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Trial · NCT00430677

Efficacy and Safety Study of Abatacept to Treat Lupus Nephritis

NCT00430677, Phase 2, Phase 3, Terminated, Bristol-Myers Squibb; results first posted 2012-05-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety Study of Abatacept to Treat Lupus Nephritis. Trials, record NCT00430677. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00430677

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety Study of Abatacept to Treat Lupus Nephritis
NCT number
NCT00430677
Status
Terminated
Phases
Phase 2, Phase 3
Enrollment
423 participants, actual
Lead sponsor
Bristol-Myers Squibb
Conditions
Systemic Lupus Erythematosus
Interventions
Corticosteroids (prednisone or prednisolone), Abatacept, Abatacept, Mycophenolate mofetil (MMF), Abatacept
First posted
2007-02-02
Last updated
2015-03-20
Results first posted
2012-05-11

Source ClinicalTrials.gov

Registered outcomes42

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to First Confirmed Complete Renal Response (CRR) During the Short-term (Double-blind) PeriodDay 1 (randomization) to 12 months.
Confirmed at 2 consecutive visits. CRR defined as meeting all of 5 criteria. Renal function (RF): (Glomerular filtration rate \[GFR\] calculated using Modification of Diet in Renal Diseases equation equation) Calculated function abnormal at screening visit - return of renal function to greater than or equal to 90% of function at approximately 6 months prior to onset of the current episode of lupus nephritis. Calculated function normal at screening visit - estimated renal function 90% or greater of level at screening visit. Proteinuria: urinary protein/creatinine ratio \<30 mg/mmol. Hematuria: red blood cell (RBC) count within normal limits of Central Laboratory. Pyuria: White blood cell count (WBC) within normal limits of Central Laboratory. Cylindruria: No RBC or WBC casts reported.
SecondaryNumber of Participants With Confirmed Complete Renal Response (CRR) During Short-term PeriodDay 1 to 12 months
Confirmed at 2 consecutive visits. CRR defined as meeting all of 5 criteria. Renal function (RF): (Glomerular filtration rate \[GFR\] calculated using Modification of Diet in Renal Diseases equation equation) Calculated function abnormal at screening visit - return of renal function to greater than or equal to 90% of function at approximately 6 months prior to onset of the current episode of lupus nephritis. Calculated function normal at screening visit - estimated renal function 90% or greater of level at screening visit. Proteinuria: urinary protein/creatinine ratio \<30 mg/mmol. Hematuria: red blood cell (RBC) count within normal limits of Central Laboratory. Pyuria: White blood cell count (WBC) within normal limits of Central Laboratory. Cylindruria: No RBC or WBC casts reported.
SecondaryParticipants Achieving a Confirmed Complete Renal Response (CRR) at Month 12 During Short-term PeriodAt Month 12 from Day 1
Confirmed at 2 consecutive visits. CRR defined as meeting all of 5 criteria. Renal function (RF): (Glomerular filtration rate \[GFR\] calculated using Modification of Diet in Renal Diseases equation equation) Calculated function abnormal at screening visit - return of renal function to greater than or equal to 90% of function at approximately 6 months prior to onset of the current episode of lupus nephritis. Calculated function normal at screening visit - estimated renal function 90% or greater of level at screening visit. Proteinuria: urinary protein/creatinine ratio \<30 mg/mmol. Hematuria: red blood cell (RBC) count within normal limits of Central Laboratory. Pyuria: White blood cell count (WBC) within normal limits of Central Laboratory. Cylindruria: No RBC or WBC casts reported.
SecondaryTime to Achieve First Confirmed Renal Improvement (RI) During Short-term Period (as Determined by Kaplan-Meier Methodology)Day 1 (randomization) to 12 months.
RI is defined as meeting all of the following criteria. Renal function: If MDRD is abnormal at screening, within 10% of the MDRD at screening; if MDRD is 60-89 at screening, greater than or equal to 50% improvement based on the screening value or 90% or greater of MDRD at screening; if MDRD is 15-59 at screening, if MDRD is normal at screening-within 10% of the MDRD at screening. Proteinuria: improvement greater than or equal to 50% from screening. Hematuria: red blood cell (RBC)count within normal limit of central laboratory. Pyuria: white blood cell (WBC) count within normal limit of central laboratory. Cylindruria: No RBC or WBC casts.
SecondaryParticipants Achieving Renal Improvement (RI) or CRR at Month 12 During Short-term PeriodAt Month 12 from Day 1
CRR defined as meeting all of 5 criteria. RF: (Glomerular filtration rate \[GFR\] calculated using MDRD equation) Calculated function abnormal at screening visit - return of renal function to greater than or equal to 90% of function at approximately 6 months prior to onset of the current episode of lupus nephritis. Calculated function normal at screening visit - estimated renal function 90% or greater of level at screening visit. Proteinuria: urinary protein/creatinine ratio \<30 mg/mmol. Hematuria: red blood cell (RBC) count within normal limits of Central Laboratory. Pyuria: White blood cell count (WBC) within normal limits of Central Laboratory. Cylindruria: No RBC or WBC casts reported.
SecondaryNumber of Months CRR Was Maintained During Short-term PeriodDay 1 (randomization) to 12 Months
Durability of CRR, defined as the number of months (number of consecutive planned visits beyond Day 15) a participant met the definition of CRR during the double-blind treatment period. Refer to outcome 1 for description of CRR.
SecondaryBaseline Renal Function Over Time During Short-term PeriodBaseline (Day 1), Day 15, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337, 365
Baseline (BL) renal function, as estimated by calculation of the MDRD (Modification of Diet in Renal Disease) equation, over time. Renal MDRD is an equation (calculation) used to estimate Glomerular Filtration Rate (GFR) in participants with impaired renal function based on serum creatinine, age, race, and gender. GFR (mL/min/1.73 m\^2) = 175 \* (Scr)\^-1.154 \* (Age)\^-0.203 \* (0.742 if female) \* (1.212 if African American) (conventional units). mL, milliliters; min, minute; m\^2, meters squared; Scr, serum creatinine. A negative value indicates worsening.
SecondaryChange in Renal Function From Baseline Over Time During Short-term PeriodBaseline (Day 1), Day 15, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337, 365
Mean change from baseline in renal function, as estimated by calculation of the MDRD equation, over time. Renal MDRD is an equation (calculation) used to estimate Glomerular Filtration Rate (GFR) in participants with impaired renal function based on serum creatinine, age, race, and gender. GFR (mL/min/1.73 m\^2) = 175 \* (Scr)\^-1.154 \* (Age)\^-0.203 \* (0.742 if female) \* (1.212 if African American) (conventional units). mL, milliliters; min, minute; m\^2, meters squared; Scr, serum creatinine. A positive value indicates improvement. Change from baseline=Post-baseline-baseline value.
SecondaryBaseline and Post Baseline Systemic Lupus International Collaborating Clinics (SLICC)/American College of Rheumatology (ACR) Damage Index During Short-term PeriodBaseline (Day 1), Post baseline (Month 12 or 28 days after last dose)
SLICC/ACR score or damage index is a measure of cumulative damage due to Systemic Lupus Erythematosus (SLE). Damage is defined as nonreversible change (not related to active inflammation) occurring since onset of lupus, ascertained by clinical assessment and present for at least 6 months. A score of 0=no damage, early damage is defined as ≥1. The total maximum score is 48, and increasing score indicates increasing disease severity.
SecondaryNumber of Participants Achieving Renal Response (RR) at Month 12 During Short-term PeriodMonth 12
RR is defined as meeting BOTH of the following criteria:RENAL FUNCTION: Less than or equal to 25% increase from baseline;PROTEINURIA: Greater than or equal to 50% improvement in the urine protein/creatinine ratio with one of the following - urine protein/creatinine ratio (UPCR) \<113 mg/mmol,, if the baseline ratio was \<=339 mg/mmol OR UPCR \<339 mg/mmol,if the baseline ratio \> 339 mg/mmol. A participant was considered as achieving RR if response criteria at both months 11 and 12 (Days 337 and 365, respectively) were met. For 95% CI within each group, normal approximation is used if n\>=5.

