Clinical trial Recruiting at 6 sites Phase 3 Interventional Ages 18 to 45 Women only

Evaluating nipocalimab for preventing fetal and neonatal alloimmune thrombocytopenia

Official title: Double-blind, Randomized, Placebo-controlled Study Evaluating the Safety and Efficacy of Nipocalimab in Reducing the Risk of Fetal and Neonatal Alloimmune Thrombocytopenia (FNAIT) in At-risk Pregnancies

Run by Janssen Research & Development, LLC · NCT06449651 · Data updated 2026-11-12

This study is testing whether nipocalimab can help pregnant women with a history of a blood condition called fetal and neonatal alloimmune thrombocytopenia prevent serious problems for their babies.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 45 Years
SexWomen only
Enrollment39 (estimated)
SponsorJanssen Research & Development, LLC
Industry-sponsored
Drugs / interventionsnipocalimab
Locations21 sites (Leuven and 20 other locations)
StatusRecruiting
StartedNovember 11, 2024
Main results expectedDecember 5, 2029
Study endsDecember 5, 2029
Registry record updatedNovember 3, 2026
Trial IDNCT06449651 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are pregnant women with a history of FNAIT and specific genetic markers indicating risk.

Probably not a fit

Patients who do not have a history of FNAIT or lack the necessary genetic markers may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to assess the effectiveness of nipocalimab in comparison to a placebo for reducing the risk of severe fetal and neonatal alloimmune thrombocytopenia (FNAIT). Pregnant women with a history of FNAIT and specific genetic markers will be enrolled between 13 to 18 weeks of gestation. Participants will receive either nipocalimab or a placebo, and their outcomes will be monitored to determine the drug's efficacy in preventing complications associated with FNAIT.

Why it matters

Potential benefit: If successful, this treatment could significantly reduce the incidence of severe complications in newborns affected by FNAIT.

How similar studies have gone: Other studies have explored treatments for FNAIT, but the specific use of nipocalimab represents a novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Pregnant and an estimated gestational age (GA; based on ultrasound dating) from Week 13 to 18 at randomization
* Has a history of greater than or equal to (\>=) 1 prior pregnancy with fetal and neonatal alloimmune thrombocytopenia (FNAIT) (including neonatal platelet count less than (\<) 150×10\^9/Liter) with none of them affected by fetal/neonatal intracranial hemorrhage (ICH) or severe hemorrhage based on a clinical review of the medical records
* Current pregnancy with presence of maternal anti- human platelet antigen (HPA)-1a alloantibody and positive fetal HPA-1a genotype as confirmed by cell-free fetal deoxyribonucleic acid (DNA) in maternal blood
* Health status considered stable by the investigator based on physical examination, medical history, vital signs, 12-lead Electrocardiogram (ECG), and clinical laboratory tests performed at screening
* For maternal participant and neonate/infant, willing to forego participation in another clinical study of an investigational therapy until the last follow-up visit

Exclusion Criteria:

* Currently pregnant with multiple gestations (twins or more)
* History of severe preeclampsia in a previous pregnancy
* History of myocardial infarction, unstable ischemic heart disease, or stroke
* Known allergies, hypersensitivity, or intolerance to nipocalimab or its excipients (refer to the Investigator Brochure (IB))
* Has any confirmed or suspected clinical immunodeficiency syndrome or has a family history of congenital or hereditary immunodeficiency unless confirmed absent in the participant

Where it's running

  • Semmelweis Egyetem
    Budapest, Hungary
    Recruiting
  • Haukeland University Hospital
    Bergen, Norway
    Recruiting
  • Oslo University Hospital HF Ulleval sykehus
    Oslo, Norway
    Recruiting
  • Universitetssykehuset Nord-Norge HF
    Tromsø, Norway
    Recruiting
  • St. Olavs Hospital
    Trondheim, Norway
    Recruiting
  • Karolinska Universitetssjukhuset Huddinge
    Stockholm, Sweden
    Recruiting
Show 15 more locations
  • Universitair Ziekenhuis Leuven
    Leuven, Belgium
    Completed
  • Instituto de Medicina Integral Professor Fernando Figueira
    Recife, Brazil
    Completed
  • IDOR - Regional Rio de Janeiro
    Rio de Janeiro, Brazil
    Completed
  • Hospital Das Clinicas Da Faculdade De Medicina Da USP
    São Paulo, Brazil
    Completed
  • CHRU Lille
    Lille, France
    Completed
  • Hopital trousseau- APHP
    Paris, France
    Completed
  • Sheba Medical Center
    Ramat Gan, Israel
    Completed
  • Mangiagalli Clinic IRCCS Ca Granda Foundation Ospedale Maggiore Policlinico
    Milan, Italy
    Completed
  • Fondazione Policlinico Universitario A Gemelli IRCCS
    Rome, Italy
    Completed
  • Univerzitna nemocnica L. Pasteura Kosice
    Košice, Slovakia
    Completed
  • Univerzitná nemocnica Martin
    Martin, Slovakia
    Completed
  • Fakultna nemocnica s poliklinikou Nove Zamky
    Nové Zámky, Slovakia
    Completed
  • Univerzitetni klinicni center Ljubljana
    Ljubljana, Slovenia
    Completed
  • Hosp. Virgen Del Rocio
    Seville, Spain
    Completed
  • Centre Hospitalier Universitaire Vaudois CHUV
    Lausanne, Switzerland
    Completed

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.