A Study of Nipocalimab or Intravenous Immunoglobulin (IVIG) in Pregnancies At Risk of Fetal and Neonatal Alloimmune Thrombocytopenia (FNAIT)

Last updated: March 12, 2026
Sponsor: Janssen Research & Development, LLC
Overall Status: Active - Recruiting

Phase

3

Condition

Platelet Disorders

Thrombosis

White Cell Disorders

Treatment

Prednisone

Nipocalimab

Intravenous immunoglobulins (IVIG)

Clinical Study ID

NCT06533098
80202135FNAIT3003
80202135FNAIT3003
2023-509434-19-00
  • Ages 18-45
  • Female

Study Summary

The purpose of this study is to assess the efficacy and safety of nipocalimab in reducing the risk of severe fetal and neonatal alloimmune thrombocytopenia (FNAIT).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Pregnant and an estimated gestational age from week 13 to 18 at visit 1

  • Has a history of greater than or equal to (>=) 1 prior pregnancy with FNAIT based onmedical records including: a) neonatal platelet count less than (<) 150*10^9/Literwith no fetal/neonatal intracranial hemorrhage (ICH) or severe fetal/neonatalhemorrhage (standard-risk) OR b) fetus/neonate with ICH or severe hemorrhage in afetus/neonate (high-risk)

  • Current pregnancy with presence of maternal anti-HPA-1a and/or anti-HPA-5balloantibody and positive fetal HPA-1a and/or HPA-5b genotype as confirmed bycell-free fetal DNA in maternal blood

  • Health status considered stable by the investigator based on physical examination,medical history, vital signs, 12-lead electrocardiogram (ECG), and clinicallaboratory tests performed at screening

  • For maternal participant and neonate/infant, willing to forego participation inanother clinical study of an investigational therapy until the last follow-up visit

Exclusion

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,to IVIG or to prednisone

  • Has any confirmed or suspected clinical immunodeficiency syndrome or has a familyhistory of congenital or hereditary immunodeficiency unless confirmed absent in theparticipant

Study Design

Total Participants: 50
Treatment Group(s): 3
Primary Treatment: Prednisone
Phase: 3
Study Start date:
February 10, 2025
Estimated Completion Date:
December 05, 2029

Connect with a study center

  • Medizinische Universitaet Graz

    Graz, 8036
    Austria

    Active - Recruiting

  • Medizinische Universitaet Graz

    Graz 2778067, 8036
    Austria

    Site Not Available

  • Medical University Vienna

    Vienna, 1090
    Austria

    Active - Recruiting

  • Medical University Vienna

    Vienna 2761369, 1090
    Austria

    Site Not Available

  • Universitaetsklinikum Giessen und Marburg GmbH

    Giessen, 35392
    Germany

    Active - Recruiting

  • Universitaetsklinikum Giessen und Marburg GmbH

    Giessen 2920512, 35392
    Germany

    Site Not Available

  • Medizinische Hochschule Hannover

    Hannover, 30625
    Germany

    Site Not Available

  • Medizinische Hochschule Hannover

    Hanover, 30625
    Germany

    Active - Recruiting

  • Medizinische Hochschule Hannover

    Hanover 2910831, 30625
    Germany

    Site Not Available

  • Universitatsklinikum Jena

    Jena, 07747
    Germany

    Active - Recruiting

  • Universitatsklinikum Jena

    Jena 2895044, 07747
    Germany

    Site Not Available

  • Universitaetsklinikum Tuebingen

    Tuebingen, 72076
    Germany

    Site Not Available

  • Universitaetsklinikum Tuebingen

    Tübingen, 72076
    Germany

    Active - Recruiting

  • Universitaetsklinikum Tuebingen

    Tübingen 2820860, 72076
    Germany

    Site Not Available

  • Leiden University Medical Center

    Leiden, 2333 ZA
    Netherlands

    Active - Recruiting

  • Leiden University Medical Center

    Leiden 2751773, 2333 ZA
    Netherlands

    Site Not Available

  • Instytut Centrum Zdrowia Matki Polki

    Lodz, 93 338
    Poland

    Active - Recruiting

  • Instytut Centrum Zdrowia Matki Polki

    Lodz 3093133, 93 338
    Poland

    Site Not Available

  • Instytut Matki i Dziecka

    Warsaw, 01 211
    Poland

    Active - Recruiting

  • Panstwowy Instytut Medyczny MSWiA w Warszawie

    Warsaw, 02 507
    Poland

    Active - Recruiting

  • Instytut Matki i Dziecka

    Warsaw 756135, 01 211
    Poland

    Active - Recruiting

  • Panstwowy Instytut Medyczny MSWiA w Warszawie

    Warsaw 756135, 02 507
    Poland

    Site Not Available

  • Instytut Matki i Dziecka

    Warszawa, 01 211
    Poland

    Active - Recruiting

  • Panstwowy Instytut Medyczny MSWiA w Warszawie

    Warszawa, 02 507
    Poland

    Site Not Available

  • Birmingham Women's Hospital

    Birmingham, B15 2TG
    United Kingdom

    Active - Recruiting

  • Birmingham Women's Hospital

    Birmingham 2655603, B15 2TG
    United Kingdom

    Site Not Available

  • Liverpool Women's NHS Foundation Trust - Liverpool Women's Hospital

    Liverpool, L8 7SS
    United Kingdom

    Active - Recruiting

  • Liverpool Women's NHS Foundation Trust - Liverpool Women's Hospital

    Liverpool 2644210, L8 7SS
    United Kingdom

    Site Not Available

  • Queen Charlotte's and Chelsea Hospital

    London, W12 0HS
    United Kingdom

    Active - Recruiting

  • Queen Charlotte's and Chelsea Hospital

    London 2643743, W12 0HS
    United Kingdom

    Site Not Available

  • John Radcliffe Hospital

    Oxford, OX3 9DU
    United Kingdom

    Active - Recruiting

  • John Radcliffe Hospital

    Oxford 2640729, OX3 9DU
    United Kingdom

    Site Not Available

  • The University of Alabama at Birmingham

    Birmingham, Alabama 35205
    United States

    Active - Recruiting

  • The University of Alabama at Birmingham

    Birmingham 4049979, Alabama 4829764 35205
    United States

    Site Not Available

  • UC Davis School of Medicine

    Sacramento, California 95817
    United States

    Active - Recruiting

  • UC Davis School of Medicine

    Sacramento 5389489, California 5332921 95817
    United States

    Site Not Available

  • Childrens Hospital Colorado

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • Childrens Hospital Colorado

    Aurora 5412347, Colorado 5417618 80045
    United States

    Site Not Available

  • Advocate Children's Hospital

    Park Ridge, Illinois 60068
    United States

    Active - Recruiting

  • Advocate Children's Hospital

    Park Ridge 4905367, Illinois 4896861 60068
    United States

    Site Not Available

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina 27599
    United States

    Active - Recruiting

  • University of North Carolina at Chapel Hill

    Chapel Hill 4460162, North Carolina 4482348 27599
    United States

    Site Not Available

  • University of Cincinnati

    Cincinnati, Ohio 45267
    United States

    Active - Recruiting

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

  • Hospital of the University of Pennsylvania

    Philadelphia 4560349, Pennsylvania 6254927 19104
    United States

    Site Not Available

  • University of Texas Medical Branch

    Galveston, Texas 77555
    United States

    Active - Recruiting

  • University of Texas Medical Branch

    Galveston 4692883, Texas 4736286 77555
    United States

    Site Not Available

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