Patient-reported data from post-hoc analyses of the AVERT trial
evaluating rate of RAPID3-defined remission and time to remission in
early moderate to severe rheumatoid arthritis (RA) patients treated with Orencia
(abatacept) + methotrexate (MTX) vs. MTX alone to be presented
New two-year data from AVERT on re-treatment with Orencia
plus MTX in recapturing prior remission following a flare after complete
therapy withdrawal in patients with early moderate to severe RA also to
be presented
Oral presentation on translational research evaluating how
different sets of immune cells may correlate with distinct clinical
characteristics as well as response to Orencia therapy in
patients with systemic lupus erythematosus (SLE)
Bristol-Myers
Squibb Company (NYSE:BMY) announced today that 24 abstracts on Orencia (abatacept)
and related immunoscience data will be presented at the 2015 annual
meeting of the American College of Rheumatology (ACR), to be held
November 6-11, in San Francisco, CA. The data being presented reinforce
the company’s continued commitment to further research in moderate to
severe rheumatoid arthritis (RA) and other immune-related diseases.
Two of the highlighted presentations include new data from the Assessing
Very Early Rheumatoid Arthritis Treatment
(AVERT) study, a Phase 3 trial evaluating patients with early,
progressive disease and poor prognosis. One analysis assessed
patient-reported outcomes and remission rates as measured by Routine
Assessment of Patient Index Data 3
(RAPID3)-defined remission, as well as correlation between RAPID3 and
Boolean, SDAI and CDAI (definitions of remission) in each treatment arm.
The second analysis of the AVERT data evaluated the re-treatment of
moderate to severe RA with Orencia plus MTX after complete
therapy withdrawal and rates of disease remission following a flare, as
well as rates of achieving a major clinical response (MCR). In addition,
an oral presentation during the congress will feature new translational
research evaluating how different sets of immune cells may correlate
with distinct clinical characteristics and response to Orencia in
patients with lupus.
“As a leader in the research of immunomodulatory therapies,
Bristol-Myers Squibb is proud to present a broad set of analyses at ACR
that will help inform the physician community about Orencia data
and the importance of managing patients with early, progressive,
moderate to severe RA,” said Douglas Manion, M.D., head of Specialty
Development, Bristol-Myers Squibb. “At ACR this year, we will also share
investigational data on Orencia in other immune-related diseases
like lupus, which is estimated to affect more than one million people in
the U.S. Bristol-Myers Squibb remains committed to ongoing research that
helps to address unmet medical needs of patients in a broad range of
autoimmune disorders including myositis, vasculitis and Sjogren’s
syndrome, among others.”
The complete list of Bristol-Myers Squibb presentations is below.
Abstracts can be accessed on the ACR website at: http://acrabstracts.org/.
Title
|
|
Date/Time
|
Oral Presentation
|
|
|
De-Convolution of Whole Blood Transcriptomic Data from a Phase 2b,
Randomized, Double-Blind, Placebo-Controlled Trial of Abatacept in
Systemic Lupus Erythematosus
|
|
November 9, 2015 at 2:30 p.m. PST
|
Poster Presentations
|
|
|
Abatacept Plus Methotrexate Can Effectively and Safely Regain the
Target of Remission Following Re-Treatment for Flares after
Drug-Free Withdrawal in Patients with Early Rheumatoid Arthritis
(AVERT)
|
|
November 8, 2015 at 9:00 a.m. PST
|
Baseline Autoantibodies Preferentially Impact Abatacept Efficacy in
Patients with RA Who Are Biologic Naïve: 6-Month Results from a
Real-World, International, Prospective Study (ACTION)
|
|
November 8, 2015 at 9:00 a.m. PST
|
Body Mass Index Does Not Influence the Efficacy of Abatacept in
Patients with RA Who Are Biologic Naïve: 6-Month Results from a
Real-World, International, Prospective Study (ACTION)
|
|
November 8, 2015 at 9:00 a.m. PST
|
Can Anti-TNF-Induced Autoantibody Conversion be Reversed By
Switching to Abatacept Therapy in Patients with RA on Background
MTX? (AMPLE, ATTEST)
|
|
November 8, 2015 at 9:00 a.m. PST
|
Disease and Treatment Characteristics That Might Influence Long-Term
Retention with Biologics in the Real-World Clinical Setting:
Experience from the Rhumadata Clinical Database and Registry
|
|
November 8, 2015 at 9:00 a.m. PST
|
First Year Canadian Experience with Subcutaneous Abatacept in
Routine Practice for the Treatment of Patients with Rheumatoid
Arthritis: Data from the Orencia Response Program (ORP) Network
|
|
November 8, 2015 at 9:00 a.m. PST
|
Impact of Anti-Citrullinated Protein Antibody Status and Response to
Abatacept (CORRONA)
|
|
November 8, 2015 at 9:00 a.m. PST
|
Impact of Baseline Anti-Cyclic Citrullinated Peptide 2 Antibody
Titer on Efficacy Outcomes Following Treatment with Subcutaneous
Abatacept or Adalimumab (AMPLE)
|
|
November 8, 2015 at 9:00 a.m. PST
|
On Drug and Drug-Free Remission By Baseline Disease Duration:
Abatacept Versus Methotrexate Comparison in Patients with Early
Rheumatoid Arthritis (AVERT)
|
|
November 8, 2015 at 9:00 a.m. PST
|
Predictors of Real-World Treatment Sustainability in RA Patients
Treated with Abatacept in Canada: Implications for Routine Care
|
|
November 8, 2015 at 9:00 a.m. PST
|
Six-Year Retention Rates with Abatacept Vs TNF Inhibitors in the
Treatment of Rheumatoid Arthritis: Experience from the Real-World
Rhumadata Clinical Database and Registry
|
|
November 8, 2015 at 9:00 a.m. PST
|
Tuberculosis Risk Among Patients with Rheumatoid Arthritis in a
United States Claims Database Initiating Abatacept and Other
Biologic Disease-Modifying Antirheumatic Drugs: Analyses Using
International Classification of Diseases Codes and a Published
Claims Algorithm
|
|
November 8, 2015 at 9:00 a.m. PST
|
Drug Survival of Second Biologic DMARD Therapy in Patients with
Rheumatoid Arthritis: Comparison of a Second Anti-TNF with a Second
Non-Anti-TNF after Discontinuation of a First Anti-TNF
|
|
November 9, 2015 at 9:00 a.m. PST
|
Evaluation of Changes in Cardiovascular Risk Factors Among Patients
with RA Prescribed Biologic DMARDs (HEOR)
|
|
November 9, 2015 at 9:00 a.m. PST
|
Incidence of Co-Morbid Autoimmune Diseases in Patients with
Rheumatoid Arthritis
|
|
November 9, 2015 at 9:00 a.m. PST
|
Long-Term Effectiveness and Safety of Abatacept in Juvenile
Idiopathic Arthritis: Interim Results from the Abatacept in JIA
Registry
|
|
November 9, 2015 at 9:00 a.m. PST
|
Routine Assessment of Patient Index Data 3 (RAPID3)-Defined
Remission Is As Stringent As ACR/EULAR Boolean-Defined Remission in
a Clinical Trial of Patients with Early Rheumatoid Arthritis Treated
with Abatacept
|
|
November 9, 2015 at 9:00 a.m. PST
|
Baseline Characteristics and Changes in Disease Activity at 12
Months in Patients Treated with Abatacept Versus Other Biologic
Disease-Modifying Antirheumatic Drugs in Clinical Practice Setting
(BRASS)
|
|
November 10, 2015 at 9:00 a.m. PST
|
Effect of Anti-Cyclic Citrullinated Peptide 2 Immunoglobulin M
Serostatus on Efficacy Outcomes Following Treatment with Abatacept
Plus Methotrexate (AVERT)
|
|
November 10, 2015 at 9:00 a.m. PST
|
Evaluation of Anti-Cyclic Citrullinated Peptide Autoantibody Levels
in Clinical Practice and Its Association with Disease Activity
(BRASS)
|
|
November 10, 2015 at 9:00 a.m. PST
|
Evaluation of the Impact of Disease-Modifying Antirheumatic Drugs on
Anti-Cyclic Citrullinated Peptide Autoantibody Levels in Clinical
Practice (BRASS)
|
|
November 10, 2015 at 9:00 a.m. PST
|
Evaluation of Patient-Reported Outcomes By Baseline Disease
Duration: 6-Month Data from Two Clinical Trials of Patients with
Early Rheumatoid Arthritis Treated with Abatacept
|
|
November 10, 2015 at 9:00 a.m. PST
|
Is Disease Duration an Independent Predictor of Treatment Response
Among Patients with Rheumatoid Arthritis Initiating Abatacept?
(CORRONA)
|
|
November 10, 2015 at 9:00 a.m. PST
|
|
About Rheumatoid Arthritis
Rheumatoid arthritis (RA) is a systemic, chronic, autoimmune disease
characterized by inflammation in the lining of joints (or synovium),
causing joint damage with chronic pain, stiffness, and swelling. RA
causes limited range of motion and decreased joint function. The
condition is more common in women than in men, who account for 75% of
patients diagnosed with RA.
About Systemic Lupus Erythematosus
Systemic Lupus Erythematosus (SLE) is a chronic, autoimmune disease
characterized by inflammation of the skin and joints and can affect
other organs in the body such as the kidneys, and tissue lining the
lungs, heart, and brain. The condition occurs 10 times more
often in women and commonly begins developing in people in their 20s and
30s.
About Orencia
Orencia SC and IV is indicated for reducing signs and symptoms,
inducing major clinical response, inhibiting the progression of
structural damage, and improving physical function in adult patients
with moderately to severely active rheumatoid arthritis. Orencia
may be used as monotherapy or concomitantly with disease-modifying
antirheumatic drugs (DMARDs) other than tumor necrosis factor (TNF)
antagonists.
Orencia IV is indicated for reducing signs and symptoms in
pediatric patients 6 years of age and older with moderately to severely
active polyarticular juvenile idiopathic arthritis. Orencia IV
may be used as monotherapy or concomitantly with methotrexate (MTX). Orencia
SC has not been studied in pediatric patients.
Orencia should not be administered concomitantly with TNF
antagonists.
Orencia is not recommended for use concomitantly with other
biologic rheumatoid arthritis (RA) therapy, such as anakinra.
Orencia is intended for use under the guidance of a physician or
healthcare practitioner.
Indications/Usage and Important Safety Information for ORENCIA®
(abatacept)
Indications/Usage
Adult Rheumatoid Arthritis (RA): ORENCIA® (abatacept) is
indicated for reducing signs and symptoms, inducing major clinical
response, inhibiting the progression of structural damage, and improving
physical function in adult patients with moderately to severely active
RA. ORENCIA may be used as monotherapy or concomitantly with
disease-modifying, anti-rheumatic drugs (DMARDs) other than tumor
necrosis factor (TNF) antagonists.
Juvenile Idiopathic Arthritis (JIA): ORENCIA is indicated for
reducing signs and symptoms in pediatric patients aged 6 years and older
with moderately to severely active polyarticular JIA. ORENCIA may be
used as monotherapy or concomitantly with methotrexate (MTX).
Important Limitations of Use: ORENCIA should not be administered
concomitantly with TNF antagonists, and is not recommended for use
concomitantly with other biologic RA therapy, such as anakinra.
Important Safety Information
Concomitant Use with TNF Antagonists: Concurrent therapy with
ORENCIA® (abatacept) and a TNF antagonist is not recommended. In
controlled clinical trials, adult patients receiving concomitant
intravenous ORENCIA and TNF antagonist therapy experienced more
infections (63%) and serious infections (4.4%) compared to patients
treated with only TNF antagonists (43% and 0.8%, respectively), without
an important enhancement of efficacy.
Hypersensitivity: Anaphylaxis or anaphylactoid reactions can
occur during or after an infusion and can be life-threatening. There
were 2 cases (<0.1%; n=2688) of anaphylaxis or anaphylactoid reactions
in clinical trials with adult RA patients treated with intravenous
ORENCIA. Other reactions potentially associated with drug
hypersensitivity, such as hypotension, urticaria, and dyspnea, each
occurred in <0.9% of patients. There was one case of a hypersensitivity
reaction with ORENCIA in JIA clinical trials (0.5%; n=190). In
postmarketing experience, a case of fatal anaphylaxis following the
first infusion of ORENCIA was reported. Appropriate medical support
measures for treating hypersensitivity reactions should be available for
immediate use. If an anaphylactic or other serious allergic reaction
occurs, administration of ORENCIA should be stopped immediately and
permanently discontinued, with appropriate therapy instituted.
Infections: Serious infections, including sepsis and pneumonia,
have been reported in patients receiving ORENCIA. Some of these
infections have been fatal. Many of the serious infections have occurred
in patients on concomitant immunosuppressive therapy which in addition
to their underlying disease, could further predispose them to infection.
Caution should be exercised in patients with a history of infection or
underlying conditions which may predispose them to infections. Treatment
with ORENCIA® (abatacept) should be discontinued if a patient develops a
serious infection. Patients should be screened for tuberculosis and
viral hepatitis in accordance with published guidelines, and if
positive, treated according to standard medical practice prior to
therapy with ORENCIA® (abatacept).
Immunizations: Live vaccines should not be given concurrently
with ORENCIA or within 3 months of its discontinuation. The efficacy of
vaccination in patients receiving ORENCIA is not known. ORENCIA may
blunt the effectiveness of some immunizations. It is recommended that
JIA patients be brought up to date with all immunizations in agreement
with current immunization guidelines prior to initiating therapy with
ORENCIA.
Use in Patients with Chronic Obstructive Pulmonary Disease (COPD):
Adult COPD patients treated with ORENCIA developed adverse events more
frequently than those treated with placebo (97% vs 88%, respectively).
Respiratory disorders occurred more frequently in patients treated with
ORENCIA compared to those on placebo (43% vs 24%, respectively),
including COPD exacerbations, cough, rhonchi, and dyspnea. A greater
percentage of patients treated with ORENCIA developed a serious adverse
event compared to those on placebo (27% vs 6%), including COPD
exacerbation [3 of 37 patients (8%)] and pneumonia [1 of 37 patients
(3%)]. Use of ORENCIA in patients with RA and COPD should be undertaken
with caution, and such patients monitored for worsening of their
respiratory status.
Blood Glucose Testing: ORENCIA for intravenous administration
contains maltose, which may result in falsely elevated blood glucose
readings on the day of infusion when using blood glucose monitors with
test strips utilizing glucose dehydrogenase pyrroloquinoline quinone
(GDH-PQQ). Consider using monitors and advising patients to use monitors
that do not react with maltose, such as those based on glucose
dehydrogenase nicotine adenine dinucleotide (GDH-NAD), glucose oxidase,
or glucose hexokinase test methods. ORENCIA for subcutaneous (SC)
administration does not contain maltose; therefore, patients do not need
to alter their glucose monitoring.
Pregnant and Nursing Mothers: ORENCIA should be used during
pregnancy only if clearly needed. The risk for development of autoimmune
diseases in humans exposed in utero to abatacept has not been
determined. Nursing mothers should be informed of the risk/benefit of
continued breast-feeding or discontinuation of the drug. A pregnancy
registry has been established to monitor fetal outcomes. Healthcare
professionals are encouraged to register pregnant patients exposed to
ORENCIA by calling 1-877-311-8972.
Most Serious Adverse Reactions: Serious infections (3% ORENCIA®
(abatacept) vs 1.9% placebo) and malignancies (1.3% ORENCIA vs 1.1%
placebo).
Malignancies: The overall frequency of malignancies was similar
between adult patients treated with ORENCIA or placebo. However, more
cases of lung cancer were observed in patients treated with ORENCIA
(0.2%) than those on placebo (0%). A higher rate of lymphoma was seen
compared to the general population; however, patients with RA,
particularly those with highly active disease, are at a higher risk for
the development of lymphoma. The potential role of ORENCIA in the
development of malignancies in humans is unknown.
Most Frequent Adverse Events (≥10%): Headache, upper respiratory
tract infection, nasopharyngitis, and nausea were the most commonly
reported adverse events in the adult RA clinical studies. Other events
reported in ≥5% of JIA patients were diarrhea, cough, pyrexia, and
abdominal pain. In general, the adverse events in pediatric patients
were similar in frequency and type to those seen in adult patients.
Note concerning SC ORENCIA: The safety and efficacy of SC ORENCIA
have not been studied in patients under 18 years of age.
Please see U.S. Full
Prescribing Information for ORENCIA.
ORENCIA® (abatacept) is a registered trademark
of Bristol-Myers Squibb Company.
About Bristol-Myers Squibb
Bristol-Myers Squibb is a global biopharmaceutical company whose mission
is to discover, develop and deliver innovative medicines that help
patients prevail over serious diseases. For more information about
Bristol-Myers Squibb, visit www.bms.com,
or follow us on Twitter at http://twitter.com/bmsnews.
About Bristol-Myers Squibb Immunoscience
With a robust pipeline of immunomodulatory therapies, Bristol-Myers
Squibb is committed to the discovery and development of transformational
medicines that may lead to long-term remission in patients suffering
from immune-mediated disease. As we learn more about the immune system
in diseases with substantial unmet needs, the potential for new
therapies that modulate the immune system continues to drive our
research efforts.
Bristol-Myers Squibb Forward-Looking Statement
This press release contains "forward-looking statements" as that term
is defined in the Private Securities Litigation Reform Act of 1995
regarding the research, development and commercialization of
pharmaceutical products. Such forward-looking statements are based on
current expectations and involve inherent risks and uncertainties,
including factors that could delay, divert or change any of them, and
could cause actual outcomes and results to differ materially from
current expectations. No forward-looking statement can be guaranteed.
Forward-looking statements in this press release should be evaluated
together with the many uncertainties that affect Bristol-Myers Squibb's
business, particularly those identified in the cautionary factors
discussion in Bristol-Myers Squibb's Annual Report on Form 10-K for the
year ended December 31, 2014 in our Quarterly Reports on Form 10-Q and
our Current Reports on Form 8-K. Bristol-Myers Squibb undertakes no
obligation to publicly update any forward-looking statement, whether as
a result of new information, future events or otherwise.
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