In its 13F for Q2 2026 (holdings as of June 30, 2026, filed August 14, 2026), EcoR1 Capital, LLC reported 30 stock positions worth $2.0 billion . Its top holding was Zymeworks (ZYME) at 29.8% of the portfolio, followed by Anaptysbio (ANAB, 26.4% ) and Aktis Oncology (AKTS, 7.7% ). Compared with Q1 2026, it opened 9 new positions, sold out of 7, added to 3 and reduced 4. The biggest buy was a new position in First Tracks Biotherapeutics (TRAX) and the biggest sale an exit from Jazz Pharmaceuticals (JAZZ).
Location San Francisco, CA
CIK 0001587114
Portfolio Value $2.0B (Q2 2026) Holdings 30 stocks · $2.0B Holdings quarter Q2 2026 Q1 2026 Q4 2025 Q3 2025 Q2 2025 Q1 2025 Q4 2024 Q3 2024 Q2 2024 Q1 2024
Stock % Of Portfolio ▼ Shares Held Total Value Change vs Q1 2026 ZYME Zymeworks Inc. 29.77% 22,970,388 $600.4M No change ANAB Anaptysbio Inc. 26.38% 7,880,094 $531.9M No change AKTS Aktis Oncology Inc. 7.71% 4,824,469 $155.5M No change CGON CG Oncology Inc. 5.26% 1,494,300 $106.2M Add +35.6% ETON Eton Pharmaceuticals Inc. 3.90% 2,171,938 $78.6M No change CRSP Crispr Therapeutics AG 3.76% 1,389,276 $75.8M No change ORIC Oric Pharmaceuticals Inc. 3.61% 6,728,116 $72.9M No change TRAX First Tracks Biotherapeutics 3.17% 3,174,519 $63.9M New LKFT Lakefront Biotherapeutic-ADR 2.48% 1,667,119 $50.0M No change NGNE Neurogene Inc. 1.98% 1,271,342 $40.0M No change STOK Stoke Therapeutics Inc. 1.19% 735,000 $24.0M Add +635.0% FULC Fulcrum Therapeutics Inc. 1.19% 6,549,866 $24.0M New LEGN Legend Biotech Corp.-ADR 1.15% 800,000 $23.1M New BBOT Bridgebio Oncology Therapeut 1.07% 2,823,126 $21.5M No change MBX MBX Biosciences Inc. 1.06% 388,500 $21.4M Reduce -50.0% ZBIO Zenas Biopharma Inc. 0.99% 789,500 $20.0M No change ATRA Atara Biotherapeutics Inc. 0.88% 1,552,000 $17.8M Add +1458.3% RLAY Relay Therapeutics Inc. 0.65% 697,948 $13.1M Reduce -63.4% AURA Aura Biosciences Inc. 0.59% 1,666,667 $11.8M New ODTX Odyssey Therapeutics Inc. 0.52% 555,555 $10.4M New EIKN Eikon Therapeutics Inc. 0.47% 732,606 $9.6M No change PHVS Pharvaris NV 0.40% 235,000 $8.1M New ZURA Zura Bio Ltd. 0.35% 1,179,715 $7.0M No change PHAT Phathom Pharmaceuticals Inc. 0.34% 625,000 $6.8M No change NRIX Nurix Therapeutics Inc. 0.32% 270,000 $6.6M New ERAS Erasca Inc. 0.30% 330,000 $6.0M Reduce -63.3% ELOX Eloxx Pharmaceuticals Inc. 0.28% 400,000 $5.6M New AARD Aardvark Therapeutics Inc. 0.11% 396,194 $2.3M New HLXC Helix Acquisition Corp. Class A 0.11% 200,000 $2.1M No change MREO Mereo Biopharma Group PL-ADR 0.02% 1,000,000 $318K Reduce -92.5%
Options reported separately and not counted above: CGON calls ($39.9M), AARD calls ($85K).
Other holdings (1): bonds, preferreds, convertibles and warrants · $115K (not counted above) Security Class Shares / Principal Value Change SRZNW Surrozen Inc.-CW25 *W EXP 08/01/203 4,444 $115K No change
Total filed on the 13F, all lines: $2.0B.
