Opaleye Management Inc.

In its 13F for Q1 2026 (holdings as of March 31, 2026, filed May 15, 2026), Opaleye Management Inc. reported 54 stock positions worth $759.2 million. Its top holding was Harrow (HROW) at 13.2% of the portfolio, followed by Liquidia (LQDA, 11.7%) and Eton Pharmaceuticals (ETON, 9.3%). Compared with Q4 2025, it opened 10 new positions, sold out of 10, added to 18 and reduced 12. The biggest buy was Sol-Gel Technologies (SLGL, shares +10%) and the biggest sale Harrow (HROW, shares −27%).

Most Recent 13F
Q2 2026
Location
BOSTON, MA
CIK
0001595855
Portfolio Value
$759.2M (Q1 2026)
SEC Filing
0001420506-26-001151 ↗ filed May 15, 2026

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 Q1 2025 Q2 2025: $483.6M Q2 2025 Q3 2025: $702.7M Q3 2025 Q4 2025: $757.9M Q4 2025 Q1 2026: $759.2M $759.2M Q1 2026 Q2 2026: $1.1B Q2 2026

Holdings 54 stocks · $759.2M

HROW Harrow Inc. 13.15% 2,832,230 $99.9M Reduce -27.5%
LQDA Liquidia Corp. 11.70% 2,545,000 $88.8M Add +4.5%
ETON Eton Pharmaceuticals Inc. 9.30% 2,860,000 $70.6M No change
SLGL Sol-Gel Technologies Ltd. 5.22% 500,000 $39.6M Add +10.2%
RYTM Rhythm Pharmaceuticals Inc. 4.65% 123,000 $35.3M Reduce -62.7%
APGE Apogee Therapeutics Inc. 4.32% 390,000 $32.8M Add +0.5%
IRON Disc Medicine Inc. 3.55% 421,000 $26.9M Add +110.5%
URGN Urogen Pharma Ltd. 3.39% 1,430,000 $25.7M Add +432.7%
CBIO Crescent Biopharma Inc. 3.18% 1,312,615 $24.1M Add +11.4%
STOK Stoke Therapeutics Inc. 3.00% 700,000 $22.8M Add +0.7%
CATX Perspective Therapeutics Inc. 2.57% 4,675,000 $19.5M Add +294.7%
RZLT Rezolute Inc. 2.53% 6,300,000 $19.2M Add +0.2%
MGTX Meiragtx Holdings PLC 2.42% 2,123,259 $18.4M Add +443.3%
TGTX TG Therapeutics Inc. 2.34% 535,000 $17.8M No change
SNWV Sanuwave Health Inc. 2.23% 981,267 $17.0M No change
EWTX Edgewise Therapeutics Inc. 2.07% 500,000 $15.8M No change
ACOG Alpha Cognition Inc. 1.85% 2,561,950 $14.1M Add +23.7%
ANNX Annexon Inc. 1.70% 2,331,761 $12.9M Reduce -10.3%
ALMS Alumis Inc. 1.60% 550,000 $12.1M Add +2.8%
CDXS Codexis Inc. 1.46% 6,785,000 $11.1M Reduce -0.1%
PTGX Protagonist Therapeutics Inc. 1.39% 100,000 $10.5M Reduce -4.8%
RVMD Revolution Medicines Inc. 1.28% 100,000 $9.7M No change
XOMA Xoma Royalty Corporation 1.24% 300,000 $9.4M Add +2.5%
QTTB Q32 Bio Inc. 1.06% 1,256,228 $8.1M Add +488.8%
MBX MBX Biosciences Inc. 1.02% 260,000 $7.8M No change
RLMD Relmada Therapeutics Inc. 0.86% 935,000 $6.5M No change
CGON CG Oncology Inc. 0.85% 94,800 $6.4M Reduce -76.9%
JBIO Jade Biosciences Inc. 0.79% 427,608 $6.0M No change
OCUL Ocular Therapeutix Inc. 0.67% 600,000 $5.1M Reduce -62.4%
ASRT Assertio Holdings Inc. 0.67% 265,707 $5.1M New
EDIT Editas Medicine Inc. 0.63% 1,926,997 $4.8M New
STRO Sutro Biopharma Inc. 0.63% 190,671 $4.7M No change
DERM Journey Medical Corp. 0.59% 960,000 $4.5M Reduce -1.5%
VYGR Voyager Therapeutics Inc. 0.58% 1,150,000 $4.4M Reduce -3.9%
TRVI Trevi Therapeutics Inc. 0.54% 345,100 $4.1M No change
TECX Tectonic Therapeutic Inc. 0.50% 123,000 $3.8M Reduce -42.7%
CABA Cabaletta Bio Inc. 0.49% 1,380,000 $3.7M Add +53.3%
BDSX Biodesix Inc. 0.45% 238,047 $3.5M New
RCKT Rocket Pharmaceuticals Inc. 0.45% 955,000 $3.4M No change
ZNTL Zentalis Pharmaceuticals Inc. 0.44% 1,412,656 $3.3M Add +0.8%
NTLA Intellia Therapeutics Inc. 0.41% 245,000 $3.1M New
FBIO Fortress Biotech Inc. 0.38% 1,042,000 $2.9M Reduce -4.4%
IRD Opus Genetics Inc. 0.30% 1,120,000 $2.3M No change
RIGL Rigel Pharmaceuticals Inc. 0.25% 70,000 $1.9M No change
AVIR Atea Pharmaceuticals Inc. 0.23% 322,600 $1.7M Add +79.4%
LYEL Lyell Immunopharma Inc. 0.21% 79,097 $1.6M New
ENTA Enanta Pharmaceuticals Inc. 0.21% 125,000 $1.6M Add +66.7%
NXTC Nextcure Inc. 0.20% 141,181 $1.5M New
FDMT 4D Molecular Therapeutics Inc. 0.14% 112,291 $1.0M New
PERSPECTIVE THERAPEUTICS INC 0.11% 200,000 $834K New
PLX Protalix Biotherapeutics Inc. 0.10% 340,000 $738K Reduce -86.3%
BBOT Bridgebio Oncology Therapeut 0.06% 53,282 $477K New
LBRX LB Pharmaceuticals Inc. 0.05% 14,506 $358K New
ADGM Adagio Medical Holdings Inc. 0.00% 18,444 $21K No change

