New drug could protect unborn babies from dangerous bleeding disorder
NCT ID NCT06533098
First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 3 times
Summary
This study tests whether a drug called nipocalimab can prevent severe bleeding in unborn babies at risk of FNAIT, a condition where the mother's immune system attacks the baby's platelets. About 50 pregnant women with a history of FNAIT will receive either nipocalimab or standard IVIG treatment. The goal is to see if nipocalimab better protects the baby from death, severe bleeding, or very low platelet counts.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2025
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 45 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pregnant and an estimated gestational age (GA) from week 13\* to 18 at visit 1 \*Randomization for high-risk FNAIT participants to occur at GA Week 12 * Has a history of greater than or equal to (\>=) 1 prior pregnancy with FNAIT based on medical records including: a) neonatal platelet count less than (\<) 150\*10\^9/Liter with no fetal/neonatal intracranial hemorrhage (ICH) or severe fetal/neonatal hemorrhage (standard-risk) OR b) fetus/neonate with ICH or severe hemorrhage in a fetus/neonate (high-risk) * Current pregnancy with presence of maternal anti-HPA-1a and/or anti-HPA-5b alloantibody and positive fetal HPA-1a and/or HPA-5b genotype as confirmed by cell-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 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, to IVIG or to prednisone * 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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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
28 sites in 7 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Advocate Children's Hospital
RECRUITINGPark Ridge, Illinois, 60068, United States
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Birmingham Women's Hospital
RECRUITINGBirmingham, B15 2TG, United Kingdom
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Childrens Hospital Colorado
RECRUITINGAurora, Colorado, 80045, United States
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Hospital of the University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Instytut Centrum Zdrowia Matki Polki
RECRUITINGLodz, 93 338, Poland
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Instytut Matki i Dziecka
RECRUITINGWarsaw, 01 211, Poland
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John Radcliffe Hospital
RECRUITINGOxford, OX3 9DU, United Kingdom
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Leiden University Medical Center
RECRUITINGLeiden, 2333 ZA, Netherlands
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Liverpool Women's NHS Foundation Trust - Liverpool Women's Hospital
RECRUITINGLiverpool, L8 7SS, United Kingdom
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Medical University Vienna
RECRUITINGVienna, 1090, Austria
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Medizinische Hochschule Hannover
RECRUITINGHanover, 30625, Germany
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Medizinische Universitaet Graz
RECRUITINGGraz, 8036, Austria
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Oregon Health And Science University
RECRUITINGPortland, Oregon, 97239, United States
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Panstwowy Instytut Medyczny MSWiA w Warszawie
RECRUITINGWarsaw, 02 507, Poland
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Queen Charlotte's and Chelsea Hospital
RECRUITINGLondon, W12 0HS, United Kingdom
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Riley Children s Hospital
SUSPENDEDIndianapolis, Indiana, 46202, United States
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Sheba Medical Center
RECRUITINGRamat Gan, 5262000, Israel
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The University of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35233, United States
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UC Davis School of Medicine
RECRUITINGSacramento, California, 95817, United States
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Universitaetsklinikum Giessen und Marburg GmbH
RECRUITINGGiessen, 35392, Germany
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Universitaetsklinikum Tuebingen
RECRUITINGTübingen, 72076, Germany
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Universitatsklinikum Jena
RECRUITINGJena, 07747, Germany
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University of Cincinnati
RECRUITINGCincinnati, Ohio, 45267, United States
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University of Iowa Hospital and Clinics
RECRUITINGIowa City, Iowa, 52242, United States
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University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27599, United States
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University of Rochester Medical Center
RECRUITINGRochester, New York, 14642, United States
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University of Texas Medical Branch
RECRUITINGGalveston, Texas, 77555, United States
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University of Utah
RECRUITINGSalt Lake City, Utah, 84108, United States
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Other studies related to the condition(s) this trial covers.