Evidence map›Paper›PMID 37159273›Full record

ArticleThe Journal of clinical investigation2023

Patient-tailored adoptive immunotherapy with EBV-specific T cells from related and unrelated donors.

Agnes Bonifacius, Britta Lamottke, Sabine Tischer-Zimmermann, Rebecca Schultze-Florey, Lilia Goudeva, Hans-Gert Heuft, Lubomir Arseniev, Rita Beier, Gernot Beutel, Gunnar Cario and 27 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
7.5field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 35 citations in OpenAlex.

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  10. Adoptive T-cell therapy for virus-associated diseases.Clinical microbiology reviews · 2025
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  17. Virus-Specific T-Cell Therapy for the Management of Viral Infections in the Immunocompromised.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Review
  18. "Attack!" Cellular Therapies to Attack Pathogens and Tumors.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors at 20 institutions in 4 countries.

Agnes BonifaciusInstitute of Transfusion Medicine and Transplant Engineering.
Britta LamottkeDepartment of Pediatric Hematology and Oncology.
Sabine Tischer-ZimmermannInstitute of Transfusion Medicine and Transplant Engineering.
Rebecca Schultze-FloreyDepartment of Pediatric Hematology and Oncology.
Lilia GoudevaInstitute of Transfusion Medicine and Transplant Engineering.
Hans-Gert HeuftInstitute of Transfusion Medicine and Transplant Engineering.
Lubomir ArsenievCellular Therapy Centre, and.
Rita BeierDepartment of Pediatric Hematology and Oncology.
Gernot BeutelDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Gunnar CarioDepartment of Pediatrics, University Hospital Schleswig-Holstein, Kiel, Germany.
Birgit FröhlichPediatric Hematology and Oncology, Klinik für Kinder- und Jugendmedizin, University Children's Hospital Muenster, Münster, Germany.
Johann GreilUniversity Children's Hospital Heidelberg, Heidelberg, Germany.
Leo HansmannDepartment of Hematology, Oncology, and Tumor Immunology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Justin HasenkampClinic for Hematology and Oncology, University Medicine Göttingen, Georg August University, Göttingen, Germany.
Michaela HöfsPediatric Hematology and Oncology, Department for Pediatrics III, University Hospital Essen, Essen, Germany.
Patrick HundsdoerferDepartment of Pediatric Oncology and Hematology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Edgar JostDepartment of Hematology, Oncology, Hemostaseology, and Stem Cell Transplantation, University Medical Center RWTH Aachen, and Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD), Aachen, Germany.
Kinan KafaDepartment of Pediatrics I, Martin Luther University Halle-Wittenberg, Halle, Germany.
Oliver KriegeThird Department of Medicine-Haematology, Internal Oncology, and Pneumology, Johannes Gutenberg University Medical Center, Mainz, Germany.
Nicolaus KrögerDepartment for Stem Cell Transplantation, University Medical Center Hamburg, Hamburg, Germany.
Stephan MathasCharité-Universitätsmedizin Berlin, Hematology, Oncology, and Tumor Immunology, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Roland MeiselDivision of Pediatric Stem Cell Therapy, Department of Pediatric Oncology, Hematology, and Clinical Immunology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Michaela NathrathDepartment of Pediatric Oncology, Klinikum Kassel, Kassel, Germany, and Children's Cancer Research Center and Department of Pediatrics, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Mervi PutkonenDepartment of Hematology and Stem Cell Transplantation, Turku University Hospital, Turku, Finland.
Sarina RavensInstitute of Immunology, Hannover Medical School, Hannover, Germany.
Hans Christian ReinhardtDepartment of Hematology and Stem Cell Transplantation, West-German Cancer Center, University Hospital Essen, Essen, Germany.
Elisa SalaDepartment of Internal Medicine III, University Hospital Ulm, Ulm, Germany.
Martin G SauerDepartment of Pediatric Hematology and Oncology.
Clemens SchmittDepartment of Hematology, Oncology, and Tumor Immunology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Roland SchroersDepartment of Hematology and Oncology, Knappschaftskrankenhaus University Hospital, Bochum, Germany.
