Superficial Bladder CancerPhase 1/2NCT04752722
LEGEND Study: EG-70 in NMIBC Patients BCG-Unresponsive and High-Risk NMIBC Incompletely Treated With BCG or BCG-Naïve
A Phase 1/2 study testing EG-70 (phase 1), EG-70 (phase 2) Master Protocol and Surfactant Bladder Pre-Rinse and EG-70 (Substudy) in people with Superficial Bladder Cancer and Non-muscle Invasive Bladder Cancer With Carcinoma in Situ, run by enGene, Inc. at 102 sites in 10 countries.
Trial summary
This study will evaluate the safety and efficacy of intravesical administration of detalimogene (EG-70) in the bladder and its effect on bladder tumors in patients with NMIBC. This study study consists of two phases; a Phase 1 dose-escalation to establish safety and recommended the phase 2 dose, followed by a Phase 2… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Superficial Bladder Cancer, Non-muscle Invasive Bladder Cancer With Carcinoma in Situ, Non-muscle Invasive Bladder Cancer
- What is being tested?
- EG-70 (phase 1), EG-70 (phase 2) Master Protocol and Surfactant Bladder Pre-Rinse and EG-70 (Substudy)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 350 participants
- Where
- 102 sitesin 10 countries
- Study dates
- 22 Apr 2021to 30 Oct 2030
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- BCG-unresponsive Patients:
- BCG-unresponsive NMIBC with carcinoma in situ (CIS) with or without coexisting papillary Ta/T1 tumors who are ineligible for or have elected not to undergo cystectomy, and have experienced CIS disease within 12 months of treatment where: adequate BCG regimen consists of at least 2 courses of BCG where the first course (induction) must have included at least 5 or 6 doses and the second course may have included a re-induction (at least 2 treatments) or maintenance (at least 2 doses), and Cis must be documented or indicated by pathology
- Phase 2 Only:
- BCG-Naïve or BCG-incompletely treated Patients with CIS or BCG-unresponsive, HG Ta/T1 papillary disease without CIS:
- -NMIBC with current Cis of the bladder, with or without coexisting papillary Ta/T1 NMIBC tumor(s), who are ineligible for or have elected not to undergo cystectomy, where: either: cohort 2a) no treatment with BCG but may have previously been treated with at least 1 dose of intravesical chemotherapy following transurethral resection of bladder tumor (TURBT) and Cis must be documented or cohort 2b) indicated by pathology incomplete BCG treatment (at least 1 dose and less than the 5+2 doses required for adequate dosing per Cohort 1) or cohort 3) patients who are BCG-unresponsive following adequate treatment, with HG Ta/T1 papillary disease without CIS.
- All Patients with High Grade NMIBC:
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- Patients who have previously been treated with a checkpoint inhibitor and failed treatment are eligible for inclusion 30 days post-treatment (Phase 1) or 3 months post-treatment (Phase 2).
- Male or non-pregnant, non-lactating female, 18 years or older.
- Women of childbearing potential must have a negative pregnancy test at Screening.
- Female patients of childbearing potential must be willing to consent to using highly effective birth control methods; Male patients are required to utilize a condom for the duration of the study treatment through 3 months post-dose.
- In Phase 2, for patients with T1 lesions may be eligible after repeat TURBT if pathology shows non-invasive (Ta or less) or no disease.
- Performance Status: Eastern Cooperative Oncology Group 0, 1, and 2.
- Hematologic inclusion: a. Absolute neutrophil count >1,500/mm3. b. Hemoglobin >9.0 g/dL. c. Platelet count >100,000/mm3.
- Hepatic inclusion: a. Total bilirubin must be ≤1.5 x the upper limit of normal (ULN). b. Aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase ≤2.5 x ULN.
- Adequate renal function with creatinine clearance >30 mL/min
- Prothrombin time and partial thromboplastin time ≤1.25 x ULN or within the therapeutic range if on anticoagulation therapy.
- Must have satisfactory bladder function with ability to retain study drug for 60 minutes.
Who cannot join
- Active malignancies (i.e., progressing or requiring treatment change in the last 24 months). Exceptions allowed under Sponsor review.
- Concurrent treatment with any chemotherapeutic agent.
- History of partial cystectomy.
- Treatment with last therapeutic agent (including intravesical chemotherapy post-TURBT) within 30 days of Screening (prior to the screening biopsy).
