Paradigm Biocapital Advisors LP

CIK 1855655 · View on SEC EDGAR ↗

Portfolio value
$5.3B
#769 of 9,443 by 13F value · top 8.1%
Positions
28
As of
June 30, 2026

Portfolio value QoQ: +9.1% 13F does not disclose cash

Top 10 holdings weight
75.21%
Top 25 holdings weight
99.01%
Positions above 1%
19
Effective number of positions
10.5

Based on 13F long-equity holdings only (cash, bonds, shorts not disclosed)

Turnover Q2 2026: 23.12% Est. buys $1,183,069,073 · sells $1,691,186,654

Median holding: 3.0 quarters Tracked Q4 2024–Q2 2026 · 39.4% still held

New positions
7
Increased
12
Decreased
7
Closed
14
On this page

Sector breakdown

Healthcare
99.6%
Other/Unmapped
0.4%

Full portfolio 28 positions

Type Streak 8Q trend
RVMD Revolution Medicines, Inc. - Common Stock $1,191,348,571 22.31% 6,361,323 $544,081,454 Down ×1
NUVL Nuvalent, Inc. - Class A Common Stock $731,667,476 13.70% 5,924,433 $186,179,315 Up ×2
EWTX Edgewise Therapeutics, Inc. - Common Stock $415,053,937 7.77% 10,215,455 $183,055,240 Up ×5
GMAB Genmab A/S - American Depositary Shares $360,767,109 6.76% 13,133,131 $146,990,069 Up ×3
SYRE Spyre Therapeutics, Inc. - Common Stock $340,984,271 6.38% 3,840,778 $242,259,774 Up ×2
APGE Apogee Therapeutics, Inc. - Common Stock $209,233,581 3.92% 1,576,385 $95,751,968 Up ×2
ORKA Oruka Therapeutics, Inc. - Common Stock $204,094,539 3.82% 2,144,526 $90,283,039 Down ×1
TNGX Tango Therapeutics, Inc. - Common Stock $198,736,169 3.72% 6,357,523 $114,853,684 Up ×1
BLTE Belite Bio, Inc - American Depositary Shares $189,844,565 3.55% 1,232,877 $12,103,404 Up ×1
ERAS Erasca, Inc. - Common Stock $174,956,000 3.28% 9,550,000 $6,802,082 Down ×2
TARS Tarsus Pharmaceuticals, Inc. - Common Stock $174,699,348 3.27% 2,775,649 $-5,035,755 Up ×1
ALNY Alnylam Pharmaceuticals, Inc. - Common Stock $144,494,400 2.71% 480,000 Up ×1
INSM Insmed Incorporated - Common Stock $141,375,668 2.65% 1,325,977 $-63,758,210 Up ×1
MBX MBX Biosciences, Inc. - Common Stock $138,442,428 2.59% 2,508,015 Up ×1
PCVX Vaxcyte, Inc. - Common Stock $123,692,037 2.32% 2,127,852 $-154,830,355 Down ×1
VRDN Viridian Therapeutics, Inc. - Common Stock $123,515,986 2.31% 6,723,788 $61,923,639 Up ×2
OLMA Olema Pharmaceuticals, Inc. - Common Stock $108,468,906 2.03% 8,670,576 $-11,117,882 Up ×5
JBIO Jade Biosciences, Inc. - Common Stock $63,491,539 1.19% 2,857,405 Up ×1
TYRA Tyra Biosciences, Inc. - Common Stock $58,405,708 1.09% 1,828,607 $-20,300,447 Down ×1
ASMB Assembly Biosciences, Inc. - Common Stock $42,696,995 0.80% 1,553,748 $24,236,280 Up ×1
EYPT EyePoint, Inc. - Common Stock $41,332,677 0.77% 2,890,397 $826,664 Down ×2
ACHV Achieve Life Sciences, Inc. - Common Shares $32,335,620 0.61% 4,951,856 Up ×1
VOR Vor Biopharma Inc. - Common Stock $32,217,500 0.60% 1,750,000 $997,500
MPLT MapLight Therapeutics, Inc. - Common Stock $24,580,936 0.46% 685,852 Up ×1
Unknown issuer (CUSIP: 485925101) $21,465,000 0.40% 900,000 Up ×1
LXEO Lexeo Therapeutics, Inc. - Common Stock $19,436,403 0.36% 4,175,382 $-16,060,526 Down ×1
EDIT Editas Medicine, Inc. - Common Stock $18,100,665 0.34% 5,586,625 Up ×1
IVA Inventiva S.A. - American Depository Shares $15,120,000 0.28% 4,000,000 $-7,080,000

Conviction holdings

Positions increased for 3+ consecutive quarters.

Share counts are as reported in 13F filings (not split-adjusted)

Security Value % of portfolio Streak
EWTX $415,053,937 7.77% up ×5
GMAB $360,767,109 6.76% up ×3
OLMA $108,468,906 2.03% up ×5

Biggest new bets

New positions opened this quarter, largest first.

