Abatacept for Treatment of Recurrent or de Novo Autoimmune Hepatitis

  • End date
    Dec 20, 2023
  • participants needed
  • sponsor
    Stuart Knechtle, M.D.
Updated on 5 December 2021
immunosuppressive agents
liver disease
liver transplant
liver damage


The purpose of this study is to evaluate whether Orencia (Abatacept) improves outcomes in liver transplant patients with recurrent or de novo AIH (autoimmune hepatitis) that has not responded to previous therapy. AIH that does not respond to steroids or conventional immunotherapy often affects young patients and leads to irreversible liver damage. There is currently no effective therapy for this condition.


Participants in this study will receive the study drug once a week for 6 months. If the study doctor feels the study drug has been beneficial, participants may receive additional study drug doses for up to an additional 6 months. Participants will continue on follow-up for 1 year after stopping Abatacept.

The risks related to participation in this study include potential side effects from the study drug include infusion-related reactions (reactions at the injection site), increase in respiratory adverse events, infections in patients with chronic obstructive pulmonary disease, risk of development of malignancies (cancer) or autoimmune disorders (which may make your current autoimmune disease worse or you can contract new autoimmune diseases). It is unknown if this is drug related. The study doctor will discuss any concerns about this with you prior to receiving treatment.

There is the possibility that the participant may experience improvement in their medical condition from participation in this study. However, this benefit cannot be guaranteed. There may be no direct medical benefit to the participant due to their participation. The Investigator hopes that in the future the information learned from this study will benefit other people with this condition.

Condition Autoimmune hepatitis
Treatment Orencia® (Abatacept)
Clinical Study IdentifierNCT04203875
SponsorStuart Knechtle, M.D.
Last Modified on5 December 2021

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