screening.
  • Clinical Disease Activity Index (CDAI) greater than or equal to 16, corresponding to moderate to severe disease activity.
  • Patients taking oral DMARDs must be on stable doses of DMARDs for at least 4 weeks prior to Abatacept initiation
  • Treatment within the past year with either methotrexate, leflunomide, hydroxychloroquine and/or sulfasalazine for greater than or equal to 8 weeks.
  • Patients who have received one prior Tumor necrosis factor (TNF) inhibitor must have discontinued etanercept, infliximab, adalimumab, certolizumab, or golimumab for at least 6 months prior to screening.
  • Patients taking oral corticosteroids, the dose must be less than or equal to 5mg per day (prednisone or equivalent)
  • Females of child bearing potential and males with female partners of child bearing potential may participate in this study only if using a reliable means of contraception

Exclusion criteria

Exclusion Criteria:

  • Previous treatment with Abatacept (Orencia)
  • Previous treatment with rituximab, tocilizumab, tofacitinib, sarilumab, or anakinra
  • Previous treatment with IV immunoglobulin, plasmapheresis, or alkylating agents such as cyclophosphamide
  • Intraarticular or parenteral corticosteroids within 4 weeks of screening
  • Rheumatic autoimmune disease other than Rheumatoid Arthritis, including Systemic Lupus Erythematosus, primary Sjogren syndrome, spondyloarthritis, systemic sclerosis, dermatomyositis, mixed connective tissue disease, or vasculitis
  • Non-rheumatic auto-immune disease including inflammatory bowel disease, psoriasis, multiple sclerosis
  • Recurrent or chronic bacterial, viral, fungal, mycobacterial, or other infections including Human immunodeficiency virus (HIV), Hepatitis B, Hepatitis C, latent tuberculosis (TB) (TB not adequately treated)
  • Primary or secondary immunodeficiency
  • Current, uncontrolled renal, gastrointestinal, endocrine, pulmonary, cardiac, or neurologic disease
  • History of malignancy within 10 years prior to screening, except for appropriately treated carcinoma in situ of the cervix or non-melanoma skin carcinoma
  • History of alcohol, drug, or chemical abuse within 1 year prior to screening
  • Laboratory exclusion criteria at screening including:

    1. estimated glomerular filtration rate (eGFR) \<30ml/min
    2. Alanine aminotransferase (ALT) or Aspartate aminotransferase (AST) >1.5 times upper limit of normal
  • Major surgery (including joint surgery) within 8 weeks prior to screening or planned major surgery during the study
  • Immunization with a live/attenuated vaccine within 4 weeks prior to screening
  • Pregnant or nursing women, or women of child bearing potential who plan to become pregnant prior to 14 weeks after the last dose of abatacept treatment
  • Patients of reproductive potential not willing to use an effective method of contraception
  • Prisoners, or subjects who are compulsory detained
05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Abatacept

    Abatacept 125mg subcutaneous injection weekly for 24 weeks

    Drug: Abatacept

Interventions

  • DrugAbatacept

    All the subjects will receive Abatacept subcutaneous injection once a week for 24 weeks

    Also known as: Orencia

06

What researchers measure

Primary outcomes

  1. Number of Participants With American College of Rheumatology (ACR) 20 Response at Week 14

    Baseline levels of T cell-associated biomarkers predict ACR20 response (improvement of 20% in the number of tender and number of swollen joints, and a 20% improvement in three of the following five criteria: patient global assessment, physician global assessment, pain, functional ability measure, erythrocyte sedimentation rate (ESR) or C-reactive protein) with subcutaneous abatacept

    Time frame: 14 Weeks

Secondary outcomes

  1. Number of Participants With American College of Rheumatology (ACR) 20 Response at Week 24

    Baseline levels of T cell associated biomarkers predict ACR20 response (improvement of 20% in the number of tender and number of swollen joints, and a 20% improvement in three of the following five criteria: patient global assessment, physician global assessment, pain, functional ability measure, erythrocyte sedimentation rate (ESR) or C-reactive protein) with subcutaneous abatacept

    Time frame: 24 Weeks

  2. Number of Participants With American College of Rheumatology (ACR) 50 Response at Week 24

    Baseline levels of T cell associated biomarkers predict ACR50 response (improvement of 50% in the number of tender and number of swollen joints, and a 50% improvement in three of the following five criteria: patient global assessment, physician global assessment, pain, functional ability measure, erythrocyte sedimentation rate (ESR) or C-reactive protein) with subcutaneous abatacept

    Time frame: Week 24

  3. Number of Participants With American College of Rheumatology (ACR) 70 Response at Week 24

    Baseline levels of T cell associated biomarkers predict ACR70 response (improvement of 70% in the number of tender and number of swollen joints, and a 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, pain, functional ability measure, erythrocyte sedimentation rate (ESR) or C-reactive protein) with subcutaneous abatacept

    Time frame: Week 24

  4. Number of Participants With European League Against Rheumatism (EULAR) Good or Moderate Response at Week 24

    Baseline levels of T cell associated biomarkers predict EULAR good or moderate response (disease activity index for RA generated from tender and swollen joint count, patient global assessment, ESR or C-reactive protein) with subcutaneous abatacept

