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Trial ยท NCT03842189

A Study to Evaluate the Safety, Efficacy, Pharmacokinetics and Pharmacodynamics of M281 Administered to Pregnant Women at High Risk for Early Onset Severe Hemolytic Disease of the Fetus and Newborn (HDFN)

NCT03842189, Phase 2, Completed, Janssen Research & Development, LLC; results first posted 2026-01-28

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. A Study to Evaluate the Safety, Efficacy, Pharmacokinetics and Pharmacodynamics of M281 Administered to Pregnant Women at High Risk for Early Onset Severe Hemolytic Disease of the Fetus and Newborn (HDFN). Trials, record NCT03842189. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03842189

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate the Safety, Efficacy, Pharmacokinetics and Pharmacodynamics of M281 Administered to Pregnant Women at High Risk for Early Onset Severe Hemolytic Disease of the Fetus and Newborn (HDFN)
NCT number
NCT03842189
Status
Completed
Phases
Phase 2
Enrollment
25 participants, actual
Lead sponsor
Janssen Research & Development, LLC
Conditions
Hemolytic Disease of the Fetus and Newborn
Interventions
M281
First posted
2019-02-15
Last updated
2026-03-25
Other registries' IDs
eudract:2017-004958-42
Results first posted
2026-01-28

Source ClinicalTrials.gov

Registered outcomes81

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Maternal Participants With Treatment-emergent Adverse Events (TEAEs)From baseline (Gestational Age [GA] Week 14) up to Postpartum (PP) Week 24 (up to 50 weeks)
An AE was any unfavorable and unintended sign (example, an abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, without any judgment about causality. TEAE was defined as any event occurring after the initiation of the first infusion of nipocalimab.
PrimaryNumber of Neonates/Infants With Adverse Events (AEs)From Birth (PP Day 0) up to PP Week 96An AE was any unfavorable and unintended sign (example, an abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, without any judgment about causality.
PrimaryNumber of Maternal Participants With Treatment-emergent Serious Adverse Events (TESAEs)From baseline (Gestational Age [GA] Week 14) up to PP Week 24 (up to 50 weeks)
SAE was defined as any untoward medical occurrence that resulted in death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. An AE was any unfavorable and unintended sign (example, an abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, without any judgment about causality. TESAEs were any SAEs occurring after the initiation of the first infusion of nipocalimab.
PrimaryNumber of Neonates/Infants With Serious Adverse Events (SAEs)From Birth (PP Day 0) up to PP Week 96
SAE was defined as any untoward medical occurrence that resulted in death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. An AE was any unfavorable and unintended sign (example, an abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, without any judgment about causality.
PrimaryNumber of Maternal Participants With Treatment-emergent Adverse Events of Special Interest (TEAESIs)From baseline (Gestational Age [GA] Week 14) up to PP Week 24 (up to 50 weeks)
Number of maternal participants with TEAESIs were reported. An AE was any unfavorable and unintended sign (example, an abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, without any judgment about causality. All infections requiring anti-infective (that is, oral or intravenous antibacterial, antiviral, or antifungal) treatment and with hypoalbuminemia greater than or equal to (\>=) Grade 3 (less than \[\<\]20 gram per liter \[g/L\] by National Cancer Institute of Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 5.0 criteria were considered an AESI for maternal participants. TEAE was defined as any event occurring after the initiation of the first infusion of nipocalimab.
PrimaryNumber of Neonates/Infants With Adverse Events of Special Interest (AESIs)From birth (PP Day 0) up to PP Week 96
Number of neonates/infants with TEAESIs were reported. An AE was any unfavorable and unintended sign (example, an abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, without any judgment about causality. All infections requiring anti-infective (that is, oral or intravenous antibacterial, antiviral, or antifungal) treatment, unexpected/unusual childhood illnesses and Immunoglobulin G (IgG) concentrations \<200 milligrams per deciliter (mg/dL) at Week 24 through Week 47 or \<300 mg/dL at Week 48 through Week 96 were considered an AESI for neonates and infants.
PrimaryMaternal Participants: Absolute Value of Electrocardiogram (ECG) Parameter - Mean Ventricular Rate at BaselineBaseline (GA Week 14)
Absolute value of ECG parameter - mean ventricular rate at baseline in maternal participants was reported. Electrocardiogram assessments included comments on whether the tracings were normal or abnormal, rhythm, presence of arrhythmia or conduction defects, morphology, any evidence of myocardial infarction, or ST segment, T Wave, and U Wave abnormalities.
PrimaryMaternal Participants: Absolute Value of Electrocardiogram (ECG) Parameter - Mean Ventricular Rate at GA Week 36GA Week 36
Absolute value of ECG parameter - mean ventricular rate at GA Week 36 in maternal participants was reported. Electrocardiogram assessments included comments on whether the tracings were normal or abnormal, rhythm, presence of arrhythmia or conduction defects, morphology, any evidence of myocardial infarction, or ST segment, T Wave, and U Wave abnormalities.
PrimaryMaternal Participants: Change From Baseline in ECG Parameter- Mean Ventricular RateBaseline (GA Week 14) and GA Week 36
Change from baseline in ECG parameter- mean ventricular rate in maternal participants was reported. Electrocardiogram assessments included comments on whether the tracings were normal or abnormal, rhythm, presence of arrhythmia or conduction defects, morphology, any evidence of myocardial infarction, or ST segment, T Wave, and U Wave abnormalities.
PrimaryNumber of Maternal Participants With Treatment-emergent (TE) Clinically Important Laboratory and Biomarker Immunoglobulin G (IgG) Values Over TimeFrom baseline (Gestational Age [GA] Week 14) up to PP Week 24 (up to 50 weeks)
Laboratory parameters included hematology, chemistry, blood Lipids panel, and Immunoglobulin G (IgG) parameters. TEAE was defined as any event occurring after the initiation of the first infusion of nipocalimab. Here, HDL: high-density lipoprotein, LDL: low-density lipoprotein. The during-pregnancy value of albumin \<20 g/L was from a local laboratory and was \>=20 g/L when analyzed at the central laboratory for the same time point.

