ClinicalTrials.gg
RecruitingNCT06449651FREESIA-1Updated Nov 3, 2026

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

A Phase 3 interventional study of Nipocalimab and Placebo in Thrombocytopenia, Neonatal Alloimmune, sponsored by Janssen Research & Development, LLC. Recruiting at 21 sites in 12 countries. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Janssen Research & Development, LLC (part of Johnson & Johnson) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2024; still recruiting 2 years later.
Updated Nov 3, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
39
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study 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).

02

Conditions studied

  • Thrombocytopenia, Neonatal Alloimmune
03

In context

Lead sponsor

Janssen Research & Development, LLC is the lead sponsor of 932 studies on the registry; 76 are open to participants now.

Of its 285 completed or terminated interventional studies of FDA-regulated products, 136 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 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 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 (ECG), and clinical laboratory tests performed at screening
  • For maternal participant and neonate/infant, willing to forego participation in another clinical study of an therapy until the last follow-up visit

Exclusion criteria

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, , or intolerance to nipocalimab or its (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
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
39 participants (estimated)

Study arms

  • Active comparator
    Nipocalimab

    Maternal participants will receive nipocalimab Intravenously (IV).

    Drug: Nipocalimab

  • Placebo comparator
    Placebo

    Maternal participants will receive placebo IV.

    Drug: Placebo

Interventions

  • Nipocalimab will be administered intravenously.

    Also known as: JNJ-80202135, JNJ-86507083

  • DrugPlacebo

    Placebo will be administered intravenously.

06

What researchers measure

Primary outcomes

  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.

    Time frame: Up to 1 week post birth

Secondary outcomes

  1. Neonate/Fetus With Adjudicated Bleeding

    Neonate/fetus With adjudicated bleeding will be reported.

    Time frame: Up to 1 Week post birth

  2. Platelet Count at Birth in a Neonate

    Platelet count at birth in a neonate will be reported.

    Time frame: At birth

  3. Neonate/Fetus with Outcome of Death

    Fetus/neonate with outcome of death will be reported.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: At birth

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

    Nadir platelet count in a neonate will be reported.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: Up to 1 Week post birth

  12. Neonate/Fetus With Adjudicated Severe Bleeding

    Neonate/Fetus With adjudicated severe bleeding will be reported.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: Up to Week 24

07

Study locations

6 of 21 sites recruiting
08

References and documents

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 ↗

Individual participant data

Plan to share: 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

Data sharing details ↗ · innovativemedicine.jnj.com

09

Updates

2 registry updates since Sep 25, 2026
Sites
14 sites changed recruiting status (14 now completed)
Show 14 sites
  • Instituto de Medicina Integral Professor Fernando Figueira · Recife, BrazilRecruiting→Completed
  • IDOR - Regional Rio de Janeiro · Rio de Janeiro, BrazilRecruiting→Completed
  • Hospital Das Clinicas Da Faculdade De Medicina Da USP · São Paulo, BrazilRecruiting→Completed
  • Sheba Medical Center · Ramat Gan, IsraelRecruiting→Completed
  • Universitair Ziekenhuis Leuven · Leuven, BelgiumRecruiting→Completed
  • CHRU Lille · Lille, FranceRecruiting→Completed
  • Hopital trousseau- APHP · Paris, FranceRecruiting→Completed
  • Mangiagalli Clinic IRCCS Ca Granda Foundation Ospedale Maggiore Policlinico · Milan, ItalyRecruiting→Completed
  • Fondazione Policlinico Universitario A Gemelli IRCCS · Rome, ItalyRecruiting→Completed
  • Univerzitna nemocnica L. Pasteura Kosice · Košice, SlovakiaRecruiting→Completed
  • Univerzitná nemocnica Martin · Martin, SlovakiaRecruiting→Completed
  • Fakultna nemocnica s poliklinikou Nove Zamky · Nové Zámky, SlovakiaRecruiting→Completed
  • Univerzitetni klinicni center Ljubljana · Ljubljana, SloveniaRecruiting→Completed
  • Centre Hospitalier Universitaire Vaudois CHUV · Lausanne, SwitzerlandRecruiting→Completed
across 2 updates, Sep 25, 2026 – Nov 3, 2026
Publications
1 publication citing this study linked from PubMed, e.g. PubMed 41461173 ↗
Sep 25, 2026
Show all 2 updates
  1. Nov 3, 2026
    10 sites changed recruiting status (10 now completed)
    Show 10 sites
    • Universitair Ziekenhuis Leuven · Leuven, BelgiumRecruiting→Completed
    • CHRU Lille · Lille, FranceRecruiting→Completed
    • Hopital trousseau- APHP · Paris, FranceRecruiting→Completed
    • Mangiagalli Clinic IRCCS Ca Granda Foundation Ospedale Maggiore Policlinico · Milan, ItalyRecruiting→Completed
    • Fondazione Policlinico Universitario A Gemelli IRCCS · Rome, ItalyRecruiting→Completed
    • Univerzitna nemocnica L. Pasteura Kosice · Košice, SlovakiaRecruiting→Completed
    • Univerzitná nemocnica Martin · Martin, SlovakiaRecruiting→Completed
    • Fakultna nemocnica s poliklinikou Nove Zamky · Nové Zámky, SlovakiaRecruiting→Completed
    • Univerzitetni klinicni center Ljubljana · Ljubljana, SloveniaRecruiting→Completed
    • Centre Hospitalier Universitaire Vaudois CHUV · Lausanne, SwitzerlandRecruiting→Completed
    + 1 other change: verification date
  2. Sep 25, 2026
    Publications 1 publication citing this study linked from PubMed, e.g. PubMed 41461173 ↗
    4 sites changed recruiting status (4 now completed)
    Show 4 sites
    • Instituto de Medicina Integral Professor Fernando Figueira · Recife, BrazilRecruiting→Completed
    • IDOR - Regional Rio de Janeiro · Rio de Janeiro, BrazilRecruiting→Completed
    • Hospital Das Clinicas Da Faculdade De Medicina Da USP · São Paulo, BrazilRecruiting→Completed
    • Sheba Medical Center · Ramat Gan, IsraelRecruiting→Completed
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06449651
Responsible party
Sponsor
First posted
Jun 10, 2024
Start date
Nov 11, 2024
Primary completion
Dec 5, 2029 (estimated)
Completion
Dec 5, 2029 (estimated)
Last update
Nov 3, 2026

Study contacts

Study Contact
Contact
Participate-In-This-Study1@its.jnj.com
844-434-4210
Janssen Research & Development, LLC Clinical Trial
study director · Janssen Research & Development, LLC

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Nipocalimab

Start the discussion