Total reported value
$4.9B
Reporting period: 2026-03-31 · Number of holdings: 35
Paradigm Biocapital Advisors LP disclosed 35 holdings in its latest 13F filing for the period ending 2026-03-31, with total reported value of $4.9B and a quarterly turnover rate of 65.9%.
Add ACLXGBX
+0.9% $289.8M
Trim ABVX
-45.5% -$105.1M
Trim NUVL
+1.0% $15.4M
Trim OLMA
+6.3% -$69.0M
Trim SRRK
-60.0% -$74.6M
Add ERAS
-26.6% $115.5M
| # | Ticker | Issuer | Asset Subclass | Weight | Weight Change | Shares Change | 4Q Trend |
|---|---|---|---|---|---|---|---|
| 1 | ACLXGBX | Arcellx INC | Stock-Other | 13.55% | +4.02% | +0.87% | |
| 2 | RVMD | Revolution Medicines INC | Stock-Healthcare | 13.23% | -0.29% | +0.17% | |
| 3 | NUVL | Nuvalent Inc-a | Stock-Other | 11.15% | -2.38% | +1.04% | |
| 4 | PCVX | Vaxcyte INC | Stock-Other | 5.69% | +0.90% | +17.82% | |
| 5 | EWTX | Edgewise Therapeutics INC | Stock-Other | 4.74% | +0.60% | +12.59% | |
| 6 | GMAB | Genmab A/s -sp Adr | Stock-Other | 4.37% | -1.16% | +13.18% | |
| 7 | INSM | Insmed INC | Stock-Healthcare | 4.19% | +4.19% | NEW | |
| 8 | TARS | Tarsus Pharmaceuticals INC | Stock-Other | 3.67% | -1.68% | — | |
| 9 | BLTE | Belite Bio INC - Adr | Stock-Other | 3.63% | +3.63% | NEW | |
| 10 | ERAS | Erasca INC | Stock-Other | 3.44% | +2.10% | -26.60% | |
| 11 | 260 | Centessa Pharmaceuticals-adr | Stock-Other | 2.90% | +2.90% | NEW | |
| 12 | OLMA | Olema Pharmaceuticals INC | Stock-Other | 2.44% | -2.37% | +6.31% | |
| 13 | 430 | Terns Pharmaceuticals INC | Stock-Other | 2.39% | +1.55% | +173.55% | |
| 14 | ORKA | Oruka Therapeutics INC | Stock-Other | 2.33% | +1.01% | +35.67% | |
| 15 | APGE | Apogee Therapeutics INC | Stock-Other | 2.32% | +0.16% | +20.03% | |
| 16 | SYRE | Spyre Therapeutics INC | Stock-Other | 2.02% | +0.79% | +33.40% | |
| 17 | CYTK | Cytokinetics INC | Stock-Healthcare | 1.99% | +1.99% | NEW | |
| 18 | ABVX | Abivax Sa-adr | Stock-Other | 1.76% | -3.12% | -45.50% | |
| 19 | TNGX | Tango Therapeutics INC | Stock-Other | 1.71% | +1.71% | NEW | |
| 20 | MAZE | Maze Therapeutics INC | Stock-Other | 1.67% | +1.67% | NEW | |
| 21 | TYRA | Tyra Biosciences INC | Stock-Other | 1.61% | +1.61% | NEW | |
| 22 | VRDN | Viridian Therapeutics INC | Stock-Other | 1.26% | +0.11% | +118.20% | |
| 23 | SRRK | Scholar Rock Holding CORP | Stock-Other | 1.23% | -2.21% | -59.96% | |
| 24 | MIRM | Mirum Pharmaceuticals INC | Stock-Other | 1.18% | +1.18% | NEW | |
| 25 | EYPT | Eyepoint INC | Stock-Other | 0.83% | -0.89% | -14.87% | |
| 26 | LXEO | Lexeo Therapeutics INC | Stock-Other | 0.73% | -0.48% | +29.83% | |
| 27 | MANE | Veradermics INC | Stock-Other | 0.68% | +0.68% | NEW | |
| 28 | VOR | Vor Biopharma INC | Stock-Other | 0.64% | +0.06% | — | |
| 29 | URGN | UroGen Pharma Ltd. | Stock-Other | 0.63% | -2.04% | -61.91% | |
| 30 | GPCR | Structure Therapeutics INC | Stock-Other | 0.54% | +0.54% | NEW | |
| 31 | IVA | Inventiva SA - Adr | Stock-Other | 0.45% | -0.02% | — | |
| 32 | ORIC | Oric Pharmaceuticals INC | Stock-Other | 0.44% | -0.06% | -29.15% | |
| 33 | ASMB | Assembly Biosciences INC | Stock-Other | 0.38% | -0.20% | — | |
| 34 | BBOT | Bridgebio Oncology Therapeut | Stock-Other | 0.16% | -0.56% | -61.61% | |
| 35 | KLRS | Kalaris Therapeutics INC | Stock-Other | 0.08% | -0.07% | — |
Performance for Q3 2026
+21%
Performance Last 4 Quarters
+33.4%
Based on 72% of reported portfolio value with available pricing
| Period | Holdings | Total value | Stability | Top holdings |
|---|---|---|---|---|
| 2026-03-31 | 35 | $4.9B | 66 | |
| 2025-12-31 | 30 | $3.9B | 62 | |
| 2025-09-30 | 36 | $3.5B | 78 | |
| 2025-06-30 | 28 | $2.3B | 0 | |
| 2025-03-31 | 28 | $2.2B | 0 | |
| 2024-12-31 | 28 | $2.9B | 0 | |
| 2024-09-30 | 33 | $3.0B | 0 | |
| 2024-06-30 | 35 | $2.6B | 0 | |
| 2024-03-31 | 34 | $2.8B | 0 | |
| 2023-12-31 | 30 | $2.1B | 0 | |
| 2023-09-30 | 31 | $1.5B | 0 | |
| 2023-06-30 | 30 | $1.3B | 0 | |
| 2023-03-31 | 25 | $1.1B | 0 | |
| 2022-12-31 | 23 | $851.9M | 0 | |
| 2022-09-30 | 28 | $750.1M | 0 | |
| 2022-06-30 | 23 | $501.5M | 0 | |
| 2022-03-31 | 25 | $378.2M | 0 | |
| 2021-12-31 | 24 | $350.2M | 0 |
Paradigm Biocapital Advisors LP's most significant position changes for 2026-03-31: New buy: Insmed INC (INSM); Sold out: Ss Spdr S&p Biotech ETF (XBI); New buy: Belite Bio INC - Adr (BLTE); Sold out: Cidara Therapeutics INC (CDTX); New buy: Centessa Pharmaceuticals-adr (260).
