Abatacept in Treating Adults With Mild Relapsing Wegener's Granulomatosis

University of Pennsylvania

Status and phase

Completed

Phase 2

Phase 1

Conditions

Wegener's Granulomatosis

Treatments

Drug: Abatacept

Study type

Interventional

Funder types

Other

NETWORK

NIH

Identifiers

NCT00468208

RDCRN 5522

U54AR057319 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Wegener's granulomatosis (WG) is a rare disease that causes inflammation of blood vessels, or vasculitis. It may involve many different parts of the body, but typically affects the upper and lower respiratory tract and kidneys. The purpose of this study is to determine the safety and effectiveness of the medication abatacept in treating adults with mild relapsing WG.

Full description

Current standard treatment for WG involves various medications and is based on disease severity. Unfortunately, more than 50% of people experience a relapse after remission, placing them at risk for additional organ damage and medication toxicity. To prevent this, safer and more effective treatments for mild relapses are needed. Several studies have shown that activated T cells, a type of white blood cell important in regulating immune responses, play a role in WG. Abatacept, an immunoglobulin-based medication approved by the FDA to treat rheumatoid arthritis, acts by preventing T-cell activation and may be useful in treating mild relapses of WG. The purpose of this study is to determine the safety and effectiveness of abatacept in treating adults with mild relapsing WG.

Participants will receive abatacept intravenously at study visits on Days 1, 15, and 29, and then once a month thereafter. A participant's abatacept dose is based on body weight and will remain the same throughout the study. Participants who are receiving maintenance immunosuppressive medications consisting of methotrexate, azathioprine, or mycophenolate mofetil at the time of enrollment will remain on these medications without dosage increase or reduction. Eligible participants may be on up to prednisone 15mg daily at the time of relapse. Following the development of relapse, participants may be treated with up to prednisone 30mg daily if necessary, but must to be back to the same dose that they had been on prior to relapse by Month 2. All study visits include medication review, physical exam, blood and urine collection, and questionnaires. A chest x-ray, computed tomography (CT) scan of the chest and sinuses, and lung function testing will occur at some study visits. Participants whose symptoms did not improved by Month 2 will be taken off abatacept. Any participants undergoing early termination or, after common closing, will undergo three follow-up study visits at 1, 3, and 6 months after the end of treatment.

Enrollment

20 patients

Sex

All

Ages

15+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Diagnosis of WG, meeting at least 2 of the 5 modified American College of Rheumatology (ACR) criteria. More information about this criterion can be found in the protocol.
Relapse of WG within the past 28 days where disease activity is confined to one or more of the following sites and where the symptoms/signs are of such a nature that the usual treatment would consist of the reinstitution or increase in GC to no more than prednisone 30mg daily and/or an increase or addition of a second immunosuppressive agent other than CYC (more specific information about this criterion can be found in the protocol):
1. Sinonasal disease
2. Oral mucosa ulceration
3. Skin disease
4. Musculoskeletal disease
5. Pulmonary parenchymal disease
6. Mild ocular disease
7. Subglottic inflammation without significant stenosis
8. Otic disease
9. Breast involvement
10. Urogenital involvement
11. Other mild disease
Age of 15 years or older
Willing and able to undergo treatment and attend follow-up visits
Willing to use effective forms of contraception throughout the study

Exclusion criteria

Disease involvement that does not meet the criteria for mild disease. More information about this criterion can be found in the protocol.
Disease activity that would usually be treated first with cyclophosphamide
Presence of disease activity for which the investigator would normally treat the participant with more than prednisone 30 mg daily.
Receiving cyclophosphamide at study entry
Treatment with prednisone at a dose of more than 15 mg daily at the time of relapse. Subjects will be eligible if prednisone was initiated or dose increased in the period between relapse and study enrollment provided that the prednisone dose was 15 mg daily or less at the time when the relapse occurred, the prednisone dosage was increased no higher than 30 mg daily following the recognition of relapse, and that the dosage increase was made no more than 28 days prior to enrollment.
Active infection
HIV infected, hepatitis C virus infected, or positive for hepatitis B
Unable to follow through with study participation
Cytopenia, defined as platelet count less than 80,000/mm3, absolute neutrophil count less than 1500/mm3, OR hematocrit less than 20%
Kidney insufficiency
Use of illegal drugs
Any other uncontrolled disease that would prevent participation
History of cancer. More information about this criterion can be found in the protocol.
Received an investigational medication or procedure within 30 days of study entry
Received a live vaccine within 4 weeks of study entry
Positive tuberculin skin test. More information about this criterion can be found in the protocol.
Tuberculosis as indicated by radiographic evidence
Past treatment with rituximab within the past 12 months, or past treatment with rituximab more than 12 months ago where the B lymphocyte count has not returned to normal
Certain other diseases. More information about this criterion can be found in the protocol.
Pregnant or breastfeeding