In the single-centre Abatacept Sjögren Active Patients phase III (ASAP-III) study, no difference was seen in disease activity (as measured by ESSDAI) in patients with primary Sjögren syndrome (pSS) treated with abatacept (n = 40) compared with those who received placebo (n = 39) after 24 weeks. Patient-reported symptoms (as measured by ESSPRI) also did not differ between the groups, although IgG and rheumatoid factor concentrations were decreased in the abatacept group at 24 weeks. Further studies are needed to evaluate the effects of abatacept on specific systemic manifestations of pSS.