CIK: 0001224962
Total reported value
$6.7B
Reporting period: 2026-06-30 · Number of holdings: 109
PERCEPTIVE ADVISORS LLC disclosed 109 holdings in its latest 13F filing for the period ending 2026-06-30, with total reported value of $6.7B and a quarterly turnover rate of 59.4%.
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Perceptive Advisors LLC's disclosed holdings carry a Herfindahl concentration index of 0.033 — mathematically equivalent to about 30 equally-sized positions, well below its 109 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 1.61), with a handful of outsized bets alongside many smaller positions.
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 13% 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 ASND
New buy K08588103
Sold out 260
New buy 485925101
Trim PRAX
0.0% $25.7M
Add RLAY
+44.7% $166.9M
Showing top 108 holdings (of 109 total)
| # | Ticker | Issuer | Asset Subclass | Weight | Weight Change | Shares Change | 4Q Trend |
|---|---|---|---|---|---|---|---|
| 1 | PRAX | Praxis Precision Medicines I | Stock-Other | 10.23% | -2.59% | — | |
| 2 | SYRE | Spyre Therapeutics Inc | Stock-Other | 5.76% | +2.03% | +14.18% | |
| 3 | CELC | Celcuity Inc | Stock-Other | 5.02% | -1.95% | +2.24% | |
| 4 | ✓ | Ascendis Pharma A/s | Stock-Other | 4.66% | +4.66% | NEW | |
| 5 | RYTM | Rhythm Pharmaceuticals Inc | Stock-Other | 4.31% | +0.28% | +8.95% | |
| 6 | ROIV | Roivant Sciences Ltd. | Stock-Healthcare | 4.30% | -0.18% | -2.41% | |
| 7 | RLAY | Relay Therapeutics Inc | Stock-Other | 3.96% | +2.06% | +44.66% | |
| 8 | TVTX | Travere Therapeutics Inc | Stock-Other | 3.20% | +0.80% | -9.41% | |
| 9 | ✓ | Stock-Other | 2.94% | +2.94% | NEW | ||
| 10 | NUVL | Nuvalent Inc-a | Stock-Other | 2.93% | -0.23% | — | |
| 11 | EWTX | Edgewise Therapeutics Inc | Stock-Other | 2.67% | -0.05% | -1.13% | |
| 12 | APGE | Apogee Therapeutics Inc | Stock-Other | 2.61% | +0.08% | -15.08% | |
| 13 | AMLX | Amylyx Pharmaceuticals Inc | Stock-Other | 2.25% | — | +0.60% | |
| 14 | MGTX | MeiraGTx Holdings plc | Stock-Other | 2.19% | +0.44% | +4.46% | |
| 15 | ORKA | Oruka Therapeutics Inc | Stock-Other | 1.92% | +0.58% | -3.61% | |
| 16 | INBX | Inhibrx Biosciences Inc | Stock-Other | 1.85% | -0.05% | -10.05% | |
| 17 | PTGX | Protagonist Therapeutics Inc | Stock-Other | 1.81% | -0.73% | -20.23% | |
| 18 | SLDB | Solid Biosciences Inc | Stock-Other | 1.79% | +0.11% | — | |
