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Nipocalimab

Phase 3

Thrombocytopenia, Neonatal Alloimmune | Small molecule | Hematology |Johnson & Johnson|Last Updated: Jun 5, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment89
FDA Designations
FAST_TRACKBREAKTHROUGH_THERAPY
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06533098A Study of Nipocalimab or Intravenous Immunoglobulin (IVIG) in Pregnancies At Risk of Fetal and Neonatal Alloimmune Thrombocytopenia (FNAIT)PHASE3 RECRUITING 50Feb 10, 2025Dec 5, 2029Jun 5, 202626 United States, Austria +4
NCT06449651A Study of Nipocalimab in Reducing the Risk of Fetal and Neonatal Alloimmune Thrombocytopenia (FNAIT)PHASE3 RECRUITING 39Nov 11, 2024Dec 5, 2029Jun 5, 202621 Belgium, Brazil +10
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Study Endpoints
Primary Endpoints
Fetus/Neonate with Outcome of Death or Adjudicated Severe Bleeding or Platelet Count Less Than (<) 30*10^9/L
Up to 1 Week post birth

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 Endpoints
Platelet Count at Birth in a Neonate
At birth
Neonate/Fetus with Outcome of Death
Up to 1 Week post birth
Neonate with Platelet Count at Birth <10*10^9/L
At birth
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1: NipocalimabEXPERIMENTALMaternal participants with alloantibodies against HPA-1a and/or HPA-5b will be randomized to receive nipocalimab starting at gestational age (GA) week 13 to 18 until before delivery.
Arm 2: Intravenous Immunoglobins (IVIG)EXPERIMENTALMaternal participants with alloantibodies against HPA-1a and/or HPA-5b will be randomized to receive IVIG from GA week 12 for high-risk pregnancies or GA week 20 for standard-risk pregnancies. Additionally, prednisone will be added per study protocol. Participants will be gradually tapered off prednisone after delivery as per investigator judgement or maternal participant tolerance.
NipocalimabACTIVE_COMPARATORMaternal participants will receive nipocalimab Intravenously (IV).
PlaceboPLACEBO_COMPARATORMaternal participants will receive placebo IV.
Interventions
NameTypeDescription
NipocalimabDRUGNipocalimab will be administered intravenously.
Intravenous immunoglobulins (IVIG)DRUGIVIG will be administered intravenously.
PrednisoneDRUGPrednisone will be administered orally.
PlaceboDRUGPlacebo will be administered intravenously.
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Eligibility Criteria
Age Range18 Years — 45 Years
SexFEMALE
Healthy VolunteersNo
Study Sites26

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) neona...

Countries:United StatesAustriaGermanyNetherlandsPolandUnited KingdomBelgiumBrazilFranceHungaryIsraelItalyNorwaySlovakiaSloveniaSpainSwedenSwitzerland
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Recent Changes (Last 90 Days)
LOWJun 5, 2026NCT06449651lastUpdatePostDate: changed
LOWJun 5, 2026NCT06533098lastUpdatePostDate: changed
LOWJun 5, 2026NCT06449651lastUpdatePostDate: changed
LOWJun 5, 2026NCT06533098lastUpdatePostDate: changed
LOWJun 5, 2026NCT06449651lastUpdatePostDate: changed
LOWJun 5, 2026NCT06533098lastUpdatePostDate: changed
LOWJun 5, 2026NCT06449651lastUpdatePostDate: changed
LOWJun 5, 2026NCT06533098lastUpdatePostDate: changed
LOWMay 28, 2026NCT06533098lastUpdatePostDate: changed
LOWMay 28, 2026NCT06533098lastUpdatePostDate: changed
LOWMay 26, 2026NCT06449651primaryCompletionDate: changed
LOWMay 26, 2026NCT06533098primaryCompletionDate: changed
LOWMay 24, 2026NCT06449651studyFirstPostDate: changed
LOWMay 24, 2026NCT06533098studyFirstPostDate: changed