At Sutro, we are boldly harnessing biology to realize the full potential of ADCs.

Sutro’s cell-free expression technology provides a rapid and powerful platform for the discovery and development of next generation antibody-drug conjugates (ADCs). Our novel iADC design is intended to deliver two different drugs directly to the tumor, and not only kill tumor cells but also locally prime an immune response to the patient’s particular tumor cells. We believe that our iADC approach creates a new therapeutic opportunity by combining the best features of an ADC with the biology of a personalized vaccine.

Next Generation Cancer Therapeutics


Current ADCs in clinical development have immense promise, but many of them are limited by the fact that they are structurally heterogeneous populations in which the position and number of conjugated linkers and warheads vary significantly. Such heterogeneity prevents the definition of structure-activity relationships (SARs). Consequently, using traditional ADC technologies prevents researchers from discovering and developing candidates with optimal therapeutic indices and can result in products with unpredictable and sub-optimal pharmacokinetic properties, stability and efficacy.

Sutro can precisely incorporate non-natural amino acids (nnAA) at nearly any site in an antibody structure, thereby allowing for single-species ADCs with site-specific conjugation of linker and warhead. Of vital importance in this process is Sutro’s ability to perform rapid and parallel synthesis of numerous variants taking advantage of a substantial number of different sites, enabling analyses early in discovery to define SARs and locate the best positions for nnAA incorporation based on:

    Site-Specific ADC Technology

    • Antibody expression
    • Efficiency of incorporation of the nnAA

    Optimized Linker/Warhead

    • Linked/warhead conjugation efficiency
    • Stable linker warhead while circulating in patients

      Therapeutic Index/Safety

      • Cell killing efficiency
      • Target binding efficiency
      • Internalization characteristics

      The cell-killing effects of ADCs depend on both the location of the warhead and the drug to antibody ratio. Sutro can control both of these variables with exquisite specificity, resulting in truly optimized product candidates. To address the challenge of manufacturing nnAA-containing ADCs, Sutro has engineered additional versions of cell-free extract that achieve high rates of incorporation of nnAAs and developed chemistries that allow for efficient and stable conjugation of linker/warheads to antibodies.

      Immune mediated anti-tumor responses, such as induced by checkpoint inhibitors (CPIs) are most effective in smaller tumors. We aim to combine two types of payload classes in one ADC, a cytotoxic one to debulk the tumor combined with an immune activating payload, to induce tumor immunity. Sutro is uniquely positioned to become a leader in dual payload ADC filed due to our proprietary, click chemistry based, sites specific conjugation technology.

      Hans-Peter Gerber, Ph.D.

      Chief Scientific Officer


      Sutro’s cell-free expression technology provides a rapid and powerful platform for the discovery and development of antibodies that bind simultaneously to two separate antigens (bispecific antibodies). Bispecific antibodies can be designed to achieve different purposes:

          To bring an antigen-expressing cell in close proximity to a killing cell.

          To increase the apparent affinity of binding to an antigen using avidity.

          To increase the relative selectivity of binding of an antibody to a particular antigen on diseased tissue over normal tissue by using a similar avidity approach, to bind two antigens expressed on the same diseased cell.

          To increase the internalization rates of particular antigens on a cell’s surface by cross-linking two different cell surface proteins or by binding to two different epitopes on the same protein.

          While many different bispecific antibody formats have been exemplified using cell-based expression systems, and some have been successful enough to show promise as new therapeutics, the precise geometry and spatial orientation of binding domains can be a challenge to optimize. Sutro’s technology has the ability to perform rapid expression and characterization of many variants early in discovery to define structure-activity relationships and thereby optimize:

              Binding efficiency to each target

              Spatial orientation and linker design

                Protein expression and folding efficiency


                Sutro can rapidly screen candidates to identify molecules with the best overall combination of these properties resulting in optimized product candidates.