ClinicalTrials.gg
CompletedNCT00615940Updated Feb 28, 2014

Combination of Oral WX-671 Plus Capecitabine vs. Capecitabine Monotherapy in First-line Her2-negative Metastatic Breast Cancer

A Phase 2 interventional study of WX-671 and placebo in Metastatic Breast Cancer, sponsored by Heidelberg Pharma AG. Completed at 20 sites in 5 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-02-28.

Sponsored by Heidelberg Pharma AG · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
132
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 678 studies in Breast Neoplasms with a site in Germany — 114 open to participants now, 198 under way, 81 of them phase 3. Breast Neoplasms · Germany.

Enrollment
391st of 580
132 · median 273
Started
2008
with 13 others
Phase 2
165 of 678
14 open now
Registered
126th of 678
by date

Among the 678 studies in Breast Neoplasms with a site in Germany, this one is the 391st largest by enrollment of the 580 interventional ones, is one of 14 that started in 2008, is one of 165 in phase 2, and was the 126th registered.

By phase

678 studies; the count open now beside each. This study's row is marked.

Phase 3222 · 29 open
Phase 2this study165 · 14 open
No phase102 · 28 open
Observational93 · 23 open
Phase 136 · 5 open
Phase 1/228 · 9 open
Phase 418 · 4 open
Phase 2/311 · 2 open
Other kind3 · 0 open

By the year they started

First in 1993; this study’s year is marked. 14 started in 2008.

Size and results

Median enrollment 273 across the 580 interventional studies, 644 across the 92 observational. Of the 444 that completed or were terminated, 191 (43%) have results posted.

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02

Study summary

This randomized, double-blind, placebo controlled phase II trial is studying how well capecitabine works when given in combination with WX-671 or when given alone in treating patients receiving first-line therapy for her2negative metastatic breast cancer.

03

Conditions studied

  • Metastatic Breast Cancer

Browse trials for

Keywords

  • HER2negative
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Females aged ≥ 18 years
  • Patients appropriate for palliative , mono chemotherapy with capecitabine
  • Histological or cytological confirmed, non-inflammatory breast cancer
  • Availability of paraffin-embedded tumor tissue from the primary resection or of a metastatic lesion.
  • -negative breast cancer
  • Complete staging within 2 weeks prior to randomization (4 weeks for bone scan).
  • Radiologically confirmed disease
  • performance status of ≤ 2
  • Ability to understand and willingness to voluntarily sign and date a written form before screening
  • Negative pregnancy test (urine or serum) within 3 days before first study drug for women of . Use of effective during the study and for 3 months after stopping study drug treatment.
  • Normal organ and marrow function as defined by laboratory parameters (obtained within the screening period) within the following limits:

    • neutrophils >= 1.5 x 109/L;
    • >= 100 x 109/L;
    • >= 9.0 g/dL (5.6 mmol/L).
    • total \<= 1.5 x (ULN);
    • (AST)/ALT \<= 2.5 x ULN (\< 5.0 x ULN for patients with liver metastases);
    • serum creatinine \<= 2 x ULN, or calculated >45 mL/min according to Cockroft and Gault formula).

Exclusion criteria

Exclusion Criteria:

  • Endocrine therapy completed within 2 weeks before the start of treatment (i.e. previous hormone therapy is allowed provided that there is a of 2 weeks).
  • Prior chemotherapy or biologic therapy for disease.
  • Major surgery within 4 weeks prior to the start of treatment.
  • Other anti-cancer treatment (e.g. hormones) within 2 weeks before the start of treatment.
  • Treatment within 12 months with 5-FU containing chemotherapy (regarded as indicating 5-FU resistance) and/or prior capecitabine therapy.
  • Radiation therapy. Palliative radiation of stable, non-target lesions more than 2 weeks before the start of treatment is allowed, provided patients have recovered from the radiation side-effects.
  • History of or radiological evidence of including previously treated, resected or asymptomatic brain lesions or .
  • Active seizure disorder or history of cerebrovascular accident (CVA) or transient ischemic (TI) attack within the past 12 months.
  • History of other within the last 3 years except for surgically cured non-melanoma skin cancer or cervical carcinoma in situ.
  • Active cardiac disease e.g. unstable angina, congestive heart failure, myocardial infarction (MI) within the preceding 6 months.
  • Any medical condition prohibiting standard imaging procedures
  • Pregnant or breast-feeding.
  • Any unrelated illness, e.g. active infection requiring parenteral antibiotics, inflammation, medical condition or laboratory abnormalities, which in the judgment of the investigator might significantly affect patients' study participation.
  • Any surgical or medical condition that might significantly alter the absorption, distribution, metabolism or excretion of either study drug.
  • Known /C or (human immunodeficiency virus) infection.
Terms in these criteria, in plain language(21)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
132 participants (actual)

Study arms

  • Experimental
    1

    Capecitabine, 1000 mg/m2, twice daily by mouth, on Days 1 to 14, followed by a 7 day rest in each 21 day cycle given in combination with WX-671 once daily by mouth, Days 1-21 inclusive.

