About this trial
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 criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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))
Trial design
Parallel
Treatments tested in this trial
Nipocalimab
DrugNipocalimab will be administered intravenously.
Placebo
DrugPlacebo will be administered intravenously.
Treatment groups
Trial outcomes
Primary outcomes
Fetus/Neonate with Outcome of Death or Adjudicated Severe Bleeding or Platelet Count Less Than (<) 30*10^9/L
Outcome of fetus/neonate death or adjudicated severe bleeding up to the first week post birth or platelet count \<30\*10\^9/L will be reported.
Secondary outcomes
Neonate/Fetus With Adjudicated Bleeding
Neonate/fetus With adjudicated bleeding will be reported.
Platelet Count at Birth in a Neonate
Platelet count at birth in a neonate will be reported.
Neonate/Fetus with Outcome of Death
Fetus/neonate with outcome of death will be reported.
Platelet Count at Birth <10×10^9/L in a Neonate
Platelet count at birth \<10×10\^9/L in a neonate will be reported.
Sponsors and contacts
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