- Patients who have received systemic immunosuppressive medication including high-dose corticosteroids.
- History of severe asthma or other respiratory diseases.
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- History of unresolved vesicoureteral reflux or an indwelling urinary stent.
- History of unresolved hydronephrosis due to ureteral obstruction.
- Participation in any other research protocol involving administration of an investigational agent within 30 Days prior to screening or any prior treatment of NMIBC with any investigational gene or immunotherapy agent.
- History of external beam radiation to the pelvis or prostate brachytherapy within the last 12 months.
- History of interstitial lung disease and/or pneumonitis in patients who have previously received a PD-1 or PD-L1 inhibitor therapy.
- Evidence of metastatic disease.
- History of difficult catheterization that in the opinion of the Investigator will prevent administration of EG-70.
- Active interstitial cystitis on cystoscopy or biopsy.
- Active, uncontrolled bacterial, viral, or fungal infection(s) requiring systemic therapy.
- Known human immunodeficiency virus, Hepatitis B, or Hepatitis C infection.
- Significant cardiovascular risk (e.g., coronary stenting within 8 weeks, myocardial infarction within 6 months).
- Hypersensitivity to any of the excipients of the study drug.
- Exclusionary for Bladder Rinse cohorts: known allergy to polidocanol
Trial locations and contacts
102 sites in 10 countries. Contact the study team or a site near you to ask about taking part.
Chris Tosone contact
102 sites in 10 countries
United States50 sites, 48 recruiting
- Recruiting
Albany Medical College
Albany, New York, 12208
- Recruiting
Emory University
Atlanta, Georgia, 30322
Shreyas Joshi, 404-778-4898, shreyas.joshi@emory.edu
- Recruiting
Georgia Cancer Center at Augusta University
Augusta, Georgia, 30912
- Recruiting
Urology Austin
Austin, Texas, 78745
- Recruiting
John Hopkins Hospital
Baltimore, Maryland, 21287
- Recruiting
The University of Alabama at Birmingham Clinical Research Unit (CRU)
Birmingham, Alabama, 35249
- Recruiting
Brigham and Women's Hospital
Boston, Massachusetts, 45227
Mark Preston, MPRESTON@BWH.HARVARD.EDU
Saachi Pawa, 617-525-8793, bwhurologyrcs@partners.org
- Recruiting
Roswell Park Cancer Institute
Buffalo, New York, 14263
- Recruiting
UNC Chapel Hill Hospital
Chapel Hill, North Carolina, 27514
Marc Bjurlin, 919-966-8217, marc_bjurlin@med.unc.edu
- Recruiting
University of Virginia Comprehensive Cancer Center
Charlottesville, Virginia, 22903
Christine Ibilibor, ci5d@uvahealth.org
- Recruiting
University of Cincinnati Medical Center
Cincinnati, Ohio, 45219
Mohammed Kamel, 513-558-0983, kamelme@ucmail.uc.edu
- Recruiting
UT Southwestern Medical Center
Dallas, Texas, 75390
Jose Santoyo, 214-645-8764, jose.santoyo@utsouthwestern.edu
Yair Lotan, Yair.Lotan@UTSouthwestern.edu
- Recruiting
Henry Ford Health System
Detroit, Michigan, 48202
Johar Raza, MD, 716-697-0305, jraza1@hfhs.org
- Recruiting
Duke Health - Duke Cancer Center
Durham, North Carolina, 27710
- Recruiting
Central Ohio Urology Group
Gahanna, Ohio, 43230
- Recruiting
Corewell Health Medical Group and Spectrum Health Hospitals
Grand Rapids, Michigan, 49503
Conrad Tobert, 616-267-7333
- Recruiting
Urology of Indiana
Greenwood, Indiana, 46143
- Recruiting
Chesapeake Urology Research Associates
Hanover, Maryland, 21076
Rian Dickstein, rdickstein@cua.md
- Recruiting
Houston Metro Urology
Houston, Texas, 77027
Gelpi-Hammerschmidt
- Recruiting
Houston Methodist Hospital - Department of Urology
Houston, Texas, 77030
Taliah Muhammad, 346-238-4523, tnmuhammad@houstonmethodist.org
- Recruiting
University of Texas - MD Anderson Cancer Center
Houston, Texas, 77030
Ashish Kamat, MD, 713-792-3250, akamat@mdanderson.org
