Paradigm Biocapital Advisors LP

All Holdings — 2025 Q4

AI Portfolio Summary
In 2025 Q4, Paradigm Biocapital Advisors LP maintained a portfolio of 44 distinct positions. The most significant new addition to the portfolio was ORUKA THERAPEUTICS I, which now represents 1.32% of the total fund value. They heavily accumulated shares in REVOLUTION MEDICINES, increasing their position by 6.8%. Conversely, Paradigm Biocapital Advisors LP completely exited their position in AGIOS PHARMACEUTICAL.
PCA Score Concentration Risk
Risk ENB
Total Positions
44
Quarter
2025 Q4
Top Holding
NUVL (13.5%)
Top 10 Concentration
70.9%
Turnover Rate
23.4%
Sector HHI
0.18
Items per page:
Showing 1-44 of 44
Stock History Sector / Type Port % Prev % Rank / Prev Conviction Change % Change Influence Shares Mkt Value Avg Cost Price Held 1st Owned Source Source Date Date Reported
NUVL
NUVALENT INC
Healthcare 13.53% 12.96% #1
Prev: #1
7.0 no change no change
P
S
5,269,433 $530,052,265 2023 Q2 13F Filing 2025-12-31 2026-02-14 (Est.)
RVMD
REVOLUTION MEDI...
Healthcare 13.51% 8.27% #2 2
Prev: #4
7.5 421,112 6.8%
P
S
6,644,403 $529,226,699 2024 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
ACLX
ARCELLX INC
Healthcare 9.53% 10.86% #3
Prev: #3
7.3 1,075,000 23.1%
P
S
5,724,016 $373,205,843 2022 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
GMAB
GENMAB A/S
Healthcare 5.53% 3.33% #4 4
Prev: #8
5.7 3,222,983 84.4%
P
S
7,039,834 $216,826,887 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
TARS
TARSUS PHARMACE...
Healthcare 5.35% 4.51% #5
Prev: #5
3.1 -103,544 -3.9%
P
S
2,562,154 $209,789,170 2023 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
ABVX
ABIVAX SA
Healthcare 4.88% 3.78% #6 1
Prev: #7
2.5 -146,723 -9.4%
P
S
1,417,473 $191,153,321 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
OLMA
OLEMA PHARMACEU...
Healthcare 4.81% 1.89% #7 10
Prev: #17
3.9 750,000 11.0%
P
S
7,544,172 $188,604,300 2023 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
PCVX
VAXCYTE INC
Healthcare 4.79% 3.88% #8 2
Prev: #6
3.9 283,265 7.5%
P
S
4,068,020 $187,698,443 2024 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
XBI
SPDR SERIES TRU...
PUT
PUT Option 4.67% 2.85% #9 2
Prev: #11
4.9 500,000 50.0%
P
S
1,500,000 $182,895,000 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
CDTX
CIDARA THERAPEU...
Healthcare 4.28% 2.62% #10 3
Prev: #13
1.7 -201,599 -21.0%
P
S
759,565 $167,780,313 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
EWTX
EDGEWISE THERAP...
Healthcare 4.14% 2.85% #11 1
Prev: #12
3.7 371,079 6.0%
P
S
6,541,210 $162,320,126 2024 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
SRRK
SCHOLAR ROCK HL...
Healthcare 3.44% 2.13% #12 3
Prev: #15
4.4 1,052,412 52.4%
P
S
3,062,157 $134,888,016 2024 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
URGN
UROGEN PHARMA L...
Healthcare 2.67% 2.39% #13 1
Prev: #14
3.1 257,564 6.1%
P
S
4,473,648 $104,772,836 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
CRNX
CRINETICS PHARM...
Healthcare 2.63% 3.02% #14 4
Prev: #10
1.6 -340,000 -13.3%
P
S
2,210,774 $102,911,530 2022 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
APGE
APOGEE THERAPEU...
Healthcare 2.16% 1.72% #15 3
Prev: #18
0.9 -398,514 -26.2%
P
S
1,123,243 $84,782,382 2024 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
EYPT
EYEPOINT INC
Healthcare 1.72% 0.81% #16 11
Prev: #27
3.7 1,686,110 84.1%
P
S
3,691,475 $67,443,248 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
ERAS
ERASCA INC
Healthcare 1.34% 0.84% #17 9
Prev: #26
1.0 599,078 4.4%
P
S
14,159,095 $52,671,833 2024 Q2 13F Filing 2025-12-31 2026-02-14 (Est.)
BBIO
BRIDGEBIO PHARM...
Healthcare 1.34% 1.01% #18 7
Prev: #25
1.5 no change no change
P
S
684,277 $52,340,348 2024 Q2 13F Filing 2025-12-31 2026-02-14 (Est.)
ORKA
ORUKA THERAPEUT...
Healthcare 1.32% #19
Prev: #—
4.0 1,710,316 no change
NEW
1,710,316 $51,839,678 2024 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
SYRE
SPYRE THERAPEUT...
Healthcare 1.23% 0.70% #20 11
