Study of Nipocalimab in Pregnant Women at Risk of Severe Hemolytic Disease of the Fetus and Newborn (HDFN)

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What is this study about?

This study focuses on Hemolytic Disease of the Fetus and Newborn (HDFN), a condition where antibodies from the mother’s blood cross the placenta and attack the developing baby’s red blood cells. The research evaluates a new medication called nipocalimab, which is given through intravenous administration, comparing it to placebo. The purpose is to determine if nipocalimab can reduce the risk of fetal anemia in pregnancies where babies are at risk of developing severe HDFN.

The study involves pregnant women whose previous pregnancies were affected by severe HDFN, resulting in either the baby developing anemia, requiring blood transfusions before birth, or unfortunately losing the pregnancy. The medication or placebo will be given to participants during their pregnancy, with the treatment period lasting up to 23 weeks.

During the study, participants will receive either JNJ-80202135 (nipocalimab) as a solution for injection or infusion, or a saline solution. The study is designed so that neither the participants nor their doctors will know which treatment they are receiving. This helps ensure that the results are not influenced by expectations about the treatment.

1 Initial assessment

You will begin participation in the study between weeks 13 and 18 of pregnancy

The study team will confirm the presence of specific antibodies in your blood through laboratory testing

A non-invasive DNA test will be performed to check your baby’s blood type

2 Treatment assignment

You will be randomly assigned to receive either nipocalimab or a placebo (salt solution)

Neither you nor your doctor will know which treatment you are receiving

The medication will be given through an intravenous infusion (directly into your vein)

3 Treatment period

You will receive regular intravenous treatments throughout your pregnancy

The medical team will monitor your pregnancy and your baby’s health regularly

Special attention will be paid to signs of fetal anemia (low blood count in your baby)

4 Monitoring and follow-up

Regular ultrasound examinations will be performed to check your baby’s development

Blood tests will be conducted to monitor antibody levels

The study will continue until your baby’s birth

5 Study completion

The main goal is to reduce the risk of fetal anemia

The study will assess if the treatment helps prevent serious complications related to hemolytic disease (a condition where maternal antibodies affect the baby’s red blood cells)

The entire study is expected to continue until July 2029

Who Can Join the Study?

  • Must be female, aged between 18 and 45 years old at the time of giving consent (or above 18 if required by local law)
  • Must be pregnant between 13 weeks and 0 days to 18 weeks and 6 days of pregnancy at the time of study enrollment (confirmed by ultrasound)
  • Must have a history of severe hemolytic disease in a previous pregnancy, documented by either:
    • Previous fetal anemia or fluid buildup in the fetus (called hydrops), or received blood transfusions while the baby was in the womb, OR
    • Previous loss of pregnancy or newborn death due to this condition, with specific blood antibodies above certain levels
  • Must currently have specific blood antibodies (RhD, Kell, Rhc, RhE, or RhC) above certain levels:
    • Kell antibodies must be level 4 or higher
    • Other antibodies must be level 16 or higher
  • Must have confirmation through blood testing that the current baby carries the corresponding blood type that could trigger a reaction with the mother’s antibodies

Who Cannot Join the Study?

  • History of severe allergic reactions to any medications or vaccines
  • Current participation in other clinical trials or use of investigational drugs within 30 days before this study
  • Known or suspected fetal abnormalities identified during pregnancy screening
  • Multiple pregnancy (carrying more than one baby)
  • Chronic medical conditions that could affect pregnancy, such as uncontrolled diabetes or high blood pressure
  • Active infections or diseases that could impact the immune system
  • Previous pregnancy complications that resulted in adverse outcomes
  • Use of medications that could interact with the study drug
  • Blood disorders other than those related to the condition being studied
  • Inability to comply with study procedures or follow-up visits
  • History of substance abuse within the past year
  • Mental health conditions that could interfere with providing informed consent
  • Planned relocation during the study period that would prevent completion of all visits

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Medical University Of Vienna Vienna Austria
Katholieke Universiteit te Leuven Leuven Belgium
Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome Italy

Other Sites

Site Name City Country Status
Academisch Ziekenhuis Leiden Leiden The Netherlands
Instytut Centrum Zdrowia Matki Polki Lodz Poland
Instytut Matki I Dziecka Warsaw Poland
Virgen del Rocío University Hospital Sevilla Spain
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico Milan Italy
Charite Universitaetsmedizin Berlin KöR Berlin Germany
Karolinska University Hospital Solna Sweden
Assistance Publique Hopitaux De Paris Paris France
Justus-Liebig-Universitaet Giessen Giessen Germany
Vseobecna Fakultni Nemocnice V Praze Prague Czechia
Centre Hospitalier Lyon Sud Pierre Benite France
University Childrens Hospital Queen Fabiola Brussels Belgium
Rotunda Hospital Dublin Ireland
Hopital Jeanne De Flandre Lille France
Udrdlhkfud Mlflzce Cjwjts Hptznfcrnqfmtuobx Hamburg Germany
Muyqbfu Ufotsvhgnf Ow Gxho Graz Austria
Puuulsukg Ikavswjh Mfwxclrj Moyqfsxqdttw Sxuxd Weifstmqpllq I Asjvtahbkvbpe Warsaw Poland
Fjnqyffnf Pasl Lx Iepynmnafnoqv Bolhybpux Dhq Hgotqwpu Utsmbjfmjmeyn Lj Pqh Madrid Spain
Hzexseeo Vdss dalxhwpl Barcelona Spain

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Recruiting
31.01.2024
Belgium Belgium
Recruiting
31.01.2024
Czechia Czechia
Not yet recruiting
31.01.2024
France France
Not yet recruiting
31.01.2024
Germany Germany
Recruiting
31.01.2024
Ireland Ireland
Not yet recruiting
31.01.2024
Italy Italy
Recruiting
31.01.2024
Poland Poland
Not yet recruiting
31.01.2024
Spain Spain
Recruiting
31.01.2024
Sweden Sweden
Recruiting
31.01.2024
The Netherlands The Netherlands
Recruiting
31.01.2024

Trial locations

Investigated drugs:

Nipocalimab is an investigational antibody medication that works to prevent hemolytic disease of the fetus and newborn (HDFN). This medication is designed to help pregnant women who are at risk of having babies with severe anemia before birth. It works by reducing the mother’s antibodies that can cross the placenta and attack the baby’s red blood cells.

Hemolytic Disease of the Fetus and Newborn (HDFN) – A blood disorder that occurs when a pregnant woman’s immune system produces antibodies that attack and destroy the red blood cells of her developing baby. The condition develops during pregnancy when there is an incompatibility between the mother’s and baby’s blood types. This leads to the breakdown of the fetus’s red blood cells, causing anemia in the developing baby. As the disease progresses, the baby may develop fluid buildup in various parts of the body. The condition can begin during pregnancy and continue after the baby is born.

Trial ID:
2022-502629-16-00
Protocol code:
80202135EBF3001
Trial Phase:
Therapeutic confirmatory (Phase III)

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