Security Value Shares % of portfolio
ALNY $144,494,400 480,000 2.71%
MBX $138,442,428 2,508,015 2.59%
JBIO $63,491,539 2,857,405 1.19%
ACHV $32,335,620 4,951,856 0.61%
MPLT $24,580,936 685,852 0.46%
Unknown issuer (CUSIP: 485925101) $21,465,000 900,000 0.40%
EDIT $18,100,665 5,586,625 0.34%

Top movers (QoQ)

Security Action Shares Δ Value Δ
RVMD Trimmed -294K +$544.1M
SYRE Bought more +1.9M +$242.3M
NUVL Bought more +600K +$186.2M
EWTX Bought more +2.9M +$183.1M
PCVX Trimmed -2.7M -$154.8M
GMAB Bought more +5.2M +$147.0M
TNGX Bought more +2.3M +$114.9M
APGE Bought more +228K +$95.8M
ORKA Trimmed -176K +$90.3M
INSM Bought more +71K -$63.8M

Exited positions

Includes corporate events (mergers, delistings) — not all exits are sells

Closed positions reflect 13F reporting changes; for index managers these are often mechanical (delisting, M&A, index rebalancing), not active decisions.

SecurityQuarter Shares before Value before Price since exit
ACLX June 30, 2026 5,774,016 $662,972,517 No longer tracked
MRUS Dec. 31, 2025 4,673,770 $440,035,446 No longer tracked
XBI March 31, 2026 1,500,000 $182,895,000 No longer tracked
CDTX March 31, 2026 759,565 $167,780,313 No longer tracked
CNTA June 30, 2026 3,574,048 $141,961,187 No longer tracked
TERN June 30, 2026 2,216,499 $116,853,827 No longer tracked
AGIO Dec. 31, 2025 2,873,555 $115,344,498 24.1%
CRNX March 31, 2026 2,210,774 $102,911,530 133.3%
CYTK June 30, 2026 1,480,857 $97,603,285 -9.1%
ABVX June 30, 2026 772,473 $86,014,869 -10.4%
ONC Sept. 30, 2025 347,787 $84,188,799 10.4%
MAZE June 30, 2026 2,744,399 $81,920,310 -2.6%
JANX Dec. 31, 2025 2,920,258 $71,371,106 27.4%
VERA March 31, 2025 1,437,339 $60,785,066 31.8%
SRRK June 30, 2026 1,226,080 $60,274,093 0.2%
MIRM June 30, 2026 625,000 $57,737,500 -16.8%
BBIO March 31, 2026 684,277 $52,340,348 11.3%
ALKS Dec. 31, 2025 1,719,334 $51,580,020 71.8%
LENZ Dec. 31, 2025 1,073,461 $50,001,813 -70.1%
PHVS Dec. 31, 2025 1,835,494 $45,795,575 31.2%
COGT Dec. 31, 2025 3,156,398 $45,325,875 1.8%
PLRX March 31, 2025 3,197,050 $42,105,149 -17.0%
MLTX Sept. 30, 2025 878,323 $41,456,846 121.2%
OCUL March 31, 2026 2,935,284 $35,634,348 33.1%
ARGX June 30, 2025 59,679 $35,321,911 88.0%
CYTK June 30, 2025 858,664 $34,509,706 134.5%
INSM June 30, 2025 451,359 $34,434,178 24.6%
MANE June 30, 2026 525,000 $33,153,750 -14.8%
MTSR June 30, 2025 1,191,462 $32,431,596 No longer tracked
URGN June 30, 2026 1,703,949 $30,637,003 25.7%
GPCR June 30, 2026 545,287 $26,282,833 -5.3%
TNGX Dec. 31, 2025 3,086,184 $25,923,946 171.3%
AMLX Dec. 31, 2025 1,900,000 $25,821,000 236.3%
DYN Dec. 31, 2025 1,898,950 $24,021,718 34.9%
ARQT June 30, 2025 1,465,334 $22,917,824 79.2%
TECX March 31, 2025 485,105 $22,397,298 113.0%
ORIC June 30, 2026 1,701,217 $21,554,419 29.6%
YMAB Sept. 30, 2025 4,236,346 $19,105,920 No longer tracked
SRRK March 31, 2025 400,000 $17,288,000 71.4%
IMTX Sept. 30, 2025 3,144,157 $16,915,565 3.4%
IRON Dec. 31, 2025 247,716 $16,369,073 -1.4%
ORKA March 31, 2025 819,660 $15,893,207 942.3%
GPCR Dec. 31, 2025 372,869 $10,440,332 -26.9%
CBIO Sept. 30, 2025 642,721 $10,373,517 37.0%
AGIO March 31, 2025 276,439 $9,083,786 15.3%
BBOT June 30, 2026 868,213 $7,770,506 22.0%
KLRS June 30, 2026 700,000 $4,039,000 0.7%