Exome Asset Management LLC

In its 13F for Q3 2024 (holdings as of September 30, 2024, filed December 13, 2024), Exome Asset Management LLC reported 59 stock positions worth $147.9 million. Its top holding was Eli Lilly (LLY) at 6.3% of the portfolio, followed by Ascendis Pharma A/S (ASND, 4.4%) and Bridgebio Pharma (BBIO, 3.6%). Compared with Q2 2024, it opened 30 new positions, sold out of 23, added to 14 and reduced 8. The biggest buy was a new position in Structure Therapeutics (GPCR) and the biggest sale an exit from Sarepta Therapeutics (SRPT).

Most Recent 13F
Q2 2026
Location
NEW YORK, NY
CIK
0002011932
Portfolio Value
$147.9M (Q3 2024)
SEC Filing
0001420506-24-002622 ↗ filed Dec 13, 2024

Holdings Value

0$50.0M$100.0M$150.0M$200.0M$250.0M Q1 2024: $116.8M Q1 2024 Q2 2024: $112.3M Q2 2024 Q3 2024: $147.9M $147.9M Q3 2024 Q4 2024: $132.9M Q4 2024 Q1 2025: $111.6M Q1 2025 Q2 2025: $121.3M Q2 2025 Q3 2025: $151.4M Q3 2025 Q4 2025: $202.4M Q4 2025 Q1 2026: $169.9M Q1 2026 Q2 2026: $162.1M Q2 2026

Holdings 59 stocks · $147.9M

LLY Eli Lilly & Co. 6.26% 10,447 $9.3M Add +7.7%
ASND Ascendis Pharma A/S 4.43% 43,849 $6.5M Add +119.3%
BBIO Bridgebio Pharma Inc. 3.63% 211,000 $5.4M Add +167.4%
GPCR Structure Therapeutics Inc. 3.57% 120,165 $5.3M New
TGTX TG Therapeutics Inc. 3.28% 207,627 $4.9M Reduce -17.5%
ALGN Align Technology Inc. 3.21% 18,700 $4.8M New
CI The Cigna Group 2.86% 12,200 $4.2M No change
GILD Gilead Sciences Inc. 2.83% 50,000 $4.2M New
GERN Geron Corp. 2.78% 905,126 $4.1M New
BNTX Biontech SE-ADR 2.77% 34,552 $4.1M New
BMY Bristol-Myers Squibb Co. 2.73% 78,000 $4.0M New
VRDN Viridian Therapeutics Inc. 2.68% 174,400 $4.0M New
ISRG Intuitive Surgical Inc. 2.47% 7,427 $3.6M Add +16.8%
ONC Beone Medicines Ltd.-ADR filed as BEIGENE LTD 2.32% 15,300 $3.4M Reduce -53.9%
BPMC Blueprint Medicines Corp. 2.29% 36,700 $3.4M New
GKOS Glaukos Corp. 2.28% 25,857 $3.4M New
SWTX Springworks Therapeutics Inc. 2.18% 100,700 $3.2M New
IRON Disc Medicine Inc. 2.14% 64,516 $3.2M Add +5.8%
CYTK Cytokinetics Inc. 2.09% 58,583 $3.1M New
AGIO Agios Pharmaceuticals Inc. 1.99% 66,200 $2.9M New
RLAY Relay Therapeutics Inc. 1.98% 414,629 $2.9M New
APLS Apellis Pharmaceuticals Inc. 1.96% 100,367 $2.9M Add +114.0%
RDY Dr. Reddy's Laboratories-ADR 1.95% 36,300 $2.9M No change
NTRA Natera Inc. 1.93% 22,450 $2.9M Add +20.4%
BIIB Biogen Inc. 1.74% 13,317 $2.6M New
INSM Insmed Inc. 1.66% 33,600 $2.5M Reduce -40.9%
LEGN Legend Biotech Corp.-ADR 1.55% 47,000 $2.3M New
MERSANA THERAPEUTICS INC 1.51% 1,178,570 $2.2M New
ETNB 89BIO Inc. 1.50% 300,600 $2.2M New
AKRO Akero Therapeutics Inc. 1.50% 77,100 $2.2M New
CNTA Centessa Pharmaceuticals Ltd. 1.49% 138,152 $2.2M Reduce -49.7%
STOK Stoke Therapeutics Inc. 1.47% 176,600 $2.2M New
AMGN Amgen Inc. 1.46% 6,700 $2.2M Reduce -43.2%
GH Guardant Health Inc. 1.39% 89,800 $2.1M Add +13.7%
NUVL Nuvalent Inc. Class A 1.38% 19,945 $2.0M New
RVNC Revance Therapeutics Inc. 1.22% 347,600 $1.8M New
KURA Kura Oncology Inc. 1.19% 90,305 $1.8M Reduce -31.4%
RZLT Rezolute Inc. 1.15% 352,056 $1.7M Add +24.7%
PLRX Pliant Therapeutics Inc. 1.13% 149,600 $1.7M Add +20.6%
EWTX Edgewise Therapeutics Inc. 1.08% 59,900 $1.6M New
KARYOPHARM THERAPEUTICS (KPTI 3 10/15/25) 1.03% 2,000,000 $1.5M New
STAA Staar Surgical Co. 1.02% 40,800 $1.5M New
TARS Tarsus Pharmaceuticals Inc. 1.01% 45,600 $1.5M New
BCRX Biocryst Pharmaceuticals Inc. 1.01% 196,500 $1.5M New
SRRK Scholar Rock Holding Corp. 0.75% 133,039 $1.1M New
TECX Tectonic Therapeutic Inc. 0.74% 36,344 $1.1M Add +12.2%
ALVO Alvotech SA 0.72% 90,100 $1.1M Reduce -9.0%
QTRX Quanterix Corp. 0.64% 73,501 $953K Add +23.2%
ESTA Establishment Labs Holdings 0.63% 21,700 $939K No change
ACRV Acrivon Therapeutics Inc. 0.55% 116,757 $817K New
LXEO Lexeo Therapeutics Inc. 0.54% 88,148 $797K New
VYNE THERAPEUTICS INC 0.45% 353,434 $664K No change
SYRS Syros Pharmaceuticals Inc. 0.43% 298,575 $642K Add +87.6%
ADAG Adagene Inc.-ADR 0.39% 262,625 $583K Add +74.1%
GOSS Gossamer Bio Inc. 0.31% 468,499 $462K Reduce -58.5%
APRE Aprea Therapeutics Inc. 0.26% 137,174 $377K No change
PROCF Sofgen Pharma SA filed as PROCAPS GROUP SA 0.19% 126,901 $280K No change
CYPH Cypherpunk Technologies Inc. filed as LEAP THERAPEUTICS INC 0.18% 102,631 $264K New
PACB Pacific Biosciences of Calif 0.09% 75,300 $128K No change