Portfolio Sells Q1 2026 → Q2 2026 Portfolio Sells quarter Q2 2026 Q1 2026 Q4 2025 Q3 2025 Q2 2025 Q1 2025 Q4 2024 Q3 2024 Q2 2024 Q1 2024
Stock Change vs Q1 2026 % Of Portfolio Change To Portfolio ▲ JAZZ Jazz Pharmaceuticals PLC Sold out 0.00% −13.79 CNTA Centessa Pharmaceuticals Ltd. Sold out 0.00% −10.19 CRNX Crinetics Pharmaceuticals Inc. Sold out 0.00% −6.66 XNCR Xencor Inc. Sold out 0.00% −1.13 REPL Replimune Group Inc. Sold out 0.00% −0.33 ERAS Erasca Inc. Reduce -63.3% 0.30% −0.32 MREO Mereo Biopharma Group PL-ADR Reduce -92.5% 0.02% −0.17 RLAY Relay Therapeutics Inc. Reduce -63.4% 0.65% −0.16 PRLD Prelude Therapeutics Inc. Sold out 0.00% −0.14 IBIO Ibio Inc. Sold out 0.00% −0.13 MBX MBX Biosciences Inc. Reduce -50.0% 1.06% +0.07
Portfolio Buys Q1 2026 → Q2 2026 Portfolio Buys quarter Q2 2026 Q1 2026 Q4 2025 Q3 2025 Q2 2025 Q1 2025 Q4 2024 Q3 2024 Q2 2024 Q1 2024
Stock Change vs Q1 2026 % Of Portfolio Change To Portfolio ▼ TRAX First Tracks Biotherapeutics New 3.17% +3.17 CGON CG Oncology Inc. Add +35.6% 5.26% +2.08 FULC Fulcrum Therapeutics Inc. New 1.19% +1.19 LEGN Legend Biotech Corp.-ADR New 1.15% +1.15 STOK Stoke Therapeutics Inc. Add +635.0% 1.19% +1.05 ATRA Atara Biotherapeutics Inc. Add +1458.3% 0.88% +0.86 AURA Aura Biosciences Inc. New 0.59% +0.59 ODTX Odyssey Therapeutics Inc. New 0.52% +0.52 PHVS Pharvaris NV New 0.40% +0.40 NRIX Nurix Therapeutics Inc. New 0.32% +0.32 ELOX Eloxx Pharmaceuticals Inc. New 0.28% +0.28 AARD Aardvark Therapeutics Inc. New 0.11% +0.11
Options Activity Q1 2026 → Q2 2026 Security Type Change vs Q1 2026 Underlying Shares Value ▼ CGON CG Oncology Inc. call New 561,500 $39.9M CNTA Centessa Pharmaceuticals Ltd. call Sold out 410,800 $16.3Mbefore exit AARD Aardvark Therapeutics Inc. call New 14,700 $85K
Calls and puts are listed by the shares they cover; their value is not part of the stock holdings above.
All Filings Quarter Positions 13F Reported Value Top Holdings Q2 2026 30 $2.0B ZYME, ANAB, AKTS, CGON, ETON Q1 2026 28 $2.3B ZYME, ANAB, JAZZ, CNTA, CRNX Q4 2025 26 $2.2B ZYME, ANAB, JAZZ, CRNX, CNTA Q3 2025 28 $2.1B ZYME, ANAB, QURE, JAZZ, CRNX Q2 2025 34 $1.7B ZYME, APLS, JAZZ, ANAB, CRNX Q1 2025 42 $1.7B APLS, JAZZ, ZYME, ANAB, CRNX Q4 2024 53 $2.5B APLS, ZYME, CRNX, JAZZ, PRTA Q3 2024 60 $2.9B APLS, ANAB, CRNX, PRTA, JAZZ Q2 2024 52 $3.3B APLS, PRTA, SRPT, ANAB, CRNX Q1 2024 54 $3.9B APLS, PRTA, ARVN, SRPT, CRNX