Tabelecleucel, an investigational treatment developed by Atara Biotherapeutics, is currently under review by the US Food and Drug Administration (FDA) for the treatment of Epstein-Barr virus (EBV) post-transplant lymphoproliferative disease (PTLD). PTLD is a rare and potentially life-threatening condition that occurs in some individuals who have undergone a transplant and have a weakened immune system. The condition is caused by the reactivation of EBV, which can lead to the uncontrolled growth of lymphocytes. Tabelecleucel is an allogeneic, off-the-shelf T-cell therapy that is designed to target and eliminate EBV-infected cells. The treatment has shown promising results in clinical trials, with a significant proportion of patients achieving complete remission. The FDA review is based on data from two Phase 2 studies, which demonstrated the efficacy and safety of tabelecleucel in patients with EBV PTLD. The treatment has also received orphan drug designation and breakthrough therapy designation from the FDA, which provides expedited review and development incentives. If approved, tabelecleucel would be the first FDA-approved treatment for EBV PTLD. The condition is currently treated with a range of therapies, including rituximab and chemotherapy, but these treatments can have significant side effects and are not always effective. Tabelecleucel has the potential to provide a more targeted and effective treatment option for patients with EBV PTLD. The FDA review is ongoing, and a decision is expected in the coming months. The approval of tabelecleucel would be a significant milestone for Atara Biotherapeutics and would provide new hope for patients with EBV PTLD. The treatment has also been granted priority review status, which accelerates the review process. In addition to its potential for treating EBV PTLD, tabelecleucel is also being investigated for the treatment of other EBV-associated diseases, including nasopharyngeal carcinoma and Hodgkin lymphoma. The development of tabelecleucel is an example of the growing field of cell therapy, which has the potential to revolutionize the treatment of a range of diseases. Overall, the review of tabelecleucel for EBV PTLD is an important development in the field of oncology and has the potential to improve outcomes for patients with this rare and serious condition.