EcoR1 Capital, LLC

In its 13F for Q4 2025 (holdings as of December 31, 2025, filed February 17, 2026), EcoR1 Capital, LLC reported 26 stock positions worth $2.2 billion. Its top holding was Zymeworks (ZYME) at 27.7% of the portfolio, followed by Anaptysbio (ANAB, 17.5%) and Jazz Pharmaceuticals (JAZZ, 13.3%). Compared with Q3 2025, it opened 9 new positions, sold out of 11, added to 2 and reduced 2. The biggest buy was Centessa Pharmaceuticals (CNTA, shares +466%) and the biggest sale an exit from Uniqure (QURE).

Most Recent 13F
Q2 2026
Location
San Francisco, CA
CIK
0001587114
Portfolio Value
$2.2B (Q4 2025)
SEC Filing
0000935836-26-000101 ↗ filed Feb 17, 2026

Holdings Value

0$1.0B$2.0B$3.0B$4.0B Q1 2024: $3.9B Q1 2024 Q2 2024: $3.3B Q2 2024 Q3 2024: $2.9B Q3 2024 Q4 2024: $2.5B Q4 2024 Q1 2025: $1.7B Q1 2025 Q2 2025: $1.7B Q2 2025 Q3 2025: $2.1B Q3 2025 Q4 2025: $2.2B $2.2B Q4 2025 Q1 2026: $2.3B Q1 2026 Q2 2026: $2.0B Q2 2026

Holdings 26 stocks · $2.2B

ZYME Zymeworks Inc. 27.72% 22,970,388 $604.8M No change
ANAB Anaptysbio Inc. 17.51% 7,880,094 $382.0M No change
JAZZ Jazz Pharmaceuticals PLC 13.29% 1,706,469 $290.1M No change
CRNX Crinetics Pharmaceuticals Inc. 9.15% 4,288,120 $199.6M No change
CNTA Centessa Pharmaceuticals Ltd. 3.57% 3,115,000 $77.9M Add +466.4%
CRSP Crispr Therapeutics AG 3.34% 1,389,276 $72.9M No change
MBX MBX Biosciences Inc. 3.07% 2,123,604 $67.0M No change
IMNM Immunome Inc. 2.81% 2,855,590 $61.3M Reduce -30.0%
ORIC Oric Pharmaceuticals Inc. 2.52% 6,728,116 $55.0M No change
LKFT Lakefront Biotherapeutic-ADR filed as GALAPAGOS NV 2.50% 1,667,119 $54.5M No change
XNCR Xencor Inc. 2.28% 3,251,112 $49.8M Reduce -47.1%
BBOT Bridgebio Oncology Therapeut 1.62% 2,823,126 $35.3M No change
ETON Eton Pharmaceuticals Inc. 1.57% 2,030,544 $34.3M No change
CGON CG Oncology Inc. 1.47% 772,000 $32.1M New
ZBIO Zenas Biopharma Inc. 1.31% 789,500 $28.7M New
NGNE Neurogene Inc. 1.20% 1,271,342 $26.2M No change
GPCR Structure Therapeutics Inc. 1.07% 334,380 $23.3M New
PCVX Vaxcyte Inc. 0.95% 450,000 $20.8M New
AQST Aquestive Therapeutics Inc. 0.78% 2,625,000 $17.0M No change
VYGR Voyager Therapeutics Inc. 0.72% 4,002,847 $15.7M Add +497.2%
ATRA Atara Biotherapeutics Inc. 0.48% 573,183 $10.4M No change
MNKD Mannkind Corp. 0.43% 1,660,000 $9.4M New
EOLS Evolus Inc. 0.21% 675,000 $4.5M New
IBIO Ibio Inc. 0.20% 2,228,000 $4.3M New
MREO Mereo Biopharma Group PL-ADR 0.15% 7,856,466 $3.3M New
CAMP CAMP4 Therapeutics Corp. 0.09% 325,000 $2.0M New

Options reported separately and not counted above: CGON calls ($12.2M), XNCR calls ($1.0M).

