SCHEDULE 13G/A 0000947871-25-000166 0001055951 XXXXXXXX LIVE 1 Common Shares, par value CHF 0.08 per share 12/31/2025 0001771910 ADC Therapeutics SA H0036K147 Biopole Route de la Corniche 3B Epalinges V8 1066 Rule 13d-1(b) ORBIMED ADVISORS LLC DE 0.00 2592057.00 0.00 2592057.00 2592057.00 N 2.1 IA ORBIMED CAPITAL LLC DE 3230797.00 0.00 3230797.00 0.00 3230797.00 N 2.6 IA ADC Therapeutics SA Biopole Route de la Corniche 3B, 1066 Epalinges, Switzerland OrbiMed Advisors LLC OrbiMed Capital LLC 601 Lexington Avenue, 54th Floor New York, NY 10022 Please refer to Item 4 on each cover sheet for each filing person. N IA OrbiMed Advisors LLC: 2,592,057 OrbiMed Capital LLC: 3,230,797 OrbiMed Advisors LLC: 2.1% OrbiMed Capital LLC: 2.6% OrbiMed Advisors LLC: 0 OrbiMed Capital LLC: 3,230,797 OrbiMed Advisors LLC: 2,592,057 OrbiMed Capital LLC: 0 OrbiMed Advisors LLC: 0 OrbiMed Capital LLC: 3,230,797 OrbiMed Advisors LLC: 2,592,057 OrbiMed Capital LLC: 0 N Y N The Reporting Persons hold 4.7% of the Common Shares in the aggregate on behalf of other persons who have the right to receive or the power to direct the receipt of dividends from, or proceeds from the sale of, such securities. OrbiMed Advisors LLC and OrbiMed Capital LLC exercise investment and voting power over the Common Shares through a management committee comprised of Carl L. Gordon, Sven H. Borho, and W. Carter Neild, each of whom disclaims beneficial ownership of the Common Shares reported herein. Y Y Y N By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under ?? 240.14a-11. ORBIMED ADVISORS LLC /s/ Carl L. Gordon 02/17/2026 ORBIMED CAPITAL LLC /s/ Carl L. Gordon 02/17/2026