In contrast to gene therapies, oncology has been the priority for gene-modified therapies, with almost no other therapy area to call out (Figure 8). In 2022, there was a significant $18bn spent across eight deals largely driven by Roche’s $6.2bn license of Poseida Therapeutics’ CAR-T technology for haematological malignancies and BMS’s $3.1bn license to Century Therapeutic’s chimeric antigen receptor natural killer(CAR-NK) cell therapy, CNTY-104, for acute myeloid leukaemia. However, 2023 witnessed a significant drop in investment to $2.3bn for a similar deal volume, with the largest deal valued at just over $500m; Amgen’s use of TScan Therapeutic’s target discovery platform for T-cell therapies targeting Crohn’s disease. Although, 2024 shows a potential revival in multi-billion dollar partnerships with AbbVie investing £1.4bn in biotech Umojoa Biopharma to leverage its lentiviral gene delivery technology and the development of up to five CAR-T cell therapies, including UB-VV11 which is in Phase 1 for haematological malignancies.