| 19 | ZYME | Zymeworks Inc | Stock-Other | 1.64% | -0.08% | +19.17% | |
| 20 | TNGX | Tango Therapeutics Inc | Stock-Other | 1.58% | +1.25% | +317.87% | |
| 21 | ✓ | Immatics NV | Stock-Other | 1.58% | -0.42% | — | |
| 22 | NRIX | Nurix Therapeutics Inc | Stock-Other | 1.57% | +0.45% | +16.43% | |
| 23 | BCRX | Biocryst Pharmaceuticals Inc | Stock-Other | 1.55% | +0.17% | +38.67% | |
| 24 | RVMD | Revolution Medicines Inc | Stock-Healthcare | 1.48% | +0.99% | +104.02% | |
| 25 | ✓ | Stock-Other | 1.32% | +1.32% | NEW | ||
| 26 | MRNA | Moderna Inc | Stock-Healthcare | 1.05% | +0.06% | — | |
| 27 | DYN | Dyne Therapeutics Inc | Stock-Other | 0.90% | -0.75% | -42.40% | |
| 28 | BIIB | Biogen Inc | Stock-Healthcare | 0.90% | +0.90% | NEW | |
| 29 | IMVT | Immunovant Inc | Stock-Other | 0.79% | +0.01% | -15.02% | |
| 30 | UNH | Unitedhealth Group Inc | Stock-Healthcare | 0.73% | +0.73% | NEW | |
| 31 | XBI | Ss Spdr S&p Biotech ETF | ETF-Tech | 0.71% | +0.71% | NEW | |
| 32 | IONS | Ionis Pharmaceuticals Inc | Stock-Healthcare | 0.67% | -0.07% | +12.30% | |
| 33 | STRO | Sutro Biopharma Inc | Stock-Other | 0.65% | +0.30% | +82.42% | |
| 34 | ANRO | Alto Neuroscience Inc | Stock-Other | 0.64% | -0.24% | -19.90% | |
| 35 | JAZZ | Jazz Pharmaceuticals plc | Stock-Healthcare | 0.61% | -0.02% | — | |
| 36 | CRVS | Corvus Pharmaceuticals Inc | Stock-Other | 0.60% | -0.06% | +16.36% | |
| 37 | SION | Sionna Therapeutics Inc | Stock-Other | 0.60% | +0.08% | +37.45% | |
| 38 | CTMX | Cytomx Therapeutics Inc | Stock-Other | 0.59% | -0.34% | +3.37% | |
| 39 | AORT | Artivion Inc | Stock-Other | 0.59% | -0.58% | +6.11% | |
| 40 | XFOR | X4 Pharmaceuticals Inc | Stock-Other | 0.56% | +0.02% | +17.75% | |
| 41 | CAPR | Capricor Therapeutics Inc | Stock-Other | 0.54% | +0.54% | NEW | |
| 42 | CORT | Corcept Therapeutics Inc | Stock-Healthcare | 0.52% | +0.48% | +696.77% | |
| 43 | RGEN | Repligen CORP | Stock-Healthcare | 0.51% | -0.14% | -11.52% | |
| 44 | AVR | Anteris Technologies Global | Stock-Other | 0.51% | +0.14% | — | |
| 45 | RAPP | Rapport Therapeutics Inc | Stock-Other | 0.48% | +0.07% | +14.75% | |
| 46 | DMRA | Damora Therapeutics Inc | Stock-Other | 0.48% | -0.14% | — | |
| 47 | CRL | Charles River Laboratories | Stock-Healthcare | 0.48% | +0.48% | NEW | |
| 48 | AXSM | Axsome Therapeutics Inc | Stock-Healthcare | 0.44% | -0.06% | -21.01% | |