| # | Ticker | Issuer | Weight Change | Shares Change | Action |
|---|---|---|---|---|---|
| 1 | ACLXGBX | Arcellx INC | +4% | +0.87% | Add |
| 2 | ERAS | Erasca INC | +2.1% | -26.60% | Trim |
| 3 | 430 | Terns Pharmaceuticals INC | +1.6% | +173.55% | Add |
| 4 | ORKA | Oruka Therapeutics INC | +1% | +35.67% | Add |
| 5 | PCVX | Vaxcyte INC | +0.9% | +17.82% | Add |
| 6 | SYRE | Spyre Therapeutics INC | +0.8% | +33.40% | Add |
| 7 | EWTX | Edgewise Therapeutics INC | +0.6% | +12.59% | Add |
| 8 | APGE | Apogee Therapeutics INC | +0.2% | +20.03% | Add |
| 9 | VRDN | Viridian Therapeutics INC | +0.1% | +118.20% | Add |
| 10 | VOR | Vor Biopharma INC | +0.1% | — | Unchanged |
| 11 | IVA | Inventiva SA - Adr | 0% | — | Unchanged |
| 12 | ORIC | Oric Pharmaceuticals INC | -0.1% | -29.15% | Trim |
| 13 | KLRS | Kalaris Therapeutics INC | -0.1% | — | Unchanged |
| 14 | ASMB | Assembly Biosciences INC | -0.2% | — | Unchanged |
| 15 | RVMD | Revolution Medicines INC | -0.3% | +0.17% | Add |
| 16 | LXEO | Lexeo Therapeutics INC | -0.5% | +29.83% | Add |
| 17 | BBOT | Bridgebio Oncology Therapeut | -0.6% | -61.61% | Trim |
| 18 | EYPT | Eyepoint INC | -0.9% | -14.87% | Trim |
| 19 | GMAB | Genmab A/s -sp Adr | -1.2% | +13.18% | Add |
| 20 | TARS | Tarsus Pharmaceuticals INC | -1.7% | — | Unchanged |
| 21 | URGN | UroGen Pharma Ltd. | -2% | -61.91% | Trim |
| 22 | SRRK | Scholar Rock Holding CORP | -2.2% | -59.96% | Trim |
| 23 | OLMA | Olema Pharmaceuticals INC | -2.4% | +6.31% | Add |
| 24 | NUVL | Nuvalent Inc-a | -2.4% | +1.04% | Add |
| 25 | ABVX | Abivax Sa-adr | -3.1% | -45.50% | Trim |
| 26 | INSM | Insmed INC | — | NEW | New buy |
| 27 | XBI | Ss Spdr S&p Biotech ETF | — | EXIT | Sold out |
| 28 | BLTE | Belite Bio INC - Adr | — | NEW | New buy |
| 29 | CDTX | Cidara Therapeutics INC | — | EXIT | Sold out |
| 30 | 260 | Centessa Pharmaceuticals-adr | — | NEW | New buy |
| 31 | CRNX | Crinetics Pharmaceuticals In | — | EXIT | Sold out |
| 32 | CYTK | Cytokinetics INC | — | NEW | New buy |
| 33 | TNGX | Tango Therapeutics INC | — | NEW | New buy |
| 34 | MAZE | Maze Therapeutics INC | — | NEW | New buy |
| 35 | TYRA | Tyra Biosciences INC | — | NEW | New buy |
| 36 | MIRM | Mirum Pharmaceuticals INC | — | NEW | New buy |
| 37 | BBIO | Bridgebio Pharma INC | — | EXIT | Sold out |
| 38 | OCUL | Ocular Therapeutix INC | — | EXIT | Sold out |
| 39 | MANE | Veradermics INC | — | NEW | New buy |
| 40 | GPCR | Structure Therapeutics INC | — | NEW | New buy |