Lilly’s $2.4bn in-vivo CAR-T bet: can RNA turn cell therapy into a scalable drug?

lilly’s-$2.4bn-in-vivo-car-t-bet:-can-rna-turn-cell-therapy-into-a-scalable-drug?

On February 9, Eli Lilly agreed to buy Orna Therapeutics for up to $2.4bn in cash, betting that one of biotech’s most powerful treatment ideas — CAR-T cell therapy — can be delivered inside the patient’s body, instead of being built in a factory-like process outside it.

If that sounds like a technical tweak, it is not. It is a direct attempt to solve the problem that has kept CAR-T both famous and rare: the therapy works, but it is hard to make, hard to deliver, and hard to scale.

For a decade, CAR-T has been a poster child for modern medicine: take a patient’s immune cells,

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