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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT03192969




Registration number
NCT03192969
Ethics application status
Date submitted
14/06/2017
Date registered
20/06/2017
Date last updated
12/07/2017

Titles & IDs
Public title
A Study to Evaluate Efficacy and Safety of Subcutaneous Abatacept With Steroid Treatment Compared to Steroid Treatment Alone in Adults With Giant Cell Arteritis (GCA)
Scientific title
A Phase III Randomized, Placebo-Controlled, Double-Blind Clinical Trial to Evaluate the Efficacy and Safety of Subcutaneous Abatacept in Combination With Glucocorticoid Treatment Compared to Glucocorticoid Monotherapy in Adults With Giant Cell Arteritis
Secondary ID [1] 0 0
2016-002697-12
Secondary ID [2] 0 0
IM101-604
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Giant Cell Arteritis 0 0
Condition category
Condition code
Musculoskeletal 0 0 0 0
Other muscular and skeletal disorders
Inflammatory and Immune System 0 0 0 0
Other inflammatory or immune system disorders
Cardiovascular 0 0 0 0
Diseases of the vasculature and circulation including the lymphatic system
Neurological 0 0 0 0
Other neurological disorders
Inflammatory and Immune System 0 0 0 0
Autoimmune diseases

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Abatacept
Other interventions - Placebo
Treatment: Drugs - Glucocorticoid Treatment

Experimental: Abatacept Combination Therapy - Abatacept subcutaneous injection (125 mg/mL prefilled syringe weekly) in combination with glucocorticoid therapy (up to 28-week taper of oral prednisone daily)

Placebo comparator: Placebo Monotherapy- 28 Weeks - Glucocorticoid therapy (28-week taper of oral prednisone daily) in combination with placebo subcutaneous injection (1 mL pre-filled syringe weekly)

Placebo comparator: Placebo Monotherapy- 52 Weeks - Glucocorticoid therapy (52 week taper of oral prednisone daily) in combination with subcutaneous placebo weekly


Treatment: Drugs: Abatacept
Abatacept subcutaneous injection, 125 mg/prefilled syringe (125 mg/mL)

Other interventions: Placebo
Placebo for abatacept for subcutaneous injection in 1 mL pre-filled syringes

Treatment: Drugs: Glucocorticoid Treatment
Glucocorticoid taper (up to 52-week or 28-week of oral prednisone/prednisolone)
Intervention code [1] 0 0
Treatment: Drugs
Intervention code [2] 0 0
Other interventions
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Patients in sustained remission
Timepoint [1] 0 0
40 weeks (week 12 to week 52)
Secondary outcome [1] 0 0
Physician's Global Assessment of Disease Activity according to visual analog scale (VAS)
Timepoint [1] 0 0
Up to 52 weeks
Secondary outcome [2] 0 0
Subject Assessment of Disease Activity according to visual analog scale (VAS)
Timepoint [2] 0 0
Up to 52 weeks
Secondary outcome [3] 0 0
Short Form questionnaire-36 (SF-36)
Timepoint [3] 0 0
Up to 52 weeks
Secondary outcome [4] 0 0
Time from Week 12 to first relapse after achieving remission
Timepoint [4] 0 0
40 weeks (week 12 to week 52)
Secondary outcome [5] 0 0
Erythrocyte sedimentation rate (ESR)
Timepoint [5] 0 0
52 weeks
Secondary outcome [6] 0 0
C-reactive protein (CRP)
Timepoint [6] 0 0
52 weeks
Secondary outcome [7] 0 0
All adverse events and serious adverse events (AEs/SAEs)
Timepoint [7] 0 0
52 weeks
Secondary outcome [8] 0 0
Laboratory test abnormalities
Timepoint [8] 0 0
52 weeks
Secondary outcome [9] 0 0
Cmin (µg/mL): Trough level serum concentration of abatacept prior to the administration of the subcutaneous injection
Timepoint [9] 0 0
104 weeks
Secondary outcome [10] 0 0
Positive abatacept response relative to baseline
Timepoint [10] 0 0
52 weeks
Secondary outcome [11] 0 0
Cumulative glucocorticoid dose
Timepoint [11] 0 0
52 weeks
Secondary outcome [12] 0 0
EuroQOL 5 Dimensions (EQ-5D-3L)
Timepoint [12] 0 0
Up to 52 weeks
Secondary outcome [13] 0 0
Patient Reported Outcomes Measurement Information System (PROMIS)-Fatigue Short Form 8a
Timepoint [13] 0 0
Up to 52 weeks
Secondary outcome [14] 0 0
Resource Utilization
Timepoint [14] 0 0
Up to 52 weeks

Eligibility
Key inclusion criteria
For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com



