PMID- 24598452 OWN - NLM STAT- MEDLINE DCOM- 20141106 LR - 20201222 IS - 1537-4513 (Electronic) IS - 1524-9557 (Linking) VI - 37 IP - 3 DP - 2014 Apr TI - T-cell therapy using a bank of EBV-specific cytotoxic T cells: lessons from a phase I/II feasibility and safety study. PG - 170-9 LID - 10.1097/CJI.0000000000000031 [doi] AB - We report herein the results we obtained and the limitations we experienced during the production and use of a bank of Epstein-Barr virus (EBV)-transformed human cytotoxic T lymphocytes (EBV-CTLs). To assess the feasibility and toxicity of this strategy, we selected and stored, in liquid nitrogen, 4 billion EBV-CTLs from each of the 13 selected donors. Subsequently, in a multicenter phase I/II study, 11 patients with EBV-associated lymphoma resistant to conventional treatments received 1-3 doses of 5 million EBV-CTLs/kg with 1-3 and 0-4 compatibilities for human leukocyte antigen (HLA)-I and HLA-II, respectively. Except for one event of fever after injection, no immediate or delayed toxicity, no graft versus host disease, and no graft rejection attributable to CTL infusion were observed. Three patients presented complete remission and 1 partial remission after treatment. Considering the clinical options currently available, and the constrains associated with CTL preparation and implementation, we conclude that CTL banks should consist of a reasonably small number of cell lines with documented specificities. This objective could be more easily achieved if the few homozygous donors for the most frequent HLA alleles of the targeted population could be made available for such a project. FAU - Gallot, Geraldine AU - Gallot G AD - *Inserm, U892 daggerCHU Nantes, Hotel Dieu, UTCG double daggerEtablissement Francais du Sang (EFS), Pays de la Loire, Nantes section signUMR 1098, EFS Bourgogne/Franche-Comte, Bourgogne/Franche-Comte parallelCHU Limoges, Limoges paragraph signCHU Bordeaux and University Bordeaux 2, Bordeaux #APHP Hopital Pitie-Salpetriere CHU Pitie Salpetriere **CHU Robert Debre section sign section signHopital Saint-Antoine, Paris daggerdaggerCHU Brest, Brest double daggerdouble daggerCHU Lilles, Lille, France. FAU - Vollant, Solene AU - Vollant S FAU - Saiagh, Soraya AU - Saiagh S FAU - Clemenceau, Beatrice AU - Clemenceau B FAU - Vivien, Regine AU - Vivien R FAU - Cerato, Evelyne AU - Cerato E FAU - Bignon, Jean-D AU - Bignon JD FAU - Ferrand, Christophe AU - Ferrand C FAU - Jaccard, Arnaud AU - Jaccard A FAU - Vigouroux, Stephane AU - Vigouroux S FAU - Choquet, Sylvain AU - Choquet S FAU - Dalle, Jean-Hugues AU - Dalle JH FAU - Frachon, Irene AU - Frachon I FAU - Bruno, Benedicte AU - Bruno B FAU - Mothy, Mohamad AU - Mothy M FAU - Mechinaud, Francoise AU - Mechinaud F FAU - Leblond, Veronique AU - Leblond V FAU - Milpied, Noel AU - Milpied N FAU - Vie, Henri AU - Vie H LA - eng SI - ClinicalTrials.gov/NCT01823718 PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - United States TA - J Immunother JT - Journal of immunotherapy (Hagerstown, Md. : 1997) JID - 9706083 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Cell Line MH - Child MH - Epstein-Barr Virus Infections/immunology/*therapy/virology MH - Feasibility Studies MH - Female MH - Herpesvirus 4, Human/*immunology MH - Humans MH - *Immunotherapy, Adoptive MH - Lymphoma/immunology/*therapy/virology MH - Male MH - Middle Aged MH - T-Lymphocytes, Cytotoxic/*immunology MH - Viral Load MH - Young Adult EDAT- 2014/03/07 06:00 MHDA- 2014/11/07 06:00 CRDT- 2014/03/07 06:00 PHST- 2014/03/07 06:00 [entrez] PHST- 2014/03/07 06:00 [pubmed] PHST- 2014/11/07 06:00 [medline] AID - 10.1097/CJI.0000000000000031 [doi] PST - ppublish SO - J Immunother. 2014 Apr;37(3):170-9. doi: 10.1097/CJI.0000000000000031.