- Recruiting
University of California - Irvine Medical Center
Irvine, California, 92697
Edward Uchio, euchio@uci.edu
- Recruiting
University of Florida
Jacksonville, Florida, 32209
Kethandapatti Balaji, 904-244-7340, kc.balaji@jax.ufl.edu
- Recruiting
University of Kansas Medical Center
Kansas City, Kansas, 66160
Faith Rahman, 913-588-2502, frahman2@kumc.edu
Laura Mitchell, 913-574-2854, Lmitchell11@kumc.edu
- Recruiting
UC San Diego Moores Cancer Center
La Jolla, California, 92037
Salmasi
- Recruiting
Colorado Clinical Research
Lakewood, Colorado, 80228
- Recruiting
Arkansas Urology
Little Rock, Arkansas, 72211
- Recruiting
USC/Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Anne Schuckman, 323-865-3700, anne.schuckman@med.usc.edu
- Recruiting
Tower Urology
Los Angeles, California, 90048
Terry Williams, 310-854-9898 ext. 178, williamst@towerurology.com
- Recruiting
Sylvester Comprehensive Cancer Center / University of Miami Hospital and Clinics
Miami, Florida, 33136
- Recruiting
Clinical Research Solutions - Helios Clinical Research
Middleburg Heights, Ohio, 44130
Kara Lasorella, 440-340-9010, kara.lasorella@heliosclinical.com
- Recruiting
Froedtert Hospital / Medical College of Wisconsin
Milwaukee, Wisconsin, 52336
Scott Johnson, 414-955-0867, scjohnson@mcw.edu
- Recruiting
University of Minnesota
Minneapolis, Minnesota, 55455
Marissa Twedt, 612-626-6661, twedt050@umn.edu
Joseph Zabell, zabe0034@umn.edu
- Recruiting
Carolina Urologic Research Center, LLC
Myrtle Beach, South Carolina, 29572
Neal Shore, 843-449-1010, nshore@auclinics.com
- Recruiting
Urology Associates, P.C.
Nashville, Tennessee, 37209
Jayram
- Recruiting
Vanderbilt Univerity Medical Center
Nashville, Tennessee, 37232
Chang
- Recruiting
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
Packiam
- Recruiting
Mount Sinai Medical Center
New Haven, New York, 10029
John Sfakianos, john.sfakianos@mountsinai.or
- Completed
Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York, 10016
- Recruiting
Thomas Jefferson University, Sidney Kimmel Cancer Center
Philadelphia, Pennsylvania, 19107
- Recruiting
Oregon Health & Science University (OHSU)
Portland, Oregon, 97239
J Liu, 610-659-7113, jenj@ohsu.edu
- Recruiting
Associated Urologists of North Carolina
Raleigh, North Carolina, 27612
Mark Jalkut, 919-782-1255, mjalkut@gmail.com
- Recruiting
Mayo Clinic
Rochester, Minnesota, 55905
Shah
- Recruiting
Huntsman Cancer Institute, University of Utah
Salt Lake City, Utah, 84112
- Recruiting
Om Research
San Diego, California, 92123
Alanna Gavriushina, 858-430-1101 ext. 2670, Alanna.gavriushina@uniohp.com
Katayune Golshan, Katayune.golshan@uniohp.com
- Recruiting
Mayo Clinic
Scottsdale, Arizona, 85259
- Recruiting
Associated Medical Professionals of NY,
Syracuse, New York, 13210
- Completed
Urological Associates of South Arizona
Tucson, Arizona, 85715
- Recruiting
New Jersey Urology, LLC
Voorhees Township, New Jersey, 08043
Gordon Brown, gbrown@njurology.com
- Recruiting
The George Washington Medical Faculty Associates
Washington D.C., District of Columbia, 20037
Michael Whalen, 202-741-2798, mwhalen@mfa.gwu.edu
Spain12 sites, 12 recruiting
- Recruiting
IOB - Hospital Quironsalud Barcelona
Barbera Del Valles, 5-7
- Recruiting
Fundacio Puigvert
Barcelona, 08025
- Recruiting
Hospital Clinic Barcelona
Barcelona, 08036
- Recruiting
Hospital Germans Trias i Pujol
Barcelona, 08916
- Recruiting
Hospital Universitari de Bellvitge
L'Hospitalet de Llobregat, 08907
- Recruiting
Hospital General Universitario Gregorio Maranon
Madrid, 28007
- Recruiting
Hospital Universitario 12 de Octubre
Madrid, 28041
- Recruiting
Hospital Universitario La Paz
Madrid, 28046
- Recruiting
Hospital Quironsalud Madrid (Next Oncology)
Madrid, 28223
- Recruiting
Hospital Universitario Infanta Sofia
Madrid, 28702
- Recruiting
