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This systematic review and meta\u2010analysis aim to evaluate the efficacy and safety of adoptive cell therapy (ATC) in managing CMV infections in allo\u2010HSCT recipients. Adhering to preferred reporting items for systematic reviews and meta\u2010analyses guidelines, we conducted a comprehensive database search through July 2023. A systematic review and meta\u2010analysis were conducted on studies involving HSCT patients with CMV infections treated with ATC. The primary outcome was the response rate to ATC, and secondary outcomes included adverse events associated with ATC. The Freeman\u2013Tukey transformation was applied for analysis. In the meta\u2010analysis of 40 studies involving 953 participants, ATC achieved an overall integrated response rate of 90.16%, with a complete response of 82.59% and a partial response of 22.95%. ATC source, HLA matching, steroid intake, and age group markedly influenced response rates. Donor\u2010derived T\u2010cell treatments exhibited a higher response rate (93.66%) compared to third\u2010party sources (88.94%). HLA\u2010matched patients demonstrated a response rate of 92.90%, while mismatched patients had a lower rate. Children showed a response rate of 83.40%, while adults had a notably higher rate of 98.46%. Adverse events were minimal, with graft\u2010versus\u2010host disease occurring in 24.32% of patients. ATC shows promising response rates in treating CMV infections post\u2010HSCT, with an acceptable safety profile. However, to establish its efficacy conclusively and compare it with other antiviral treatments, randomised controlled trials are essential. Further research should prioritise such trials over observational and one\u2010arm studies to provide robust evidence for clinical decision\u2010making.<\/jats:p>","DOI":"10.1002\/rmv.2558","type":"journal-article","created":{"date-parts":[[2024,6,15]],"date-time":"2024-06-15T13:20:19Z","timestamp":1718457619000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Efficacy and safety of adoptive T\u2010cell therapy in treating cytomegalovirus infections post\u2010haematopoietic stem cell transplantation: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6380-6955","authenticated-orcid":false,"given":"Mohammad Reza","family":"Taherian","sequence":"first","affiliation":[{"name":"Student Research Committee School of Public Health and Safety Shahid Beheshti University of Medical Sciences  Tehran Iran"},{"name":"Department of Epidemiology, School 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