Abatacept

Drug

Drug Profile

Abatacept is a selective T-cell co-stimulation modulator used for autoimmune and immune-mediated conditions including rheumatoid arthritis, psoriatic arthritis, juvenile idiopathic arthritis, and prophylaxis of acute graft-versus-host disease.

Drug Class
Selective T-cell costimulation modulator (biologic DMARD)
Approval Status
FDA approved (initial U.S. approval: 2005; aGVHD prophylaxis indication added December 15, 2021)
Mechanism of Action
Binds CD80/CD86 on antigen-presenting cells and blocks CD28-mediated T-cell costimulation
Brand Names
  • Orencia
Indications
  • \Moderately to severely active rheumatoid arthritis\
  • \Active psoriatic arthritis\
  • \Active polyarticular juvenile idiopathic arthritis\
  • \Prophylaxis of acute graft-versus-host disease with CNI and methotrexate in eligible HSCT patients\

Related News

Novel GVHD Prevention Regimen Shows Strong Results Without Standard Immunosuppressants

Interim results from the ABC phase 1/2b trial show a calcineurin inhibitor-free GVHD prevention regimen combining posttransplant cyclophosphamide, bortezomib, and abatacept achieved low GVHD rates and favorable survival outcomes. The approach enables earlier introduction of posttransplant maintenance therapies while reducing toxicity associated with conventional immunosuppressants.

Related Clinical Trials

NCT ID Title Status Phase
NCT07599176

Partial Stem Cell Transplant for Sickle Cell Disease From Matched Donors

RECRUITING PHASE1/PHASE2
NCT07388563

Azacitidine and Abatacept in Relapsed or Refractory T-Cell Lymphoma

SUSPENDED PHASE1
NCT07366801

Co-infusion of Treg-enriched Donor Lymphocytes With CD3-depleted Hematopoietic Stem Cell Graft to Prevent Graft-versus Host Disease After Allogeneic Hematopoietic Stem Cell Transplantation Among Children With Hematologic Malignancies

RECRUITING PHASE2/PHASE3
NCT07138898

Immunosuppressant Management in Rheumatology Patients Undergoing Elective Total Shoulder Arthroplasty

NOT_YET_RECRUITING PHASE2
NCT06929039

Open Label , Randomized, Three Arm Parallel Group Single Dose Comparative Pharmacokinetic , Safety and Immunogenicity Study in Healthy Subjects

COMPLETED PHASE1
NCT06731504

HMCT/CT2401: Abatacept GVHD Prophylaxis Following Omidubicel HCT

RECRUITING EARLY_PHASE1
NCT06680661

ABBA CORD: dCBT w/ Abatacept for aGVHD Prophylaxis

RECRUITING PHASE2
NCT06654882

Trial of Sequential Medications AfteR TNFi Failure in Juvenile Idiopathic Arthritis

RECRUITING PHASE3
NCT06418529

A Study to Understand How Effective is Tofacitinib When Compared to Other Advanced Treatments in Patients With Rheumatoid Arthritis

COMPLETED
NCT06279494

Sirolimus+Abatacept+Mycophenolate Mofetil for Prophylaxis of aGVHD in Patients Receiving Haplo-HSCT Who Are Intolerant to Calcineurin Inhibitors

NOT_YET_RECRUITING PHASE1/PHASE2