CIK: 0001855655
Total reported value
$5.3B
Reporting period: 2026-06-30 · Number of holdings: 28
Paradigm Biocapital Advisors LP disclosed 28 holdings in its latest 13F filing for the period ending 2026-06-30, with total reported value of $5.3B and a quarterly turnover rate of 75.4%.
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Paradigm Biocapital Advisors LP's disclosed holdings carry a Herfindahl concentration index of 0.095 — mathematically equivalent to about 11 equally-sized positions, well below its 28 actual disclosed holdings. That gap points to a strategy built around a small core of high-conviction bets rather than broad diversification.
Position sizes vary widely across the portfolio (a coefficient of variation of 1.31), with a handful of outsized bets alongside many smaller positions.
Recent activity leans toward adding more aggressively to already-large existing positions than to newly initiated ones (a 2.3 percentage-point tilt) — a pattern consistent with a momentum-following approach.
Sector classification currently covers about 28% 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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Sold out ACLXGBX
Add RVMD
-4.4% $544.1M
Add SYRE
+96.2% $242.3M
Trim PCVX
-55.6% -$154.8M
Add EWTX
+38.7% $183.1M
Sold out 260
| # | Ticker | Issuer | Asset Subclass | Weight | Weight Change | Shares Change | 4Q Trend |
|---|---|---|---|---|---|---|---|
| 1 | RVMD | Revolution Medicines Inc | Stock-Healthcare | 22.31% | +9.09% | -4.42% | |
| 2 | NUVL | Nuvalent Inc-a | Stock-Other | 13.70% | +2.55% | +11.27% | |
| 3 | EWTX | Edgewise Therapeutics Inc | Stock-Other | 7.77% | +3.03% | +38.70% | |
| 4 | GMAB | Genmab A/s -sp Adr | Stock-Other | 6.76% | +2.39% | +64.83% | |
| 5 | SYRE | Spyre Therapeutics Inc | Stock-Other | 6.38% | +4.36% | +96.23% | |
| 6 | APGE | Apogee Therapeutics Inc | Stock-Other | 3.92% | +1.60% | +16.92% | |
| 7 | ORKA | Oruka Therapeutics Inc | Stock-Other | 3.82% | +1.49% | -7.58% | |
| 8 | TNGX | Tango Therapeutics Inc | Stock-Other | 3.72% | +2.01% | +58.55% | |
| 9 | BLTE | Belite Bio Inc - Adr | Stock-Other | 3.55% | -0.08% | +10.59% | |
| 10 | ERAS | Erasca Inc | Stock-Other | 3.28% | -0.16% | -8.11% | |
| 11 | TARS | Tarsus Pharmaceuticals Inc | Stock-Other | 3.27% | -0.40% | +8.33% | |
| 12 | ALNY | Alnylam Pharmaceuticals Inc | Stock-Healthcare | 2.71% | +2.71% | NEW | |
| 13 | INSM | Insmed Inc | Stock-Healthcare | 2.65% | -1.54% | +5.70% | |
| 14 | MBX | Mbx Biosciences Inc | Stock-Other | 2.59% | +2.59% | NEW | |
| 15 | PCVX | Vaxcyte Inc | Stock-Other | 2.32% | -3.37% | -55.61% | |
| 16 | VRDN | Viridian Therapeutics Inc | Stock-Other | 2.31% | +1.05% | +113.53% | |
| 17 | OLMA | Olema Pharmaceuticals Inc | Stock-Other | 2.03% | -0.41% | +8.10% | |
| 18 | JBIO | Jade Biosciences Inc | Stock-Other | 1.19% | +1.19% | NEW | |
| 19 | TYRA | Tyra Biosciences Inc | Stock-Other | 1.09% | -0.52% | -11.02% | |
| 20 | ASMB | Assembly Biosciences Inc | Stock-Other | 0.80% | +0.42% | +133.56% | |
| 21 | EYPT | Eyepoint Inc | Stock-Other | 0.77% | -0.06% | -8.02% | |
| 22 | ACHV | Achieve Life Sciences Inc | Stock-Other | 0.61% | +0.61% | NEW | |
| 23 | VOR | Vor Biopharma Inc | Stock-Other | 0.60% | -0.04% | — | |
| 24 | MPLT | Maplight Therapeutics Inc | Stock-Other | 0.46% | +0.46% | NEW | |
| 25 | ✓ | Stock-Other | 0.40% | +0.40% | NEW | ||
| 26 | LXEO | Lexeo Therapeutics Inc | Stock-Other | 0.36% | -0.37% | -32.48% | |
| 27 | EDIT | Editas Medicine Inc | Stock-Other | 0.34% | +0.34% | NEW | |
| 28 | IVA | Inventiva SA - Adr | Stock-Other | 0.28% | -0.17% | — |
Performance for Q3 2026
+20.5%
Performance Last 4 Quarters
+135.3%
Based on 70% of reported portfolio value with available pricing
| Period | Holdings | Total value | Stability | Top holdings | |
|---|---|---|---|---|---|
| 2026 Q2 | 28 | $5.3B | 75 | ||
| 2026 Q1 | 35 | $4.9B | 66 | ||
| 2025 Q4 | 30 | $3.9B | 62 | ||
| 2025 Q3 | 36 | $3.5B | 78 | ||
| 2025 Q2 | 28 | $2.3B | 0 | ||
| 2025 Q1 | 28 | $2.2B | 0 | ||
| 2024 Q4 | 28 | $2.9B | 0 | ||
| 2024 Q3 | 33 | $3.0B | 0 | ||
| 2024 Q2 | 35 | $2.6B | 0 | ||
| 2024 Q1 | 34 | $2.8B | 0 | ||
| 2023 Q4 | 30 | $2.1B | 0 | ||
| 2023 Q3 | 31 | $1.5B | 0 | ||
| 2023 Q2 | 30 | $1.3B | 0 | ||
| 2023 Q1 | 25 | $1.1B | 0 | ||
| 2022 Q4 | 23 | $851.9M | 0 | ||
| 2022 Q3 | 28 | $750.1M | 0 | ||
| 2022 Q2 | 23 | $501.5M | 0 | ||
| 2022 Q1 | 25 | $378.2M | 0 | ||
| 2021 Q4 | 24 | $350.2M | 0 |
Paradigm Biocapital Advisors LP's most significant position changes for 2026-06-30: Sold out: Arcellx Inc (ACLXGBX); New buy: Alnylam Pharmaceuticals Inc (ALNY); Sold out: Centessa Pharmaceuticals-adr (260); New buy: Mbx Biosciences Inc (MBX); Sold out: Terns Pharmaceuticals Inc (430).
