Upamostat (WX-671) has been evaluated in several clinical trials across oncology and infectious disease indications, spanning Phase II and Phase III development. In oncology, studies sponsored by Heidelberg Pharma AG assessed combination regimens for solid tumors, specifically metastatic breast and pancreatic cancers. Subsequent research sponsored by RedHill Biopharma Limited and the Henry M. Jackson Foundation evaluated SARS-CoV-2 and COVID-19 interventions through adaptive platform protocols, with trial statuses ranging from recruiting and completed to terminated.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05954286 | COMPLETED | SARS-CoV-2 |
Henry M. Jackson Foundation for the Advancement of Military Medicine |
2024-01-29 | PHASE2 |
| NCT05954286 | Recruiting | SARS-CoV-2 |
Henry M. Jackson Foundation for the Advancement of Military Medicine|Joint Program Executive Office Chemical Biological Radiological and Nuclear Defense Enabling Biotechnologies|RedHill Biopharma Limited|FHI Clinical Inc. |
2024-01-29 | Phase 2 |
| NCT04723537 | TERMINATED | Covid19 |
RedHill Biopharma Limited |
2021-02-16 | PHASE2; PHASE3 |
| NCT00615940 | COMPLETED | Metastatic Breast Cancer |
Heidelberg Pharma AG |
2008-07 | PHASE2 |
| NCT00499265 | COMPLETED | Pancreatic Cancer |
Heidelberg Pharma AG |
2007-04 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2026-04-17)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).