Genome & Company, founded in 2015, is a microbiome-based drug developer that has recently shifted its strategic focus toward novel-target antibody-drug conjugates (ADCs).
Its former lead asset, GEN-001, is an oral immuno-oncology microbiome therapeutic based on a single strain of Lactococcus lactis that has been studied in Phase 2 trials for gastric and biliary tract cancers.
During this development, the company signed combination-trial agreements with global immuno-oncology drugs including MSD's Keytruda and Merck KGaA/Pfizer's Bavencio, making it one of the first microbiome developers to secure consecutive co-development deals with global pharmaceutical companies.
More recently, the company has positioned three novel-target ADC candidates—GENA-104 ADC targeting CNTN4, GENA-120 targeting ITGB4, and the bispecific ADC GENB-120 targeting both ITGB4 and TROP2—as its core growth drivers.
The parent antibody of GENA-104 was out-licensed to UK-based Ellipses Pharma in February 2025 as the immuno-oncology candidate EP0089, with Genome & Company retaining separate ADC development rights so that the immuno-oncology drug and the ADC are developed independently from the same antibody.
The company favors early, preclinical-stage out-licensing over self-funded clinical development, leveraging partners' capital and development capabilities.
Beyond drug development, it also operates a consumer business through its skin-microbiome cosmetics brand UIQ, building a dual cash-generation structure that does not depend solely on licensing income.
Its subsidiaries include US microbiome CDMO List Biological Laboratories (60% stake) and US-based Scioto Biosciences, which holds the brain-disorder microbiome candidate SB-121.
Competitively, as ADC development around validated targets such as HER2 and TROP2 becomes crowded, discovering novel targets has become a key variable in securing out-licensing deals.