Background: Chondromodulin-I (CHM1) sustains malignancy in Ewing sarcoma (ES). Refractory ES carries a dismal prognosis and patients with bone marrow (BM) metastases do not survive irrespective of therapy. We assessed HLA-A Ã 02:01/CHM1-specific allorestricted T cell receptor (TCR) wild-type and transgenic cytotoxic (CD8 C ) T cells against ES. Patients and Methods: Three refractory HLA-A2 C ES patients were treated with HLA-A Ã 02:01/peptidespecific allorepertoire-derived (i.e., allorestricted) CD8 C T cells. Patient #1 received up to 4.8 £ 10 5 /kg body weight HLA-A Ã 02:01 ¡ allorestricted donor-derived wild-type CD8 C T cells. Patient #2 received up to 8.2 £ 10 6 /kg HLA-A Ã 02:01 ¡ donor-derived and patient #3 up to 6 £ 10 6 /kg autologous allorestricted TCR transgenic CD8 C T cells. All patients were treated with the same TCR complementary determining region 3 allorecognition sequence for CHM1 peptide 319 (CHM1 319 ). Results: HLA-A Ã 02:01/CHM1 319 -specific allorestricted CD8 C T cells showed specific in vitro lysis of all patient-derived ES cell lines. Therapy was well tolerated and did not cause graft versus host disease (GvHD). Patients #1 and #3 showed slow progression, whereas patient #2, while having BM involvement, showed partial metastatic regression associated with T cell homing to involved lesions. CHM1 319 TCR transgenic T cells could be tracked in his BM for weeks. Conclusions: CHM1 319 -TCR transgenic T cells home to affected BM and may cause partial disease regression. HLA-A Ã 02:01/antigen-specific allorestricted T cells proliferate in vivo without causing GvHD.