Outcomes42

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to First Confirmed Complete Renal Response (CRR) During the Short-term (Double-blind) PeriodDay 1 (randomization) to 12 months.All randomized participants who received treatment. Includes participants who died and who were censored at the time of discontinuation.daysNUMBER
SECONDARYNumber of Participants With Confirmed Complete Renal Response (CRR) During Short-term PeriodDay 1 to 12 monthsAll randomized participants who received treatment. Participants who discontinued early without meeting the confirmed CRR criteria were imputed as nonresponders.ParticipantsNUMBER
SECONDARYParticipants Achieving a Confirmed Complete Renal Response (CRR) at Month 12 During Short-term PeriodAt Month 12 from Day 1All randomized participants who received treatment. Missing response values were imputed as nonresponders for participants who discontinued early after receiving study medication.ParticipantsNUMBER
SECONDARYTime to Achieve First Confirmed Renal Improvement (RI) During Short-term Period (as Determined by Kaplan-Meier Methodology)Day 1 (randomization) to 12 months.All randomized participants who received treatment. Includes participants who died and who were censored at the time of discontinuationDaysMEDIAN
SECONDARYParticipants Achieving Renal Improvement (RI) or CRR at Month 12 During Short-term PeriodAt Month 12 from Day 1All randomized participants who received treatment. Missing response values were imputed as nonresponders for participants who discontinued early after receiving study medication.ParticipantsNUMBER
SECONDARYNumber of Months CRR Was Maintained During Short-term PeriodDay 1 (randomization) to 12 MonthsAll randomized participants who received participants.MonthsMEDIAN
SECONDARYBaseline Renal Function Over Time During Short-term PeriodBaseline (Day 1), Day 15, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337, 365
n= Number of participants with measurements for that time point. Time-matched baseline (Day 1) values and post-baseline values are presented for each post-baseline visit and represent only that cohort of participants with measurement available at that post-baseline assessment.
milliliters per minute (mL/min)/1.73 m^2MEAN
SECONDARYChange in Renal Function From Baseline Over Time During Short-term PeriodBaseline (Day 1), Day 15, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337, 365ITT population (all randomized and treated subjects). n= Number of participants with both baseline and post-baseline measurements for that time point.milliliters per minute (mL/min)/1.73 m^2MEAN
SECONDARYBaseline and Post Baseline Systemic Lupus International Collaborating Clinics (SLICC)/American College of Rheumatology (ACR) Damage Index During Short-term PeriodBaseline (Day 1), Post baseline (Month 12 or 28 days after last dose)n=Participants with both post-baseline and baseline measurements showing non-reversible changes in the SLICC/ACR Damage Index (i.e., Change from Baseline greater than or equal to 0).Units on a scaleMEAN
OTHER_PRE_SPECIFIEDNumber of Participants Achieving Patient Response (PR) at Month 12 During the Short-term PeriodMonth 12All randomized participants who received treatment.ParticipantsNUMBER

