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Not yet recruitingLast updated: 22 May 2026

ENG20: This study is recruiting people with recurrent glioblastoma to see whether targeted chemotherapy given with another immune boosting drug is safe and effectiveA Phase I/IIa Study of EGFR-targeted EDVs Carrying Doxorubicin (E-EDV-Dox) Combined with EDVs Carrying a-Galactosyl Ceramide (EDV-GC) in People with Recurrent Glioblastoma.

Trial purpose

Medical clipboardCancer treatment

Tumor type

Brain and Spinal Cancers Brain and Spinal

Age

People18+

Trial acronym

ENG20

Clinical summary

Summary

This research project is testing an experimental treatment for people with glioblastoma that has returned or progressed after standard-of-care therapy.

The experimental treatment being investigated in this study is called EGFR-targeted E-EDV-Dox. The EDV is a delivery vehicle derived from non-disease-causing Salmonella bacteria that carries the chemotherapy drug doxorubicin directly to the tumour via the bloodstream.

 

E-EDV-Dox is combined with another investigational EDV product that is designed to stimulate the body’s immune system to fight the cancer. This product consists of non-targeted EDVs carrying alpha-galactosylceramide (αGC), referred to as EDV-GC. The combination of these two products is known as E-EDV-Dox/GC.

Study details

In Phase I of the study, a safety assessment will be performed in 6 participants. In Phase II, the recommended dosing regimen identified in Phase I will be expanded to include up to 40 participants.

The first treatment cycle will involve twice-weekly visits over 4 weeks, during which a single dose will be administered at each visit (8 doses total). This will be followed by weekly visits for a further 3 weeks, during which 2 doses of the investigational product will be administered 90 minutes apart at each visit (6 doses total).

Doses of E-EDV-Dox/GC will be administered intravenously (via IV) over approximately 10 seconds. In week 8, tumour burden will be reassessed radiologically.

Subsequent treatment cycles will consist of weekly visits over 7 weeks, with 2 doses administered 90 minutes apart at each visit. Each 7-week treatment period will be followed by a treatment-free week during which tumour burden will again be radiologically assessed (week 8).

Treatment may continue until either the participant or investigator decides it is appropriate to stop treatment, for example due to serious side effects or continued disease progression.

It is hoped that the findings from this study will help determine the safety and efficacy of E-EDV-Dox/GC treatment for recurrent glioblastoma.

Conditions

This trial is treating people with grade IV glioblastoma or high grade glioma that is recurrent or has progressed on prior treatment

Eligibility

Inclusion

-Histologically confirmed WHO grade IV glioblastoma or high grade glioma with molecular features consistent with glioblastoma.
-Confirmed recurrence or progression.
-Measurable disease per RANO 2.0 criteria.
-Karnofsky performance status (KPS) score of 70 or higher.
-Adequate haematological function.
-Adequate renal function.
-Adequate hepatic function.

Exclusion

-Early disease progression prior to 3 months (12 weeks) from the completion of radiotherapy.
-History of central nervous system bleeding within 6 months prior to enrolment.
-Evidence of acute intracranial / intra-tumoral hemorrhage, except for participants with stable grade 1 hemorrhage.
-History of significant bleeding disorder.
-Participant has a history of coronary artery disease, with or without angina pectoris or myocardial infarction, symptomatic congestive heart failure (New York Heart Association > class II), uncontrolled hypertension (systolic > 140 mmHg or diastolic > 90 mmHg) or a history of hypertensive crises, or cardiac arrhythmias requiring anti-arrhythmic therapy.
-Clinically significant electrocardiogram (ECG) changes at enrolment which obscure the ability to assess the PR, QT, and QRS interval, congenital long QT syndrome.
-History of thromboembolic events, including arterial (e.g., stroke, myocardial infarction) or venous thromboembolism within last six months.
-Participant has an active infection requiring treatment.
-History of other malignancies, except: adequately treated non-melanoma skin cancer, curatively treated in-situ cancer, or other malignancies curatively treated with no evidence of disease for greater than or equal to 2 years.
-History of gastrointestinal perforation, fistula formation or intra-abdominal abscess within 6 months prior to Study Day 1.
-Participant has received immunotherapeutic agents, vaccines, or monoclonal antibody therapy (within 4 weeks of Study Day 1 or has not recovered from the toxic effects of such cancer therapy), anticoagulation therapy (within 7 days of Study Day 1), except low molecular weight heparins or low dose aspirin, other investigational therapy (within 30 days of Study Day 1). Any major surgery (within 4 weeks of Study Day 1, or has not recovered from the effects of such surgery). Any minor surgery within 7 days of Study Day 1.
-The participant has a known allergic/hypersensitivity to investigational components or excipients e.g. doxorubicin, trehalose, or monoclonal antibody therapy.
-Females who are pregnant or breastfeeding.
-Subjects who cannot comply with protocol scheduled study visits or procedures, to the best of the subject and Investigator’s knowledge.

Inclusion

  • You have had treatment, but your cancer has come back (relapsed or recurrent).
  • You have had treatment but your cancer has gotten worse or has not responded to the treatment you have been given.

Exclusion

  • You have been diagnosed with a prior or secondary type of cancer.
  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

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Trial Identifiers

Information on this page is partially produced from ANZCTR *. View further details about this trial on the registry via the links below:

Trial sponsor

EnGeneIC Pty Ltd

Scientific Title

A Phase I/IIa Study of EGFR-targeted EDVs Carrying Doxorubicin (E-EDV-Dox) Combined with EDVs Carrying a-Galactosyl Ceramide (EDV-GC) in People with Recurrent Glioblastoma.

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