Orencia® (abatacept)
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How ORENCIA is different
who can take ORENCIA
ORENCIA is clinical trials
Talking to your rheumatologist
Getting started with ORENCIA
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Frequently asked questions
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Frequently asked questions


What is ORENCIA® (abatacept)?
ORENCIA is a prescription medicine that is used to treat adults with moderate to severe rheumatoid arthritis (RA) who have not been helped enough by other medicines for RA. RA is a disease that causes pain and joint inflammation (tenderness and swelling). RA can also cause joint damage. Your doctor may consider treating you with ORENCIA because your disease is still active even though you may have tried other treatments.

ORENCIA is also indicated to treat for reducing the signs and symptoms in pediatric patients 6 years of age or older with moderately to severely active polyarticular JIA. ORENCIA may be used alone or in combination with methotrexate.


What is THE ORENCIA® (abatacept) COPAY PROGRAM?

Learn about THE ORENCIA® (abatacept) COPAY PROGRAM, our program for new and existing ORENCIA patients with commercial insurance that pays for ORENCIA.

Eligible patients pay the out-of-pocket cost up front for each infusion.
The program will credit you the full out-of-pocket drug cost minus $50 for each infusion up to $5,000 per 12 month period.
Enrollment is for 12 months. Patients can re-enroll upon the completion of every 12 month period.
Offer covers cost of the medication copay only. This offer is valid in the United States, excluding Massachusetts or where it is prohibited by law. Other restrictions and exclusions may apply. Limited time offer.

Learn more about THE ORENCIA® (abatacept) COPAY PROGRAM


What is juvenile idiopathic arthritis (JIA)?
JIA is arthritis of unknown cause that begins before 16 years of age and lasts for at least 6 weeks. JIA causes swelling with joint pain. It is also referred to as juvenile
rheumatoid arthritis (JRA). The main symptoms children and teens with JIA may
experience are:

Pain and swelling in the joints
Stiffness in the joints
Limited range of motion

How does ORENCIA work?
ORENCIA is a rheumatoid arthritis medicine that keeps the immune system from attacking healthy tissues in the body. The immune system defends the body against infections caused by bacteria and viruses. A normal immune system leaves healthy body tissues alone.

In people with RA, the immune system attacks normal body tissues causing damage and inflammation especially in the tissues of your joints.ORENCIA interferes with an important step in this attack. By decreasing the immune system's attack on normal tissues, ORENCIA can reduce pain and joint inflammation, and slow the damage of your bones and cartilage.

However, ORENCIA can also lower your body's ability to fight infection. Treatment with ORENCIA can make you more prone to getting infections or make any infection you have worse. It is important to tell your doctor if you think you have any infections.

Who should not receive ORENCIA?
Talk to your doctor if you have ever had an allergic reaction to ORENCIA to determine if you should receive ORENCIA again.

What should I tell my doctor before treatment with ORENCIA?
Before you receive treatment with ORENCIA you should tell your doctor if you:

are taking a TNF blocker such as Enbrel®, Humira®, and Remicade® to treat RA. You may have a higher chance of getting a serious infection if you take ORENCIA with other biologic medications for RA.
are taking Kineret®
have any kind of infection including an infection that is in only one place in
your body(such as an open cut or sore), or an infection that is in your whole
body (such as the flu). Having an infection can put you at risk for serious
side effects from ORENCIA. If you are unsure please ask your doctor.
have an infection that won't go away or a history of infections that keep
coming back.
have had tuberculosis (TB), a positive skin test for TB, or you recently have been in close contact with someone who has had TB. If you develope any of the symptoms of TB (a dry cough that doesn’t go away, weight loss, fever, night sweats) call your doctor right away. Before you start ORENCIA, your doctor may examine you for TB or perform a skin test.
have a history of chronic obstructive pulmonary (lung) disease (COPD).
Taking ORENCIA may cause your COPD symptoms to get worse.
are scheduled to have surgery.
recently received a vaccination or are scheduled for any vaccination.
are pregnant or planning to become pregnant. It is not known if ORENCIA
can harm your unborn baby.
are breast-feeding. ORENCIA can pass into breast milk. You will need to decide to either breast-feed or receive treatment with ORENCIA, but not
both.
have diabetes and are using a blood glucose monitor to check your blood glucose levels. ORENCIA contains maltose, which is a type of blood sugar that can give falsely high blood glucose readings with certain types of blood glucose monitors. Your doctor may recommend a different method for monitoring your blood glucose levels.

If you are not sure or have any questions about any of this information, ask your doctor.

What important information do I need to know about side effects with ORENCIA?
Like all medicines that affect your immune system, ORENCIA can cause serious side effects. The possible serious side effects include:

Serious infections. Patients taking ORENCIA are at increased risk for developing infections including pneumonia, and other infections caused by viruses, bacteria, or fungi. Call your doctor immediately if you feel sick or get any infection during treatment with ORENCIA .
Allergic reactions.These reactions are usually mild or moderate, and include hives, swollen face, eyelids, lips, tongue, throat or trouble breathing.
Malignancies. There have been rare cases of certain kinds of cancer in patients receiving ORENCIA. The role of ORENCIA in the developement of cancer is not known.
   

What are the more common side effects with ORENCIA?
The more common side effects with ORENCIA are headache, upper respiratory tract infection, sore throat, and nausea.

Can I receive ORENCIA if I am pregnant or breast-feeding?
ORENCIA has not been studied in pregnant women or nursing mothers, so we don't know what the effects are on pregnant women or nursing babies. You should tell your doctor if you are pregnant, become pregnant or are thinking
about becoming pregnant.

