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A Study of Nipocalimab in Pregnancies at Risk for Severe Hemolytic Disease of the Fetus and Newborn (HDFN) (AZALEA)
The purpose of this study is to assess the effectiveness of nipocalimab when compared to placebo in decreasing the risk of fetal anemia (a condition in which a baby's red blood cell volume falls below normal levels while the baby is developing in the womb) with live neonates in pregnant participants at risk for severe hemolytic disease of the fetus and newborn.
Primary outcome measures
Percentage of Pregnancies That did not Result in Fetal Loss, Intrauterine Transfusion (IUT), Hydrops Fetalis, or Neonatal Death
Secondary outcome measures
Number of Participants With Hemolytic Disease of the Fetus and Newborn (HDFN) by Severity
Time to First Occurrence of IUT or Hydrops Fetalis
Neonatal Mortality and Morbidity Index (NMMI) in Liveborn Neonates
Number of IUT's Received During the Pregnancy
Percentage of Pregnancies With Fetal Loss
Percentage of Pregnancies With Fetal or Neonatal Death
Percentage of Pregnancies With Hydrops Fetalis
Percentage of Pregnancies Receiving IUT During Pregnancy
Gestational Age (GA) at First IUT
Percentage of Pregnancies Receiving >1 IUT During Pregnancy
Percentage of Pregnancies Receiving IUT or HDFN Resulting in Fetal Demise (Less Than) <GA Week 20
Gestational Age at Delivery
Percentage of Pregnancies With Neonatal Death Through the Neonatal Period
Percentage of Liveborn Neonates With HDFN-related Morbidities Other Than Anemia and Hyperbilirubinemia or Jaundice
Absolute Weight of Liveborn Neonates or Infants
Change From Baseline in Weight of Liveborn Neonates or Infants
Liveborn Neonates Length of Stay in Neonatal Intensive Care Unit
Percentage of Liveborn Neonates Receiving Exchange Transfusions for HDFN
Number of Neonatal Exchange Transfusions per Liveborn Neonate
Percentage of Liveborn Neonates or Infants with Simple Transfusions for HDFN
Number of Simple Transfusions for HDFN per Liveborn Neonate or Infant
Percentage of Liveborn Neonates With Hyperbilirubinemia Treated With Phototherapy
Number of Days of Phototherapy Received for Hyperbilirubinemia per Liveborn Neonate
Percentage of Liveborn Neonates or Infants Receiving Intravenous Immunoglobulin (IVIg) for HDFN Treatment
Number of Maternal Deaths
Number of Participants with Adverse Events (AEs)
Number of Maternal Pregnancy Complications
Number of IUT Related complications
Percentage of Pregnancies With Cesarean Delivery, Preterm Birth, Fetal Growth, and Preeclampsia
Percentage of Liveborn Neonates or Infants Who Died
Percentage of Liveborn Neonates or Infants With AEs
Percentage of Liveborn Neonates or Infants Receiving IVIg for Non-HDFN Indications
Percentage of Liveborn Neonates or Infants With Abnormal Hearing
Bayley Scales of Infant Development and Toddler Development
Change From Baseline in Generalized Anxiety Disorder 7-Item (GAD7) Over time During Pregnancy and Postpartum
Change From Baseline in Short Form 36 Version 2 (SF-36v2) Acute Form Domain Score
Change From Baseline in EuroQol Five-dimension Questionnaire (EQ-5D-5L) Visual Analogue Scale (VAS) Score
Change From Baseline in EuroQol 5-Dimension Descriptive (EQ-5D) Index Score
Infant Health-Related Quality of Life Instrument (IQI) Score for Neonate or Infant Overtime