Paradigm Biocapital Advisors LP

In its 13F for Q1 2024 (holdings as of March 31, 2024, filed May 15, 2024), Paradigm Biocapital Advisors LP reported 34 stock positions worth $2.8 billion. Its top holding was Nuvalent Class A (NUVL) at 11.0% of the portfolio, followed by Arcellx (ACLX, 9.3%) and Argenx SE - ADR (ARGX, 7.7%). Compared with Q4 2023, it opened 10 new positions, sold out of 5, added to 16 and reduced 5. The biggest buy was a new position in Sarepta Therapeutics (SRPT) and the biggest sale an exit from Mirati Therapeutics (MRTX).

Most Recent 13F
Q2 2026
Location
NEW YORK, NY
CIK
0001855655
Portfolio Value
$2.8B (Q1 2024)
SEC Filing
0001855655-24-000005 ↗ filed May 15, 2024

Holdings Value

0$2.0B$4.0B$6.0B Q1 2024: $2.8B $2.8B Q1 2024 Q2 2024: $2.6B Q2 2024 Q3 2024: $2.9B Q3 2024 Q4 2024: $2.9B Q4 2024 Q1 2025: $2.2B Q1 2025 Q2 2025: $2.3B Q2 2025 Q3 2025: $3.4B Q3 2025 Q4 2025: $3.7B Q4 2025 Q1 2026: $4.9B Q1 2026 Q2 2026: $5.3B Q2 2026

Holdings 34 stocks · $2.8B

NUVL Nuvalent Inc. Class A 11.04% 4,177,830 $313.7M Add +8.3%
ACLX Arcellx Inc. 9.35% 3,818,095 $265.5M Add +4.4%
ARGX Argenx SE - ADR 7.65% 552,120 $217.4M Add +30.7%
IRON Disc Medicine Inc. 5.24% 2,389,902 $148.8M Add +0.2%
CRNX Crinetics Pharmaceuticals Inc. 5.15% 3,124,749 $146.3M Add +35.1%
SRPT Sarepta Therapeutics Inc. 4.91% 1,078,346 $139.6M New
IMCR Immunocore Holdings PLC-ADR 4.09% 1,787,176 $116.2M Add +22.9%
LEGN Legend Biotech Corp.-ADR 3.91% 1,982,006 $111.2M Add +4.6%
ARVN Arvinas Inc. 3.80% 2,614,935 $107.9M Add +180.8%
XENE Xenon Pharmaceuticals Inc. 3.77% 2,484,874 $107.0M Add +16.8%
TARS Tarsus Pharmaceuticals Inc. 3.66% 2,863,406 $104.1M Add +179.4%
CERE Cerevel Therapeutics Holding 3.47% 2,330,508 $98.5M No change
RVMD Revolution Medicines Inc. 3.31% 2,914,975 $93.9M New
OLMA Olema Pharmaceuticals Inc. 3.15% 7,903,600 $89.5M No change
VRDN Viridian Therapeutics Inc. 3.10% 5,031,420 $88.1M Add +4.9%
PCVX Vaxcyte Inc. 2.98% 1,239,995 $84.7M New
ALPN Alpine Immune Sciences Inc. 2.96% 2,121,163 $84.1M Reduce -33.2%
BCYC Bicycle Therapeutics PLC-ADR 2.85% 3,246,759 $80.8M Reduce -12.4%
ASND Ascendis Pharma A/S 2.70% 507,952 $76.8M Add +44.4%
KURA Kura Oncology Inc. 2.35% 3,135,387 $66.9M Add +148.3%
EWTX Edgewise Therapeutics Inc. 1.57% 2,446,373 $44.6M New
AUTL Autolus Therapeutics PLC 1.44% 6,425,803 $41.0M Reduce -49.0%
YMAB Y-Mabs Therapeutics Inc. 1.28% 2,233,610 $36.3M New
IMTX Immatics NV 1.04% 2,818,908 $29.6M Add +31.9%
IMVT Immunovant Inc. 0.91% 799,054 $25.8M New
CGEM Cullinan Therapeutics Inc. 0.81% 1,348,015 $23.0M New
APGE Apogee Therapeutics Inc. 0.77% 330,000 $21.9M New
CMPS Compass Pathways PLC 0.70% 2,390,988 $19.9M Add +5.5%
VOR Vor Biopharma Inc. 0.54% 6,457,293 $15.3M No change
ZNTL Zentalis Pharmaceuticals Inc. 0.52% 944,917 $14.9M Add +136.2%
AGIO Agios Pharmaceuticals Inc. 0.41% 400,000 $11.7M New
CRBU Caribou Biosciences Inc. 0.39% 2,172,620 $11.2M Reduce -25.7%
CRGX Cargo Therapeutics Inc. 0.12% 147,959 $3.3M Reduce -55.6%
KYTX Kyverna Therapeutics Inc. 0.04% 50,000 $1.2M New