Other holdings (2): bonds, preferreds, convertibles and warrants · $8.7M (not counted above)
SecurityClassShares / PrincipalValueChange
NUVB.WS Nuvation Bio Inc. -CW27 *W EXP 02/10/202 963,333$8.6MNo change
SRZNW Surrozen Inc.-CW25 *W EXP 08/01/203 4,444$100KReduce -93.3%

Total filed on the 13F, all lines: $2.2B.

Portfolio Sells Q3 2025 → Q4 2025

QURE Uniqure NV Sold out 0.00% −11.20
TNGX Tango Therapeutics Inc. Sold out 0.00% −4.29
APLS Apellis Pharmaceuticals Inc. Sold out 0.00% −3.75
MDGL Madrigal Pharmaceuticals Inc. Sold out 0.00% −1.65
RNAM Avidity Biosciences Inc. Sold out 0.00% −1.60
XNCR Xencor Inc. Reduce -47.1% 2.28% −1.19
ALKS Alkermes PLC Sold out 0.00% −0.72
MTSR Metsera Inc. Sold out 0.00% −0.68
PRME Prime Medicine Inc. Sold out 0.00% −0.41
KURA Kura Oncology Inc. Sold out 0.00% −0.37
PEPG Pepgen Inc. Sold out 0.00% −0.18
CMPS Compass Pathways PLC Sold out 0.00% −0.07
IMNM Immunome Inc. Reduce -30.0% 2.81% +0.51

Portfolio Buys Q3 2025 → Q4 2025

CNTA Centessa Pharmaceuticals Ltd. Add +466.4% 3.57% +2.93
CGON CG Oncology Inc. New 1.47% +1.47
ZBIO Zenas Biopharma Inc. New 1.31% +1.31
GPCR Structure Therapeutics Inc. New 1.07% +1.07
PCVX Vaxcyte Inc. New 0.95% +0.95
VYGR Voyager Therapeutics Inc. Add +497.2% 0.72% +0.57
MNKD Mannkind Corp. New 0.43% +0.43
EOLS Evolus Inc. New 0.21% +0.21
IBIO Ibio Inc. New 0.20% +0.20
MREO Mereo Biopharma Group PL-ADR New 0.15% +0.15
CAMP CAMP4 Therapeutics Corp. New 0.09% +0.09

Options Activity Q3 2025 → Q4 2025

CGON CG Oncology Inc. call New 292,800 $12.2M
XNCR Xencor Inc. call New 67,500 $1.0M

Calls and puts are listed by the shares they cover; their value is not part of the stock holdings above.

Notes & Other Activity Q3 2025 → Q4 2025

SRZNW Surrozen Inc.-CW25 *W EXP 08/01/203 Reduce -93.3% 4,444 $100K

Bonds, preferreds, convertibles and warrants; not part of the stock holdings or percentages above.

All Filings

QuarterPositions13F Reported ValueTop Holdings
Q2 2026 30$2.0BZYME, ANAB, AKTS, CGON, ETON
Q1 2026 28$2.3BZYME, ANAB, JAZZ, CNTA, CRNX
Q4 2025 26$2.2BZYME, ANAB, JAZZ, CRNX, CNTA
Q3 2025 28$2.1BZYME, ANAB, QURE, JAZZ, CRNX
Q2 2025 34$1.7BZYME, APLS, JAZZ, ANAB, CRNX
Q1 2025 42$1.7BAPLS, JAZZ, ZYME, ANAB, CRNX
Q4 2024 53$2.5BAPLS, ZYME, CRNX, JAZZ, PRTA
Q3 2024 60$2.9BAPLS, ANAB, CRNX, PRTA, JAZZ
Q2 2024 52$3.3BAPLS, PRTA, SRPT, ANAB, CRNX
Q1 2024 54$3.9BAPLS, PRTA, ARVN, SRPT, CRNX