

There are no hospital beds in End Kids Cancer's new spot. No little patients in gowns, no IV poles, no long shots down a grey hospital hallway. That absence is the whole point.
'By the Numbers' from Picture North and RPA does something harder than tug at a heartstring: It makes you do math you don't want to do.
It opens on a toddler stacking blocks, then pushes in on one that reads. A line of type appears: Average age of children diagnosed with neuroblastoma: And that's the idea. The spot moves through the everyday touchstones of a happy childhood and tucks a brutal statistic inside each one. You recognise the object a beat before you register the number.
We won't spoil where it goes, but it builds to a closing image: one small, innocent gesture from a child at a birthday party that flips a statistic into a goal. It's a kid being a kid. It's also one of the most quietly powerful moments the category has offered in a while.
The idea is deceptively simple. Childhood is measured in numbers: first birthdays, height charts, jersey numbers, and candle counts. We track a kid's entire life in small, joyful figures, and every one is a promise that another is coming.
For a child with neuroblastoma, those same digits harden into odds, and for their families, reaching the next milestone becomes an act of defiance. The idea behind the spot is simple: Each object and its statistic share a single number, so the sweet, familiar image reaches you just a second before the hard fact does. The horror isn’t graphic. It works through proximity. These could be the blocks of any child in your life.
The restraint isn't a style choice – it's an authorship choice. End Kids Cancer was founded two decades ago by parents whose daughter survived neuroblastoma through multiple relapses. The campaign's voice, tender and fixated on the milestones a child deserves to reach, is the founders' own. And the ask is concrete: donations to fund clinical research into promising, non-toxic neuroblastoma treatments, part of a portfolio that includes eight+ trials.
The restraint is matched by the generosity behind it. Every partner donated its work. RPA Advertising concepted the campaign pro bono, its second for End Kids Cancer. Picture North put its crew and cameras behind the shoot for free, and the post pipeline closed it out at no cost, with Union on edit and finishing, and Shindig Music and Lime Studios on score and mix. The team was brought together by Shortlist MGMT and Melissa Ross & Representatives, who connected RPA with its production and post partners. Even the media was donated, and because of this, SAG AFTRA residuals are waived, stretching every dollar further still. In a business that loves to talk about purpose, this is purpose, no invoice attached.
Where the category tends to default to sentimentality or shock, By the Numbers is data-as-cause storytelling at its most human, a gut-punch delivered without a single exploitative frame. It trusts the audience to do the addition, and it proves again that the most persuasive number in advertising is the one you let the viewer reach on their own.