Outcomes81

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Maternal Participants With Treatment-emergent Adverse Events (TEAEs)From baseline (Gestational Age [GA] Week 14) up to Postpartum (PP) Week 24 (up to 50 weeks)Safety analysis set included all maternal participants who had received at least 1 dose of nipocalimab.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Neonates/Infants With Adverse Events (AEs)From Birth (PP Day 0) up to PP Week 96Neonates or infants analysis set included all live births to maternal participants who received at least 1 dose of nipocalimab in the study pregnancy.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Maternal Participants With Treatment-emergent Serious Adverse Events (TESAEs)From baseline (Gestational Age [GA] Week 14) up to PP Week 24 (up to 50 weeks)Safety analysis set included all maternal participants who had received at least 1 dose of nipocalimab.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Neonates/Infants With Serious Adverse Events (SAEs)From Birth (PP Day 0) up to PP Week 96Neonates or infants analysis set included all live births to maternal participants who received at least 1 dose of nipocalimab in the study pregnancy.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Maternal Participants With Treatment-emergent Adverse Events of Special Interest (TEAESIs)From baseline (Gestational Age [GA] Week 14) up to PP Week 24 (up to 50 weeks)Safety analysis set included all maternal participants who had received at least 1 dose of nipocalimab.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Neonates/Infants With Adverse Events of Special Interest (AESIs)From birth (PP Day 0) up to PP Week 96Neonates or infants analysis set included all live births to maternal participants who received at least 1 dose of nipocalimab in the study pregnancy.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYMaternal Participants: Absolute Value of Electrocardiogram (ECG) Parameter - Mean Ventricular Rate at BaselineBaseline (GA Week 14)The full analysis set (FAS) included all maternal participants who received any dose of nipocalimab.Beats per minuteMEAN
PRIMARYMaternal Participants: Absolute Value of Electrocardiogram (ECG) Parameter - Mean Ventricular Rate at GA Week 36GA Week 36
The FAS included all maternal participants who received any dose of nipocalimab. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure.
Beats per minuteMEAN
PRIMARYMaternal Participants: Change From Baseline in ECG Parameter- Mean Ventricular RateBaseline (GA Week 14) and GA Week 36
The FAS included all maternal participants who received any dose of nipocalimab. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure.
Beats per minuteMEAN
PRIMARYNumber of Maternal Participants With Treatment-emergent (TE) Clinically Important Laboratory and Biomarker Immunoglobulin G (IgG) Values Over TimeFrom baseline (Gestational Age [GA] Week 14) up to PP Week 24 (up to 50 weeks)
The safety analysis set included all maternal participants who had received at least 1 dose of nipocalimab. Here, n (number analyzed): number of participants evaluable for each category. n=0 signifies no participant was available for the analysis.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group948

