ORPHA:853
Fetal and neonatal alloimmune thrombocytopenia
Also known as: FNAIT · NAIT
Publications
557
80.1th percentile
Trials
4
Interventional, condition-specific
Researchers
912
Distinct authors in sample
Gene link
—
Readiness
4/6
Stages with a signal
Clinical definition (Orphanet)
A rare hematological disease characterized by maternal alloimmunisation against fetal platelet antigens that are inherited from the father and different from those present in the mother, and usually presents as a severe isolated thrombocytopenia in otherwise healthy newborns.
How rare: 1-5 / 10 000 — about one to five people per ten thousand (still uncommon, but less ultra-rare).
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0019415
- UMLS:C3854603
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
4/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
557 matched papers (376 in last 10 years) Source
- Phenotype characterisedPresent
17 HPO annotations (e.g. Neonatal alloimmune thrombocytopenia; Purpura; Abnormal bleeding) Source
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationPartial
2 EMA designations (none yet with FDA orphan-indication approval) — e.g. nipocalimab Source
- Interventional trialPresent
4 matched on ClinicalTrials.gov (2 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
17
Associated phenotypes · MONDO:0019415
- Neonatal alloimmune thrombocytopenia
- Purpura
- Abnormal bleeding
- Spontaneous hematomas
- Abnormality of the nervous system
Showing 5 of 17 — open Monarch for the full list.
Animal models (Monarch / Alliance)
None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
2
Designations · no FDA orphan-indication approval yet
- EMA nipocalimabPrevention of fetal and neonatal alloimmune thrombocytopenia · PositiveEMA designation
- EMA Human platelet antigen-1a immunoglobulinPrevention of fetal and neonatal alloimmune thrombocytopenia · 27/10/2011 · WithdrawnEMA designation
Sources: FDA OOPD · EMA orphan designations
Open Targets candidates
No drugs or clinical candidates returned for this Mondo ID on Open Targets.
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
557
557 papers have been published on this condition. That is a real research literature — still far smaller than common diseases (breast cancer: over 700,000 papers). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
557 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
376 in the last 10 years · medium confidence · 80.1th percentile (publications denominator)
Phrase hits: 557 · MeSH hits: 0
Who's working on it?
912
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Oepkes D18 papers · 2025
Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Papers in Europe PMC - 02de Haas M17 papers · 2026
Department of Immunohematology Diagnostics, Sanquin, Amsterdam, the Netherlands; Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, the Netherlands; Center for Clinical Transfusion Research, Sanquin Research, Leiden, the Netherlands.
Papers in Europe PMC - 03Lopriore E16 papers · 2026
Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.
Papers in Europe PMC - 04Winkelhorst D16 papers · 2026
Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Papers in Europe PMC - 05Kjeldsen-Kragh J15 papers · 2025
Toronto Platelet Immunobiology Group, Toronto, ON, Canada; Department of Clinical Immunology and Transfusion Medicine, University and Regional Laboratories Region Skåne, Lund, Sweden.
Papers in Europe PMC - 06Tiller H15 papers · 2026
Immunology Research Group, Faculty of Health Sciences, UiT, The Arctic University of Norway.
Papers in Europe PMC - 07van der Schoot CE14 papers · 2026
Department of Experimental Immunohematology, Sanquin, Amsterdam, The Netherlands.
Papers in Europe PMC - 08Bein G13 papers · 2026
Institute for Clinical Immunology and Transfusion Medicine, Justus-Liebig-University, Giessen, Germany.
Papers in Europe PMC - 09de Vos TW12 papers · 2026
Department of Pediatrics, Division of Neonatology, Leiden University Medical Centre, Leiden, the Netherlands.
Papers in Europe PMC - 10Porcelijn L12 papers · 2025
Department of Immunohematology Diagnostics, Sanquin, Amsterdam, The Netherlands.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
4
interventional trials for this specific condition
4 interventional trials matched this specific condition name; 2 currently recruiting in our sample.
Data as of 11 September 2026
4 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 88.1th percentile).
medium confidence · 88.1th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
4 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT06533098·RECRUITING·A Study of Nipocalimab or Intravenous Immunoglobulin (IVIG) in Pregnancies At Risk of Fetal and Neonatal Alloimmune Thrombocytopenia (FNAIT)
Not reviewed·Conditions: Thrombocytopenia, Neonatal Alloimmune·Matched via name phrase
- NCT06449651·RECRUITING·A Study of Nipocalimab in Reducing the Risk of Fetal and Neonatal Alloimmune Thrombocytopenia (FNAIT)
Not reviewed·Conditions: Thrombocytopenia, Neonatal Alloimmune·Matched via name phrase
Observational and natural-history studies
3 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
None of the matched observational studies is currently listed as recruiting.
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 6 · after dedupe 6 · already on CT.gov 1 · kept 0 · parent 0 · uncertain 5 · dropped 0 · fetched 2026-07-29
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (5)
- ctis·2023-509434-19-00·Authorised, recruiting·Multicenter, Open-Label, Randomized Study of Nipocalimab or IVIG in Pregnancies At Risk of Fetal and Neonatal Alloimmune Thrombocytopenia (FNAIT)
skipped — LLM skipped (--skip-llm)
- ctis·2024-512651-20-00·Cancelled·A Phase 2, Multicenter, Open-label Study to Evaluate the Pharmacokinetics and Safety of RLYB212 in Pregnant Women at Higher Risk for HPA-1a Alloimmunization
skipped — LLM skipped (--skip-llm)
- ctis·2023-504307-88-00·Authorised, recruiting·Double-blind, Randomized, Placebo-controlled Study Evaluating the Safety and Efficacy of Nipocalimab in Reducing the Risk of Fetal and Neonatal Alloimmune Thrombocytopenia (FNAIT) in At-risk Pregnancies
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN87736839·No longer recruiting·A randomised controlled trial to compare two different platelet count thresholds for prophylactic platelet transfusion to preterm neonates
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN29462550·No longer recruiting·The No IntraCranial Haemorrhage (NOICH) Study
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Fetal and neonatal alloimmune thrombocytopenia — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Fetal and neonatal alloimmune thrombocytopenia" OR "FNAIT"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Fetal and neonatal alloimmune thrombocytopenia" OR "FNAIT"
Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 4 interventional · 3 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: NAIT
Confidence reasoning
- Preferred label is multi-word and distinctive
- 1 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-26T15:39:27.158Z