Results by group895

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to First Confirmed Complete Renal Response (CRR) During the Short-term (Double-blind) PeriodAbatacept 30/10 mg/kgNANE to NEdays
Time to First Confirmed Complete Renal Response (CRR) During the Short-term (Double-blind) PeriodAbatacept 10/10 mg/kgNANE to NEdays
Time to First Confirmed Complete Renal Response (CRR) During the Short-term (Double-blind) PeriodPlaceboNANE to NEdays
Number of Participants With Confirmed Complete Renal Response (CRR) During Short-term PeriodAbatacept 30/10 mg/kg22Participants
Number of Participants With Confirmed Complete Renal Response (CRR) During Short-term PeriodAbatacept 10/10 mg/kg27Participants
Number of Participants With Confirmed Complete Renal Response (CRR) During Short-term PeriodPlacebo20Participants
Participants Achieving a Confirmed Complete Renal Response (CRR) at Month 12 During Short-term PeriodAbatacept 30/10 mg/kg9Participants
Participants Achieving a Confirmed Complete Renal Response (CRR) at Month 12 During Short-term PeriodAbatacept 10/10 mg/kg11Participants
Participants Achieving a Confirmed Complete Renal Response (CRR) at Month 12 During Short-term PeriodPlacebo8Participants
Time to Achieve First Confirmed Renal Improvement (RI) During Short-term Period (as Determined by Kaplan-Meier Methodology)Abatacept 30/10 mg/kg14195% Confidence Interval 88 to 169Days

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Short-term PeriodSTARTEDAbatacept 30/10 mg/kg99
Short-term PeriodSTARTEDAbatacept 10/10 mg/kg99
Short-term PeriodSTARTEDPlacebo100
Short-term PeriodCOMPLETEDAbatacept 30/10 mg/kg76
Short-term PeriodCOMPLETEDAbatacept 10/10 mg/kg74
Short-term PeriodCOMPLETEDPlacebo78
Short-term PeriodNOT COMPLETEDAbatacept 30/10 mg/kg23
Short-term PeriodNOT COMPLETEDAbatacept 10/10 mg/kg25
Short-term PeriodNOT COMPLETEDPlacebo22
Long-term Extension PeriodSTARTEDAbatacept 30/10 mg/kg70

Adverse events417

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherUPPER RESPIRATORY TRACT INFECTIONInfections and infestationsAbatacept 30/10 mg/kg3099
otherUPPER RESPIRATORY TRACT INFECTIONInfections and infestationsAbatacept 10/10 mg/kg2999
otherUPPER RESPIRATORY TRACT INFECTIONInfections and infestationsPlacebo3299
otherGASTROENTERITISInfections and infestationsAbatacept 30/10 mg/kg999
otherGASTROENTERITISInfections and infestationsAbatacept 10/10 mg/kg799
otherGASTROENTERITISInfections and infestationsPlacebo399
otherURINARY TRACT INFECTIONInfections and infestationsAbatacept 30/10 mg/kg999
otherURINARY TRACT INFECTIONInfections and infestationsAbatacept 10/10 mg/kg1099
otherURINARY TRACT INFECTIONInfections and infestationsPlacebo1799
otherBRONCHITISInfections and infestationsAbatacept 30/10 mg/kg799

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAbatacept 30/10 mg/kg
Total, all-cause mortalityAbatacept 10/10 mg/kg
Total, all-cause mortalityPlacebo
Total, other adverse eventsAbatacept 30/10 mg/kg8399
Total, other adverse eventsAbatacept 10/10 mg/kg7599
Total, other adverse eventsPlacebo8499
Total, serious adverse eventsAbatacept 30/10 mg/kg3399
Total, serious adverse eventsAbatacept 10/10 mg/kg2899
Total, serious adverse eventsPlacebo31100

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
22806274DERIVEDPubMed
23529285DERIVEDPubMed
24504810DERIVEDPubMed
26867033DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00430677

GET https://conductscience.org/api/trials/v1/NCT00430677/registered?page=2