Opaleye Management Inc.

In its 13F for Q1 2025 (holdings as of March 31, 2025, filed May 15, 2025), Opaleye Management Inc. reported 43 stock positions worth $438.3 million. Its top holding was Harrow (HROW) at 24.0% of the portfolio, followed by Eton Pharmaceuticals (ETON, 8.4%) and Sanuwave Health (SNWV, 7.8%). Compared with Q4 2024, it opened 15 new positions, sold out of 9, added to 8 and reduced 14. The biggest buy was a new position in Sanuwave Health (SNWV) and the biggest sale TG Therapeutics (TGTX, shares −76%).

Most Recent 13F
Q2 2026
Location
BOSTON, MA
CIK
0001595855
Portfolio Value
$438.3M (Q1 2025)
SEC Filing
0001641172-25-010914 ↗ filed May 15, 2025

Holdings Value

0$500.0M$1.0B$1.5B Q1 2024: $455.6M Q1 2024 Q2 2024: $430.0M Q2 2024 Q3 2024: $591.4M Q3 2024 Q4 2024: $560.7M Q4 2024 Q1 2025: $438.3M $438.3M Q1 2025 Q2 2025: $483.6M Q2 2025 Q3 2025: $702.7M Q3 2025 Q4 2025: $757.9M Q4 2025 Q1 2026: $759.2M Q1 2026 Q2 2026: $1.1B Q2 2026

Holdings 43 stocks · $438.3M

HROW Harrow Inc. 24.00% 3,955,000 $105.2M Reduce -0.9%
ETON Eton Pharmaceuticals Inc. 8.45% 2,852,070 $37.0M No change
SNWV Sanuwave Health Inc. 7.84% 972,002 $34.4M New
LQDA Liquidia Corp. 7.61% 2,260,000 $33.3M Add +33.1%
RYTM Rhythm Pharmaceuticals Inc. 5.92% 490,000 $26.0M Reduce -2.0%
CDXS Codexis Inc. 5.83% 9,500,000 $25.6M Add +7.5%
IMNM Immunome Inc. 5.45% 3,550,000 $23.9M Add +74.0%
TGTX TG Therapeutics Inc. 4.81% 535,000 $21.1M Reduce -76.3%
ARVN Arvinas Inc. 3.16% 1,975,000 $13.9M Add +21.5%
OCUL Ocular Therapeutix Inc. 2.67% 1,595,000 $11.7M Reduce -63.3%
EWTX Edgewise Therapeutics Inc. 1.98% 395,000 $8.7M Reduce -17.7%
TARA Protara Therapeutic Inc. 1.68% 1,730,000 $7.4M Reduce -5.2%
DNA Ginkgo Bioworks Holdings Inc. 1.55% 1,195,000 $6.8M Reduce -0.4%
ANIK Anika Therapeutics Inc. 1.35% 395,000 $5.9M New
PTGX Protagonist Therapeutics Inc. 1.16% 105,000 $5.1M No change
XOMA Xoma Royalty Corporation 1.15% 253,043 $5.0M Add +1.2%
TRVI Trevi Therapeutics Inc. 1.14% 795,000 $5.0M Reduce -65.7%
PVLA Palvella Therapeutics Inc. 1.10% 172,357 $4.8M New
GOSS Gossamer Bio Inc. 1.08% 4,287,415 $4.7M Reduce -4.5%
ANAB Anaptysbio Inc. 1.06% 250,933 $4.7M New
IRON Disc Medicine Inc. 0.96% 85,000 $4.2M New
LRMR Larimar Therapeutics Inc. 0.94% 1,914,077 $4.1M New
CGON CG Oncology Inc. 0.92% 163,988 $4.0M New
SLRN Acelyrin Inc. 0.91% 1,615,000 $4.0M Reduce -27.7%
RCEL Avita Medical Inc. 0.82% 440,000 $3.6M New
EPIX Essa Pharma Inc. 0.80% 2,209,998 $3.5M No change
ZNTL Zentalis Pharmaceuticals Inc. 0.72% 1,985,000 $3.2M Add +12.3%
CRGX Cargo Therapeutics Inc. 0.62% 666,503 $2.7M Reduce -11.1%
ZYME Zymeworks Inc. 0.48% 175,000 $2.1M New
BDSX Biodesix Inc. 0.46% 3,225,000 $2.0M Reduce -6.9%
STOK Stoke Therapeutics Inc. 0.46% 300,000 $2.0M Add +1100.0%
MBX MBX Biosciences Inc. 0.42% 250,000 $1.8M New
OPTINOSE INC 0.40% 193,039 $1.8M New
IRD Opus Genetics Inc. 0.35% 1,175,000 $1.5M New
IBIO Ibio Inc. 0.34% 375,000 $1.5M No change
KNSA Kiniksa Pharmaceuticals Inte 0.32% 62,501 $1.4M New
NRIX Nurix Therapeutics Inc. 0.31% 115,000 $1.4M Reduce -69.6%
RZLT Rezolute Inc. 0.31% 465,000 $1.3M No change
SGMOQ Sangamo Therapeutics Inc. 0.16% 1,055,000 $692K New
PEPG Pepgen Inc. 0.13% 420,000 $590K Add +281.8%
DERM Journey Medical Corp. 0.09% 69,323 $409K New
VTYX Ventyx Biosciences Inc. 0.05% 190,000 $219K Reduce -32.1%
ADGM Adagio Medical Holdings Inc. 0.02% 110,571 $92K No change
Other holdings (2): bonds, preferreds, convertibles and warrants · $10.9M (not counted above)
SecurityClassShares / PrincipalValueChange
GOSSAMER BIO INC (GOSS 5 06/01/27) NOTE 5.000% 6/0 · principal 11,500,000$6.3MNo change
KARYOPHARM THERAPEUTICS (KPTI 3 10/15/25) NOTE 3.000%10/1 · principal 6,000,000$4.6MNo change

Total filed on the 13F, all lines: $449.2M.

