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EBV-specific T cells

Phase 2

EBV-induced Lymphomas | Monoclonal antibody | Oncology |Atara Biotherapeutics, Inc.|Last Updated: Oct 21, 2022

Target and mechanism

ModalityMonoclonal antibody

Also known as EBV-specific T cells (EBV-CTLs)

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment87

FDA Designations

No designations recorded

Clinical trial landscape

EBV-specific T cells · 1 trial · 3 indications

Phase 2 1
NCT01498484Therapeutic 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 MalignanciesEBV-induced Lymphomas
COMPLETED87 Analytics
PHASE2COMPLETED
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
EBV-induced LymphomasUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective Response Rate (ORR)
From Day 1 through 65.3 months after Day 1 dose

The ORR is defined as percentage of participants with best overall response of complete remission/response (CR) or partial remission/response (PR) based on investigator's assessment. For participants with clinically and/or radiologically evident EBV LPD or malignancies, CR is complete resolution of all clinical and radiologic evidence of lymphoma, confirmed by biopsy of the affected tissues when indicated, lasting for at least 3 weeks following completion of a cycle of tabelecleucel; and PR is a 50 % or greater reduction in the size of all lymphomatous lesions as determined by computed tomography (CT) or magnetic resonance imaging (MRI) measurements of tumor volume, which was maintained for at least 3 weeks following completion of a cycle of tabelecleucel. For participants without clinically and/or radiologically evident tumors with increasing levels of EBV DNA, CR is clearance of EBV without subsequent development of EBV+ LPD; and PR is at least a 10-fold decrease in EBV DNA levels.

Secondary Endpoints

Overall Survival (OS)
From Day 1 through 65.3 months after Day 1 dose
OS Rate at 12 Months
From Day 1 through 12 months after Day 1 dose
OS Follow-up Time
From Day 1 through 65.3 months after Day 1 dose
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
HCT EBV+ PTLD R/R RituximabEXPERIMENTALPatients with Epstein-Barr virus positive (EBV+) posttransplant lymphoproliferative disorders (PTLD) hematopoietic cell transplant (HCT) who were relapse/refractory (R/R) to rituximab will receive IV infusion of tabelecleucel 2 × 10\^6 T-cells/kg on Days 1, 8, and 15 and will be observed for 3 weeks. After the observation period, additional courses (2 courses) may have been provided in the absence of disease progression or unacceptable toxicity.
SOT EBV+ PTLD R/R RituximabEXPERIMENTALPatients with EBV+PTLD solid organ transplant (SOT) who were R/R to rituximab or R/R to rituximab and chemotherapy will receive IV infusion of tabelecleucel 2 × 10\^6 T-cells/kg on Days 1, 8, and 15 and will be observed for 3 weeks. After 3 week observation period, additional courses (2 courses) may have been provided in the absence of disease progression or unacceptable toxicity.
EBV+ AID-LPDEXPERIMENTALPatients with EBV+ acquired immunodeficiency (AID) lymphoproliferative disorder (LPD) will receive IV infusion of tabelecleucel 2 × 10\^6 T-cells/kg on Days 1, 8, and 15 and will be observed for 3 weeks. After the observation period, additional courses (2 courses) may have been provided in the absence of disease progression or unacceptable toxicity
EBV+ PID-LPDEXPERIMENTALPatients with EBV+ primary immunodeficiency (PID) LPD will receive IV infusion of tabelecleucel 2 × 10\^6 T-cells/kg on Days 1, 8, and 15 and will be observed for 3 weeks. After the observation period, additional courses (2 courses) may have been provided in the absence of disease progression or unacceptable toxicity.
EBV+ ViremiaEXPERIMENTALPatients with EBV+ viremia will receive IV infusion of tabelecleucel 2 × 10\^6 T-cells/kg on Days 1, 8, and 15 and will be observed for 3 weeks. After the observation period, additional courses (2 courses) may have been provided in the absence of disease progression or unacceptable toxicity.
EBV+ LeiomyosarcomaEXPERIMENTALPatients with EBV+ leiomyosarcoma (LMS) will receive IV infusion of tabelecleucel 2 × 10\^6 T-cells/kg on Days 1, 8, and 15 and will be observed for 3 weeks. After the observation period, additional courses (2 courses) may have been provided in the absence of disease progression or unacceptable toxicity.
EBV+ LymphomaEXPERIMENTALPatients with EBV+ lymphoma will receive IV infusion of tabelecleucel 2 × 10\^6 T-cells/kg on Days 1, 8, and 15 and will be observed for 3 weeks. After the observation period, additional courses (2 courses) may have been provided in the absence of disease progression or unacceptable toxicity.
EBV+ NPCEXPERIMENTALPatients with EBV+ nasopharyngeal carcinoma (NPC) will receive IV infusion of tabelecleucel 2 × 10\^6 T-cells/kg on Days 1, 8, and 15 and will be observed for 3 weeks. After the observation period, additional courses (2 courses) may have been provided in the absence of disease progression or unacceptable toxicity.
EBV+ Other Solid TumorEXPERIMENTALPatients with EBV+ other solid tumors will receive IV infusion of tabelecleucel 2 × 10\^6 T-cells/kg on Days 1, 8, and 15 and will be observed for 3 weeks. After the observation period, additional courses (2 courses) may have been provided in the absence of disease progression or unacceptable toxicity.

Interventions

NameTypeDescription
EBV-specific T cells (EBV-CTLs)BIOLOGICALEBV-CTLs are cytotoxic T lymphocytes that specifically kill cells presenting EBV protein antigens including EBV-transformed B lymphocytes responsible for EBV-associated lymphomas and lymphoproliferative disorders.
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Eligibility Criteria

SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Pathologically documented EBV antigen positive lymphoproliferative disease, lymphoma or other EBV-associated malignancy. OR * Evaluable disease as demonstrated by clinical and/or radiologic studies with current or prior elevated blood levels of EBV DNA exceeding 500 copies/m...

Countries:United States
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Frequently asked questions about EBV-specific T cells

What is EBV-specific T cells used for?

EBV-specific T cells are being studied for the treatment of EBV-induced lymphomas and other EBV-associated malignancies, including in transplant patients with EBV viremia who are at high risk for developing a recurrent EBV lymphoma. The therapy is in Phase 2 clinical development.

Who is developing EBV-specific T cells?

EBV-specific T cells are being developed by Atara Biotherapeutics, Inc., which trades on the Nasdaq under the ticker ATRA. The company is the sponsor of the clinical program evaluating this therapy in EBV-associated cancers.

What phase is EBV-specific T cells in?

EBV-specific T cells are in Phase 2 clinical development. The program has one completed Phase 2 trial and no active trials. The therapy is investigational and has not been approved by the FDA for any indication.

What clinical trials are being conducted with EBV-specific T cells?

EBV-specific T cells have been evaluated in one completed Phase 2 trial, NCT01498484, titled 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. The trial enrolled 87 participants in the United States.

Is EBV-specific T cells the same as EBV-CTLs?

Yes, EBV-specific T cells are also known as EBV-specific T cells (EBV-CTLs). EBV-CTLs stands for Epstein-Barr virus-specific cytotoxic T lymphocytes, which is another name for the same investigational therapy developed by Atara Biotherapeutics.