CIK: 0001595851
Total reported value
$331.0M
Reporting period: 2024-09-30 · Number of holdings: 54
Ghost Tree Capital, LLC disclosed 54 holdings in its latest 13F filing for the period ending 2024-09-30, with total reported value of $331.0M and a quarterly turnover rate of 0.0%.
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Ghost Tree Capital, LLC's disclosed holdings carry a Herfindahl concentration index of 0.031 — mathematically equivalent to about 32 equally-sized positions, well below its 54 actual disclosed holdings. That gap points to a strategy built around a small core of high-conviction bets rather than broad diversification.
Position sizes are fairly uniform across the portfolio (a coefficient of variation of 0.81), suggesting a disciplined, rules-based approach to how much capital goes into each idea.
No strong tilt toward either adding to existing winners or initiating outsized new positions was observed in the latest reported quarter.
Sector classification currently covers about 24% of this portfolio's disclosed value; the remainder includes holdings (e.g. unmapped tickers, options, or other security types) not yet covered by our sector mapping.
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No holding changes this quarter
Showing top 52 holdings (of 54 total)
| # | Ticker | Issuer | Asset Subclass | Weight | Weight Change | Shares Change | 4Q Trend |
|---|---|---|---|---|---|---|---|
| 1 | XBI | Ss Spdr S&p Biotech ETF | ETF-Tech | 8.95% | — | — | |
| 2 | ✓ | Biohaven LTD | Stock-Other | 5.26% | — | — | |
| 3 | SRPT | Sarepta Therapeutics Inc | Stock-Healthcare | 4.53% | — | +118.18% | |
| 4 | NVO | Novo-nordisk A/s-spons Adr | Stock-Healthcare | 3.96% | — | — | |
| 5 | 2655787D | Blueprint Medicines CORP | Stock-Other | 3.91% | — | +250.00% | |
| 6 | AXSM | Axsome Therapeutics Inc | Stock-Healthcare | 3.66% | — | -10.00% | |
| 7 | TARS | Tarsus Pharmaceuticals Inc | Stock-Other | 3.48% | — | +48.94% | |
| 8 | CATX | Perspective Therapeutics Inc | Stock-Other | 3.02% | — | -18.92% | |
| 9 | CGON | Cg Oncology Inc | Stock-Other | 2.85% | — | -3.85% | |
| 10 | ROIV | Roivant Sciences Ltd. | Stock-Healthcare | 2.79% | — | -20.00% | |
| 11 | PCVX | Vaxcyte Inc | Stock-Other | 2.76% | — | -46.67% | |
| 12 | INSM | Insmed Inc | Stock-Healthcare | 2.76% | — | -52.83% | |
| 13 | VKTX | Viking Therapeutics Inc | Stock-Healthcare | 2.68% | — | +47.37% | |
| 14 | SNDX | Syndax Pharmaceuticals Inc | Stock-Other | 2.62% | — | +28.57% | |
| 15 | JANX | Janux Therapeutics Inc | Stock-Other | 2.61% | — | +280.00% | |
| 16 | CRBP | Corbus Pharmaceuticals Holdi | Stock-Other | 2.37% | — | +117.14% | |
| 17 | ASND | Ascendis Pharma A/S | Stock-Other | 2.37% | — | -39.46% | |
| 18 | CRNX | Crinetics Pharmaceuticals In | Stock-Other | 2.32% | — | -37.50% | |
| 19 | SLNOEUR | Soleno Therapeutics Inc | Stock-Other | 2.29% | — | -50.00% | |
| 20 | TGTX | Tg Therapeutics Inc | Stock-Healthcare | 2.19% | — | -38.00% | |
| 21 | RZLT | Rezolute Inc | Stock-Other | 2.16% | — | +3.76% | |
| 22 | PHAT | Phathom Pharmaceuticals Inc | Stock-Other | 2.05% | — | -37.50% | |
| 23 | MLTX | Moonlake Immunotherapeutics | Stock-Other | 1.96% | — | -57.20% | |
| 24 | OLMA | Olema Pharmaceuticals Inc | Stock-Other | 1.93% | — | -2.73% | |
| 25 | IMVT | Immunovant Inc | Stock-Other | 1.85% | — | -17.31% | |
| 26 | EWTX | Edgewise Therapeutics Inc | Stock-Other | 1.57% | — | — | |
| 27 | REPL | Replimune Group Inc | Stock-Other | 1.49% | — | — | |
| 28 | BBIO | Bridgebio Pharma Inc | Stock-Healthcare | 1.35% | — | +25.00% | |
| 29 | TSHA | Taysha Gene Therapies Inc | Stock-Other | 1.31% | — | +72.00% | |
| 30 | RYTM | Rhythm Pharmaceuticals Inc | Stock-Other | 1.25% | — | -32.84% | |
| 31 | ANNX | Annexon Inc | Stock-Other | 1.16% | — | +23.93% | |
