Exploratory Study of EBV-TCR-T Cell Injection for EBV DNAemia After Allogeneic Hematopoietic Stem Cell Transplantation

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-70
SponsorDaihong Liu

About this trial

Epstein-Barr virus (EBV) DNAemia is a common and potentially serious complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT) and may progress to EBV-associated lymphoproliferative disorders. Current treatment options are limited, and effective immune-based therapies are still needed.

This is an investigator-initiated, exploratory, open-label, single-arm clinical study designed to evaluate the safety, tolerability, and preliminary efficacy of EBV-specific T cell receptor-engineered T cells (EBV-TCR-T cell injection) in patients with EBV DNAemia after allo-HSCT. Eligible participants will receive intravenous infusions of EBV-TCR-T cells at escalating dose levels. Safety outcomes, EBV-DNA clearance, and preliminary efficacy will be assessed, along with pharmacokinetic and pharmacodynamic characteristics of the infused cells.

Eligibility criteria

Qualifiers

Age ≥ 18 years at the time of enrollment.

History of allogeneic hematopoietic stem cell transplantation.

Presence of Epstein-Barr virus (EBV) DNAemia confirmed by quantitative polymerase chain reaction (qPCR) in peripheral blood.

EBV DNAemia persisting or increasing despite standard management, as determined by the investigator.

Disqualifiers

Diagnosis of EBV-associated lymphoproliferative disorder requiring immediate cytotoxic chemotherapy.

Active, uncontrolled infection other than EBV.

History of severe autoimmune disease requiring systemic immunosuppressive therapy.

Uncontrolled graft-versus-host disease requiring high-dose systemic corticosteroids or other immunosuppressive treatment.

Trial design

Treatments tested in this trial

  • EBV-TCR-T Cell Injection

Treatment groups

18 Participants
are divided into 1 treatment group

Sponsors and collaborators

Daihong Liu

Lead sponsor

Chinese PLA General Hospital

Sponsor institution