Case Report: BKV-specific T cells: a fast, safe and potentially effective treatment option for refractory BKV infections in pediatric patients after allogeneic stem cell transplantation - Takeaways - MDSpire

Case Report: BKV-specific T cells: a fast, safe and potentially effective treatment option for refractory BKV infections in pediatric patients after allogeneic stem cell transplantation

  • By

  • Sven Oberwegner

  • Steffen A. Hettler

  • Luca Hensen

  • Amadeus T. Heinz

  • Christiane Braun

  • Michaela Döring

  • Peter Lang

  • May 7, 2026

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  • 1

    BK virus reactivation is common after allogeneic stem cell transplantation and can lead to serious complications like nephropathy and hemorrhagic cystitis.

  • 2

    Current treatments for BKV infections are mainly supportive, with cidofovir lacking definitive evidence of effectiveness, highlighting the need for new therapies.

  • 3

    Adoptive transfer of BKV-specific T cells showed feasibility and safety in four pediatric patients with refractory BKV infections, with three showing decreased viral load.

  • 4

    The treatment was well tolerated, with no infusion-related adverse effects or severe graft-versus-host disease reported among the patients.

  • 5

    Further research is necessary to confirm the effectiveness of BKV-specific T cells as a therapeutic option for refractory BKV viremia in pediatric patients.

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