Evidence map›Paper›PMID 31689242›Full record

Trial reportThe Journal of clinical investigation2020

Off-the-shelf EBV-specific T cell immunotherapy for rituximab-refractory EBV-associated lymphoma following transplantation.

Susan Prockop, Ekaterina Doubrovina, Stephanie Suser, Glenn Heller, Juliet Barker, Parastoo Dahi, Miguel A Perales, Esperanza Papadopoulos, Craig Sauter, Hugo Castro-Malaspina and 23 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 128 papers.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00002663 phase1 / phase2completednot on this map

An Evaluation of the Toxicity and Therapeutic Effects of Epstein-Barr Virus-Immune T-Lymphocytes Derived From a Normal HLA-Compatible or Haplotype-Matched Donor in the Treatment of EBV-Associated Lymphoproliferative Diseases or Malignancies and Patients With Detectable Circulating Levels of EBV DNA Who Are at High Risk for EBV-Associated Lymphoproliferative Diseases

TypeinterventionalSponsorAtara BiotherapeuticsRan1995 to 2019Enrolled58ConditionsEBV-induced Lymphomas, EBV-associated Malignancies, Transplant Patients With EBV Viremia at High Risk of Developing a Recurrent EBV LymphomaArmsEpstein-Barr virus-specific cytotoxic T lymphocytes (EBV-CTLs)
NCT01498484 phase2completednot on this map

A Phase II Study of the Therapeutic Effects Of Epstein-Barr Virus Immune T-Lymphocytes Derived From a Normal HLA-Compatible Or Partially-Matched Third-Party Donor in the Treatment of EBV Lymphoproliferative Disorders and EBV-Associated Malignancies

TypeinterventionalSponsorAtara BiotherapeuticsRan2011 to 2019Enrolled87ConditionsEBV-induced Lymphomas, EBV-associated Malignancies, Transplant Patients With EBV Viremia at High Risk for Developing a Recurrent EBV LymphomaArmsEBV-specific T cells (EBV-CTLs)
3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 225 citations in OpenAlex.

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  9. Beyond Oncology: Exploring the Expanding Role of CAR T Cell Therapy in Autoimmune and Infectious Diseases-A Systematic Review.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
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  19. Molecular pathogenesis and evolving treatment landscape of extranodal NK/T-cell lymphoma.Proceedings of the Japan Academy. Series B, Physical and biological sciences · 2026
    Review
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68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 5 institutions in 3 countries.

Susan ProckopDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Ekaterina DoubrovinaDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Stephanie SuserDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Glenn HellerDepartment of Biostatistics, and.
Juliet BarkerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Parastoo DahiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Miguel A PeralesDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Esperanza PapadopoulosDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Craig SauterDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Hugo Castro-MalaspinaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Farid BouladDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Kevin J CurranDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Sergio GiraltDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Boglarka GyurkoczaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Katharine C HsuDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Ann JakubowskiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Alan M HanashDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Nancy A KernanDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Rachel KobosDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Guenther KoehneMiami Cancer Institute, Baptist Health South Florida, Miami, Florida, USA.
Heather LandauDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Doris PonceDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Barbara SpitzerDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
James W YoungDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Gerald BehrDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Mark DunphyDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Sofia HaqueDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Julie Teruya-FeldsteinDepartment of Pathology, Icahn School of Medicine, Mount Sinai Health System, New York, New York, USA.
Maria ArcilaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Christine MoungDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Susan HsuAmerican Red Cross, Philadelphia, Pennsylvania, USA.
Aisha HasanDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Richard J O'ReillyDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Memorial Sloan Kettering Cancer Center · USAmerican Red Cross · USBaptist Hospital of Miami · USCancer Research And Biostatistics · USMount Sinai Health System · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
T LYMPHOCYTE SUBSET FUNCTION POST-TRANSPLANTATIONP01CA023766 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PAMER, ERIC G. · 1985 to 2023
$59.0M
EBV Specific T-cells from 3rd party donors for treatment of EBV-associated malignR21CA162002 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI O'REILLY, RICHARD JOHN · 2011 to 2012
$755k
NCI NIH HHS P01 CA023766NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA162002
6 · The paper itself

Abstract

BACKGROUNDAdoptive transfer of donor-derived EBV-specific cytotoxic T-lymphocytes (EBV-CTLs) can eradicate EBV-associated lymphomas (EBV-PTLD) after transplantation of hematopoietic cell (HCT) or solid organ (SOT) but is unavailable for most patients.METHODSWe developed a third-party, allogeneic, off-the-shelf bank of 330 GMP-grade EBV-CTL lines from specifically consented healthy HCT donors. We treated 46 recipients of HCT (n = 33) or SOT (n = 13) with established EBV-PTLD, who had failed rituximab therapy, with third-party EBV-CTLs. Treatment cycles consisted of 3 weekly infusions of EBV-CTLs and 3 weeks of observation.RESULTSEBV-CTLs did not induce significant toxicities. One patient developed grade I skin graft-versus-host disease. Complete remission (CR) or sustained partial remission (PR) was achieved in 68% of HCT recipients and 54% of SOT recipients. For patients who achieved CR/PR or stable disease after cycle 1, one year overall survival was 88.9% and 81.8%, respectively. In addition, 3 of 5 recipients with POD after a first cycle who received EBV-CTLs from a different donor achieved CR or durable PR (60%) and survived longer than 1 year. Maximal responses were achieved after a median of 2 cycles.CONCLUSIONThird-party EBV-CTLs of defined HLA restriction provide safe, immediately accessible treatment for EBV-PTLD. Secondary treatment with EBV-CTLs restricted by a different HLA allele (switch therapy) can also induce remissions if initial EBV-CTLs are ineffective. These results suggest a promising potential therapy for patients with rituximab-refractory EBV-associated lymphoma after transplantation.TRIAL REGISTRATIONPhase II protocols (NCT01498484 and NCT00002663) were approved by the Institutional Review Board at Memorial Sloan Kettering Cancer Center, the FDA, and the National Marrow Donor Program.FUNDINGThis work was supported by NIH grants CA23766 and R21CA162002, the Aubrey Fund, the Claire Tow Foundation, the Major Family Foundation, the Max Cure Foundation, the Richard "Rick" J. Eisemann Pediatric Research Fund, the Banbury Foundation, the Edith Robertson Foundation, and the Larry Smead Foundation. Atara Biotherapeutics licensed the bank of third-party EBV-CTLs from Memorial Sloan Kettering Cancer Center in June 2015.

Indexed as

Adoptive TransferEpstein-Barr Virus InfectionsHematopoietic Stem Cell TransplantationLymphomaAdultAllograftsDisease-Free SurvivalFemaleHerpesvirus 4, HumanHumansMaleRituximabSurvival RateT-LymphocytesRituximabCancer immunotherapyImmunologyT cellsTransplantation

Identifiers

PMID31689242
PMCPMC6994129
OpenAlexW2986046464

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.