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A 2026 *Journal of Medicinal Chemistry* review maps how cyclic peptides are being designed, screened, and developed across therapeutic programs. Its most useful message for chemistry teams is not that one ring architecture has won. It is that developability depends on coordinated control of monomer choice, cyclization, conformation, conjugation, purification, and formulation. The review, published online on August 13, 2026, defines cyclic peptides as covalently closed amino-acid chains, commonly formed through head-to-tail or side-chain closure. Without free amino and carboxyl termini, these structures can resist exopeptidase cleavage. Yet closure alone does not solve permeability, solubility, clearance, or scalable manufacture.

The reported system uses two bioorthogonal handles. An EGFR-targeting antibody, panitumumab, is modified with trans-cyclooctene (TCO). A HER2-directed ADC, trastuzumab deruxtecan (T-DXd), is modified with tetrazine. The antibody is dosed first, followed 24 hours later by the tetrazine-bearing ADC. The two components are then covalently connected through inverse electron demand Diels-Alder (IEDDA) chemistry.

The platform uses two differentiated leaving groups on one pyridine ring. In the first operation, a primary amine replaces fluorine through nucleophilic aromatic substitution (SNAr), installing an amine-bearing linker, payload, PEG chain, or other functional unit while the thianthrenium group remains in place. In the second operation, a cysteine thiol displaces thianthrenium to create the aryl-sulfur connection.

Bioisosteric replacement is most useful when a team begins with a defined liability: an oxidative soft spot, an unsuitable polarity range, a hydrolysis-prone group, an interaction that lacks selectivity, or a ring system that limits accessible chemical space. The reported survey organizes possible responses into single-atom edits, functional-group replacements, aromatic-ring changes, and saturated or bicyclic scaffolds.

Tangential flow filtration (TFF) can concentrate an ADC, exchange buffer, and remove permeable species such as salts, solvents, quench reagents, and monomeric linker-payload. It cannot provide high-resolution separation among ADC molecules that differ mainly in drug-to-antibody ratio (DAR), surface charge, conformation, or aggregation state. Those species are generally retained together by a membrane selected to retain the antibody.

Oligonucleotide therapeutics are not one uniform safety problem. Their behavior depends on backbone chemistry, sugar modifications, sequence, conjugation strategy, delivery route, and tissue distribution. That is why FDA clinical pharmacology guidance for oligonucleotide therapeutics calls out immunogenicity risk, hepatic and renal impairment, QTc assessment, and drug-drug interaction considerations as development topics.