| 32 | KRRO | Korro Bio Inc | Stock-Other | 1.11% | — | +10.00% | |
| 33 | DYN | Dyne Therapeutics Inc | Stock-Other | 1.09% | — | — | |
| 34 | ARVN | Arvinas Inc | Stock-Other | 1.08% | — | +93.33% | |
| 35 | ✓ | Helix Acquisition CORP Ii | Stock-Other | 0.95% | — | — | |
| 36 | NUVB | Nuvation Bio Inc | Stock-Other | 0.93% | — | +17.39% | |
| 37 | SVRA | Savara Inc | Stock-Other | 0.93% | — | -31.01% | |
| 38 | TNYA | Tenaya Therapeutics Inc | Stock-Other | 0.87% | — | +11.11% | |
| 39 | RGNX | Regenxbio Inc | Stock-Other | 0.84% | — | +55.88% | |
| 40 | CRVS | Corvus Pharmaceuticals Inc | Stock-Other | 0.80% | — | — | |
| 41 | ABSI | Absci CORP | Stock-Other | 0.63% | — | — | |
| 42 | NGNE | Neurogene Inc | Stock-Other | 0.63% | — | -28.57% | |
| 43 | CAPR | Capricor Therapeutics Inc | Stock-Other | 0.57% | — | — | |
| 44 | APLSUSD | Apellis Pharmaceuticals Inc | Stock-Other | 0.57% | — | -51.85% | |
| 45 | SMMT | Summit Therapeutics Inc | Stock-Other | 0.56% | — | — | |
| 46 | SYRE | Spyre Therapeutics Inc | Stock-Other | 0.53% | — | -76.02% | |
| 47 | VRDN | Viridian Therapeutics Inc | Stock-Other | 0.52% | — | -87.24% | |
| 48 | ✓ | Proqr Therapeutics N.v. | Stock-Other | 0.49% | — | -1.37% | |
| 49 | ATYR | Atyr Pharma Inc | Stock-Other | 0.43% | — | — | |
| 50 | LRMR | Larimar Therapeutics Inc | Stock-Other | 0.40% | — | — |
Performance for Q3 2026
+16%
Performance Last 4 Quarters
+53.8%
Based on 86% of reported portfolio value with available pricing
| Period | Holdings | Total value | Stability | Top holdings | |
|---|---|---|---|---|---|
| 2024 Q3 | 54 | $331.0M | 0 | ||
| 2024 Q2 | 63 | $319.3M | 0 | ||
| 2024 Q1 | 72 | $361.3M | 0 | ||
| 2023 Q4 | 52 | $305.9M | 0 | ||
| 2023 Q3 | 70 | $304.1M | 0 | ||
| 2023 Q2 | 57 | $302.9M | 0 | ||
| 2023 Q1 | 58 | $338.3M | 0 | ||
| 2022 Q4 | 35 | $234.2M | 0 | ||
| 2022 Q3 | 44 | $356.3M | 0 | ||
| 2022 Q2 | 34 | $192.0M | 0 | ||
| 2022 Q1 | 42 | $460.8M | 0 | ||
| 2021 Q4 | 47 | $279.0M | 0 | ||
| 2021 Q3 | 60 | $342.0M | 0 | ||
| 2021 Q2 | 52 | $363.8M | 0 | ||
| 2021 Q1 | 50 | $425.5M | 100 | ||
| 2020 Q4 | 43 | $448.8M | 89 | ||
| 2020 Q3 | 47 | $346.0M | 78 | ||
| 2020 Q2 | 43 | $379.0M | 67 | ||
| 2020 Q1 | 49 | $377.0M | 83 | ||
| 2019 Q4 | 52 | $525.1M | 96 | ||
| 2019 Q3 | 44 | $392.5M | 82 | ||
| 2019 Q2 | 43 | $482.1M | 93 | ||
| 2019 Q1 | 39 | $382.8M | 97 | ||
| 2018 Q4 | 40 | $275.5M | 89 | ||
| 2018 Q3 | 55 | $470.5M | 79 | ||
| 2018 Q2 | 46 | $339.8M | 100 | ||
| 2018 Q1 | 53 | $494.3M | 100 | ||
| 2017 Q4 | 49 | $426.4M | 100 | ||
| 2017 Q3 | 63 | $470.9M | 99 | ||
| 2017 Q2 | 66 | $481.1M | 97 | ||
| 2017 Q1 | 64 | $536.5M | 99 | ||
| 2016 Q4 | 70 | $415.5M | 91 | ||
| 2016 Q3 | 88 | $616.6M | 99 | ||
| 2016 Q2 | 63 | $346.3M | 100 | ||
| 2016 Q1 | 51 | $176.7M | 100 | ||
| 2015 Q4 | 47 | $244.2M | 100 | ||
| 2015 Q3 | 74 | $222.2M | 100 | ||
| 2015 Q2 | 69 | $308.6M | 100 | ||
| 2015 Q1 | 64 | $278.1M | 100 | ||
| 2014 Q4 | 59 | $208.4M | 100 | ||
| 2014 Q3 | 70 | $184.2M | 100 | ||
| 2014 Q2 | 54 | $141.8M | 100 | 178462F26285303G0083B | |
| 2014 Q1 | 65 | $168.4M | 100 | ||
| 2013 Q4 | 62 | $162.5M | 0 |
| # | Ticker | Issuer | Weight Change | Shares Change | Action |
|---|
Ghost Tree Capital, LLC returned an annualized 18.4% over the trailing 36 months — underperforming the S&P 500 by 1.2 points — based on a reconstructed track record of its disclosed 13F positions, with a beta of 1.13 (more volatile than the market) and a 47% quarterly batting average against the index.
Its portfolio is broadly diversified and long-term-holding, with 100.0% of the portfolio concentrated in Health Care.
It has added to its CGON position over the past two quarters (+$6.1M, now $9.4M), while trimming VRDN over the same stretch (-$9.2M, still holding $1.7M).
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