    Drug: WX-671

  • Experimental
    2

    Capecitabine, 1000 mg/m2, twice daily by mouth, on Days 1 to 14, followed by a 7 day rest in each 21 day cycle given in combination with placebo once daily by mouth, Days 1-21 inclusive.

    Drug: placebo

Interventions

  • DrugWX-671

    capsules taken per os once daily until progression or toxicity

  • Drugplacebo

    capsule taken per os once daily until progression or toxicity

06

What researchers measure

Primary outcomes

  1. Efficacy in terms of progression-free survival (PFS)

    Time frame: disease staging with CT/MRI/bone scans at regular intervals

Secondary outcomes

  1. Secondary endpoints are objective response rate (ORR), overall survival, safety and pharmacokinetics.

    Time frame: 2 years

07

Study locations

20 sites
  • Montefiore Medical Center Weiler Division Department
    New York, New York 10461, United States
  • Universitys Hospital Case Medical Center
    Cleveland, Ohio 44106, United States
  • Fox Chase Cancer Center
    Philadelphia, Pennsylvania 19111, United States
  • AZ Klina, Oncology Department
    Brasschaat, 2930, Belgium
  • Institut Jules Bordet Oncologie Médicale
    Bruxelles, 1000, Belgium
  • CHU de Liège, Domaine Universitaire de Sart-Tilman, Oncology Department
    Liège, 4000, Belgium
  • Irmandade de Misericórdia da Santa Casa de Porto Alegre
    Porto Alegre, 9005, Brazil
  • Instituto Nacional do Câncer - INCA
    Rio de Janeiro, 20560, Brazil
  • Instituto Brasileiro de Controle do Câncer - IBCC
    São Paulo, 03102, Brazil
  • Gemeinschaftspraxis Dr. Brudler, Dr. Heinrich, Dr. Bangerter
    Augsburg, 86150, Germany
  • Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Uniklinik Köln
    Cologne, Germany
  • Universitätsklinikum Essen, Innere Klinik und Poliklinik (Tumorforschung)
    Essen, 45147, Germany
  • Uniklinik Frankfurt, Zentrum der Frauenheilkunde und Geburtshilfe
    Frankfurt/Main, 60590, Germany
  • Universitätsklinikum der Martin-Luther-Universität Halle-Wittenberg, Poliklinik Gynäkologie
    Halle/Saale, 06120, Germany
  • Department of Obstetrics and Gynecology, Technical University
    Munich, 81675, Germany
  • Bethesda KH
    Mönchengladbach, 41061, Germany
  • Davidof Center, Rabin Medical Center, Department of Oncology
    Petah Tikva, 49100, Israel
  • Kaplan Medical Center, Department of Oncolocy
    Rehovot, 76100, Israel
  • Sheba Medical Center, Department of Oncology
    Tel Hashomer, 52621, Israel
  • Assaf Harofeh medical center, Department of Oncology
    Zerifin, 70300, Israel
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jul 2008, a primary completion of Dec 2011 and a completion of Apr 2012. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 1, 2008
First posted
Feb 14, 2008
Start
Jul 2008
Primary completionActual
Dec 2011
CompletionActual
Apr 2012
Results delay requested
Jan 28, 2014
Last update
Feb 28, 2014
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 28, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00615940
Lead sponsor
Heidelberg Pharma AG
Responsible party
Sponsor
First posted
Feb 14, 2008
Start date
Jul 2008
Primary completion
Dec 2011
Completion
Apr 2012
Last update
Feb 28, 2014

Study contacts

Lori Goldstein, MD
principal investigator · Dept. of Medical Oncology, Division of Medical Science, Fox Chase Cancer Center, 7701 Burholme Avenue, Philadelphia, Pennsylvania 19111, USA
Nadia Harbeck, MD
principal investigator · Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Uniklinik Köln

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2014. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Upamostat

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