CONSORT diagrams. (A) 7/8 stratum. (B) 8/8 stratum. aPatients were randomly assigned between March 1, 2013, and December 9, 2014. Following a protocol amendment, subjects in the 7/8 cohort were nonrandomly assigned to receive abatacept. The remaining 7/8 patients were randomly assigned between December 19, 2014, and November 30, 2016. bPatient determined to be ineligible because of disease progression prior to day 1. cPatient excluded because of confirmation of Li-Fraumeni Syndrome prior to day 1.