Portfolio Sells Q4 2024 → Q1 2025

TGTX TG Therapeutics Inc. Reduce -76.3% 4.81% −7.32
OCUL Ocular Therapeutix Inc. Reduce -63.3% 2.67% −3.95
JSPR Jasper Therapeutics Inc. Sold out 0.00% −1.53
NAMS Newamsterdam Pharma Co. NV Sold out 0.00% −1.49
CRGX Cargo Therapeutics Inc. Reduce -11.1% 0.62% −1.31
PCVX Vaxcyte Inc. Sold out 0.00% −1.09
NRIX Nurix Therapeutics Inc. Reduce -69.6% 0.31% −0.96
NUVL Nuvalent Inc. Class A Sold out 0.00% −0.82
TRVI Trevi Therapeutics Inc. Reduce -65.7% 1.14% −0.56
DNA Ginkgo Bioworks Holdings Inc. Reduce -0.4% 1.55% −0.55
ABCL Abcellera Biologics Inc. Sold out 0.00% −0.50
BDSX Biodesix Inc. Reduce -6.9% 0.46% −0.49
URGN Urogen Pharma Ltd. Sold out 0.00% −0.42
SLRN Acelyrin Inc. Reduce -27.7% 0.91% −0.37
EWTX Edgewise Therapeutics Inc. Reduce -17.7% 1.98% −0.30
IMTX Immatics NV Sold out 0.00% −0.21
LXEO Lexeo Therapeutics Inc. Sold out 0.00% −0.15
RGNX Regenxbio Inc. Sold out 0.00% −0.11
VTYX Ventyx Biosciences Inc. Reduce -32.1% 0.05% −0.06
TARA Protara Therapeutic Inc. Reduce -5.2% 1.68% −0.04
HROW Harrow Inc. Reduce -0.9% 24.00% +0.13
GOSS Gossamer Bio Inc. Reduce -4.5% 1.08% +0.35
RYTM Rhythm Pharmaceuticals Inc. Reduce -2.0% 5.92% +0.93

Portfolio Buys Q4 2024 → Q1 2025

SNWV Sanuwave Health Inc. New 7.84% +7.84
LQDA Liquidia Corp. Add +33.1% 7.61% +4.04
IMNM Immunome Inc. Add +74.0% 5.45% +1.59
ANIK Anika Therapeutics Inc. New 1.35% +1.35
PVLA Palvella Therapeutics Inc. New 1.10% +1.10
ANAB Anaptysbio Inc. New 1.06% +1.06
IRON Disc Medicine Inc. New 0.96% +0.96
LRMR Larimar Therapeutics Inc. New 0.94% +0.94
CGON CG Oncology Inc. New 0.92% +0.92
RCEL Avita Medical Inc. New 0.82% +0.82
ZYME Zymeworks Inc. New 0.48% +0.48
MBX MBX Biosciences Inc. New 0.42% +0.42
STOK Stoke Therapeutics Inc. Add +1100.0% 0.46% +0.41
OPTINOSE INC New 0.40% +0.40
IRD Opus Genetics Inc. New 0.35% +0.35
KNSA Kiniksa Pharmaceuticals Inte New 0.32% +0.32
SGMOQ Sangamo Therapeutics Inc. New 0.16% +0.16
DERM Journey Medical Corp. New 0.09% +0.09
PEPG Pepgen Inc. Add +281.8% 0.13% +0.06
XOMA Xoma Royalty Corporation Add +1.2% 1.15% −0.02
ZNTL Zentalis Pharmaceuticals Inc. Add +12.3% 0.72% −0.24
CDXS Codexis Inc. Add +7.5% 5.83% −1.69
ARVN Arvinas Inc. Add +21.5% 3.16% −2.84

All Filings

QuarterPositions13F Reported ValueTop Holdings
Q2 2026 58$1.1BLQDA, ETON, HROW, IRON, URGN
Q1 2026 54$759.2MHROW, LQDA, ETON, SLGL, RYTM
Q4 2025Amended 54$757.9MHROW, LQDA, ETON, RYTM, APGE
Q3 2025 42$702.7MHROW, ETON, LQDA, RYTM, IMNM
Q2 2025Amended 39$483.6MHROW, ETON, IMNM, SNWV, LQDA
Q1 2025 43$438.3MHROW, ETON, SNWV, LQDA, RYTM
Q4 2024 37$560.7MHROW, TGTX, CDXS, ETON, OCUL
Q3 2024 42$591.4MHROW, TGTX, OCUL, ARVN, CDXS
Q2 2024 49$430.0MHROW, TGTX, OCUL, RYTM, KROS
Q1 2024Amended 51$455.6MOCUL, HROW, TGTX, KROS, RYTM