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

Last updated: May 22, 2025
Sponsor: Janssen Research & Development, LLC
Overall Status: Active - Recruiting

Phase

3

Condition

White Cell Disorders

Thrombosis

Platelet Disorders

Treatment

Nipocalimab

Prednisone

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: Nipocalimab
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

  • Medical University Vienna

    Vienna, 1090
    Austria

    Active - Recruiting

  • Universitaetsklinikum Giessen und Marburg GmbH

    Giessen, 35392
    Germany

    Active - Recruiting

  • Universitatsklinikum Jena

    Jena, 07747
    Germany

    Active - Recruiting

  • Universitaetsklinikum Tuebingen

    Tuebingen, 72076
    Germany

    Active - Recruiting

  • Instytut Centrum Zdrowia Matki Polki

    Lodz, 93 338
    Poland

    Active - Recruiting

  • Instytut Matki i Dziecka

    Warszawa, 01 211
    Poland

    Active - Recruiting

  • Panstwowy Instytut Medyczny MSWiA w Warszawie

    Warszawa, 02 507
    Poland

    Active - Recruiting

  • Birmingham Women's Hospital

    Birmingham, B15 2TG
    United Kingdom

    Active - Recruiting

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

    Liverpool, L8 7SS
    United Kingdom

    Active - Recruiting

  • Queen Charlotte's and Chelsea Hospital

    London, W12 0HS
    United Kingdom

    Active - Recruiting

  • John Radcliffe Hospital

    Oxford, OX3 9DU
    United Kingdom

    Active - Recruiting

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