Portfolio Sells Q4 2025 → Q1 2026

HROW Harrow Inc. Reduce -27.5% 13.15% −12.09
OCUL Ocular Therapeutix Inc. Reduce -62.4% 0.67% −1.89
ALKS Alkermes PLC Sold out 0.00% −1.81
CGON CG Oncology Inc. Reduce -76.9% 0.85% −1.40
GOSS Gossamer Bio Inc. Sold out 0.00% −1.11
KPTI Karyopharm Therapeutics Inc. Sold out 0.00% −0.90
PLX Protalix Biotherapeutics Inc. Reduce -86.3% 0.10% −0.49
DERM Journey Medical Corp. Reduce -1.5% 0.59% −0.40
ZYME Zymeworks Inc. Sold out 0.00% −0.38
ASSERTIO HOLDINGS INC Sold out 0.00% −0.34
VTYX Ventyx Biosciences Inc. Sold out 0.00% −0.30
GBIO Generation Bio Co. Sold out 0.00% −0.23
BBIO Bridgebio Pharma Inc. Sold out 0.00% −0.18
FBIO Fortress Biotech Inc. Reduce -4.4% 0.38% −0.14
TECX Tectonic Therapeutic Inc. Reduce -42.7% 0.50% −0.09
SLN Silence Therapeutics PLC-ADR Sold out 0.00% −0.06
VYGR Voyager Therapeutics Inc. Reduce -3.9% 0.58% −0.04
RAPT Rapt Therapeutics Inc. Sold out 0.00% −0.03
ANNX Annexon Inc. Reduce -10.3% 1.70% −0.02
RYTM Rhythm Pharmaceuticals Inc. Reduce -62.7% 4.65% −0.01
CDXS Codexis Inc. Reduce -0.1% 1.46% −0.00
PTGX Protagonist Therapeutics Inc. Reduce -4.8% 1.39% +0.18

Portfolio Buys Q4 2025 → Q1 2026

SLGL Sol-Gel Technologies Ltd. Add +10.2% 5.22% +2.69
URGN Urogen Pharma Ltd. Add +432.7% 3.39% +2.56
MGTX Meiragtx Holdings PLC Add +443.3% 2.42% +2.01
CATX Perspective Therapeutics Inc. Add +294.7% 2.57% +1.91
IRON Disc Medicine Inc. Add +110.5% 3.55% +1.45
CBIO Crescent Biopharma Inc. Add +11.4% 3.18% +1.33
QTTB Q32 Bio Inc. Add +488.8% 1.06% +0.97
ALMS Alumis Inc. Add +2.8% 1.60% +0.91
ASRT Assertio Holdings Inc. New 0.67% +0.67
EDIT Editas Medicine Inc. New 0.63% +0.63
RZLT Rezolute Inc. Add +0.2% 2.53% +0.57
LQDA Liquidia Corp. Add +4.5% 11.70% +0.49
APGE Apogee Therapeutics Inc. Add +0.5% 4.32% +0.46
BDSX Biodesix Inc. New 0.45% +0.45
NTLA Intellia Therapeutics Inc. New 0.41% +0.41
CABA Cabaletta Bio Inc. Add +53.3% 0.49% +0.23
XOMA Xoma Royalty Corporation Add +2.5% 1.24% +0.21
LYEL Lyell Immunopharma Inc. New 0.21% +0.21
NXTC Nextcure Inc. New 0.20% +0.20
ZNTL Zentalis Pharmaceuticals Inc. Add +0.8% 0.44% +0.19
AVIR Atea Pharmaceuticals Inc. Add +79.4% 0.23% +0.14
FDMT 4D Molecular Therapeutics Inc. New 0.14% +0.14
PERSPECTIVE THERAPEUTICS INC New 0.11% +0.11
STOK Stoke Therapeutics Inc. Add +0.7% 3.00% +0.09
ACOG Alpha Cognition Inc. Add +23.7% 1.85% +0.08
BBOT Bridgebio Oncology Therapeut New 0.06% +0.06
ENTA Enanta Pharmaceuticals Inc. Add +66.7% 0.21% +0.05
LBRX LB Pharmaceuticals Inc. New 0.05% +0.05

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