Hospital General Universitario Morales Meseguer
Murcia, 30008
- Recruiting
Hospital Universitario Marqués de Valdecilla,
Santander, 39008
France7 sites, 7 recruiting
- Recruiting
CHU d'Angers
Angers, 49933
- Recruiting
CHU Bordeaux Pellegrin
Bordeaux, 33076
- Recruiting
lnstitut Bergonie 229 Cour de l'Argonne
Bordeaux, 33076
- Recruiting
CHU de Lille
Lille, 59000
- Recruiting
Hospices Civils de Lyon
Lyon, 69002
- Recruiting
Hopital Bichat Claude-Bernard
Paris, 75018
- Recruiting
CHU de Rauen- Hopital Charles Nicolle
Rouen, 76031
Italy7 sites, 7 recruiting
- Recruiting
Clinic Unit of Urology, IRCCS Ospedale San Raffaele
Milan, MI, 20132
- Recruiting
Istituto Europeo di Oncologia
Milan, 20141
- Recruiting
Istituto Nazionale Tumori IRCCS Fondazione G. Pascale
Naples, 80131
- Recruiting
Fondazione Policlinico Universitario "A.Gemelli" IRCCS, Largo
Rome, 00168
- Recruiting
Azienda Ospedaliero-Universitaria Sant'Andrea
Rome, 00189
- Recruiting
UOC Urologia, IFO- lstituto Tumori "Regina Elena"
Rome, 53 00144
- Recruiting
Ospedelae Molinette San Giovanni Battista Di Torino
Torino, 10126
Canada6 sites, 6 recruiting
- Recruiting
Prostate Cancer Centre
Calgary, Alberta, T2V1P9
- Recruiting
Nova Scotia Health Authority
Halifax, Nova Scotia, B3H2Y9
Ricardo Rendon, Ricardo.Rendon@nshealth.ca
Robin Simpson, robin.simpson@nshealth.ca
- Recruiting
McGill University Health Center - Glen site
Montreal, Quebec, H4A3J1
W Kassouf, 514-934-1934, wassim.kassouf@mcgill.ca
K Jaureguisanchez, 514-934-1934 ext. 34905, Karla.Jaureguisanchez@muhc.mcgill.ca
- Recruiting
CHUM Centre Hospitalier de l Universite de Montreal
Montreal, Quebec
- Recruiting
University Health Network, Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
- Recruiting
Vancouver Prostate Centre
Vancouver, British Columbia, V5Z1M9
Germany6 sites, 6 recruiting
- Recruiting
Klinik fur Urologie, Uro-Onkologie, spezielle urologische und Roboter-assistierte Chirurgie Universitatsklinikum Koln (AOR)
Cologne, 50937
- Recruiting
Urologicum Duisburg
Duisburg, 47169
- Recruiting
Universitaetsklinikum Erlangen
Erlangen, 91054
- Recruiting
Urologie Neandertal Mettmann
Mettmann, 40822
- Recruiting
Studienpraxis Urologie
Nürtingen, 72622
- Recruiting
Universitaetsklinikum Tubingen
Tübingen, 72076
South Korea5 sites, 5 recruiting
- Recruiting
Chonnam National University Hwasun Hospital
Hwasun, Jeollanam-do, 58128
- Recruiting
Seoul National University Bundang Hospital
Seongnam, Gyunggi-do, 13620
- Recruiting
Seoul National University Hospital
Seoul, 03080
- Recruiting
Severance Hospital, Yonsei University Health System
Seoul, 03722
- Recruiting
The Catholic University of Korea, Soul St. Mary's Hospital
Seoul, 06591
Taiwan5 sites, 5 recruiting
- Recruiting
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
- Recruiting
China Medical University Hospital
Taichung, 40447
- Recruiting
Taichung Veterans General Hospital
Taichung, 40705
- Recruiting
Chi Mei Medical Center
Tainan, 71004
- Recruiting
National Taiwan University Hospital
Taipei, 100
Australia3 sites, 3 recruiting
- Recruiting
Gold Coast University Hospital
Southport, Queensland, 4215
- Recruiting
Sydney Adventist Hospital
Wahroonga, New South Wales, 2076
- Recruiting
Icon Cancer Center Windsor Gardens
Windsor Gardens, South Australia, 5087
United Kingdom1 site, 1 recruiting
- Recruiting
The Royal Marsden NHS Foundation Trust
London, SW3 6JJ
About this study
Official title: A Phase 1/2 Study of EG-70 as an Intravesical Administration to Patients With BCG Unresponsive Non-Muscle Invasive Bladder Cancer (NMIBC) and High-Risk NMIBC Patients Who Are BCG Naïve or Received Incomplete BCG Treatment
This study will evaluate the safety and efficacy of intravesical administration of detalimogene (EG-70) in the bladder and its effect on bladder tumors in patients with NMIBC.
