Evidence map›Paper›PMID 41029201›Full record

SynthesisBMC cancer2025

A systematic review of the last two decades of NK cell-based clinical trials: state of the art of AML therapy.

Mehdi Bakhtiyaridovvombaygi, Setare Kheyrandish, Seyed Mehrab Safdari, Shiva Eskandrian, Hassan Rousta, Dawood Hossaini, Amirhossein Rastgar, Somayeh Yazdanparast, Faezeh Firuzpour, Negin Shabihi and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. From iPSC to manufactured iNK cells using CombiCult® screening platform.Frontiers in cell and developmental biology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Mehdi BakhtiyaridovvombaygiStudent Research Committee, Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Setare KheyrandishStudent Research Committee, Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyed Mehrab SafdariDepartments of Hematology and Blood Transfusion, School of Allied Medicine, Iran University of Medical Sciences, Tehran, Iran.
Shiva EskandrianLaboratory Hematology and Blood Bank Department, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Hassan RoustaDepartment of Hematology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Dawood HossainiDepartment of Medical Biotechnology, School of Paramedical Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Amirhossein RastgarDepartment of Hematology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Somayeh YazdanparastDepartment of Hematology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Faezeh FiruzpourUCERN office, Babol University of Medical Sciences, Babol, Iran.
Negin ShabihiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amirhossein IzadpanahHematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sahar ParkhidehHematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Elham RoshandelHematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abbas HajifathaliHematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ahmad GharehbaghianLaboratory Hematology and Blood Bank Department, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. gharehbaghian@hotmail.com.ORCID http://orcid.org/0000-0003-4265-585X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute myeloid leukemia (AML) remains a significant challenge in hematologic oncology, with high relapse rates and limited treatment options. Natural killer (NK) cells, as key effectors of innate immunity, have shown strong anti-leukemic activity, making them promising candidates for immunotherapy. Despite increasing clinical interest, a comprehensive evaluation of NK cell-based therapies in AML is still needed.

methodsThis systematic review follows the PRISMA guidelines to analyze clinical trials evaluating NK cell therapy in AML, either as a standalone treatment or in combination with hematopoietic stem cell transplantation (HSCT). A literature search across five major databases identified relevant studies, with data extraction focusing on NK cell sources, isolation and expansion strategies, clinical efficacy, and safety outcomes.

resultsA total of 48 clinical trials were identified, including 27 trials specific to AML and 21 trials involving AML along with other hematologic malignancies. Peripheral blood (PB)-derived NK cells were the main source (82%), with purification methods mainly using CliniMACS-based CD3 depletion and CD56 selection. Short-term activation (≤ 24 h) and long-term expansion (> 7 days) were employed in 36% of studies each. In non-HSCT transplant settings, NK cell therapy achieved a complete remission (CR) rate of 37.1% and an event-free survival (EFS) of 71.3%, while post-HSCT overall survival (OS) reached 39.5%. Notably, graft-versus-host disease (GVHD) incidence stayed low, highlighting the favorable safety profile of NK cell therapy.

conclusionNK cell-based therapy represents a promising and well-tolerated immunotherapeutic approach for AML. However, optimizing NK cell expansion, persistence, and clinical applications requires further investigation through large-scale, controlled trials.

Indexed as

Killer Cells, NaturalLeukemia, Myeloid, AcuteClinical Trials as TopicHematopoietic Stem Cell TransplantationHumansTreatment OutcomeAcute myeloid leukemiaCell therapyGraft-versus-host diseaseHematopoietic stem cell transplantationImmunotherapyNatural killer cell

Identifiers

PMID41029201
PMCPMC12482124

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.