Immune changes around Epstein‑Barr virus in children after organ transplant

Understanding the immune response changes to clinical interventions for Epstein-Barr virus infection prior to lymphoma development in children after organ transplants (UNEARTH)

NIH-funded research Rutgers Biomedical and Health Sciences · NIH-11168929

This project looks at how children's immune systems respond to treatments for Epstein‑Barr virus after a solid organ transplant to help identify who might later develop lymphoma.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionRutgers Biomedical and Health Sciences NIH-funded
Lab location1 site (Newark, UNITED STATES)
Project IDNIH-11168929 on NIH RePORTER

What this research studies

If your child has a solid organ transplant and gets an Epstein‑Barr virus (EBV) infection, the team will follow their blood during the first year after transplant to watch immune changes. They will run detailed tests on T cells and natural killer (NK) cells and measure EBV and related viruses in blood at five time points. The project will include 278 pediatric transplant recipients (kidney, liver, heart, lung, or intestine) across three major children's hospitals and analyze 1,390 samples. The goal is to compare children with a new EBV infection versus those with a chronic high EBV viral load and to link immune patterns with treatment responses and outcomes.

Who could benefit from this research

Good fit: Children who received a solid organ transplant (kidney, liver, heart, lung, or intestine) and who develop a new EBV infection or a chronic high EBV viral load in the first year after transplant would be the ideal candidates.

Not a fit: Adults, transplant recipients without EBV infection or those outside the first year after transplant, and people unable to access the participating hospitals are unlikely to benefit directly from joining this effort.

Why it matters

Potential benefit: If successful, this work could help doctors predict which children are at higher risk for post‑transplant lymphoma and tailor treatments to prevent it.

How similar studies have performed: Routine EBV DNA monitoring alone has not reliably predicted post‑transplant lymphoma, and using detailed T‑cell and NK‑cell profiling is a newer approach with some early promise but not yet proven.

Where this research is happening

Newark, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.