This study study consists of two phases; a Phase 1 dose-escalation to establish safety and recommended the phase 2 dose, followed by a Phase 2 study to establish how effective the treatment is. The Study will include patients with: NMIBC with CIS for whom BCG therapy is unresponsive, and other high risk patients with NMIBC.
A Substudy will include a surfactant bladder rinse prior to the instillation of detalimogene in patients with NMIBC with CIS for whom BCG therapy is unresponsive.
Read the detailed description
EG-70 is a novel non-viral gene therapy. EG-70 is designed to elicit a local immune response following delivery of the study gene therapy to the bladder urothelium. This approach of local administration through bladder instillation has the potential to induce a potent immune response exclusively at the site of the tumor, resulting in greater therapeutic benefit while reducing undesirable systemic toxicity.
Eligible BCG-unresponsive NMIBC with CIS patients will be enrolled in Phase 1, and Cohort 1 of Phase 2. Eligible high-risk NMIBC patients will be enrolled in Phase 2 into separate cohorts include: BCG-naïve patients or BCG-exposed (incompletely treated) patients with Carcinoma in situ (CIS), and BCG-unresponsive HG Ta/T1 papillary disease without CIS.
Patients will be treated for up to four 12-week cycles of study drug instillation doses and assessments with follow up assessments. Patients with complete response following four treatment cycles will enter up to 8 maintenance treatment cycles.
- Conditions
- Superficial Bladder Cancer, Non-muscle Invasive Bladder Cancer With Carcinoma in Situ, Non-muscle Invasive Bladder Cancer
- Being tested
- EG-70 (phase 1), EG-70 (phase 2) Master Protocol, Surfactant Bladder Pre-Rinse and EG-70 (Substudy)
- Keywords
- Non-muscle invasive bladder cancer (NMIBC), Bacillus calmette- guerin (BCG) failure, BCG-unresponsive, NMIBC, Bladder Cancer, LEGEND Study, EG-70, High-risk NMIBC, BCG-naïve, Incomplete BCG treatment, Carcinoma in situ (Cis), BCG-exposed, Surfactant Bladder Rinse, Bladder Rinse
- Medical subject headings
- Non-Muscle Invasive Bladder Neoplasms, Urinary Bladder Neoplasms, Carcinoma in Situ
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EG-70 (phase 1)Drug
Also called Phase 1
Patients will receive up to four cycles of EG-70 administered as a bladder instillation of a 50 mL volume of study drug via catheter with a targeted retention time of 60 minutes.One cycle lasts approximately 12 weeks and consists of either a 2-dose (Day 1 and Day 8) or 4-dose (Day 1, Day 8, Day 29 and Day 36) regimen.
EG-70 (phase 2) Master ProtocolDrug
Also called Phase 2
Under the Treatment Period, patients will receive 4 instillations per cycle for up to 4 cycles, of EG-70 at the RP2D defined in Phase 1, administered as a bladder instillation of a 50 mL volume of study drug via catheter with a targeted retention time of 60 minutes. One cycle lasts approximately 12 weeks. For Maintenance treatment 2 doses of EG-70 will be administered as a bladder instillation per 12-week cycle.
Surfactant Bladder Pre-Rinse and EG-70 (Substudy)Drug
Also called Phase 1 Bladder Rinse, Surfactant
Patients will receive via catheter a 50 mL volume of a 5-minute bladder rinse immediately prior to administration of 50 mL of detalimogene voraplasmid (EG-70) at the RP2D for 30 minutes.