* New headache (new onset or new type of localized pain in the head)
* Elevated ESR (= 50 mm/h by the Westergren method) or CRP = 1 mg/dL
* Temporal artery abnormality (i.e. temporal artery tenderness to palpation or decreased pulsation, unrelated to arteriosclerosis of cervical arteries)
* Temporal artery biopsy showing vasculitis characterized by a predominance of mononuclear cell infiltration or granulomatous inflammation, usually with multinucleated giant cells
* Large vessel biopsy showing vasculitis characterized by a predominance of mononuclear cell infiltration or granulomatous inflammation, usually with multinucleated giant cells or characteristic changes of large vessel stenosis or aneurysm secondary to GCA as seen by arteriography (Magnetic Resonance Imaging/ Magnetic Resonance Angiography), ultrasound (eg, halo sign on color duplex sonography), or CT scan
* Patients must be treated with prednisone or prednisolone of 20-60 mg/day (prednisone equivalent) and be on a dose between 20-60 mg/day for at least 2 weeks prior to enrollment into the study
Minimum age
50 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Rheumatic disease other than GCA such as Takayasu's Arteritis, granulomatosis with polyangiitis (Wegener's), rheumatoid arthritis, systemic lupus erythematosus
* Patients with unilateral blindness (partial or complete) or who have unstable or recurrent visual symptoms attributable to GCA within 4 weeks of randomization
* Patients with a history of dissection of aorta
* Patients with a history of myocardial infarction, stroke or transient ischemic attack attributable to GCA within the 3 months of screening
* Patients who have been treated with intravenous ("pulse") doses of glucocorticoids defined as methylprednisolone > 1000 mg/day if given within 6 weeks of randomization
* Patients who will require oral or IV glucocorticoid treatment during the trial for conditions other than GCA
* Patients at risk of tuberculosis

Other protocol defined inclusion/exclusion criteria could apply

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s

The people assessing the outcomes
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Withdrawn
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
15/07/2017
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
23/11/2021
Actual
Sample size
Target
Accrual to date
Final
0
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
Recruitment hospital [1] 0 0
Local Institution - Northmead
Recruitment hospital [2] 0 0
Local Institution - Auchenflower
Recruitment hospital [3] 0 0
Local Institution - Woodville South
Recruitment hospital [4] 0 0
Local Institution - Malvern East
Recruitment hospital [5] 0 0
Local Institution - Nedlands
Recruitment hospital [6] 0 0
Local Institution - Victoria Park
Recruitment postcode(s) [1] 0 0
2152 - Northmead
Recruitment postcode(s) [2] 0 0
4066 - Auchenflower
Recruitment postcode(s) [3] 0 0
5001 - Woodville South
Recruitment postcode(s) [4] 0 0
3145 - Malvern East
Recruitment postcode(s) [5] 0 0
6009 - Nedlands
Recruitment postcode(s) [6] 0 0
6100 - Victoria Park
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Arizona
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United States of America
State/province [2] 0 0
California
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United States of America
State/province [3] 0 0
Colorado
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United States of America
State/province [4] 0 0
Iowa
Country [5] 0 0
United States of America
State/province [5] 0 0
Kansas
Country [6] 0 0
United States of America
State/province [6] 0 0
Minnesota
Country [7] 0 0
United States of America
State/province [7] 0 0
New York
Country [8] 0 0
United States of America
State/province [8] 0 0
Ohio
Country [9] 0 0
United States of America
State/province [9] 0 0
Pennsylvania
Country [10] 0 0
United States of America
State/province [10] 0 0
South Carolina
Country [11] 0 0
United States of America
State/province [11] 0 0
Texas
Country [12] 0 0
Austria
State/province [12] 0 0
Graz
Country [13] 0 0
Austria
State/province [13] 0 0
Stockerau
Country [14] 0 0
Belgium
State/province [14] 0 0
Leuven
Country [15] 0 0
Belgium
State/province [15] 0 0
Li?ge
Country [16] 0 0
Belgium
State/province [16] 0 0
Yvoir
Country [17] 0 0
Bulgaria
State/province [17] 0 0
Sofia-grad
Country [18] 0 0
Canada
State/province [18] 0 0
Ontario
Country [19] 0 0
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State/province [19] 0 0
Quebec
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Canada
State/province [20] 0 0
Saskatchewan
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Denmark
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Aarhus C
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Denmark
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Esbjerg
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Denmark
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Glostrup
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Holstebro
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Pau
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Toulouse
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Germany
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Berlin
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Germany
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Dresden
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Germany
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Freiburg im Breisgau
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Germany
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Hamburg
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Hannover
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Germany
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Herne
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Germany
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Kirchheim
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Germany
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Rostock
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Germany
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Tubingen
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W?rzburg
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Athens
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Larissa
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Greece
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Ireland
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Dublin
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Catania
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Genova
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Milano
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Padova
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Pavia
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Italy
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Prato
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Italy
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Torino
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Almelo
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Groningen
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Helmond
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Rotterdam
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Bydgoszcz
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Szczecin
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Wroclaw
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Cluj-Napoca
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Serbia
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Belgrade
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Barcelona
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Bilbao
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Spain
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L'Hospitalet de Llobregat
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La Laguna
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Madrid
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Stockholm
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Uppsala
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Freiburg
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Switzerland
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Z?rich
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United Kingdom
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Essex
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United Kingdom
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Tyne and Wear
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United Kingdom
State/province [85] 0 0
London

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Bristol-Myers Squibb
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
To investigate the safety and efficacy of abatacept with steroid treatment in comparison to steroid treatment alone in up to a 28 week taper of steroid treatment to sustain remission of Giant Cell Arteritis in adults.
Trial website
https://clinicaltrials.gov/study/NCT03192969
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Bristol-Myers Squibb
Address 0 0
Bristol-Myers Squibb
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT03192969