Can I receive ORENCIA if I am taking other rheumatoid arthritis
medicines for my RA or other conditions?

Yes, you can take other medicines if your doctor has prescribed them or has told you it is okay to take them while you are receiving ORENCIA. It is important to tell your doctor if you are taking any other medicines including hormones, over-the-counter medicines, vitamins, supplements, or herbal products before you are treated with ORENCIA. If you start taking or plan to start taking any new medicine while you are receiving ORENCIA, tell your doctor. ORENCIA should not be taken with biologic medications for RA such as Enbrel®, Humira®, Remicade®, or Kineret®.

How will ORENCIA be given to me?
ORENCIA will be given to you by a healthcare professional using an IV. This means the medicine will be given to you through a needle placed in a vein in your arm. It will take about 30 minutes to give you the full dose of medicine.

How often will I receive ORENCIA® (abatacept)?
You will receive your first dose of ORENCIA followed by additional doses at 2 and 4 weeks after the first dose. You will then receive a dose every 4 weeks.

What should I do if I miss a dose of ORENCIA?
If you miss receiving ORENCIA when you are supposed to, ask your doctor when to schedule your next dose.

What if I still have questions?
If you have any questions or problems, always talk with your doctor. You can also call 1-800-ORENCIA® toll-free or visit the company Internet site at www.BMS.com.

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ORENCIA® (abatacept) Important Safety Information

Indication and Usage
ORENCIA® (abatacept) is a prescription medicine that reduces signs and symptoms in adults with moderate to severe rheumatoid arthritis (RA), including those who have not been helped enough by other medicines for RA. ORENCIA may prevent further damage to your bones and joints, and may help your ability to perform daily activities. ORENCIA also reduces signs and symptoms in children and adolescents 6 years of age and older with moderate to severe polyarticular juvenile idiopathic arthritis (JIA).

ORENCIA can also make your immune system less able to fight infections, so you may be more likely to get infections or any infection you have may get worse. It is important to tell your doctor if you think you have any infections.

Important Safety Information About ORENCIA® (abatacept)

Before you receive treatment with ORENCIA, a lyophilized powder for intravenous infusion, you should tell your doctor about all your medical conditions, including if you:
have any kind of infection even if it is small (such as an open cut or sore) or an infection that is in your whole body (such as the flu).
have an infection that will not go away or a history of infections that keep coming back.
have had tuberculosis (TB), a positive skin test for TB, or if you recently have been in close contact with someone who has had TB. If you get any of the symptoms of TB (a dry cough that doesn't go away, weight loss, fever, night sweats), call your doctor right away. Before you start ORENCIA, your doctor may examine you for TB or perform a skin test.
have or have had viral hepatitis. Before you use ORENCIA, your doctor may examine you for hepatitis.
have a history of chronic obstructive pulmonary (lung) disease (COPD).
are scheduled to have surgery.
are allergic to any of the following ingredients in ORENCIA: abatacept, maltose, monobasic sodium phosphate, or sodium chloride for administration.
recently received a vaccination or are scheduled for any vaccination. You should not take live vaccines if you are receiving ORENCIA.
have diabetes and use a blood glucose monitor to check your sugar levels. The infusion of ORENCIA contains maltose, a sugar that can give falsely high blood glucose readings with some monitors on the day you receive your infusion. Your doctor may tell you to use a different way to monitor your blood sugar levels.
are pregnant, planning to become pregnant, or are thinking about becoming pregnant. It is not known if ORENCIA can harm your unborn baby.
are breast-feeding. You will need to decide to either breast-feed or receive treatment with ORENCIA, but not both.
take any other kinds of medicine, including prescription and nonprescription medicines, vitamins, and herbal supplements.
are taking other biologic medicines to treat RA or JIA such as: Enbrel® (etanercept), Humira® (adalimumab), Remicade® (infliximab),
Kineret® (anakinra) or Rituxan® (rituximab). You may have a higher chance of getting a serious infection if you take ORENCIA with
other biologic medicines.

Possible Side Effects of ORENCIA® (abatacept)

ORENCIA can cause serious side effects including:
Serious infections. Patients receiving ORENCIA have a higher chance of getting infections including pneumonia, and other infections caused by viruses, bacteria, or fungi. Call your doctor immediately if you feel sick or get any of the following signs of infection: fever, feel very tired, cough, feel flu-like, or warm, red or painful skin.
Allergic reactions. Allergic reactions can happen on the day of treatment or the day after receiving ORENCIA. Tell your doctor or get emergency medical help right away if you have hives, swollen face, eyelids, lips, tongue, throat or trouble breathing.
Cancer (malignancies). Certain kinds of cancer have been reported in patients receiving ORENCIA. It is not known if ORENCIA increases your chance of getting certain kinds of cancer.
Vaccinations. You should not receive ORENCIA with certain types of vaccines. ORENCIA may cause some vaccinations to be less effective.
Respiratory problems in patients with COPD. You may get certain respiratory problems more often if you receive ORENCIA and have COPD, including: worsened COPD, pneumonia, cough, or trouble breathing.

The more common side effects with ORENCIA in both adults and children are headache, upper respiratory tract infection, sore throat, and nausea. Other side effects in children may include diarrhea, cough, fever, and abdominal pain.

Please read the Patient Information in the Full Prescribing Information.

Call 1-800-ORENCIA for more informationBristol-Myers Squibb
427US10WA04701 Apr/10