During the Treatment Period, patients will receive 4 instillations per cycle for up to 4 cycles of the sudy intervention. One cycle lasts approximately 12 weeks. For Maintenance treatment, 2 doses of the study intervention will be administered as a bladder instillation per 12-week cycle.
| Study group | Role | What they receive |
|---|---|---|
| Phase 1 | Experimental | Dose escalation phase Receives: Drug: EG-70 (phase 1) |
| Phase 2 | Experimental | Cohort 1: Recommended Phase 2 dose (RP2D) with eligible BCG-unresponsive NMIBC patients with CIS, up to 4 cycles of treatment with EG-70. Patients in Complete Response continue to Maintenance Treatment.
Cohorts 2A, 2B and 3: RP2D with eligible high-risk NMIBC patients with CIS who are BCG-naïve, BCG-exposed (incompletely treated with BCG) or BCG-unresponsive HG Ta/T1 papillary disease without CIS Receives: Drug: EG-70 (phase 2) Master Protocol |
| Phase 1 Substudy Surfactant Bladder Rinse | Experimental | BCG-unresponsive NMIBC patients with CIS, up to 4 cycles of treatment with EG-70. Patients in Complete Response continue to Maintenance Treatment.
Bladder Rinse Cohort: a 5-minute bladder rinse prior to administration of RP2D of detalimogene voraplasmid (EG-70) with a shortened administration time of 30 minutes. Receives: Drug: Surfactant Bladder Pre-Rinse and EG-70 (Substudy) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase 1: Nature, incidence, relatedness, and severity of all AEs and SAEs according to the CTCAE v5.0.
The type, incidence, relatedness and severity of treatment emergent adverse events of EG-70 as assessed by NCI-CTCAE V5.0 will be monitored.
Measured: Approximately 2 years
Phase 2: Percentage of patients with cystoscopic CR at any time, based on exam, urine cytology and appropriate biopsies.
Complete response rate will be measured by determining the number of patients without recurrence of disease.
Measured: Approximately 24 weeks
Phase 2: Nature, incidence, relatedness, and severity of treatment emergent adverse events (as assessed by CTCAE v5.0)
The type, incidence, relatedness and severity of treatment emergent adverse events of EG-70 as assessed by NCI-CTCAE V5.0 will be monitored.
Measured: Approximately 3 years
Secondary outcomes (6)
Phase 1: The number of patients who experience a DLT through the end of Cycle 1
To identify the number of patients who experience a DLT through the end of Cycle 1
Measured: Approximately 12 Weeks
Phase 1: CR rate to EG-70 by cystoscopy at approximately 12 weeks.
To evaluate preliminary efficacy of EG-70 by 12 weeks via cystoscopy
Measured: Approximately 12 weeks
Phase 2: Duration of response of the responding patients
Durability will be measured by determining the number of patients without recurrence of high-grade disease.
Measured: Approximately 3 years
Phase 2: Progression-free survival (PFS)
To evaluate disease-free survival rate
Measured: Approximately 3 years
Phase 2: CR rate at 12, 24, 36, and 96 weeks
To further evaluate CR at the efficacy analysis following each cycle.
Measured: Approximately 12, 24, 36, and 96 weeks
Phase 2: Quality of Life Assessment
Health-related quality of life
Measured: 24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Feb 2021
- Study start22 Apr 2021
- Primary completion30 Apr 2028 (estimated)
- Study completion30 Oct 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Superficial Bladder CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 350 participants (estimated)
Sponsor and investigators
- Lead sponsor
- enGene, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Christine Tosone, Ms, RAC, Study director, enGene, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04752722
- Sponsor's protocol ID
- EG-70-101
- Status last verified
- Aug 2026
- First submitted
- 4 Feb 2021
- Last updated
- 7 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2 Study of EG-70 as an Intravesical Administration to Patients With BCG Unresponsive Non-Muscle Invasive Bladder Cancer (NMIBC) and High-Risk NMIBC Patients Who Are BCG Naïve or Received Incomplete BCG Treatment
- ClinicalTrials.gov ID
- NCT04752722
- Acronym / sponsor ID
- EG-70-101
- Conditions
- Superficial Bladder Cancer, Non-muscle Invasive Bladder Cancer With Carcinoma in Situ, Non-muscle Invasive Bladder Cancer
- Keywords
- Non-muscle invasive bladder cancer (NMIBC), Bacillus calmette- guerin (BCG) failure, BCG-unresponsive, NMIBC, Bladder Cancer, LEGEND Study, EG-70, High-risk NMIBC
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 350 participants (estimated)
- Lead sponsor
- enGene, Inc.Industry (pharma, biotech, devices)
- Study start
- 22 Apr 2021 (actual)
- Primary completion
- 30 Apr 2028 (estimated)
- Study completion
- 30 Oct 2030 (estimated)
- First posted
- 12 Feb 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the safety and efficacy of intravesical administration of detalimogene (EG-70) in the bladder and its effect on bladder tumors in patients with NMIBC.
