enGene LEGEND Phase 2: Post‑amend CR 63%, cash $202.4M
enGene Holdings Inc. reported updates from its ongoing Phase 2 LEGEND trial of detalimogene voraplasmid in high-risk, BCG‑unresponsive NMIBC.
Rhea-AI Filing Summary
enGene Holdings Inc. reported updates from its ongoing Phase 2 LEGEND trial of detalimogene voraplasmid in high-risk, BCG‑unresponsive NMIBC. After discussions with the FDA, the pivotal cohort’s primary endpoint changed to complete response (CR) at any time, with duration of response as a key secondary endpoint. Cohort 1 completed enrollment of 125 patients.
Preliminary efficacy in the ITT subpopulations showed for Post‑Protocol Amendment Patients: CR rates of 63% (95% CI: 51–74) at any time, 56% at 3 months, and 62% at 6 months. For Pre‑Protocol Amendment Patients: 55% at any time, 55% at 3 months, and 41% at 6 months. Four Post‑Protocol patients without CR at 3 months converted to CR at 6 months.
Safety was favorable: among 125 patients, 42% experienced treatment‑related adverse events, mainly Grade 1/2; Grade 3 TRAEs occurred in 2.4%, with no Grade 4/5 reported. As of October 31, 2025, cash, cash equivalents and short‑term investments were $202.4 million.
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Insights
Endpoint shift and preliminary CR rates suggest encouraging activity with manageable safety.
enGene updated the pivotal cohort’s primary endpoint to CR at any time, aligning with recent FDA‑registered programs. Cohort 1 enrollment is complete at 125 patients, providing a defined dataset for assessment.
Preliminary efficacy shows Post‑Protocol Amendment Patients with CR rates of 63% any time, 56% at 3 months, and 62% at 6 months, while Pre‑Protocol Amendment Patients showed 55%, 55%, and 41%, respectively. The conversion of four patients from non‑CR at 3 months to CR at 6 months indicates responses can deepen over time within the protocol framework.
Safety appears manageable: TRAEs in 42% of 125 patients, with Grade 3 in 2.4% and no Grade 4/5 events. Liquidity was $202.4 million as of October 31, 2025. Actual impact will depend on mature duration data and regulatory interactions disclosed in subsequent updates.
8-K Event Classification
FAQ
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What did ENGN change in the LEGEND trial’s pivotal endpoint?
How many patients are enrolled in LEGEND’s pivotal Cohort 1 for ENGN?
What are the preliminary CR rates for ENGN’s Post‑Protocol Amendment Patients?
How did Pre‑Protocol Amendment Patients perform in ENGN’s data?
What safety profile was reported for ENGN’s detalimogene?
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