Portfolio Sells Q2 2024 → Q3 2024

SRPT Sarepta Therapeutics Inc. Sold out 0.00% −4.63
CRBP Corbus Pharmaceuticals Holdi Sold out 0.00% −3.42
TVTX Travere Therapeutics Inc. Sold out 0.00% −3.24
MDGL Madrigal Pharmaceuticals Inc. Sold out 0.00% −2.69
AVDL Avadel Pharmaceuticals Ltd. Sold out 0.00% −2.62
DXCM Dexcom Inc. Sold out 0.00% −2.62
AUTL Autolus Therapeutics PLC Sold out 0.00% −2.60
MRUS Merus NV Sold out 0.00% −2.38
MASI Masimo Corp. Sold out 0.00% −2.22
WVE Wave Life Sciences Ltd. Sold out 0.00% −2.17
CABA Cabaletta Bio Inc. Sold out 0.00% −2.00
ARVN Arvinas Inc. Sold out 0.00% −1.95
ONC Beone Medicines Ltd.-ADR Reduce -53.9% 2.32% −1.90
AMGN Amgen Inc. Reduce -43.2% 1.46% −1.82
BHVN Biohaven Ltd. Sold out 0.00% −1.79
INSM Insmed Inc. Reduce -40.9% 1.66% −1.73
FULC Fulcrum Therapeutics Inc. Sold out 0.00% −1.67
ATEC Alphatec Holdings Inc. Sold out 0.00% −1.51
ABCL Abcellera Biologics Inc. Sold out 0.00% −1.36
ZLAB Zai Lab Ltd.-ADR Sold out 0.00% −1.34
KURA Kura Oncology Inc. Reduce -31.4% 1.19% −1.22
ELEV Elevation Oncology Inc. Sold out 0.00% −0.89
CNTA Centessa Pharmaceuticals Ltd. Reduce -49.7% 1.49% −0.72
TGTX TG Therapeutics Inc. Reduce -17.5% 3.28% −0.70
QTTB Q32 Bio Inc. Sold out 0.00% −0.70
GOSS Gossamer Bio Inc. Reduce -58.5% 0.31% −0.59
PMVP PMV Pharmaceuticals Inc. Sold out 0.00% −0.52
NBP Novabridge Biosciences Sold out 0.00% −0.40
ALVO Alvotech SA Reduce -9.0% 0.72% −0.35
HLVX Hillevax Inc. Sold out 0.00% −0.23
SGMT Sagimet Biosciences Inc. Class A Sold out 0.00% −0.15

