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Thrombocytopenia, Neonatal AlloimmunePhase 3FREESIA-1NCT06449651

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

A Phase 3 study testing Nipocalimab in people with Thrombocytopenia, Neonatal Alloimmune, run by Janssen Research & Development, LLC at 21 sites in 12 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial 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). Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Thrombocytopenia, Neonatal Alloimmune
What is being tested?
Nipocalimab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
39 participants
Where
21 sitesin 12 countries
Study dates
11 Nov 2024to 5 Dec 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

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

Who cannot join

  • 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

Trial locations and contacts

21 sites in 12 countries. Contact the study team or a site near you to ask about taking part.

21 sites in 12 countries

Norway4 sites, 4 recruiting
  • Haukeland University Hospital

    Bergen, 5009

    Recruiting
  • Oslo University Hospital HF Ulleval sykehus

    Oslo, 0455

    Recruiting
  • Universitetssykehuset Nord-Norge HF

    Tromsø, 9019

    Recruiting
  • St. Olavs Hospital

    Trondheim, 7030

    Recruiting

Other trials in Norway

Brazil3 sites
  • Instituto de Medicina Integral Professor Fernando Figueira

    Recife, 50070-902

    Completed
  • IDOR - Regional Rio de Janeiro

    Rio de Janeiro, 22281 100

    Completed
  • Hospital Das Clinicas Da Faculdade De Medicina Da USP

    São Paulo, 05403 000

    Completed

Other trials in Brazil

Slovakia3 sites
  • Univerzitna nemocnica L. Pasteura Kosice

    Košice, 04190

    Completed
  • Univerzitná nemocnica Martin

    Martin, 036 01

    Completed
  • Fakultna nemocnica s poliklinikou Nove Zamky

    Nové Zámky, 940 34

    Completed

Other trials in Slovakia

France2 sites
  • CHRU Lille

    Lille, 59000

    Completed
  • Hopital trousseau- APHP

    Paris, 75012

    Completed

Other trials in France

Italy2 sites
  • Mangiagalli Clinic IRCCS Ca Granda Foundation Ospedale Maggiore Policlinico

    Milan, 20122

    Completed
  • Fondazione Policlinico Universitario A Gemelli IRCCS

    Rome, 00168

    Completed

Other trials in Italy

Belgium1 site
  • Universitair Ziekenhuis Leuven

    Leuven, 3000

    Completed

Other trials in Belgium

Hungary1 site, 1 recruiting
  • Semmelweis Egyetem

    Budapest, 1082

    Recruiting

Other trials in Hungary

Israel1 site
  • Sheba Medical Center

    Ramat Gan, 5262000

    Completed

Other trials in Israel

Slovenia1 site
  • Univerzitetni klinicni center Ljubljana

    Ljubljana, 1000

    Completed

Other trials in Slovenia

Spain1 site
  • Hosp. Virgen Del Rocio

    Seville, 41013

    Completed

Other trials in Spain

Sweden1 site, 1 recruiting
  • Karolinska Universitetssjukhuset Huddinge

    Stockholm, SE-141 86

    Recruiting

Other trials in Sweden

Switzerland1 site
  • Centre Hospitalier Universitaire Vaudois CHUV

    Lausanne, 1011

    Completed

Other trials in Switzerland

About this study

Official title: 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

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).

Being tested
Nipocalimab, Placebo
Medical subject headings
Thrombocytopenia, Neonatal Alloimmune

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NipocalimabDrug

    Also called JNJ-80202135, JNJ-86507083

    Nipocalimab will be administered intravenously.

  • PlaceboDrug

    Placebo will be administered intravenously.

Study groups in NCT06449651
Study groupRoleWhat they receive
NipocalimabActive comparatorMaternal participants will receive nipocalimab Intravenously (IV).
Receives: Drug: Nipocalimab
PlaceboPlacebo comparatorMaternal participants will receive placebo IV.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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.

    Measured: Up to 1 week post birth

Secondary outcomes (24)
  1. Neonate/Fetus With Adjudicated Bleeding

    Neonate/fetus With adjudicated bleeding will be reported.

    Measured: Up to 1 Week post birth

  2. Platelet Count at Birth in a Neonate

    Platelet count at birth in a neonate will be reported.

    Measured: At birth

  3. Neonate/Fetus with Outcome of Death

    Fetus/neonate with outcome of death will be reported.

    Measured: Up to 1 Week post birth

  4. 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.

    Measured: At birth

  5. Platelet Count at Birth <30×10^9/ L In a Neonate

    Platelet count at birth <30×10^9/L in a neonate will be reported.

    Measured: At birth

  6. Platelet Count at Birth <50×10^9/L In a Neonate

    Platelet count at birth <50×10^9/L in a neonate will be reported.

    Measured: At birth

  7. Platelet Count at Birth <150×10^9/L In a Neonate

    Platelet count at birth <150×10^9/L in a neonate will be reported.

    Measured: At birth

  8. Nadir Platelet Count of a Neonate Over the First Week Post Birth

    Nadir platelet count in a neonate will be reported.

    Measured: Upto 1 Week post birth

  9. Neonate/Fetus Requiring Platelet Transfusion(s)

    Neonate(s) who require at least one platelet transfusion(s) will be reported.

    Measured: Up to 1 Week post birth

  10. Number of Platelet Transfusion(s) in Neonate/Fetus

    Number of Platelet transfusion(s) per neonate will be reported.

    Measured: Up to 1 Week post birth

  11. Number of Donor Exposures for Platelet Transfusion(s) in Neonate/Fetus

    Number of donor exposures for neonates who received platelet transfusion(s) will be reported.

