RecruitingPhase 3NCT06449651

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

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


Sponsor

Janssen Research & Development, LLC

Enrollment

39 participants

Start Date

Nov 11, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

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).


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 45 Years

Inclusion Criteria5

  • 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 Criteria5

  • 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

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Interventions

DRUGNipocalimab

Nipocalimab will be administered intravenously.

DRUGPlacebo

Placebo will be administered intravenously.


Locations(21)

Universitair Ziekenhuis Leuven

Leuven, Belgium

Instituto de Medicina Integral Professor Fernando Figueira

Recife, Brazil

Instituto D Or de Pesquisa e Ensino IDOR

Rio de Janeiro, Brazil

Hospital Das Clinicas Da Faculdade De Medicina Da USP

São Paulo, Brazil

CHRU Lille

Lille, France

Hopital trousseau- APHP

Paris, France

Semmelweis Egyetem

Budapest, Hungary

Sheba Medical Center

Ramat Gan, Israel

Mangiagalli Clinic IRCCS Ca Granda Foundation Ospedale Maggiore Policlinico

Milan, Italy

Fondazione Policlinico Universitario A Gemelli IRCCS

Rome, Italy

Haukeland University Hospital

Bergen, Norway

Oslo University Hospital HF Ulleval sykehus

Oslo, Norway

Universitetssykehuset Nord-Norge HF

Tromsø, Norway

St. Olavs Hospital

Trondheim, Norway

Univerzitna nemocnica L. Pasteura Kosice

Košice, Slovakia

Univerzitná nemocnica Martin

Martin, Slovakia

Fakultna nemocnica s poliklinikou Nove Zamky

Nové Zámky, Slovakia

Univerzitetni klinicni center Ljubljana

Ljubljana, Slovenia

Hosp. Virgen Del Rocio

Seville, Spain

Karolinska Universitetssjukhuset Huddinge

Stockholm, Sweden

Centre Hospitalier Universitaire Vaudois CHUV

Lausanne, Switzerland

View Full Details on ClinicalTrials.gov

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NCT06449651


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