An Exploratory Study of Changes in Synovial Immune Responses Following BMS-188667 Therapy in Subjects With Active Rheumatoid Arthritis on Background DMARDs Who Have Failed Anti-TNF Therapy
1 other identifier
interventional
16
1 country
1
Brief Summary
Study to assess changes in synovial tissue before and after treatment with Abatacept in subjects with RA who remained on their background disease modifying anti-arthritis medications but who have failed previous therapy with anti-TNF (tumor necrosing factor)blocking agents.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1 rheumatoid-arthritis
Started Oct 2003
Typical duration for phase_1 rheumatoid-arthritis
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 9, 2005
CompletedFirst Posted
Study publicly available on registry
September 13, 2005
CompletedJanuary 12, 2017
April 1, 2011
1.5 years
September 9, 2005
January 11, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Comparison of each subject's synovial tissue markers
at baseline and after 4 months of treatment with abatacept
Secondary Outcomes (2)
assess baseline & post treatment synovitis by dynamic gadolinium enhanced MRI; determine concentrations of abatacept in synovial fluid & serum
after 4 months of treatment
assess safety & tolerability of abatacept
administered for 4 months
Study Arms (1)
1
EXPERIMENTALInterventions
Parenteral, IV, 500 mg if \< 60 kg; 750 mg if \> 60 \& \< 100 kg; 1000 mg if \> 100 kg, Monthly, 4 months.
Eligibility Criteria
You may qualify if:
- RA for at least 1 year
- Clear clinical signs of active RA in 1 knee joint
- Meet ARA (1987) criteria for diagnosis of RA and ACR (1991) criteria for RA functional classes I, II, or III
- Inadequate clinical response to a minimum of 3 months of therapy with anti-TNF-blocking agents
- Taking background DMARDs for a minimum of 3 months and at stable doses for at least 28 days
You may not qualify if:
- Serious bacterial infection in last 3 months
- History of TB
- History of cancer within 5 years
- Evidence of latent or active bacterial or viral infection
- Intra-articular corticosteroids within 3 months
- Exposure to live vaccines
- Exposure to CTLA4Ig or BMS-188667
- Treatment with immunoadsorption column(s), mycophenolate mofetil, leflunomide, anakinra, cyclosporine, etanercept, adalimumab, infliximab, azathioprine, oral or parenteral gold, D-penacillamine, calcineurin inhibitors, cyclophosphamide or other alkylating agents
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Local Institution
Leeds, Essex, United Kingdom
Related Publications (1)
Buch MH, Boyle DL, Rosengren S, Saleem B, Reece RJ, Rhodes LA, Radjenovic A, English A, Tang H, Vratsanos G, O'Connor P, Firestein GS, Emery P. Mode of action of abatacept in rheumatoid arthritis patients having failed tumour necrosis factor blockade: a histological, gene expression and dynamic magnetic resonance imaging pilot study. Ann Rheum Dis. 2009 Jul;68(7):1220-7. doi: 10.1136/ard.2008.091876. Epub 2008 Sep 4.
PMID: 18772191BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Bristol Myers Squibb
Bristol-Myers Squibb
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 9, 2005
First Posted
September 13, 2005
Study Start
October 1, 2003
Primary Completion
April 1, 2005
Study Completion
April 1, 2005
Last Updated
January 12, 2017
Record last verified: 2011-04