An isolated trifunctional
bispecific antibody for use in a method of treating a patient suffering from a
disease and / or disorder associated with reactivation of Epstein-
Barr virus (EBV) in at least B cells and potentially other susceptible cells, such as susceptible epithelial cells, the method comprising: providing an
autologous cell preparation of enriched B cells of the patient; incubating the enriched B cells with a trifunctional
bispecific antibody for a period of time sufficient to establish a
physical interaction between the trifunctional
bispecific antibody and the enriched B cells to obtain an incubation mixture; transferring the incubation mixture obtained after incubation into the same patient, wherein the trifunctional bispecific
antibody comprises: (a) a first binding arm binding to B cells via a
B cell surface
antigen; (b) a second binding arm binding to T cells via a
T cell surface
antigen; (c) an Fc part binding to
Fc receptor positive cells. The invention also discloses a pharmaceutical composition comprising the isolated trifunctional bispecific
antibody for use in treating a patient suffering from a
disease and / or disorder associated with reactivation of EBV in B cells, and an
ex vivo method for the preparation of the pharmaceutical composition.