The pyrrolo[2,1âc][1,4]benzodiazepines (PBDs) are a family of sequenceâselective DNA minorâgroove binding agents that form a covalent aminal bond between their C11âposition and the C2âNH2 groups of guanine bases. The first example of a PBD monomer, the natural product anthramycin, was discovered in the 1960s, and the best known PBD dimer, SJGâ136 (also known as SG2000, NSC 694501 or BN2629), was synthesized in the 1990s and has recently completed Phase II clinical trials in patients with leukaemia and ovarian cancer. More recently, PBD dimer analogues are being attached to tumorâtargeting antibodies to create antibodyâdrug conjugates (ADCs), a number of which are now in clinical trials, with many others in preâclinical development. This Review maps the development from anthramycin to the first PBD dimers, and then to PBDâcontaining ADCs, and explores both structureâactivity relationships (SARs) and the biology of PBDs, and the strategies for their use as payloads for ADCs.