    Time frame: Week 24

07

Results

Posted Jul 30, 2024

Participant flow

Participant flow — Overall Study
MilestoneAbatacept
Started25
Completed23
Not completed2
Withdrew: Withdrawal by subject1
Withdrew: Lost to follow-up1

Outcome measures

PrimaryNumber of Participants With American College of Rheumatology (ACR) 20 Response at Week 14

Baseline levels of T cell-associated biomarkers predict ACR20 response (improvement of 20% in the number of tender and number of swollen joints, and a 20% improvement in three of the following five criteria: patient global assessment, physician global assessment, pain, functional ability measure, erythrocyte sedimentation rate (ESR) or C-reactive protein) with subcutaneous abatacept

Time frame:
14 Weeks
Reported as:
Number · participants
Number of Participants With American College of Rheumatology (ACR) 20 Response at Week 14
participantsAbatacept
Number of Participants With American College of Rheumatology (ACR) 20 Response at Week 149
SecondaryNumber of Participants With American College of Rheumatology (ACR) 20 Response at Week 24

Baseline levels of T cell associated biomarkers predict ACR20 response (improvement of 20% in the number of tender and number of swollen joints, and a 20% improvement in three of the following five criteria: patient global assessment, physician global assessment, pain, functional ability measure, erythrocyte sedimentation rate (ESR) or C-reactive protein) with subcutaneous abatacept

Time frame:
24 Weeks
Reported as:
Number · participants
Number of Participants With American College of Rheumatology (ACR) 20 Response at Week 24
participantsAbatacept
Number of Participants With American College of Rheumatology (ACR) 20 Response at Week 2414
SecondaryNumber of Participants With American College of Rheumatology (ACR) 50 Response at Week 24

Baseline levels of T cell associated biomarkers predict ACR50 response (improvement of 50% in the number of tender and number of swollen joints, and a 50% improvement in three of the following five criteria: patient global assessment, physician global assessment, pain, functional ability measure, erythrocyte sedimentation rate (ESR) or C-reactive protein) with subcutaneous abatacept

Time frame:
Week 24
Reported as:
Number · participants
Number of Participants With American College of Rheumatology (ACR) 50 Response at Week 24
participantsAbatacept
Number of Participants With American College of Rheumatology (ACR) 50 Response at Week 2410
SecondaryNumber of Participants With American College of Rheumatology (ACR) 70 Response at Week 24

Baseline levels of T cell associated biomarkers predict ACR70 response (improvement of 70% in the number of tender and number of swollen joints, and a 70% improvement in three of the following five criteria: patient global assessment, physician global assessment, pain, functional ability measure, erythrocyte sedimentation rate (ESR) or C-reactive protein) with subcutaneous abatacept

Time frame:
Week 24
Reported as:
Number · participants
Number of Participants With American College of Rheumatology (ACR) 70 Response at Week 24
participantsAbatacept
Number of Participants With American College of Rheumatology (ACR) 70 Response at Week 243
SecondaryNumber of Participants With European League Against Rheumatism (EULAR) Good or Moderate Response at Week 24

Baseline levels of T cell associated biomarkers predict EULAR good or moderate response (disease activity index for RA generated from tender and swollen joint count, patient global assessment, ESR or C-reactive protein) with subcutaneous abatacept

Time frame:
Week 24
Reported as:
Number · participants
Number of Participants With European League Against Rheumatism (EULAR) Good or Moderate Response at Week 24
participantsAbatacept
Number of Participants With European League Against Rheumatism (EULAR) Good or Moderate Response at Week 2417

Adverse events

Collected over From time of study drug administration to end of study (week 24 or safety follow-up visit, if needed), up to 39 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Abatacept0/25 (0%)0/25 (0%)8/25 (32%)
Most frequent other events
Most frequent other events
EventAbatacept
upper respiratory infectionInfections and infestations3/25
headachesNervous system disorders3/25
abdominal painGastrointestinal disorders2/25

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Abatacept
<=18 years0
Between 18 and 65 years23
>=65 years2
Sex: Female, Male
Sex: Female, Male(Participants)Abatacept
Female22
Male3
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Abatacept
American Indian or Alaska Native2
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American3
White18
More than one race0
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(participants)Abatacept
United States25
08

Study locations

1 site
  • University of Washington
    Seattle, Washington 98195, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Jul 9, 2018

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03882008
Lead sponsor
University of Washington
Collaborators
Bristol-Myers Squibb
Responsible party
Kwanghoon (Bobby) Han (Assistant Professor, School of Medicine: Department of Medicine: Rheumatology, University of Washington) — Principal investigator
First posted
Mar 20, 2019
Start date
May 23, 2019
Primary completion
Jun 30, 2023
Completion
Jun 30, 2023
Results posted
Jul 30, 2024
Last update
Jul 30, 2024

Study contacts

Kwanghoon Han, MD
principal investigator · University of Washington

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion