Our Approach

HIV-1 envelope glycoprotein

Dysregulated cellular signaling pathways lie at the heart of many chronic illnesses, yet treatments for these diseases often focus on symptom management rather than addressing the root cause of the disease. Clustering antibodies can regulate a signaling cascade by binding two or more receptors and bringing them together in a highly specific conformation that enables activation or inhibition of downstream signaling. These antibodies promote complex assembly of receptors to either stimulate or inhibit pathogenically altered signaling pathways, paving the way for treatments that bring disease modification within reach.

Given the many potential binding sites between each receptor and an antibody, nearly infinite binding combinations exist, of which only a small subset will induce cell signaling. Historically, this has made identifying or rationally designing clustering antibodies difficult. The DIAGONAL Product Engine solves this challenge, combining proprietary computational and experimental techniques, enabling us to sift through billions of combinations at unprecedented speeds and identify clustering antibodies with high fidelity.

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Our Pipeline

Our approach is effective and reliable, yielding a portfolio of novel treatments that span multiple different receptor classes and diseases that impact millions around the globe. Our multi-specific clustering antibodies combine the advantages of established antibody therapeutics—including high specificity, easy manufacturability, and straightforward patient administration—with the disease modifying potential of novel mechanisms of action.

Program
preclinical
IND-ENABLING
phase 1
phase 2
phase 3

Program

vasculopathy

DIAG723
Hereditary Hemorrhagic Telangiecstasia (HHT)
IND-ENABLING
Pulmonary Arterial Hypertension (PAH)
IND-ENABLING
Undisclosed
Venous Malformations
PRECLINICAL

HEPATOLOGY

Undisclosed
Iron Overload
PRECLINICAL

renal

Undisclosed
Chronic Kidney Disease
PRECLINICAL
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Our Platform

Our platform enables us to rapidly discover clustering antibodies against any receptor complex of interest in a timeframe unimaginable using legacy approaches.

Generation of deep immune repertoires of sequences to each target

We generate immune repertoires containing ~200,000 distinct antibody sequences that cover all possible binding sites on each receptor. Because we build multi-specific antibodies, there are >10 billion possible combinations.

Clustering by shape of antibodies

Shapes of antibodies predicted by computational methods are clustered to eliminate redundancies.

Binning by complementarity to the receptor

Distinctly shaped sequences are then grouped by their unique binding spots on the receptors.

Generation of antibodies based on possible bin combinations

One representative binder from each group is then combined into a multispecific antibody that is produced for experimental testing.

Optimizing molecular sequence characteristics

Once we identify a combination that induces signaling, we can go back to its group and cluster to find additional binders that elicit the desired effect. This step allows us to pick molecules with the best characteristics.

Characterize in in vitro and in vivo models

These molecules are optimized using proprietary technologies to derive optimal antibodies to test in vitro and in vivo. This process leads us to clinical candidate selection.

Lead candidate progresses to human clinical trials

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About Us

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At Diagonal Therapeutics, we have assembled a team of scientific and business leaders with extensive experience in building companies and developing innovative antibody therapies.

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Alex Lugovskoy

Chief Executive Officer

Headshot of John Lee

John Lee

Chief Medical Officer

Headshot of Patrick Andre

Patrick Andre

Chief Scientific Officer

Headshot of Sandra Teixeira

Sandra Teixeira

Chief Development Officer

Headshot of Eric Duhaime

Eric Duhaime

SVP, Finance and Corporate Development

Headshot of Melissa Geddie

Melissa Geddie

VP, Drug Discovery

Headshot of JC Hus

JC Hus

Sr. Director, Informatics

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Partner With Us

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We have a big vision and an
expansive opportunity.

Our platform can rapidly generate clustering antibody therapeutics against any target. We understand the value of collaborating with industry partners to explore more therapeutic ideas and deliver more drug candidates to patients in need.

If you are interested in working with us to expand the reach of our transformative approach, please contact us.

Our Team

Our success comes from discovering medicines that positively impact patients’ lives. To reach our goals, we believe it takes a nimble, cohesive team of experts capable of diligently reducing our ideas into practice. At Diagonal Therapeutics, we value agility, inclusion, effectiveness, and accountability in our work and operate with trust, respect, transparency, and integrity.

