Table 1.

Intravenous abatacept rheumatoid arthritis (RA) safety database. Data available up to November 2009.

StudyPatient PopulationInterventions and Concomitant Medications During Short-term Periods*Numbers
Short-term PeriodCumulative Period#
Phase IIb RCT dose-finding (NCT00162266)1MTX inadequate respondersAbatacept 10 mg/kg vs abatacept 2 mg/kg vs placebo, plus background MTX220287
Phase IIb RCT abatacept plus etanercept (NCT00162279)14Etanercept inadequate respondersAbatacept 2 mg/kg/mo vs placebo, plus etanercept 25 mg (twice weekly)85107
Phase III RCT AIM (NCT00048568)2MTX inadequate respondersAbatacept 10 mg/kg vs placebo, plus background MTX433594
Phase III RCT ATTAIN (NCT00048581)4Anti-TNF inadequate respondersAbatacept 10 mg/kg vs placebo, plus background nonbiologic DMARD258357
Phase III RCT ASSURE (NCT00048932)5DMARD or biologic inadequate respondersAbatacept 10 mg/kg vs placebo, plus background DMARD and/or biologic therapy9591343
Phase III RCT ATTEST (NCT00095147)15MTX inadequate respondersAbatacept 10 mg/kg vs infliximab 3 mg/kg vs placebo, plus background MTX156399
Phase II open-label MoA (NCT00162201)16Anti-TNF inadequate respondersOpen-label abatacept 10 mg/kg, plus background nonbiologic DMARD1616
Phase III open-label ARRIVE (NCT00162201)17Anti-TNF inadequate respondersOpen-label abatacept 10 mg/kg, plus background nonbiologic DMARD10461046
Total31734149
  • * Patients switched to open-label intravenous (IV) abatacept (∼10 mg/kg according to weight range) if they entered the open-label longterm extensions, during which changes to concomitant and background medications were permitted.

  • Patients receiving IV abatacept.

  • # Some patients from other treatment groups crossed over to IV abatacept treatment duing open-label extensions. RCT: randomized controlled trial; MTX: methotrexate; AIM: Abatacept in Inadequate responders to Methotrexate; ATTAIN: Abatacept Trial in Treatment of Anti-TNF INadequate responders; TNF: tumor necrosis factor; DMARD: disease-modifying antirheumatic drug; ASSURE: Abatacept Study of Safety in Use with other RA therapies; ATTEST: Abatacept or infliximab versus placebo, a Trial for Tolerability, Efficacy and Safety in Treating RA; MoA: mechanism of action; ARRIVE: Abatacept Researched in RA patients with an Inadequate anti-TNF response to Validate Effectiveness.