| 49 | EYPT | Eyepoint Inc | Stock-Other | 0.43% | +0.43% | NEW | |
| 50 | DBVT | Dbv Technologies Sa-spon Adr | Stock-Other | 0.41% | +0.02% | +71.44% |
Performance for Q3 2026
+16.9%
Performance Last 4 Quarters
+82%
Based on 89% of reported portfolio value with available pricing
| Period | Holdings | Total value | Stability | Top holdings | |
|---|---|---|---|---|---|
| 2026 Q2 | 109 | $6.7B | 59 | ||
| 2026 Q1 | 94 | $5.1B | 55 | ||
| 2025 Q4 | 116 | $5.6B | 77 | ||
| 2025 Q3 | 93 | $3.5B | 100 | ||
| 2025 Q2 | 85 | $2.7B | 0 | ||
| 2025 Q1 | 87 | $2.8B | 0 | ||
| 2024 Q4 | 99 | $3.6B | 0 | ||
| 2024 Q3 | 108 | $4.7B | 0 | ||
| 2024 Q2 | 110 | $4.2B | 0 | ||
| 2024 Q1 | 112 | $5.7B | 0 | ||
| 2023 Q4 | 101 | $4.5B | 0 | ||
| 2023 Q3 | 97 | $3.0B | 0 | ||
| 2023 Q2 | 95 | $3.5B | 0 | ||
| 2023 Q1 | 99 | $3.4B | 0 | ||
| 2022 Q4 | 96 | $3.6B | 0 | ||
| 2022 Q3 | 116 | $3.4B | 0 | ||
| 2022 Q2 | 111 | $3.2B | 0 | ||
| 2022 Q1 | 135 | $5.0B | 0 | ||
| 2021 Q4 | 147 | $6.5B | 0 | ||
| 2021 Q3 | 140 | $6.9B | 0 | ||
| 2021 Q2 | 150 | $7.7B | 99 | ||
| 2021 Q1 | 139 | $7.9B | 100 | ||
| 2020 Q4 | 139 | $9.3B | 58 | ||
| 2020 Q3 | 126 | $6.8B | 43 | ||
| 2020 Q2 | 125 | $6.2B | 57 | ||
| 2020 Q1 | 113 | $3.8B | 49 | ||
| 2019 Q4 | 114 | $5.0B | 47 | ||
| 2019 Q3 | 109 | $3.7B | 39 | ||
| 2019 Q2 | 104 | $4.4B | 45 | ||
| 2019 Q1 | 105 | $3.5B | 53 | ||
| 2018 Q4 | 101 | $2.6B | 67 | ||
| 2018 Q3 | 117 | $3.7B | 42 | ||
| 2018 Q2 | 127 | $3.8B | 42 | ||
| 2018 Q1 | 137 | $3.6B | 42 | ||
| 2017 Q4 | 132 | $3.0B | 43 | ||
| 2017 Q3 | 139 | $2.6B | 55 | ||
| 2017 Q2 | 126 | $2.0B | 54 | ||
| 2017 Q1 | 173 | $1.8B | 58 | ||
| 2016 Q4 | 199 | $1.4B | 56 | ||
| 2016 Q3 | 196 | $1.5B | 54 | ||
| 2016 Q2 | 173 | $1.4B | 66 | ||
| 2016 Q1 | 170 | $1.1B | 49 | ||
| 2015 Q4 | 155 | $1.4B | 48 | ||
| 2015 Q3 | 158 | $1.3B | 64 | ||
| 2015 Q2 | 173 | $1.7B | 61 | ||
| 2015 Q1 | 158 | $1.3B | 61 | ||
| 2014 Q4 | 151 | $1.2B | 63 | ||
| 2014 Q3 | 125 | $931.3M | 65 | ||
| 2014 Q2 | 120 | $1.0B | 61 | ||
| 2014 Q1 | 127 | $951.7M | 73 | ||
| 2013 Q4 | 118 | $832.6M | 100 | ||
| 2013 Q3 | 107 | $1.2B | 72 | ||
| 2013 Q2 | 92 | $991.7M | 0 |
Perceptive Advisors LLC's most significant position changes for 2026-06-30: Sold out: Ascendis Pharma A/S (ASND); New buy: Ascendis Pharma A/s; Sold out: Centessa Pharmaceuticals-adr (260); New buy: ; New buy: .
