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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 45 Years |
| Sex | Women only |
| Enrollment | 39 (estimated) |
| Sponsor | Janssen Research & Development, LLC Industry-sponsored |
| Drugs / interventions | nipocalimab |
| Locations | 21 sites (Leuven and 20 other locations) |
| Status | Recruiting |
| Started | November 11, 2024 |
| Main results expected | December 5, 2029 |
| Study ends | December 5, 2029 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT06449651 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
- Study coordinator: Study Contact
- Email: Participate-In-This-Study1@its.jnj.com
- Phone: 844-434-4210
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Evaluating nipocalimab and IVIG for preventing fetal and neonatal thrombocytopenia
This study is testing if a new treatment called nipocalimab can help pregnant women with a history of fetal and neonatal thrombocytopenia keep their babies' platelet levels safe compared to standard treatment with IVIG.
-
Nipocalimab in breast milk after a single IV dose in healthy lactating women
This study tests how much nipocalimab shows up in breast milk after a single IV dose in healthy breastfeeding women.
-
Nipocalimab for adults with moderate to severe systemic lupus erythematosus
This trial tests nipocalimab versus placebo in adults with moderate to severe lupus to see if it reduces disease activity and symptoms.
-
Nipocalimab versus efgartigimod for generalized myasthenia gravis
This trial will test whether nipocalimab or efgartigimod works better to reduce muscle weakness in adults with AChR-positive generalized myasthenia gravis who have meaningful symptoms despite stable therapy.
-
Nipocalimab treatment for pregnant women at risk of severe fetal anemia
This study is testing if nipocalimab can help pregnant women at risk of having babies with severe anemia due to a past condition, to see if it improves the health of their newborns.
-
Evaluating nipocalimab for adults with chronic inflammatory demyelinating polyneuropathy
This study is testing a new treatment called nipocalimab to see if it can help adults with chronic inflammatory demyelinating polyneuropathy avoid relapses and feel better.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.