    Measured: Up to 1 Week post birth

  12. Neonate/Fetus With Adjudicated Severe Bleeding

    Neonate/Fetus With adjudicated severe bleeding will be reported.

    Measured: Up to 1 week post birth

  13. Neonates With Postnatal Intravenous Immunoglobulin (IVIG) for The Treatment of Thrombocytopenia

    Neonates with IVIG for the treatment of thrombocytopenia will be reported.

    Measured: Up to 1 Week post birth

  14. Maternal Participants With Treatment-Emergent Adverse Event (TEAE)

    Maternal participants with a TEAE will be reported. An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study. TEAEs are defined as AEs with onset or worsening on or after date of first dose of study treatment.

    Measured: From randomization up to 24 weeks postpartum

  15. Maternal Participants With Serious Adverse Event (SAE)

    Maternal participants with SAE will be reported. An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study. SAE is any untoward medical occurrence that at any dose that results in death, is life-threatening, requires inpatient hospitalization/prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect and is medically important.

    Measured: From randomization up to 24 weeks postpartum

  16. Maternal Participants With Adverse Event of Special Interest (AESI)

    Maternal participants with an AESI will be reported. An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study. AESIs are considered as infections that are severe, hypoalbuminemia, deep vein thrombosis and/or pulmonary embolism, and clinically significant bleeding.

    Measured: From randomization up to 24 weeks postpartum

  17. Maternal Participants with TEAE Leading to Discontinuation of Study Intervention

    Maternal participants with TEAE leading to discontinuation of study intervention will be reported.

    Measured: Up to Week 104

  18. Neonate/Infant with TEAE

    Neonatal/infant participants with a TEAE will be reported. An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study. TEAEs are defined as AEs with onset or worsening on or after date of first dose of study treatment.

    Measured: Up to Week 104

  19. Neonate/Infant with SAE

    Neonatal/infant participants with SAE will be reported. An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study. An SAE is any untoward medical occurrence that at any dose that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect and is medically Important.

    Measured: Up to Week 104

  20. Neonate/Infant with AESI

    Neonatal/infant participants with AESI will be reported. An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study. AESIs are considered as: In infants- clinically significant mortalities in fetus/neonates due to maternal infections, and hypogammaglobulinemia.

    Measured: Up to Week 104

  21. Fetus/Neonate With TEAE of Bleeding

    Fetus/Neonate with TEAE of Bleeding will be reported. An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study. Treatment-emergent AEs are defined as AEs with onset or worsening on or after date of first dose of study treatment.

    Measured: Up to Week 104

  22. Neonate With TEAE of Infection

    Neonate with TEAE of Infection will be reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the intervention under study. Treatment-emergent AEs are defined as AEs with onset or worsening on or after date of first dose of study treatment.

    Measured: Up to Week 104

  23. Infant Development as Measured by Bayley Scales at Week 52 and Week 104

    The Bayley Scales of Infant and Toddler Development include a set of individually administered developmental scales designed to measure current developmental functioning in infants and toddlers up to 42 months of age in the areas of cognition, language, motor skills, social-emotional, and adaptive behavior, with age adjusted for prematurity. The cognition, language, motor skills scales are directly administered to the infant, while social-emotional, and adaptive behavior scales are caregiver questionnaires. The scores are standardized using norm reference samples with representative demographics and age adjusted for prematurity.

    Measured: At Week 52 and 104

  24. Maternal Participants With Antibodies to Nipocalimab Including Neutralizing Antibodies in Maternal Serum During Pregnancy and Postpartum

    Maternal participants with antibodies to nipocalimab including neutralizing antibodies in maternal serum during pregnancy and postpartum will be reported.

    Measured: Up to Week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jun 2024
  2. Study start11 Nov 2024
  3. Primary completion5 Dec 2029 (estimated)
  4. Study completion5 Dec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
39 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06449651
Sponsor's protocol ID
80202135FNAIT3001
Other IDs
80202135FNAIT3001, 2023-504307-88-00, 2023
Acronym
FREESIA-1
Status last verified
Nov 2026
First submitted
4 Jun 2024
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of Johnson \& Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Publications

  • Baker P, Keshinro B, Stegmann B, Oey A, Shu C, Heerwegh D, Zaha R, Van Valkenburgh H. Plain Language Summary of Publication: Design of the Phase 3 FREESIA-1 and FREESIA-3 Trials of Nipocalimab in Fetal and Neonatal Alloimmune Thrombocytopenia. Am J Perinatol. 2026 Jul;43(9):1256-1263. doi: 10.1055/a-2761-1775. Epub 2025 Dec 29.

    PubMed 41461173
  • Tiller H, Tiblad E, Baker P, Van Valkenburgh H, Heerwegh D, Keshinro B. Design of a Phase 3, Multicenter, Randomized, Placebo-Controlled, Double-Blind Study of Nipocalimab in Pregnancies at Risk for Fetal and Neonatal Alloimmune Thrombocytopenia. Am J Perinatol. 2026 Apr;43(5):648-656. doi: 10.1055/a-2666-5642. Epub 2025 Jul 28.

    PubMed 40720970

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nipocalimab in people with Thrombocytopenia, Neonatal Alloimmune, run by Janssen Research & Development, LLC at 21 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in Norway, Brazil, Slovakia, France, Italy and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Study Contact (844-434-4210, Participate-In-This-Study1@its.jnj.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fetus/Neonate with Outcome of Death or Adjudicated Severe Bleeding or Platelet Count Less Than (<) 30*10^9/L (time frame: Up to 1 week post birth). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06449651, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.

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