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Clinical Trials List

Protocol NumberIM101-291
NCT Number(ClinicalTrials.gov Identfier)NCT01714817

2013-05-01 - 2017-12-31

Phase III

Terminated4

Study ended1

ICD-10M32.14

Glomerular disease in systemic lupus erythematosus

A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of BMS-188667 (Abatacept) or Placebo on a Background of Mycophenolate Mofetil (MMF) and Corticosteroids in Subjects with Active Class III or IV Lupus Nephritis

  • Trial Applicant

    BRISTOL-MYERS SQUIBB (TAIWAN) LTD.

  • Sponsor

    Bristol-Myers Squibb

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Shue-Fen Lo Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 鄭添財 Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Chen Der-Yuan Division of Rheumatology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Joung-Liang Lan 風濕免疫科

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Study ended

Principal Investigator PING-NING HSU 風濕免疫科

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Condition/Disease

Active Class III or IV Lupus Nephritis

Objectives

The primary objective of this study is to compare the proportion of subjects with Complete Renal Response (CR) of lupus glomerulonephritis (defined in Section 5.4.1.1) at Day 365 following 1 year treatment with abatacept or placebo administered on a background of MMF and corticosteroids.

Test Drug

Abatacept (BMS-188667)

Active Ingredient

Abatacept (BMS-188667)

Dosage Form

Injection

Dosage

250mg/15ml/vial

Endpoints

This study comprises a Screening Period, a 104 week Double-Blind Treatment Period and a
follow-up period. The primary endpoint will be assessed at Day 365.

Inclution Criteria

Target population
a) SLE as defined by meeting at least 4 of the 11 classification criteria of the American College of Rheumatology for the classification of Systemic Lupus Erythematosus, either sequentially or coincidentally. The 4 criteria need not be present at the time of study entry (see Appendix 1).
b) Urine protein creatinine ratio (UPCR) ≥ 1.0 at Screening
c) Biopsy within 12 months prior to screening visit indicating active proliferative lupus
glomerulonephritis ISN/RPS 2003 classification Class III or IV [excluding Class III (C), IV-S (C) and IV-G (C)] or WHO 1982 Classification Class III or IV (excluding IIIc, IVd) (see Appendix 2). NOTE:
If no prior biopsy was done for the subject at the time of the screening visit yet, the procedure can be performed during the screening period as a study procedure.
d) Evidence of active disease within 3 months of Screening, based on at least one of the following:
i) Renal Flare (defined in Section 5.4.1.4)
ii) UPCR ≥ 3 at Screening
iii) Active urine sediment, defined as at least one of the following:
• ≥ 5 red blood cells (RBC) per high power field (hpf)
• ≥ 5 white blood cells (WBC) per hpf
• presence of cellular casts
iv) Biopsy within 3 months prior to screening visit indicating active proliferative lupus
glomerulonephritis ISN/RPS 2003 classification Class III or IV [excluding Class III (C), IV-S
(C) and IV-G (C)] or WHO 1982 Classification Class III or IV (excluding IIIc, IVd)
(see Appendix 2). NOTE: If no prior biopsy was done for the subject at the time of the screening visit yet, the procedure can be performed during the screening period as a study procedure.
Subjects may be re-screened for urinary sediment and/or proteinuria ONCE within 2 weeks of the original screening visit.
e) Serum creatinine ≤ 3 mg/dL (ie, ≤ 265 micromol/L). Subjects not meeting this criterion but meeting all other inclusion and exclusion criteria may be re-screened for serum creatinine ONCE within 2 week of the original screening visit.

Exclusion Criteria

Medical History and Concurrent Diseases
a) Subjects with drug-induced SLE, as opposed to idiopathic SLE.
b) Subjects with autoimmune disease other than SLE as their main diagnosis (eg; RA, MS).
c) Current symptoms of severe, progressive, or uncontrolled non-SLE related renal, hepatic,
hematological, gastrointestinal, pulmonary, cardiac, neurological, or cerebral disease, or other concomitant medical conditions that, in the opinion of the Investigator, might place the subject at unacceptable risk for participation in this study.
d) Active CNS lupus (BILAG A or B) with the exception of fatigue or mild stable cognitive dysfunction (screening MRI or other imaging of the brain is not required to rule-out CNS disease in subjects who have no clinical features suggesting active CNS disease).
e) Subjects who are diagnosed as end-stage renal disease.
f) Subjects with persistent non-lupus related pyuria or hematuria (eg, hemorrhagic cystitis).
g) Subjects with a degree of tubulo-interstitial changes that suggests a significant and irreversible decrease in renal function.

The Estimated Number of Participants

  • Taiwan

    25 participants

  • Global

    400 participants