A Study of Nipocalimab in Reducing the Risk of Fetal and Neonatal Alloimmune Thrombocytopenia (FNAIT)

NCT ID: NCT06449651

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-11

Study Completion Date

2029-12-11

Brief Summary

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The purpose of this study is to evaluate the effectiveness of nipocalimab compared with placebo in reducing the risk of severe fetal and neonatal alloimmune thrombocytopenia (FNAIT).

Detailed Description

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Conditions

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Thrombocytopenia, Neonatal Alloimmune

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Nipocalimab

Maternal participants will receive nipocalimab Intravenously (IV).

Group Type ACTIVE_COMPARATOR

Nipocalimab

Intervention Type DRUG

Nipocalimab will be administered intravenously.

Placebo

Maternal participants will receive placebo IV.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be administered intravenously.

Interventions

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Nipocalimab

Nipocalimab will be administered intravenously.

Intervention Type DRUG

Placebo

Placebo will be administered intravenously.

Intervention Type DRUG

Other Intervention Names

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JNJ-80202135 JNJ-86507083

Eligibility Criteria

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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 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Universitair Ziekenhuis Leuven

Leuven, , Belgium

Site Status RECRUITING

Instituto de Medicina Integral Professor Fernando Figueira

Recife, , Brazil

Site Status RECRUITING

Instituto D Or de Pesquisa e Ensino IDOR

Rio de Janeiro, , Brazil

Site Status RECRUITING

Hospital Das Clinicas Da Faculdade De Medicina Da USP

São Paulo, , Brazil

Site Status RECRUITING

CHRU Lille

Lille, , France

Site Status RECRUITING

Hopital trousseau- APHP

Paris, , France

Site Status RECRUITING

Semmelweis Egyetem

Budapest, , Hungary

Site Status RECRUITING

Sheba Medical Center

Ramat Gan, , Israel

Site Status RECRUITING

Fondazione Policlinico Universitario A Gemelli IRCCS

Rome, , Italy

Site Status RECRUITING

Haukeland University Hospital

Bergen, , Norway

Site Status RECRUITING

Oslo University Hospital HF Ulleval sykehus

Oslo, , Norway

Site Status RECRUITING

Universitetssykehuset Nord-Norge HF

Tromsø, , Norway

Site Status RECRUITING

St. Olavs Hospital

Trondheim, , Norway

Site Status RECRUITING

Univerzitna nemocnica L. Pasteura Kosice

Košice, , Slovakia

Site Status RECRUITING

Univerzitná nemocnica Martin

Martin, , Slovakia

Site Status RECRUITING

Fakultna nemocnica s poliklinikou Nove Zamky

Nové Zámky, , Slovakia

Site Status RECRUITING

Univerzitetni klinicni center Ljubljana

Ljubljana, , Slovenia

Site Status RECRUITING

Hosp. Virgen Del Rocio

Seville, , Spain

Site Status RECRUITING

Karolinska Universitetssjukhuset Huddinge

Stockholm, , Sweden

Site Status RECRUITING

Centre Hospitalier Universitaire Vaudois CHUV

Lausanne, , Switzerland

Site Status RECRUITING

Countries

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Belgium Brazil France Hungary Israel Italy Norway Slovakia Slovenia Spain Sweden Switzerland

Central Contacts

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Study Contact

Role: CONTACT

Phone: 844-434-4210

Email: [email protected]

References

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Tiller H, Tiblad E, Baker P, Van Valkenburgh H, Heerwegh D, Keshinro B. Design of a Phase 3, Multicenter, Randomized, Placebo-Controlled, Double-Blind Study of Nipocalimab in Pregnancies at Risk for Fetal and Neonatal Alloimmune Thrombocytopenia. Am J Perinatol. 2025 Aug 20. doi: 10.1055/a-2666-5642. Online ahead of print.

Reference Type DERIVED
PMID: 40720970 (View on PubMed)

Other Identifiers

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80202135FNAIT3001

Identifier Type: OTHER

Identifier Source: secondary_id

2023-504307-88-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

80202135FNAIT3001

Identifier Type: -

Identifier Source: org_study_id