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Blood, 1 March 2005, Vol. 105, No. 5, pp. 1898-1904.
Prepublished online as a Blood First Edition Paper on November 12, 2004; DOI 10.1182/blood-2004-07-2975.


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Submitted August 2, 2004
Accepted November 1, 2004

Treatment of Nasopharyngeal Carcinoma with Epstein-Barr Virus-specific T Lymphocytes

Karin C Straathof, Catherine M Bollard, Uday Popat, M H Huls, Teresita Lopez, M C Morriss, Mary V Gresik, Adrian P Gee, Heidi V Russell, Malcolm K Brenner, Cliona M Rooney, and Helen E Heslop*

Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, TX, USA
Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, TX, USA; Department of Pediatrics, Texas Children's Hospital, Houston, TX, USA
Department of Medecine, Baylor College of Medicine, Houston, TX, USA
Department of Radiology, The Methodist Hospital, Houston, TX, USA
Department of Pathology, Baylor College of Medicine, Houston, TX, USA
Department of Pediatrics, Texas Children's Hospital, Houston, TX, USA
Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, TX, USA; Department of Pediatrics, Texas Children's Hospital, Houston, TX, USA; Department of Medecine, Baylor College of Medicine, Houston, TX, USA
Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, TX, USA; Department of Pediatrics, Texas Children's Hospital, Houston, TX, USA; Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, USA

* Corresponding author; email: hheslop{at}bcm.tmc.edu.

Conventional treatment for nasopharyngeal carcinoma (NPC) frequently fails, and is accompanied by severe long-term side effects. Since virtually all undifferentiated NPCs are associated with Epstein Barr virus (EBV), this tumor is an attractive candidate for cellular immunotherapy targeted against tumor-associated viral antigens. We now demonstrate that EBV-specific cytotoxic T cell lines (CTL) can readily be generated from individuals with NPC, notwithstanding the patients' prior exposure to chemotherapy/radiation. Ten patients diagnosed with advanced NPC were treated with autologous CTL. All patients tolerated the CTL, although one developed increased swelling at the site of pre-existing disease. Four patients treated in remission from locally advanced disease remain disease free 19 to 27 months after infusion. Of 6 patients with refractory disease prior to treatment, 2 had complete responses, and remain in remission > 11-23 months after treatment, 1 had a partial remission that persisted for 12 months, 1 has had stable disease for > 14 months and 2 had no response. These results demonstrate that administration of EBV-specific CTL to patients with advanced NPC is feasible, appears to be safe and can be associated with significant anti-tumor activity.


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