Portfolio Sells Q4 2023 → Q1 2024

MRTX Mirati Therapeutics Inc. Sold out 0.00% −4.25
AMAM New Ambrx Biopharma Inc. Sold out 0.00% −2.90
AUTL Autolus Therapeutics PLC Reduce -49.0% 1.44% −2.36
TGTX TG Therapeutics Inc. Sold out 0.00% −1.74
ZLAB Zai Lab Ltd.-ADR Sold out 0.00% −1.40
CRBU Caribou Biosciences Inc. Reduce -25.7% 0.39% −0.39
BCYC Bicycle Therapeutics PLC-ADR Reduce -12.4% 2.85% −0.30
CRGX Cargo Therapeutics Inc. Reduce -55.6% 0.12% −0.25
AEROVATE THERAPEUTICS INC Sold out 0.00% −0.15
ALPN Alpine Immune Sciences Inc. Reduce -33.2% 2.96% +0.12

Portfolio Buys Q4 2023 → Q1 2024

SRPT Sarepta Therapeutics Inc. New 4.91% +4.91
RVMD Revolution Medicines Inc. New 3.31% +3.31
PCVX Vaxcyte Inc. New 2.98% +2.98
TARS Tarsus Pharmaceuticals Inc. Add +179.4% 3.66% +2.69
ARVN Arvinas Inc. Add +180.8% 3.80% +2.00
EWTX Edgewise Therapeutics Inc. New 1.57% +1.57
KURA Kura Oncology Inc. Add +148.3% 2.35% +1.50
CRNX Crinetics Pharmaceuticals Inc. Add +35.1% 5.15% +1.29
YMAB Y-Mabs Therapeutics Inc. New 1.28% +1.28
IMVT Immunovant Inc. New 0.91% +0.91
CGEM Cullinan Therapeutics Inc. New 0.81% +0.81
APGE Apogee Therapeutics Inc. New 0.77% +0.77
ASND Ascendis Pharma A/S Add +44.4% 2.70% +0.63
AGIO Agios Pharmaceuticals Inc. New 0.41% +0.41
ZNTL Zentalis Pharmaceuticals Inc. Add +136.2% 0.52% +0.24
ARGX Argenx SE - ADR Add +30.7% 7.65% +0.12
KYTX Kyverna Therapeutics Inc. New 0.04% +0.04
IMTX Immatics NV Add +31.9% 1.04% −0.01
ACLX Arcellx Inc. Add +4.4% 9.35% −0.17
CMPS Compass Pathways PLC Add +5.5% 0.70% −0.23
IMCR Immunocore Holdings PLC-ADR Add +22.9% 4.09% −0.57
XENE Xenon Pharmaceuticals Inc. Add +16.8% 3.77% −0.83
IRON Disc Medicine Inc. Add +0.2% 5.24% −1.22
LEGN Legend Biotech Corp.-ADR Add +4.6% 3.91% −1.43
VRDN Viridian Therapeutics Inc. Add +4.9% 3.10% −1.79
NUVL Nuvalent Inc. Class A Add +8.3% 11.04% −2.26

Options Activity Q4 2023 → Q1 2024

AMAM New Ambrx Biopharma Inc. call Sold out 150,000 $2.1Mbefore exit

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

All Filings

QuarterPositions13F Reported ValueTop Holdings
Q2 2026 28$5.3BRVMD, NUVL, EWTX, GMAB, SYRE
Q1 2026 35$4.9BACLX, RVMD, NUVL, PCVX, EWTX
Q4 2025 29$3.7BNUVL, RVMD, ACLX, GMAB, TARS
Q3 2025 33$3.4BNUVL, MRUS, ACLX, RVMD, TARS
Q2 2025 28$2.3BNUVL, ACLX, MRUS, RVMD, TARS
Q1 2025 27$2.2BNUVL, ACLX, RVMD, ONC, MRUS
Q4 2024 28$2.9BNUVL, ACLX, ARGX, RVMD, JANX
Q3 2024 31$2.9BNUVL, ACLX, ARGX, RVMD, CRNX
Q2 2024 35$2.6BNUVL, ARGX, ACLX, RVMD, SRPT
Q1 2024 34$2.8BNUVL, ACLX, ARGX, IRON, CRNX