Our Values: Trust, Transparency, Agility, Accountability, Respect, Inclusion, Integrity, Effectiveness
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News

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PRESS RELEASE

Diagonal Therapeutics Announces Oversubscribed $125 Million Series B Financing to Advance Clinical Development of Disease-Modifying, Clustering Antibody Pipeline

January 8, 2026READ MORE
POSTER

An interim assessment of bleeding events in a prospective natural history study of hereditary hemorrhagic telangiectasia patients using a validated bleeding scale and a novel daily reporting instrument

December 6, 2025READ MORE
PRESS RELEASE

Diagonal Therapeutics to Present Insights from HHT IMPACT, a Natural History Study Initiated in Partnership with Cure HHT, at ASH 2025

December 4, 2025READ MORE
PRESS RELEASE

Diagonal Therapeutics to Present New Preclinical Data Demonstrating Disease-Modifying Potential of DIAG723 in Pulmonary Arterial Hypertension at 2025 ERS Congress

September 29, 2025READ MORE
POSTER

ALK1: BMPRII receptor clustering by an agonist bispecific antibody (rDIAG723) prevents PAH development in the rat SuHx model

September 29, 2025READ MORE
PRESS RELEASE

Diagonal Therapeutics Announces Publication of Data Characterizing the Healthcare System Cost and Impact of Hereditary Hemorrhagic Telangiectasia (HHT) in the American Journal of Hematology

July 10, 2025READ MORE
PRESS RELEASE

Diagonal Therapeutics Appoints John Lee, M.D., Ph.D., as Chief Medical Officer

July 8, 2025READ MORE
PRESS RELEASE

Diagonal’s First-in-Class Clustering Antibody, DIAG723, Receives Orphan Drug Designation (ODD) from U.S. FDA and an ODD Positive Opinion from EMA for Treatment of Hereditary Hemorrhagic Telangiectasia (HHT)

June 18, 2025READ MORE
POSTER

EHA 2025: ALK1-BMPRII Receptor Agonism Treats Vascular Pathology in Hereditary Hemorrhagic Telangiectasia Models

June 14, 2025READ MORE
PRESS RELEASE

Diagonal Therapeutics to Present New Preclinical Data Demonstrating Disease-Modifying Potential of Receptor Clustering Antibody Approach in HHT at EHA 2025 Congress

June 12, 2025READ MORE
PRESS RELEASE

Diagonal Therapeutics Initiates Natural History Study of Adults Living with Hereditary Hemorrhagic Telangiectasia (HHT), a Rare Bleeding Disorder with No Approved Treatments

March 4, 2025READ MORE
PRESENTATION

ASH 2024: Characterizing the Healthcare Resource Utilization and Costs of Hereditary Hemorrhagic Telangiectasia

December 7, 2024READ MORE
PRESS RELEASE

Diagonal Therapeutics to Present Data at ASH 2024 Demonstrating the Economic and Clinical Burden of Hereditary Hemorrhagic Telangiectasia (HHT)

December 3, 2024READ MORE
POSTER

15th HHT International Scientific Conference: Bispecific Antibodies Targeting the ENG-ALK1-BMPRII Axis as a Novel Approach for the Treatment of HHT

October 15, 2024READ MORE
PRESS RELEASE

Diagonal Therapeutics to Present at the Cure HHT’s 15th International Scientific Conference

October 8, 2024READ MORE
PRESENTATION

The Antibody Series 2024: Computational Epitope Filtering Enables Reliable Design of Agonist Antibodies

September 5, 2024READ MORE
PRESENTATION

Antibody Engineering & Therapeutics Europe 2024: IL-18R Agonist Bispecific Antibody with Activity Biased towards an Anti-Tumor Response

June 5, 2024READ MORE
PRESS RELEASE

Diagonal Therapeutics Launches with $128 Million in Financing to Pioneer a New Approach to Discovering and Developing Agonist Antibodies to Tackle the Underlying Causes of Severely Debilitating Diseases

April 3, 2024READ MORE

Get in Touch

General Contact: info@diagonaltx.com

Media Inquiries: media@diagonaltx.com

Clinical Trial Information: clinicalinfo@diagonaltx.com

200 Arsenal Yards Blvd, Suite 220
Watertown, MA 02472