loading . . . Designs of the clinical trials aiming at evaluating cell and gene therapy products - A critical appraisal from a literature review There is growing interest in advanced therapy medicinal products (ATMPs). However, there is debate about how they should be clinically evaluated. We aimed to assess the heterogeneity of trial designs used for ATMPs, based on a review of the most recently published ATMP trials from 2022 to 2024, and then make recommendations to improve the level of evidence. The 276 selected trials concerned CAR-T cells (28%), other gene therapies (22%), and somatic cell therapy (50%), targeted different underlying diseases, hematological malignancies for CAR-T cells, genetic or congenital diseases for gene therapy, and other diseases for somatic cells (p http://dlvr.it/TQ1RkQ