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About a decade ago, Mike Jensen, a pediatric oncologist at Seattle Children’s hospital, licensed to a startup his designs for a powerful new type of therapy, called CAR-T, that would re-engineer a child’s own immune cells to target cancer.

The deal proved be a mixed blessing. The therapy eventually reached market as Breyanzi, one of three CAR-Ts approved for adult leukemia. But it was never approved for childhood cancer. 

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The story was emblematic. Although the first CAR-T was approved in 2017 for children, after it cleared malignancies in some on the brink of death, researchers hoping to use the tool in other pediatric cancers have struggled. 

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