Table 2.
4-month open-label period | 6-month double-blind period | |||
---|---|---|---|---|
Abatacept (N = 190) | Abatacept (N = 60) | Placcbo (N = 62) | p value* | |
Total serious adverse events | 6 (3%) | 0 | 2 (3%) | 0.50 |
Total adverse events† | 133 (70%) | 37 (62%) | 34 (55%) | 0.47 |
Infections and infestations | 68 (36%) | 27 (45%) | 27 (44%) | 1.00 |
Influenza | 7 (4%) | 5 (8%) | 4 (7%) | 0.74 |
Bacteriuria | 3 (2%) | 4 (7%) | 0 | 0.06 |
Nasopharyngitis | 11 (6%) | 4 (7%) | 3 (5%) | 0.72 |
Upper respiratory tract infection | 14 (7%) | 4 (7%) | 5 (8%) | 1.00 |
Gastroenteritis | 1 (0.5%) | 3 (5%) | 1 (2%) | 0.36 |
Sinusitis | 6 (3%) | 3 (5%) | 2 (3%) | 0.68 |
Rhinitis | 8 (4%) | 1 (2%) | 4 (7%) | 0.36 |
Gastrointestinal disorders | 66 (35%) | 10 (14%) | 9 (15%) | 0.81 |
Abdominal pain | 9 (5%) | 3 (5%) | 1 (2%) | 0.36 |
Nausea | 19 (10%) | 2 (3%) | 4 (7%) | 0.68 |
Diarrhea | 17 (9%) | 1 (2%) | 1 (2%) | 1.00 |
Upper abdominal pain | 10 (5%) | 1 (2%) | 0 | 0.49 |
General disorders and administration site conditions | 26 (14%) | 4 (7%) | 9 (15%) | 0.24 |
Pyrexia | 12 (6%) | 4 (7%) | 5 (8%) | 1.00 |
Nervous system disorders | 30 (16%) | 3 (5%) | 2 (3%) | 0.68 |
Headache | 25 (13%) | 3 (5%) | 1 (2%) | 0.36 |
Respiratory, thoracic and mediastinal disorders | 32 (17%) | 6 (10%) | 3 (5%) | 0.50 |
Cough | 17 (9%) | 0 | 2 (3%) | 0.50 |
*Fisher’s test used to test the difference between groups given abatacept and placebo in the double-blind phase.
Adverse events that occurred in at least 5% of patients in the open-label and double-blind phases.
Adapted from The Lancet, 372, Ruperto N, Lovell DJ, Quartier P, et al; Paediatric Rheumatology International Trials Organization; Pediatric Rheumatology Collaborative Study Group. 2008. Abatacept in children with juvenile idiopathic arthritis: a randomised, double-blind, placebo-controlled withdrawal trial, 383–91, Copyright © 2008 with permission from Elsevier.