Nina Kristin SteckelDepartment of Hematology and Stem Cell Transplantation, West-German Cancer Center, University Hospital Essen, Essen, Germany.
Ralf Ulrich TrappeGerman Posttransplant Lymphoproliferative Disease (PTLD) Study Group, Department of Internal Medicine II-Hematology and Oncology, Evangelisches Diakonie-Krankenhaus, Bremen, Germany.
Mareike VerbeekClinic and Policlinic for Internal Medicine III, School of Medicine, Technische Universität München, Klinikum rechts der Isar, Munich, Germany.
Daniel WolffDepartment of Internal Medicine III, University Hospital Regensburg, Regensburg, Germany.
Rainer BlasczykInstitute of Transfusion Medicine and Transplant Engineering.
Britta Eiz-VesperInstitute of Transfusion Medicine and Transplant Engineering.
Britta Maecker-KolhoffDepartment of Pediatric Hematology and Oncology.
Institute for Transfusion Medicine · USCharité - Universitätsmedizin Berlin · DEMedizinische Hochschule Hannover · DETUM Klinikum · DECellular Therapeutics (United Kingdom) · GBDüsseldorf University Hospital · DEEssen University Hospital · DEEvangelisches Diakoniekrankenhaus · DEGerman Center for Infection Research · DEHeidelberg University · DEHeinrich Heine University Düsseldorf · DEJohannes Gutenberg University Mainz · DEKlinik und Poliklinik für Kinder- und Jugendmedizin · DEMartin Luther University Halle-Wittenberg · DEMax Delbrück Center · DETurku University Hospital · FIUniversität Hamburg · DEUniversitätsklinikum Knappschaftskrankenhaus Bochum · DEUniversity Hospital Regensburg · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDAdoptive transfer of EBV-specific T cells can restore specific immunity in immunocompromised patients with EBV-associated complications.METHODSWe provide results of a personalized T cell manufacturing program evaluating donor, patient, T cell product, and outcome data. Patient-tailored clinical-grade EBV-specific cytotoxic T lymphocyte (EBV-CTL) products from stem cell donors (SCDs), related third-party donors (TPDs), or unrelated TPDs from the allogeneic T cell donor registry (alloCELL) at Hannover Medical School were manufactured by immunomagnetic selection using a CliniMACS Plus or Prodigy device and the EBV PepTivators EBNA-1 and Select. Consecutive manufacturing processes were evaluated, and patient outcome and side effects were retrieved by retrospective chart analysis.RESULTSForty clinical-grade EBV-CTL products from SCDs, related TPDs, or unrelated TPDs were generated for 37 patients with refractory EBV infections or EBV-associated malignancies with and without a history of transplantation, within 5 days (median) after donor identification. Thirty-four patients received 1-14 EBV-CTL products (fresh and cryopreserved). EBV-CTL transfer led to a complete response in 20 of 29 patients who were evaluated for clinical response. No infusion-related toxicity was reported. EBV-specific T cells in patients' blood were detectable in 16 of 18 monitored patients (89%) after transfer, and their presence correlated with clinical response.CONCLUSIONPersonalized clinical-grade manufacture of EBV-CTL products via immunomagnetic selection from SCDs, related TPDs, or unrelated TPDs in a timely manner is feasible. Overall, EBV-CTLs were clinically effective and well tolerated. Our data suggest EBV-CTL transfer as a promising therapeutic approach for immunocompromised patients with refractory EBV-associated diseases beyond HSCT, as well as patients with preexisting organ dysfunction.TRIAL REGISTRATIONNot applicable.FUNDINGThis study was funded in part by the German Research Foundation (DFG, 158989968/SFB 900), the Deutsche Kinderkrebsstiftung (DKS 2013.09), Wilhelm-Sander-Stiftung (reference 2015.097.1), Ellen-Schmidt-Program of Hannover Medical School, and German Federal Ministry of Education and Research (reference 01EO0802).

Indexed as

Epstein-Barr Virus InfectionsImmunotherapy, AdoptiveHerpesvirus 4, HumanHumansRetrospective StudiesT-Lymphocytes, CytotoxicUnrelated DonorsAdaptive immunityImmunotherapyT cellsTherapeutics

Identifiers

PMID37159273
PMCPMC10266790
OpenAlexW4375954864

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