Portfolio Buys Q2 2024 → Q3 2024

GPCR Structure Therapeutics Inc. New 3.57% +3.57
ALGN Align Technology Inc. New 3.21% +3.21
GILD Gilead Sciences Inc. New 2.83% +2.83
GERN Geron Corp. New 2.78% +2.78
BNTX Biontech SE-ADR New 2.77% +2.77
BMY Bristol-Myers Squibb Co. New 2.73% +2.73
VRDN Viridian Therapeutics Inc. New 2.68% +2.68
BPMC Blueprint Medicines Corp. New 2.29% +2.29
GKOS Glaukos Corp. New 2.28% +2.28
SWTX Springworks Therapeutics Inc. New 2.18% +2.18
CYTK Cytokinetics Inc. New 2.09% +2.09
ASND Ascendis Pharma A/S Add +119.3% 4.43% +2.00
AGIO Agios Pharmaceuticals Inc. New 1.99% +1.99
RLAY Relay Therapeutics Inc. New 1.98% +1.98
BBIO Bridgebio Pharma Inc. Add +167.4% 3.63% +1.85
BIIB Biogen Inc. New 1.74% +1.74
LEGN Legend Biotech Corp.-ADR New 1.55% +1.55
MERSANA THERAPEUTICS INC New 1.51% +1.51
ETNB 89BIO Inc. New 1.50% +1.50
AKRO Akero Therapeutics Inc. New 1.50% +1.50
STOK Stoke Therapeutics Inc. New 1.47% +1.47
NUVL Nuvalent Inc. Class A New 1.38% +1.38
RVNC Revance Therapeutics Inc. New 1.22% +1.22
EWTX Edgewise Therapeutics Inc. New 1.08% +1.08
KARYOPHARM THERAPEUTICS (KPTI 3 10/15/25) New 1.03% +1.03
STAA Staar Surgical Co. New 1.02% +1.02
TARS Tarsus Pharmaceuticals Inc. New 1.01% +1.01
BCRX Biocryst Pharmaceuticals Inc. New 1.01% +1.01
SRRK Scholar Rock Holding Corp. New 0.75% +0.75
ACRV Acrivon Therapeutics Inc. New 0.55% +0.55
LXEO Lexeo Therapeutics Inc. New 0.54% +0.54
APLS Apellis Pharmaceuticals Inc. Add +114.0% 1.96% +0.35
TECX Tectonic Therapeutic Inc. Add +12.2% 0.74% +0.27
CYPH Cypherpunk Technologies Inc. New 0.18% +0.18
NTRA Natera Inc. Add +20.4% 1.93% +0.13
RZLT Rezolute Inc. Add +24.7% 1.15% +0.07
ADAG Adagene Inc.-ADR Add +74.1% 0.39% −0.02
ISRG Intuitive Surgical Inc. Add +16.8% 2.47% −0.05
PLRX Pliant Therapeutics Inc. Add +20.6% 1.13% −0.05
QTRX Quanterix Corp. Add +23.2% 0.64% −0.06
SYRS Syros Pharmaceuticals Inc. Add +87.6% 0.43% −0.30
IRON Disc Medicine Inc. Add +5.8% 2.14% −0.30
GH Guardant Health Inc. Add +13.7% 1.39% −0.64
LLY Eli Lilly & Co. Add +7.7% 6.26% −1.56

All Filings

QuarterPositions13F Reported ValueTop Holdings
Q2 2026 52$162.1MGH, PRAX, TGTX, COGT, IONS
Q1 2026 45$169.9MPRAX, COGT, ELVN, IONS, GH
Q4 2025 53$202.4MPRAX, COGT, GH, IONS, LLY
Q3 2025 54$151.4MIONS, CYTK, BBIO, COGT, GH
Q2 2025Amended 55$121.3MISHARES TR, BBIO, GH, GERN, IONS
Q1 2025Amended 49$111.6MBBIO, GH, GERN, AZN, CYTK
Q4 2024 58$132.9MBBIO, LLY, GERN, HUM, GH
Q3 2024Amended 59$147.9MLLY, ASND, BBIO, GPCR, TGTX
Q2 2024Amended 52$112.3MLLY, SRPT, ONC, TGTX, CI
Q1 2024 53$116.8MLLY, RDY, ONC, CI, ALPN