This study study consists of two phases; a Phase 1 dose-escalation to establish safety and recommended the phase 2 dose, followed by a Phase 2 study to establish how effective the treatment is. The Study will include patients with: NMIBC with CIS for whom BCG therapy is unresponsive, and other high risk patients with NMIBC.
A Substudy will include a surfactant bladder rinse prior to the instillation of detalimogene in patients with NMIBC with CIS for whom BCG therapy is unresponsive.
Detailed description
EG-70 is a novel non-viral gene therapy. EG-70 is designed to elicit a local immune response following delivery of the study gene therapy to the bladder urothelium. This approach of local administration through bladder instillation has the potential to induce a potent immune response exclusively at the site of the tumor, resulting in greater therapeutic benefit while reducing undesirable systemic toxicity.
Eligible BCG-unresponsive NMIBC with CIS patients will be enrolled in Phase 1, and Cohort 1 of Phase 2. Eligible high-risk NMIBC patients will be enrolled in Phase 2 into separate cohorts include: BCG-naïve patients or BCG-exposed (incompletely treated) patients with Carcinoma in situ (CIS), and BCG-unresponsive HG Ta/T1 papillary disease without CIS.
Patients will be treated for up to four 12-week cycles of study drug instillation doses and assessments with follow up assessments. Patients with complete response following four treatment cycles will enter up to 8 maintenance treatment cycles.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Phase 1 | Experimental | Drug: EG-70 (phase 1)Dose escalation phase |
| Phase 2 | Experimental | Drug: EG-70 (phase 2) Master ProtocolCohort 1: Recommended Phase 2 dose (RP2D) with eligible BCG-unresponsive NMIBC patients with CIS, up to 4 cycles of treatment with EG-70. Patients in Complete Response continue to Maintenance Treatment. Cohorts 2A, 2B and 3: RP2D with eligible high-risk NMIBC patients with CIS who are BCG-naïve, BCG-exposed (incompletely treated with BCG) or BCG-unresponsive HG Ta/T1 papillary disease without CIS |
| Phase 1 Substudy Surfactant Bladder Rinse | Experimental | Drug: Surfactant Bladder Pre-Rinse and EG-70 (Substudy)BCG-unresponsive NMIBC patients with CIS, up to 4 cycles of treatment with EG-70. Patients in Complete Response continue to Maintenance Treatment. Bladder Rinse Cohort: a 5-minute bladder rinse prior to administration of RP2D of detalimogene voraplasmid (EG-70) with a shortened administration time of 30 minutes. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- BCG-unresponsive NMIBC with carcinoma in situ (CIS) with or without coexisting papillary Ta/T1 tumors who are ineligible for or have elected not to undergo cystectomy, and have experienced CIS disease within 12 months of treatment where: adequate BCG regimen consists of at least 2 courses of BCG where the first course (induction) must have included at least 5 or 6 doses and the second course may have included a re-induction (at least 2 treatments) or maintenance (at least 2 doses), and Cis must be documented or indicated by pathology
- BCG-Naïve or BCG-incompletely treated Patients with CIS or BCG-unresponsive, HG Ta/T1 papillary disease without CIS:
- -NMIBC with current Cis of the bladder, with or without coexisting papillary Ta/T1 NMIBC tumor(s), who are ineligible for or have elected not to undergo cystectomy, where: either: cohort 2a) no treatment with BCG but may have previously been treated with at least 1 dose of intravesical chemotherapy following transurethral resection of bladder tumor (TURBT) and Cis must be documented or cohort 2b) indicated by pathology incomplete BCG treatment (at least 1 dose and less than the 5+2 doses required for adequate dosing per Cohort 1) or cohort 3) patients who are BCG-unresponsive following adequate treatment, with HG Ta/T1 papillary disease without CIS.
- Patients who have previously been treated with a checkpoint inhibitor and failed treatment are eligible for inclusion 30 days post-treatment (Phase 1) or 3 months post-treatment (Phase 2).