Prev: #31
1.5 no change no change
P
S
1,467,266 $48,067,634 2024 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
LXEO
LEXEO THERAPEUT...
Healthcare 1.21% #21
Prev: #—
4.0 4,763,198 no change
NEW
4,763,198 $47,298,556 2025 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
VRDN
VIRIDIAN THERAP...
Healthcare 1.15% 1.60% #22 3
Prev: #19
0.5 -1,166,251 -44.7%
P
S
1,443,102 $44,909,334 2021 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
OCUL
OCULAR THERAPEU...
Healthcare 0.91% 1.16% #23 1
Prev: #24
0.9 -562,023 -16.1%
P
S
2,935,284 $35,634,348 2025 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
TERN
TERNS PHARMACEU...
Healthcare 0.84% #24
Prev: #—
3.8 810,286 no change
NEW
810,286 $32,735,554 2025 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
BBOT
BRIDGEBIO ONCOL...
Healthcare 0.72% 0.61% #25 8
Prev: #33
2.8 395,608 21.2%
P
S
2,261,749 $28,317,097 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
VOR
VOR BIOPHARMA I...
Healthcare 0.58% #26
Prev: #—
3.7 1,750,000 no change
NEW
1,750,000 $22,890,000 2021 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
ASMB
ASSEMBLY BIOSCI...
Healthcare 0.58% #27
Prev: #—
3.7 665,251 no change
NEW
665,251 $22,625,187 2025 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
ORIC
ORIC PHARMACEUT...
Healthcare 0.50% #28
Prev: #—
3.7 2,401,217 no change
NEW
2,401,217 $19,641,955 2025 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
IVA
INVENTIVA SA
Healthcare 0.47% #29
Prev: #—
3.7 4,000,000 no change
NEW
4,000,000 $18,600,000 2025 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
KLRS
KALARIS THERAPE...
Healthcare 0.15% #30
Prev: #—
3.6 700,000 no change
NEW
700,000 $5,908,000 2025 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
AGIO
AGIOS PHARMACEU...
CALL
CALL Option 0.00% 0.23%
Sold All 😨
(Was: #36)
0.0 -200,000 -100.0%
CLOSED
$— 2024 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
GPCR
STRUCTURE THERA...
Healthcare 0.00% 0.30%
Sold All 😨
(Was: #35)
0.0 -372,869 -100.0%
CLOSED
$— 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
IRON
DISC MEDICINE I...
Healthcare 0.00% 0.47%
Sold All 😨
(Was: #34)
0.0 -247,716 -100.0%
CLOSED
$— 2023 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
DYN
DYNE THERAPEUTI...
Healthcare 0.00% 0.68%
Sold All 😨
(Was: #32)
0.0 -1,898,950 -100.0%
CLOSED
$— 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
AMLX
AMYLYX PHARMACE...
Healthcare 0.00% 0.73%
Sold All 😨
(Was: #30)
0.0 -1,900,000 -100.0%
CLOSED
$— 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
TNGX
TANGO THERAPEUT...
Healthcare 0.00% 0.74%
Sold All 😨
(Was: #29)
0.0 -3,086,184 -100.0%
CLOSED
$— 2025 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
MRUS
MERUS N V
CALL
CALL Option 0.00% 0.80%
Sold All 😨
(Was: #28)
0.0 -300,000 -100.0%
CLOSED
$— 2022 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
COGT
COGENT BIOSCIEN...
Healthcare 0.00% 1.29%
Sold All 😨
(Was: #23)
0.0 -3,156,398 -100.0%
CLOSED
$— 2023 Q3 13F Filing 2025-12-31 2026-02-14 (Est.)
PHVS
PHARVARIS N V
Healthcare 0.00% 1.30%
Sold All 😨
(Was: #22)
0.0 -1,835,494 -100.0%
CLOSED
$— 2025 Q2 13F Filing 2025-12-31 2026-02-14 (Est.)
LENZ
LENZ THERAPEUTI...
Healthcare 0.00% 1.42%
Sold All 😨
(Was: #21)
0.0 -1,073,461 -100.0%
CLOSED
$— 2024 Q4 13F Filing 2025-12-31 2026-02-14 (Est.)
ALKS
ALKERMES PLC
Healthcare 0.00% 1.47%
Sold All 😨
(Was: #20)
0.0 -1,719,334 -100.0%
CLOSED
$— 2025 Q2 13F Filing 2025-12-31 2026-02-14 (Est.)
JANX
JANUX THERAPEUT...
Healthcare 0.00% 2.03%
Sold All 😨
(Was: #16)
0.0 -2,920,258 -100.0%
CLOSED
$— 2024 Q2 13F Filing 2025-12-31 2026-02-14 (Est.)
AGIO
AGIOS PHARMACEU...
Healthcare 0.00% 3.05%
Sold All 😨
(Was: #9)
0.0 -2,673,555 -100.0%
CLOSED
$— 2024 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
MRUS
MERUS N V
Healthcare 0.00% 11.71%
Sold All 😨
(Was: #2)
0.0 -4,373,770 -100.0%
CLOSED
$— 2022 Q1 13F Filing 2025-12-31 2026-02-14 (Est.)
Showing 1-44 of 44 holdings

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