A Study to Assess Pregnancy, Neonatal and Infant Outcomes in Participants Exposed to Nipocalimab (PETUNIA)

October 30, 2026 updated by: Janssen Research & Development, LLC

Nipocalimab Pregnancy Enhanced Tracking With Neonatal and Infant Assessment

The purpose of this study is to find out how often:

  • Pregnancy problems, complications in mothers, and health issues in newborn babies occurred in participants who took nipocalimab just before or during pregnancy.
  • Serious infections occur in newborns and infants born to participants who took nipocalimab just before or during pregnancy.
  • Babies are born with major birth defects (not related to chromosomes) in pregnancies where nipocalimab was taken just before or during pregnancy.

Study Overview

Status

Not yet recruiting

Conditions

Study Type

Observational

Enrollment (Estimated)

162

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Sampling Method

Non-Probability Sample

Study Population

The study population are cases reported to the Company global safety database from post-marketing reports of exposure to nipocalimab during pregnancy.

Description

Inclusion Criteria:

- Documented exposure to least one dose of nipocalimab any time immediately before ( 1 week [7 days ] before estimated date of conception) or during pregnancy in the post-marketing setting

Exclusion Criteria:

  • Reports in which the pregnant person discontinued nipocalimab 1 week (7 days) before the estimated date of conception
  • Indirect case reports (reported by someone other than the patient or the health care provider [HCP]) for which the reporter refuses to provide follow-up information, and the participants or HCP cannot be identified based on the information provided
  • Case lacking reporter contact details
  • Cases where only the father/male partner is exposed to nipocalimab during partner's pregnancy
  • Cases occurring in an interventional setting (that is, clinical trials)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: COHORT
  • Time Perspectives: PROSPECTIVE

Cohorts and Interventions

Group / Cohort
Participants Exposed to Nipocalimab Immediately Before or During Pregnancy

Participants with documented exposure to at least one dose of nipocalimab any time immediately before (within 1 week [7 days] before estimated date of conception) or during pregnancy in the post-marketing setting. No drug will be administered as a part of this study. Participants received nipocalimab as per their routine clinical practice settings.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Prevalence of Fetal Growth Restriction
Time Frame: During pregnancy (Up to Week 42)

A fetus with an estimated fetal weight less than the 10th percentile for gestational age based upon a population reference or standard.

During pregnancy (Up to Week 42)
Prevalence of Small for Gestational Age
Time Frame: At birth

A newborn with a birthweight less than the 10th percentile for gestational age based upon a population reference or standard.

At birth
Prevalence of Hypertensive Disorders of Pregnancy
Time Frame: From 20 weeks gestation through 6 weeks postpartum

Hypertensive disorder of pregnancy (that is, preeclampsia, gestational hypertension, hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome, or eclampsia).

From 20 weeks gestation through 6 weeks postpartum
Prevalence of Placental Abruption
Time Frame: During pregnancy (Up to Week 42)

A condition in which the placenta has begun to separate from the uterus before the fetus is born.

During pregnancy (Up to Week 42)
Prevalence of Serious Infections in Neonates
Time Frame: Birth to 27 days

Infections resulting in a hospitalization that occur within the first 27 days of life (0-27 days).

Birth to 27 days
Prevalence of Serious Infections in Infants
Time Frame: 28 days to 365 days after birth

Infections resulting in a hospitalization that occur between 28 and 365 days of life.

28 days to 365 days after birth
Prevalence of Non-chromosomal Major Congenital Malformations
Time Frame: During pregnancy (up to Week 42) and up to 1 year after birth

Congenital abnormality that requires medical or surgical treatment, has a serious adverse effect on health and development, or has significant cosmetic impact, excluding those that are chromosomal or Mendelian-inherited anomalies.

During pregnancy (up to Week 42) and up to 1 year after birth

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Prevalence of Live Birth
Time Frame: At Delivery

Delivery of a live newborn.

At Delivery
Prevalence of Spontaneous Abortion
Time Frame: Prior to 20 weeks gestation

Clinically detected pregnancy loss before 20 completed weeks of gestation that occurs without medical or surgical intervention to terminate the pregnancy.

Prior to 20 weeks gestation
Prevalence of Stillbirth
Time Frame: At or after 20 completed weeks of gestation

Fetus born dead at >= 20 weeks gestation or weighing >= 350 grams. Fetal death occurring > 20 weeks but less than 28 weeks gestation is considered an early fetal loss. Fetal death occurring > 28 weeks is considered a late fetal loss. If gestational age is unknown, stillbirth refers to a fetus weighing >= 350 grams.

At or after 20 completed weeks of gestation
Prevalence of Preterm Birth
Time Frame: Prior to 37 completed weeks of gestation

Delivery of a viable infant before 37 completed weeks of gestation.

Prior to 37 completed weeks of gestation
Prevalence of Intrapartum Hemorrhage
Time Frame: During pregnancy (Up to 42 weeks)

Maternal complication characterized by significant blood loss occurring during pregnancy.

During pregnancy (Up to 42 weeks)
Prevalence of Postpartum Hemorrhage
Time Frame: At Birth and after 12 weeks delivery

Maternal complication characterized by significant blood loss occurring after pregnancy.

At Birth and after 12 weeks delivery
Prevalence of Neonatal Death
Time Frame: Birth to 27 days

Death that occurs within the first 27 days of life (0-27 days).

Birth to 27 days
Prevalence of Infant Death
Time Frame: 28 days to 365 days after birth

Death that occurs between 28 and 365 days of life.

28 days to 365 days after birth

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

November 30, 2026

Primary Completion (Estimated)

April 30, 2036

Study Completion (Estimated)

April 30, 2036

Study Registration Dates

First Submitted

October 30, 2026

First Submitted That Met QC Criteria

October 30, 2026

First Posted (Actual)

November 4, 2026

Study Record Updates

Last Update Posted (Actual)

November 4, 2026

Last Update Submitted That Met QC Criteria

October 30, 2026

Last Verified

October 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • 80202135MYG4003
  • 80202135MYG4003 (Other Identifier: Janssen Research & Development, LLC)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

The data sharing policy of Johnson & Johnson Innovative Medicine is available at www.jnj.com/innovativemedicine/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

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.