Community Academic Profiles

Mark Genovese

Abatacept - IM101-158-BMS

Contact Information

Stanford University School of Medicine 300 Pasteur Drive Stanford, CA 94305

Primary Contact:

Zayna Shaheen (650) 736-8482

Secondary Contact:

Donna Adelman (650) 724-3121
To view all clinical trials at Stanford, please see the Clinical Trials Directory.

Brief

The primary objective of this study is to compare the efficacy of 3 regimens of abatacept vs. placebo in a 6-month double-blind study of psoriatic arthritis, as measured by the proportion of subjects achieving an ACR20 response at Day 169. The objective of the open label extension phase is to assess the safety and tolerability of abatacept treatment during the open-label extension phase (18 months after the initial 6-month, double-blind period).

Recruiting Status:

Completed

Stanford Recruiting Status:

Completed

Condition(s):

Intervention(s):

  • Drug: Abatacept

Phase:

Phase 2

Eligibility

Ages Eligible for Study:

18 years to Any Age

Genders Eligible for Study:

Male and Female

Health of Volunteers:

People with the conditions listed in this trial can participate as controls.

Key Inclusion Criteria:

Subject is willing to participate in the study and signed the informed consent.
Subject must, in the investigator?s opinion, have a high likelihood of being able to successfully complete all responsibilities of the study.
2) Target Population
a) meet Classification Criteria for Psoriatic Arthritis (CASPAR)
for a duration of disease at least 3 months
b) prior failure of DMARD therapy (inefficacy or intolerance); if patient had prior failure of methotrexate, s/he must have been on at least 15 mg/week dose for at least 2 months
c) if recent failure of a TNFα blockade compound (inefficacy or intolerance),must be washed out prior to first dose: 56 days for infliximab and 28 days for etanercept and adalimumab
d) disease activity as defined by a tender joint count of ≥ 3, swollen joint count of ≥ 3 and clinically detectable synovitis at screening and Day 01 (prior to infusion)
e) have active psoriasis with a qualifying target lesion ≥ 2 cm in diameter
f) Must be able to have MRI performed.
Age and Sex
a) Men and women (not nursing and not pregnant) ≥ 18 years of age at the time of informed consent.
b) Women of childbearing potential (WOCBP) must be using an adequate
method of contraception to avoid pregnancy throughout the study and for up to 10 weeks after the last dose of investigational product in such a manner that the risk of pregnancy is minimized.

Key Exclusion Criteria:

Sex and Reproductive Status
a) WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 10 weeks after the last dose of investigational product
b) Women who are pregnant or breastfeeding, or plan to become pregnant, or to start breastfeeding during the duration of the study
c) Women with a positive pregnancy test on enrollment or prior to
investigational product administration.
2) Medical History and Concurrent Diseases
a) Subjects who are scheduled for or anticipate joint replacement surgery.
b) Subjects who have a recent history of clinically significant drug or alcohol abuse
c) Concomitant illness that in the opinion of the Investigator, is likely to require systemic glucocorticosteroid therapy during the study (e.g.; moderate to severe asthma)
d) Current symptoms of severe, progressive, or uncontrolled renal, hepatic, hematological, pulmonary, cardiac, neurological, ophthalmologic or cerebral disease. Concomitant medical conditions that in the opinion of the Investigator might place the subject at unacceptable risk for participation in this study
e) Subjects who are unwilling or unable to have screening performed based on current local or country guidelines/standards to evaluate the presence of cancer (e.g. breast, cervical, colon, prostate, hepatocellular, gastric).
f) Subjects with a history or current evidence of malignancies; specifically, subjects with:
? a history of cancer within the last five years (other than non-melanoma skin cell cancers cured by local resection), or
? evidence of current malignancy or signs of possible malignancy
detected by screening procedures for which the workup to exclude
malignancy has not been completed or malignancy cannot be
excluded.
? Female subjects who have had a manual examination or breast cancer
imaging (mammogram, ultrasound, other method) screening study that
is suspicious for malignancy, and in whom the possibility of
malignancy cannot be reasonably excluded following additional
clinical, laboratory, or other diagnostic evaluations
? NOTE: The following subjects may be enrolled; those with:
− Non-melanoma skin cell cancers, present at or before screening,
which have been entirely removed prior to enrollment, or
− Carcinoma in situ, present at or before screening, that will have
been treated with definitive surgical intervention prior to
enrollment.
− No evidence of malignancy upon completion of evaluation
prompted by suspicious screening procedure.
g) Subjects at risk for tuberculosis (TB). Specifically, subjects with:
? Current clinical, radiographic or laboratory evidence of active or latent TB
? A history of active TB within the last 3 years even if it was treated.
? A history of active TB greater than 3 years ago if there is no
documentation that the prior anti-TB treatment was appropriate in
duration and type.
h) Subjects with any serious bacterial infection within the last 3 months, not treated and resolved with antibiotics, or any chronic bacterial infection (such as, but not limited to, chronic pyelonephritis, osteomyelitis and bronchiectasis)
i) Subjects with evidence (as assessed by the Investigator) of active or latent bacterial or viral infections at the time of potential enrollment, including subjects with evidence of Human Immunodeficiency Virus (HIV).
j) Subjects with herpes zoster or cytomegalovirus (CMV) that resolved less than 2 months prior to signing informed consent
k) Subject who have received any live vaccines within 3 months of the
anticipated first dose of study medication or who will have need of a live vaccine at any time, during and for 3 months after the duration of the study
3) Physical and Laboratory Test Findings
a) Subjects with Hepatitis B surface antigen.
b) Subjects with Hepatitis C antibody-positive subjects who are also RIBApositive or PCR positive.
c) Subjects with any of the following laboratory values:
i. Hgb < 8.5 g/dL.
ii. WBC < 3,000/mm3 (3 x 109/L)
iii. Platelets < 100,000/mm3 (100 x 109/L).
iv. Serum creatinine > 2 times upper limit of normal.
v. Serum ALT or AST > 2 times upper limit of normal.
vi. Any other laboratory test results that, in the opinion of the investigator,might place the subject at unacceptable risk for participation in this study.

Additional Study Details

Official Title:

A phase IIB, multi-dose, multi-center, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of Abatacept versus placebo in the treatment of psoriatic arthritis

Anticipated start date:

Lead Sponsor:

BMS

Investigator(s):

Study Type:

Interventional

Purpose:

Treatment

Allocation:

Randomized

Masking:

Double Blind

Control:

none

Assignment:

Single Group

Endpoints:

Safety/Efficacy

Primary Outcomes:

  • The primary efficacy endpoint is the proportion of subjects achieving an ACR 20 response at Day 169 (6 months).

Secondary Outcomes:

  • Proportion of subjects achieving an IGA score of clear or almost clear at Day 169
  • Mean percentage change from baseline in target lesion score at Day 169.

Total Number to be Enrolled:

164

Total Number to be Enrolled at Stanford:

5

More Information

Trial Unique Id: SU-05292008-1188

Secondary ID(s):

  • IRB 11497

Locations & Contacts

Stanford Locations & Contacts:

Stanford University School of Medicine 300 Pasteur Drive Stanford, CA 94305

Primary Contact:

Zayna Shaheen (650) 736-8482

Secondary Contact:

Donna Adelman (650) 724-3121

Non-Stanford Locations:

The Stanford website does not have any locations outside of Stanford listed for this trial. You may want to check clinicaltrials.gov for posible additional locations.

This listing was last updated:

5/29/2008

PLEASE NOTE:

Study Coordinators and Research Nurses cannot give medical advice over the phone. Telephone numbers are provided for obtaining additional information on specific clinical research trials only. If you have specific questions which require clinical expertise, please call your primary care physician. If you do not have a primary care physician please feel free to call the SHC Physician Referral Service at (800) 756-9000 or send an email.

Stanford Medicine Resources:

Footer Links: