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Costimulation modulation with abatacept slowed decline of β-cell function and improved HbA1c in recent-onset T1D.
We previously reported that costimulation modulation with abatacept administered for 2 years slowed decline of β-cell function over this period in patients with recent-onset T1D (2).
This is the first study to demonstrate the efficacy of T-cell costimulation modulation with abatacept in a population of patients with UA or very early RA.
Further lines of investigation in a larger patient population should further elucidate the synovial effects of co-stimulation modulation with abatacept.
We previously reported that 2 years of costimulation modulation with abatacept slowed decline of β-cell function in recent-onset type 1 diabetes (T1D).
Those results demonstrated that 2 years of costimulation modulation with abatacept slows the decline of β-cell function, measured by C-peptide as an index of endogenous insulin production, in recent-onset T1D.
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This is the first trial to examine the impact of the modulation of T-cell co-stimulation with abatacept in patients with early RA.
In patients with RA, the selective modulation of co-stimulation on T cells with abatacept is effective in reducing chronic inflammation [ 35].
The patient also had treatment failure with abatacept and an allergic reaction to infliximab.
All patients treated with abatacept were analyzed as a group.
However, a previous study determined that treatment with abatacept alone resulted in comparable immunogenicity to abatacept plus MTX, suggesting that the impact of background MTX on immunogenicity with SC abatacept is minimal.
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