| # | Ticker | Issuer | Weight Change | Shares Change | Action |
|---|---|---|---|---|---|
| 1 | RVMD | Revolution Medicines Inc | +9.1% | -4.42% | Trim |
| 2 | SYRE | Spyre Therapeutics Inc | +4.4% | +96.23% | Add |
| 3 | EWTX | Edgewise Therapeutics Inc | +3% | +38.70% | Add |
| 4 | ALNY | Alnylam Pharmaceuticals Inc | +2.7% | NEW | New buy |
| 5 | MBX | Mbx Biosciences Inc | +2.6% | NEW | New buy |
| 6 | NUVL | Nuvalent Inc-a | +2.6% | +11.27% | Add |
| 7 | GMAB | Genmab A/s -sp Adr | +2.4% | +64.83% | Add |
| 8 | TNGX | Tango Therapeutics Inc | +2% | +58.55% | Add |
| 9 | APGE | Apogee Therapeutics Inc | +1.6% | +16.92% | Add |
| 10 | ORKA | Oruka Therapeutics Inc | +1.5% | -7.58% | Trim |
| 11 | JBIO | Jade Biosciences Inc | +1.2% | NEW | New buy |
| 12 | VRDN | Viridian Therapeutics Inc | +1.1% | +113.53% | Add |
| 13 | ACHV | Achieve Life Sciences Inc | +0.6% | NEW | New buy |
| 14 | MPLT | Maplight Therapeutics Inc | +0.5% | NEW | New buy |
| 15 | ASMB | Assembly Biosciences Inc | +0.4% | +133.56% | Add |
| 16 | ✓ | +0.4% | NEW | New buy | |
| 17 | EDIT | Editas Medicine Inc | +0.3% | NEW | New buy |
| 18 | VOR | Vor Biopharma Inc | 0% | — | Unchanged |
| 19 | EYPT | Eyepoint Inc | -0.1% | -8.02% | Trim |
| 20 | BLTE | Belite Bio Inc - Adr | -0.1% | +10.59% | Add |
| 21 | KLRS | Kalaris Therapeutics Inc | -0.1% | EXIT | Sold out |
| 22 | BBOT | Bridgebio Oncology Therapeut | -0.2% | EXIT | Sold out |
| 23 | ERAS | Erasca Inc | -0.2% | -8.11% | Trim |
| 24 | IVA | Inventiva SA - Adr | -0.2% | — | Unchanged |
| 25 | LXEO | Lexeo Therapeutics Inc | -0.4% | -32.48% | Trim |
| 26 | TARS | Tarsus Pharmaceuticals Inc | -0.4% | +8.33% | Add |
| 27 | OLMA | Olema Pharmaceuticals Inc | -0.4% | +8.10% | Add |
| 28 | ORIC | Oric Pharmaceuticals Inc | -0.4% | EXIT | Sold out |
| 29 | TYRA | Tyra Biosciences Inc | -0.5% | -11.02% | Trim |
| 30 | GPCR | Structure Therapeutics Inc | -0.5% | EXIT | Sold out |
| 31 | URGN | UroGen Pharma Ltd. | -0.6% | EXIT | Sold out |
| 32 | MANE | Veradermics Inc | -0.7% | EXIT | Sold out |
| 33 | MIRM | Mirum Pharmaceuticals Inc | -1.2% | EXIT | Sold out |
| 34 | SRRK | Scholar Rock Holding CORP | -1.2% | EXIT | Sold out |
| 35 | INSM | Insmed Inc | -1.5% | +5.70% | Add |
| 36 | MAZE | Maze Therapeutics Inc | -1.7% | EXIT | Sold out |
| 37 | ABVX | Abivax Sa-adr | -1.8% | EXIT | Sold out |
| 38 | CYTK | Cytokinetics Inc | -2% | EXIT | Sold out |
| 39 | 430 | Terns Pharmaceuticals Inc | -2.4% | EXIT | Sold out |
| 40 | 260 | Centessa Pharmaceuticals-adr | -2.9% | EXIT | Sold out |
| 41 | PCVX | Vaxcyte Inc | -3.4% | -55.61% | Trim |
| 42 | ACLXGBX | Arcellx Inc | -13.6% | EXIT | Sold out |
Paradigm Biocapital Advisors LP returned an annualized 19.9% over the trailing 36 months — outperforming the S&P 500 by 7.0 points — based on a reconstructed track record of its disclosed 13F positions, with a beta of 0.83 (less volatile than the market) and a 39% quarterly batting average against the index.
Its portfolio is moderately concentrated and fast-trading, with 100.0% of the portfolio concentrated in Health Care.
Its turnover score has risen from 0 to 75 over the past 4 quarters — a shift toward more active trading.
It has added to its RVMD position over the past two quarters (+$662.1M, now $1.2B), while trimming OLMA over the same stretch (-$80.1M, still holding $108.5M).
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