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Monoclonal Antibodies
M281 for Hemolytic Disease of the Fetus and Newborn
Phase 2
Waitlist Available
Research Sponsored by Janssen Research & Development, LLC
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Free fetal deoxyribonucleic acid consistent with an antigen-positive fetus (blood sample taken from mother)
Stillbirth with fetal or placental pathology indicative of hemolytic disease of the fetus and newborn (HDFN)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from signing of informed consent up to approximately 24 weeks post-delivery for mothers; up to approximately 96 weeks post birth for neonates
Awards & highlights
Study Summary
This trial is testing a new drug to see if it's safe for pregnant women at risk for EOS-HDFN, and if it's effective, it will be measured by the percentage of participants who have a live birth at or after 32 weeks.
Who is the study for?
This trial is for pregnant women at least 18 years old, between 8-14 weeks gestation, who have a high risk of severe HDFN due to previous pregnancy complications or specific maternal alloantibody titers. Participants must be willing to receive standard care including intrauterine transfusions if needed and agree to recommended vaccinations.Check my eligibility
What is being tested?
The study tests the safety and effectiveness of M281 in preventing Early Onset Severe Hemolytic Disease of the Fetus and Newborn (EOS-HDFN). Success is measured by live births after week 32 without needing an intrauterine transfusion during pregnancy.See study design
What are the potential side effects?
While not explicitly listed in the provided information, potential side effects may include reactions at the injection site, allergic responses, or other immune-related effects given that M281 is an investigational drug targeting immune pathways.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My blood test shows I am carrying a baby with a specific genetic marker.
Select...
I had a stillbirth due to complications related to HDFN.
Select...
I am a woman and at least 18 years old.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ from signing of informed consent up to approximately 24 weeks post-delivery for mothers; up to approximately 96 weeks post birth for neonates
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from signing of informed consent up to approximately 24 weeks post-delivery for mothers; up to approximately 96 weeks post birth for neonates
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Number of Participants With Adverse Events (AEs)
Number of Participants With Live Birth at or After Gestational Age (GA) Week 32 and no Intrauterine Transfusion (IUT) Throughout Their Entire Pregnancy
Secondary outcome measures
Gestational age at Delivery
Gestational age at First IUT
Maternal Levels of Alloantibodies
+12 moreSide effects data
From 2020 Phase 2 trial • 68 Patients • NCT0377258721%
Rash
14%
Urinary Tract Infection
14%
Diarrhoea
14%
Oedema Peripheral
14%
Nasopharyngitis
7%
Malaise
7%
Asymptomatic Bacteriuria
7%
Peripheral Swelling
7%
Musculoskeletal Chest Pain
7%
Vision Blurred
7%
Vomiting
7%
Glucose Tolerance Impaired
7%
Eyelid Ptosis
7%
Headache
7%
Lymphocyte Count Decreased
7%
Brachiocephalic Vein Thrombosis
7%
Rash Erythematous
7%
Herpes Zoster
7%
Hypothyroidism
7%
Skin Swelling
7%
Thrombocytopenia
7%
Abdominal Pain Upper
7%
Nausea
7%
Vessel Puncture Site Pruritus
7%
Vessel Puncture Site Swelling
7%
Cellulitis
7%
Conjunctivitis
7%
Blood Pressure Increased
7%
Neutrophil Percentage Increased
7%
Hypophosphataemia
7%
Back Pain
7%
Muscle Spasms
7%
Muscle Twitching
7%
Cough
7%
Dysphonia
7%
Erythema
7%
Pruritus
100%
80%
60%
40%
20%
0%
Study treatment Arm
Nipocalimab 60 mg/kg (Q2W)
Placebo
Nipocalimab 5 Milligrams/Kilogram (mg/kg)
Nipocalimab 30 mg/kg
Nipocalimab 60 mg/kg
Trial Design
1Treatment groups
Experimental Treatment
Group I: M281Experimental Treatment1 Intervention
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
M281
2016
Completed Phase 2
~120
Find a Location
Who is running the clinical trial?
Janssen Research & Development, LLCLead Sponsor
975 Previous Clinical Trials
6,384,294 Total Patients Enrolled
1 Trials studying Hemolytic Disease of the Fetus and Newborn
120 Patients Enrolled for Hemolytic Disease of the Fetus and Newborn
Janssen Research & Development, LLC Clinical TrialStudy DirectorJanssen Research & Development, LLC
745 Previous Clinical Trials
3,959,891 Total Patients Enrolled
1 Trials studying Hemolytic Disease of the Fetus and Newborn
120 Patients Enrolled for Hemolytic Disease of the Fetus and Newborn
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I need corticosteroids or immunosuppressants for a condition not related to pregnancy.My blood test shows I am carrying a baby with a specific genetic marker.I have had severe bladder infections or more than 4 UTIs in the last year.I had a stillbirth due to complications related to HDFN.I haven't had any live vaccines recently and don't plan to while on nipocalimab.I have proof of immunity to measles, mumps, rubella, and chickenpox, either through blood tests or vaccination records.I have an active tuberculosis infection confirmed by a test.I have not had COVID-19 or been in close contact with someone who has, in the last 6 weeks.My blood pressure is not well-controlled.I have had genital herpes.I do not currently have an active infection like syphilis or herpes.I am currently on a treatment that involves antibody drugs.I have received treatments for HDFN during my current pregnancy.I am a woman and at least 18 years old.I am willing to undergo a blood transfusion into the womb if needed.I am up-to-date with my vaccinations, including COVID-19, as per local guidelines.
Research Study Groups:
This trial has the following groups:- Group 1: M281
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is the recruitment phase of this experiment still open?
"At the moment, this trial is not seeking patients for enrollment; its last edit on clinicaltrials.gov was posted on November 22nd 2022. Thankfully, there are 35 other studies available that accept new participants at present."
Answered by AI
Has the FDA granted clearance for M281?
"Due to limited data concerning efficacy, our team at Power rated M281's safety as a 2 on the scale of 1-3."
Answered by AI
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