- Male or non-pregnant, non-lactating female, 18 years or older.
Key exclusion criteria (19 listed)
- Active malignancies (i.e., progressing or requiring treatment change in the last 24 months). Exceptions allowed under Sponsor review.
- Concurrent treatment with any chemotherapeutic agent.
- History of partial cystectomy.
- Treatment with last therapeutic agent (including intravesical chemotherapy post-TURBT) within 30 days of Screening (prior to the screening biopsy).
- Patients who have received systemic immunosuppressive medication including high-dose corticosteroids.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EG-70 (phase 1)Also: Phase 1Patients will receive up to four cycles of EG-70 administered as a bladder instillation of a 50 mL volume of study drug via catheter with a targeted retention time of 60 minutes.One cycle lasts approximately 12 weeks and consists of either a 2-dose (Day 1 and Day 8) or 4-dose (Day 1, Day 8, Day 29 and Day 36) regimen. | Drug | Phase 1 |
| EG-70 (phase 2) Master ProtocolAlso: Phase 2Under the Treatment Period, patients will receive 4 instillations per cycle for up to 4 cycles, of EG-70 at the RP2D defined in Phase 1, administered as a bladder instillation of a 50 mL volume of study drug via catheter with a targeted retention time of 60 minutes. One cycle lasts approximately 12 weeks. For Maintenance treatment 2 doses of EG-70 will be administered as a bladder instillation per 12-week cycle. | Drug | Phase 2 |
| Surfactant Bladder Pre-Rinse and EG-70 (Substudy)Also: Phase 1 Bladder Rinse, SurfactantPatients will receive via catheter a 50 mL volume of a 5-minute bladder rinse immediately prior to administration of 50 mL of detalimogene voraplasmid (EG-70) at the RP2D for 30 minutes. During the Treatment Period, patients will receive 4 instillations per cycle for up to 4 cycles of the sudy intervention. One cycle lasts approximately 12 weeks. For Maintenance treatment, 2 doses of the study intervention will be administered as a bladder instillation per 12-week cycle. | Drug | Phase 1 Substudy Surfactant Bladder Rinse |
Primary outcome
Phase 1: Nature, incidence, relatedness, and severity of all AEs and SAEs according to the CTCAE v5.0.
Time frame: Approximately 2 years
The type, incidence, relatedness and severity of treatment emergent adverse events of EG-70 as assessed by NCI-CTCAE V5.0 will be monitored.
Phase 2: Percentage of patients with cystoscopic CR at any time, based on exam, urine cytology and appropriate biopsies.
Time frame: Approximately 24 weeks
Complete response rate will be measured by determining the number of patients without recurrence of disease.
Phase 2: Nature, incidence, relatedness, and severity of treatment emergent adverse events (as assessed by CTCAE v5.0)
Time frame: Approximately 3 years
The type, incidence, relatedness and severity of treatment emergent adverse events of EG-70 as assessed by NCI-CTCAE V5.0 will be monitored.
6 secondary outcomes
Phase 1: The number of patients who experience a DLT through the end of Cycle 1
Time frame: Approximately 12 Weeks
Phase 1: CR rate to EG-70 by cystoscopy at approximately 12 weeks.
Time frame: Approximately 12 weeks
Phase 2: Duration of response of the responding patients
Time frame: Approximately 3 years
Phase 2: Progression-free survival (PFS)
Time frame: Approximately 3 years
Phase 2: CR rate at 12, 24, 36, and 96 weeks
Time frame: Approximately 12, 24, 36, and 96 weeks
Phase 2: Quality of Life Assessment
Time frame: 24 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Aug 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Chris Tosone contact
Christine Tosone, Ms, RAC study director
enGene, Inc.
102 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing EG-70 (phase 1), EG-70 (phase 2) Master Protocol and Surfactant Bladder Pre-Rinse and EG-70 (Substudy) in people with Superficial Bladder Cancer and Non-muscle Invasive Bladder Cancer With Carcinoma in Situ, run by enGene, Inc. at 102 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 17 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 7 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 102 sites in United States, Spain, France, Italy, Canada and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact enGene clinical trials (+18572991097, clinicaltrials@engene.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Phase 1: Nature, incidence, relatedness, and severity of all AEs and SAEs according to the CTCAE v5.0. (time frame: Approximately 2 years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Aug 2026.