Abatacept Post-marketing Clinical Study in Japan
A Phase 4, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Abatacept in Combination Therapy With Methotrexate vs. Methotrexate Alone in Subjects With Active Rheumatoid Arthritis and Inadequate Response to Methotrexate
1 other identifier
interventional
405
1 country
74
Brief Summary
The purpose of this study is to compare the clinical efficacy including joint damage progression and safety of Abatacept plus Methotrexate (MTX) to placebo plus MTX.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 rheumatoid-arthritis
Started Apr 2013
Typical duration for phase_4 rheumatoid-arthritis
74 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 19, 2012
CompletedFirst Posted
Study publicly available on registry
January 1, 2013
CompletedStudy Start
First participant enrolled
April 11, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 26, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 26, 2016
CompletedMay 15, 2017
May 1, 2017
3.7 years
December 19, 2012
May 12, 2017
Conditions
Outcome Measures
Primary Outcomes (2)
American College of Rheumatology (ACR) 20% response rate
4 months (week 16)
Change from baseline in Total Sharp Score (TSS) using the Modified van der Heijde Sharp (vdH-S) method to 6 months (Week 24)
Baseline (Day 1), 6 months (Week 24)
Secondary Outcomes (5)
Change from baseline in Disease Activity Score-28 (DAS28)-CRP to 4 months (Week16)
Baseline (Day 1), 4 months (Week 16)
Non-progressors rate for the structural damage
Baseline (Day 1), 6 months (Week 24)
ACR 50 response rates
4 months (Week16)
ACR 70 response rates
4 months (Week16)
Safety and tolerability will be measured based on clinical Adverse Events, vital signs, and laboratory abnormalities
12 months (Week52)
Study Arms (2)
Group 1: Abatacept + Methotrexate (MTX)
EXPERIMENTALAbatacept 10 mg/kg solution intravenous (IV) infusion, once monthly for 12 months Methotrexate ≥6 mg/week for 12 months
Group 2: Placebo matching with Abatacept + Methotrexate
PLACEBO COMPARATORPlacebo matching with Abatacept 0 mg/kg solution, intravenous (IV) infusion once monthly for 12 months Methotrexate ≥6 mg/week for 12 months
Interventions
Eligibility Criteria
You may qualify if:
- MTX inadequate responder
- Biologic Naïve
- Functional class I, II or III
- ≥6 swollen and ≥6 tender joints
- C-reactive protein (CRP) ≥2.0mg/dl or erythrocyte sedimentation rate (ESR) ≥28 mm/hr
- Anti-cyclic citrullinated peptide (CCP) antibody positive
- Have erosion
You may not qualify if:
- Any other rheumatic disease
- Active angiitis on main organs excluding rheumatoid nodule
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bristol-Myers Squibblead
- Ono Pharmaceutical Co. Ltdcollaborator
Study Sites (74)
Local Institution
Kamogawa, Chiba, 296-8602, Japan
Local Institution
Kasamatsu-town, Gifu, 501-6061, Japan
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Kakogawa, Hyōgo, 675-8611, Japan
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Yokohama, Kanagawa, 245-8575, Japan
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Kurashiki, Okayama-ken, 710-8602, Japan
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Izumisano, Osaka, 598-0048, Japan
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Fujieda, Shizuoka, 426-8677, Japan
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Toyama, Toyama, 930-8550, Japan
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Shimonoseki, Yamaguchi, 750-8520, Japan
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Asahi, 289-2511, Japan
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Fuchū, 183-8524, Japan
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Fukuoka, 810-8563, Japan
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Fukuoka, 813-0017, Japan
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Funabashi, 274-0053, Japan
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Hakodate, 040-8611, Japan
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Hiroshima, 734-8551, Japan
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Hitachi, 316-0015, Japan
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Hokkaido, 078-8243, Japan
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Iizuka, 820-8505, Japan
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Kagoshima, 890-0067, Japan
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Kagoshima, 891-0133, Japan
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Kanazawa, 920-8616, Japan
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Kasama, 309-1793, Japan
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Katō, 673-1462, Japan
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Kitakyushu, 800-0031, Japan
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Kitakyushu, 800-0296, Japan
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Kitakyushu, 807-8556, Japan
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Kitamoto, 364-8501, Japan
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Kobe, 650-0017, Japan
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Kobe, 654-0047, Japan
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Kochi, 781-0112, Japan
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Kōshi, 861-1196, Japan
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Kumamoto, 862-0976, Japan
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Matsumoto, 390-8601, Japan
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Nagano, 380-8582, Japan
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Nagaoka, 940-2085, Japan
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Nagasaki, 850-0832, Japan
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Nagoya, 460-0001, Japan
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Nagoya, 466-8560, Japan
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Narashino, 275-0006, Japan
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Narita, 286-0041, Japan
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Okayama, 700-8607, Japan
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Osaka, 545-8585, Japan
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Ōme, 198-0042, Japan
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Ōsaki, 989-6183, Japan
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Sapporo, 001-0907, Japan
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Sapporo, 060-0001, Japan
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Sapporo, 060-8648, Japan
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Sapporo, 063-0811, Japan
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Sasebo, 857-1195, Japan
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Sayama, 350-1305, Japan
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Sendai, 980-6116, Japan
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Sendai, 982-0032, Japan
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Sendai, 983-8512, Japan
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Shizuoka, 420-0821, Japan
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Takaoka, 933-0874, Japan
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Takasaki, 370-0053, Japan
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Tokyo, 101-0062, Japan
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Tokyo, 104-8560, Japan
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Tokyo, 130-8575, Japan
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Tokyo, 160-8582, Japan
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Tokyo, 162-8543, Japan
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Tokyo, 162-8655, Japan
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Tokyo, 170-8476, Japan
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Tokyo, 173-8610, Japan
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Tokyo, 174-0071, Japan
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Tokyo, 179-0072, Japan
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Tomakomai, 053-0018, Japan
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Toyama, 930-0138, Japan
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Toyama, 930-0194, Japan
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Utsunomiya, 321-0964, Japan
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Yokohama, 231-8682, Japan
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Yokohama, 236-0004, Japan
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Yotsukaidō, 284-0003, Japan
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 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 19, 2012
First Posted
January 1, 2013
Study Start
April 11, 2013
Primary Completion
December 26, 2016
Study Completion
December 26, 2016
Last Updated
May 15, 2017
Record last verified: 2017-05