| # | Ticker | Issuer | Weight Change | Shares Change | Action |
|---|---|---|---|---|---|
| 1 | ✓ | Ascendis Pharma A/s | +4.7% | NEW | New buy |
| 2 | ✓ | +2.9% | NEW | New buy | |
| 3 | RLAY | Relay Therapeutics Inc | +2.1% | +44.66% | Add |
| 4 | SYRE | Spyre Therapeutics Inc | +2% | +14.18% | Add |
| 5 | ✓ | +1.3% | NEW | New buy | |
| 6 | TNGX | Tango Therapeutics Inc | +1.3% | +317.87% | Add |
| 7 | RVMD | Revolution Medicines Inc | +1% | +104.02% | Add |
| 8 | BIIB | Biogen Inc | +0.9% | NEW | New buy |
| 9 | TVTX | Travere Therapeutics Inc | +0.8% | -9.41% | Trim |
| 10 | UNH | Unitedhealth Group Inc | +0.7% | NEW | New buy |
| 11 | XBI | Ss Spdr S&p Biotech ETF | +0.7% | NEW | New buy |
| 12 | ORKA | Oruka Therapeutics Inc | +0.6% | -3.61% | Trim |
| 13 | CAPR | Capricor Therapeutics Inc | +0.5% | NEW | New buy |
| 14 | CORT | Corcept Therapeutics Inc | +0.5% | +696.77% | Add |
| 15 | CRL | Charles River Laboratories | +0.5% | NEW | New buy |
| 16 | NRIX | Nurix Therapeutics Inc | +0.5% | +16.43% | Add |
| 17 | MGTX | MeiraGTx Holdings plc | +0.4% | +4.46% | Add |
| 18 | EYPT | Eyepoint Inc | +0.4% | NEW | New buy |
| 19 | DHR | Danaher CORP | +0.4% | NEW | New buy |
| 20 | ADPT | Adaptive Biotechnologies | +0.4% | +698.25% | Add |
| 21 | SLS | Sellas Life Sciences Group I | +0.3% | NEW | New buy |
| 22 | ANL | Adlai Nortye Ltd-adr | +0.3% | NEW | New buy |
| 23 | STRO | Sutro Biopharma Inc | +0.3% | +82.42% | Add |
| 24 | RYTM | Rhythm Pharmaceuticals Inc | +0.3% | +8.95% | Add |
| 25 | NVCT | Nuvectis Pharma Inc | +0.3% | NEW | New buy |
| 26 | NAMS | NewAmsterdam Pharma Company N.V. | +0.3% | NEW | New buy |
| 27 | MIRM | Mirum Pharmaceuticals Inc | +0.2% | NEW | New buy |
| 28 | BCRX | Biocryst Pharmaceuticals Inc | +0.2% | +38.67% | Add |
| 29 | OSCR | Oscar Health Inc - Class A | +0.2% | NEW | New buy |
| 30 | IRTC | Irhythm Holdings Inc | +0.2% | +113.06% | Add |
| 31 | EOLS | Evolus Inc | +0.2% | +91.11% | Add |
| 32 | ✓ | +0.2% | NEW | New buy | |
| 33 | BSX | Boston Scientific CORP | +0.2% | NEW | New buy |
| 34 | AVR | Anteris Technologies Global | +0.1% | — | Unchanged |
| 35 | NTRA | Natera Inc | +0.1% | NEW | New buy |
| 36 | ENGN | Engene Therapeutics Inc | +0.1% | NEW | New buy |
| 37 | ✓ | +0.1% | NEW | New buy | |
| 38 | CGEM | Cullinan Therapeutics Inc | +0.1% | NEW | New buy |
| 39 | QURE | uniQure N.V. | +0.1% | NEW | New buy |
| 40 | SLDB | Solid Biosciences Inc | +0.1% | — | Unchanged |
| 41 | ✓ | +0.1% | NEW | New buy | |
| 42 | APGE | Apogee Therapeutics Inc | +0.1% | -15.08% | Trim |
| 43 | SION | Sionna Therapeutics Inc | +0.1% | +37.45% | Add |
| 44 | RAPP | Rapport Therapeutics Inc | +0.1% | +14.75% | Add |
| 45 | OMDA | Omada Health Inc | +0.1% | — | Unchanged |
| 46 | SRZN | Surrozen Inc | +0.1% | +119.70% | Add |
| 47 | OTLK | Outlook Therapeutics Inc | +0.1% | NEW | New buy |
| 48 | MRNA | Moderna Inc | +0.1% | — | Unchanged |
| 49 | XERS | Xeris Biopharma Holdings Inc | +0.1% | NEW | New buy |
| 50 | BBNX | Beta Bionics Inc | 0% | -1.19% | Trim |
Perceptive Advisors LLC returned an annualized 44.7% over the trailing 30 months — outperforming the S&P 500 by 21.7 points — based on a reconstructed track record of its disclosed 13F positions, with a beta of 0.92 (roughly in line with the market) and a 57% quarterly batting average against the index.
Its portfolio is broadly diversified and fast-trading, with 100.0% of the portfolio concentrated in Health Care.
Its turnover score has risen from 0 to 59 over the past 4 quarters — a shift toward more active trading.
It has added to its SYRE position over the past two quarters (+$282.9M, now $383.5M), while trimming VRDN over the same stretch (-$84.0M, still holding $10.7M).
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