Antibody-drug conjugates in 2026: overview
An antibody-drug conjugate (ADC) links an antibody to a drug payload so the antibody can help deliver it to cells expressing a chosen target. The linker controls when the payload is released, while the antibody, payload and conjugation method shape the therapy’s behavior. This design aims to concentrate potent drugs at tumor cells, but target variability, toxicity and resistance remain obstacles to reliable treatment.
Recent work is pushing on both the components and the choice of patients. In September 2026, East China Normal University and China Pharmaceutical University reported a simplified homocamptothecin payload design; in July 2026, Lonza and Engitix partnered to develop next-generation ADCs. Research also highlights hydrophilic linkers, resistance mechanisms and single-cell response scoring, reflecting a shift toward improving delivery while selecting tumors more likely to respond.
- 1Targeting moves forward: Targeting strategies grew 51.7% across the last 12 months versus the previous 12, while the field explores new antigens and more selective patient-response methods.
- 2Conjugation gains attention: Conjugation methods grew 20.0% over the same comparison, as developers seek more controlled attachment and consistent ADC composition.
- 3Clinical translation remains hard: Rising publication activity alongside declining patent activity points to sustained scientific interest, but toxicity, resistance and tumor heterogeneity still complicate clinical translation.
Top organizations working on antibody-drug conjugates
Ranked by Linknovate activity score · last 24 monthsThe activity score adds up the relevance of every patent, publication, grant and news item linking an organization to antibody-drug conjugates. Showing 7 of 3,000 organizations.
| # | Organization | Approach | Signals (24 mo) | Momentum | Why it matters |
|---|---|---|---|---|---|
| 1 |
Astrazeneca
Corporate · United Kingdom |
Targeting strategies | PAT 12 · PUB 90 NEWS 1,056 |
-39% | Recently, AstraZeneca disclosed HER2-targeting ADC candidates carrying microtubule-destabilizing payloads. Its patent activity also covers methods to predict response to TROP2-targeted ADC therapy. |
| 2 |
Pfizer
Corporate · United States |
Linker chemistry | PAT 6 · PUB 61 NEWS 1,105 |
-32% | Recently, Pfizer reported a late-stage failure for the Seagen-derived ADC sigvotatug vedotin and discontinued another investigational program. Its ADC portfolio also includes Seagen-derived vedotin conjugates. |
| 3 |
Merck And Co.
Corporate · United States |
Targeting strategies | PAT 13 · PUB 67 NEWS 970 |
-22% | Recently, Merck and Daiichi Sankyo withdrew their BLA for the B7-H3-directed ADC ifinatamab deruxtecan in small-cell lung cancer. Merck also patents ADCs targeting LRRC15 and CEACAM5. |
| 4 | DC
DaiichiSankyo Co.
Corporate · Japan |
Targeting strategies | PAT 49 · PUB 54 NEWS 479 |
-28% | Recently, Daiichi Sankyo and Merck withdrew their BLA for the B7-H3 ADC ifinatamab deruxtecan. Daiichi also develops the ADC Enhertu and has planned local production in China. |
| 5 |
GSK GlaxoSmithKline
Corporate · United Kingdom |
Targeting strategies | PAT 1 · PUB 17 NEWS 677 |
-42% | Recently, GSK began a Phase 3 study of risvutatug rezetecan, a B7-H3 ADC, in metastatic castration-resistant prostate cancer. Its Blenrep ADC has also reported a survival benefit in multiple myeloma. |
| 6 |
Bristol Myers Squibb
Corporate · United States |
Targeting strategies | PAT 15 · PUB 30 NEWS 765 |
-30% | Bristol Myers Squibb patents ADCs targeting LRRC15 and CEACAM5, each linked to an exatecan payload. The filings cover compositions and their potential use in cancer treatment. |
| 7 |
Hoffmann-La Roche
Corporate · Switzerland |
Targeting strategies | PAT 2 · PUB 14 NEWS 764 |
-42% | Recently, Roche’s Genentech unit licensed ADC candidates from DualityBio in a deal that could exceed $1 billion. Roche also licensed Innovent’s DLL3-targeted ADC IBI-3009 for development. |
| 8 | ··Hidden organizationCompany | Approach | PAT 00 · PUB 00 GRANTS 0 · NEWS 00 | +00% | Available to registered users. |
| 9 | ··Hidden organizationCompany | Approach | PAT 00 · PUB 00 GRANTS 0 · NEWS 00 | +00% | Available to registered users. |
| 10 | ··Hidden organizationCompany | Approach | PAT 00 · PUB 00 GRANTS 0 · NEWS 00 | +00% | Available to registered users. |
Startups to watch and leading research centers
Startups to watch 67 total
Duality BiologicsDualityBio develops ADCs for oncology, including the CDH6-targeted candidate CUSP06, which has shown antitumor activity in cancer models.
Araris BiotechSwitzerlandAraris licenses a linker platform for building ADCs from unmodified antibodies and has partnered with Chugai on multi-payload ADCs. Its patents cover constructs with as many as three payloads.
Adcendo ApsDenmarkAdcendo develops ADCs for cancer, with programs based on tumor-associated targets including uPARAP and sortilin.- ··Hidden startupCountryAvailable to registered users, with funding and founding year.
- ··Hidden startupCountryAvailable to registered users, with funding and founding year.
Leading research institutions 2,346 total
University of Texas M. D. Anderson Cancer CenterUnited StatesResearchers at MD Anderson examine ADC use across solid tumors and breast cancer, including clinical progress and challenges in delivering cytotoxic payloads to tumor cells.
Harvard UniversityUnited StatesHarvard-affiliated researchers review ADC applications in brain tumors and other cancers, as well as treatment-related toxicities and patient selection.
Dana-Farber Cancer InstituteUnited StatesDana-Farber researchers assess ADCs in gynecological, breast, and brain tumors, including treatment sequencing and the potential to extend use into earlier disease settings.- ··Hidden research institutionCountryAvailable to registered users, with their key researchers.
- ··Hidden research institutionCountryAvailable to registered users, with their key researchers.
Where antibody-drug conjugates innovation happens
Share of documents with at least one organization from each country.
Open the interactive map with all 3,000 organizationsMain technical approaches
Last 24 months| Approach | What it is | Documents | Leading organizations |
|---|---|---|---|
| Linker chemistry | Linker chemistry balances stability in circulation against efficient payload release at the target, with premature release raising toxicity risk. | 712 |
Astrazeneca, Pfizer, Adc N.V. |
| Conjugation methods | Conjugation methods attach payloads to antibodies, trading greater control over composition for process complexity and manufacturing demands. | 616 |
Antibody-Drug Conjugates (ADCs), Adc N.V., U.S. Food and Drug Administration |
| Payload classes | Payload classes differ in mechanism and potency, but stronger cell-killing activity can also increase toxicity and resistance concerns. | 1,173 |
Pfizer, U.S. Food and Drug Administration, Astrazeneca |
| Antibody formats | Antibody formats shape target binding and tumor penetration, balancing selective recognition against access to heterogeneous tumors. | 1,103 |
U.S. Food and Drug Administration, Astrazeneca, Bristol Myers Squibb |
| Targeting strategies | Targeting strategies choose the tumor antigen and patient-selection logic, trading broader reach for the risk of uneven target expression. | 2,092 |
U.S. Food and Drug Administration, Adc N.V., Edgar, Dunn & Company |
Emerging trends
Last 12 months vs previous 36 monthsTerms whose frequency in the last 12 months grew the most compared with the previous 36 months.
Funding and investment
Recent funding rounds
FACTS reports $30,020,804 across 47 grants since 2020. Listed rounds include Sutro Biopharma’s $110 million post-IPO round in February 2026 and Tubulis Technologies’ $356 million late-stage VC round in October 2025.
Patent landscape
Top patent holders · last 24 monthsRecent developments
Latest news, duplicates removed- Sep 2026In this webinar, experts from SK pharmteco’s European and North American sites share practical experience addressing these challenges across the linker-payload development lifecycle—from facility and containment…Article List RSS
- Jun 2026Summary - Pfizer has announced that a late-stage trial in lung cancer for a Seagen-derived ADC, sigvotatug vedotin, has failed. - There seems to be no difference in survival for patients treated with this one versus…All Articles on Seeking Alpha
- May 2026May 29, 2026 Zhize Tongkang (Guangzhou) Biotechnology Co. Ltd. has divulged new antibody-drug conjugates (ADCs) comprising monoclonal antibodies targeting claudin 6 (CLDN6) linked to a camptothecin derivative…BioWorld
- May 2026May 28, 2026 Hutchmed Ltd. has identified new antibody-drug conjugates (ADCs) comprising an antibody targeting EGFR (HER1; erbB1) linked to cytotoxic drug potentially useful for the treatment of cancer and autoimmune…BioWorld
- Month 20XXHidden developmentAvailable to registered users with alerts enabled.
Frequently asked questions about antibody-drug conjugates
What companies are working on antibody-drug conjugates?
AstraZeneca, Pfizer, Merck And Co., DaiichiSankyo Co., GSK GlaxoSmithKline and Bristol Myers Squibb are among the companies working on ADCs. Their activity spans targeting strategies, clinical development and patenting. Other active companies in the FACTS include Hoffmann-La Roche, AbbVie, Novartis and Gilead Sciences, with distinct target and construct programs.
Which antibody-drug conjugates startups are the most promising in 2026?
Duality Biologics, Araris Biotech and Adcendo Aps are notable ADC startups in the FACTS. Duality develops oncology ADCs including CDH6-targeted CUSP06; Araris licenses a linker platform for building ADCs from unmodified antibodies; and Adcendo develops programs against tumor-associated targets such as uPARAP and sortilin. These examples show different routes to differentiation, rather than a definitive ranking.
Which universities and research centers lead antibody-drug conjugates research?
The University of Texas M. D. Anderson Cancer Center, Dana-Farber Cancer Institute and Harvard University are prominent research organizations in the FACTS. MD Anderson examines ADC use across solid tumors, Dana-Farber studies cancer applications and treatment sequencing, and Harvard-affiliated researchers review applications, toxicities and patient selection. Their work spans translational questions as well as clinical use.
How much funding has antibody-drug conjugates received?
The FACTS report $30,020,804 across 47 grants since 2020. They also record $150,149,583,484 across 43 funding rounds. These totals are broad landscape figures, not a clean measure of capital devoted exclusively to ADC research, so they should be treated as an indication of recorded funding activity rather than a verified ADC-only investment total.
What were the latest antibody-drug conjugates funding rounds?
Sutro Biopharma’s $110 million post-IPO round in February 2026 and Tubulis Technologies’ $356 million late VC round in October 2025 are among the recent listed rounds. The FACTS also include manufacturing expansions and other financing entries, which may not represent direct investment in an ADC candidate or platform.
Who holds the most antibody-drug conjugates patents?
Sichuan Kelun Biotech Biopharmaceutical Co. holds the most patents listed in the FACTS, with 51, followed by DaiichiSankyo Co. with 48 and Regeneron Pharmaceuticals Inc with 44. Jiangsu Hengrui Pharmaceutical Company is also among the leading holders. The patent-holder counts indicate activity in the topic, not necessarily ownership of granted patents only.
Is antibody-drug conjugates patent activity growing?
No: ADC patent activity fell 21.2% in the last 12 months versus the previous 12 months, with 1,784 patents recorded in the stated window. By contrast, publications rose 27.0% to 2,936 in the last year. The contrast suggests research output is expanding even as patent activity has eased over the same comparison period.
What are the main approaches in antibody-drug conjugates and how do they differ?
The main approaches are linker chemistry, conjugation methods, payload classes, antibody formats and targeting strategies. Linkers control payload release; conjugation methods determine how the drug is attached; payloads drive the cell-killing mechanism; antibody formats affect binding and tumor access; and targeting strategies define the antigen and patient-selection approach. Each choice shapes efficacy, safety and manufacturability.
What are the applications of antibody-drug conjugates?
The listed applications include gastrointestinal cancers (2,348 documents), breast cancer (3,043), lung cancer (2,953), gynecologic cancers (1,855) and hematologic malignancies (1,485). These counts reflect the relative volume of topic activity, not clinical effectiveness. Research and development also address tumors such as esophageal cancer and bladder cancer, as reflected in recent publications.
Which countries lead antibody-drug conjugates?
The United States leads the country data with 25,104 documents and a 59.6% share, followed by China with 8,773 and the United Kingdom with 7,790. Japan, Germany and Switzerland also appear among the leading countries. These figures describe document activity in the FACTS and should not be read as a direct measure of commercial output.