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Maternal Participants With Treatment-emergent Adverse Events (TEAEs)Group 1 (Maternal): 30 mg/kg BLW3Participants
Number of Maternal Participants With Treatment-emergent Adverse Events (TEAEs)Group 2 (Maternal): 30 to 45 mg/kg BLW2Participants
Number of Maternal Participants With Treatment-emergent Adverse Events (TEAEs)Group 3 (Maternal): 45 mg/kg BLW4Participants
Number of Maternal Participants With Treatment-emergent Adverse Events (TEAEs)Group 4 (Maternal): 45 mg/kgTAW4Participants
Number of Maternal Participants With Treatment-emergent Adverse Events (TEAEs)All Maternal Participants13Participants
Number of Neonates/Infants With Adverse Events (AEs)Group 1 (Neonates and Infants): 30 mg/kg BLW3Participants
Number of Neonates/Infants With Adverse Events (AEs)Group 2 (Neonates and Infants): 30 to 45 mg/kg BLW2Participants
Number of Neonates/Infants With Adverse Events (AEs)Group 3 (Neonates and Infants): 45 mg/kg BLW4Participants
Number of Neonates/Infants With Adverse Events (AEs)Group 4 (Neonates and Infants): 45 mg/kg TAW3Participants
Number of Neonates/Infants With Adverse Events (AEs)All Neonates and Infants12Participants

Participant flow24

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDGroup 1 (Maternal): 30 mg/kg BLW3
Overall StudySTARTEDGroup 2 (Maternal): 30 to 45 mg/kg BLW2
Overall StudySTARTEDGroup 3 (Maternal): 45 mg/kg BLW4
Overall StudySTARTEDGroup 4 (Maternal): 45 mg/kg TAW4
Overall StudySTARTEDGroup 1 (Neonates and Infants): 30 mg/kg BLW3
Overall StudySTARTEDGroup 2 (Neonates and Infants): 30 to 45 mg/kg BLW2
Overall StudySTARTEDGroup 3 (Neonates and Infants): 45 mg/kg BLW4
Overall StudySTARTEDGroup 4 (Neonates and Infants): 45 mg/kg TAW3
Overall StudyCOMPLETEDGroup 1 (Maternal): 30 mg/kg BLW3
Overall StudyCOMPLETEDGroup 2 (Maternal): 30 to 45 mg/kg BLW2

Adverse events992

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersGroup 1 (Maternal): 30mg/kg BLW13
otherAnaemiaBlood and lymphatic system disordersGroup 2 (Maternal): 30 to45 mg/kg BLW02
otherAnaemiaBlood and lymphatic system disordersGroup 3 (Maternal): 45mg/kg BLW14
otherAnaemiaBlood and lymphatic system disordersGroup 4 (Maternal): 45mg/kg TAW14
otherAnaemiaBlood and lymphatic system disordersGroup 1 (Neonates and Infants): 30 mg/kg BLW33
otherAnaemiaBlood and lymphatic system disordersGroup 2 (Neonates and Infants): 30 to 45 mg/kg BLW02
otherAnaemiaBlood and lymphatic system disordersGroup 3 (Neonates and Infants): 45 mg/kg BLW14
otherAnaemiaBlood and lymphatic system disordersGroup 4 (Neonates and Infants): 45 mg/kg TAW03
otherAnaemia NeonatalBlood and lymphatic system disordersGroup 1 (Maternal): 30mg/kg BLW03
otherAnaemia NeonatalBlood and lymphatic system disordersGroup 2 (Maternal): 30 to45 mg/kg BLW02

Adverse event totals24

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityGroup 1 (Maternal): 30mg/kg BLW03
Total, all-cause mortalityGroup 2 (Maternal): 30 to45 mg/kg BLW02
Total, all-cause mortalityGroup 3 (Maternal): 45mg/kg BLW04
Total, all-cause mortalityGroup 4 (Maternal): 45mg/kg TAW04
Total, all-cause mortalityGroup 1 (Neonates and Infants): 30 mg/kg BLW03
Total, all-cause mortalityGroup 2 (Neonates and Infants): 30 to 45 mg/kg BLW02
Total, all-cause mortalityGroup 3 (Neonates and Infants): 45 mg/kg BLW04
Total, all-cause mortalityGroup 4 (Neonates and Infants): 45 mg/kg TAW03
Total, other adverse eventsGroup 1 (Maternal): 30mg/kg BLW33
Total, other adverse eventsGroup 2 (Maternal): 30 to45 mg/kg BLW22

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
39115062DERIVEDPubMed
41591368DERIVEDPubMed
42705868DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03842189

GET https://conductscience.org/api/trials/v1/NCT03842189/registered?page=2