Paradigm Biocapital Advisors LP

In its 13F for Q4 2024 (holdings as of December 31, 2024, filed February 14, 2025), Paradigm Biocapital Advisors LP reported 28 stock positions worth $2.9 billion. Its top holding was Nuvalent Class A (NUVL) at 14.6% of the portfolio, followed by Arcellx (ACLX, 11.7%) and Argenx SE - ADR (ARGX, 10.3%). Compared with Q3 2024, it opened 4 new positions, sold out of 7, added to 20 and reduced 3. The biggest buy was Janux Therapeutics (JANX, shares +46%) and the biggest sale an exit from Kura Oncology (KURA).

Most Recent 13F
Q2 2026
Location
NEW YORK, NY
CIK
0001855655
Portfolio Value
$2.9B (Q4 2024)
SEC Filing
0001855655-25-000004 ↗ filed Feb 14, 2025

Holdings Value

0$2.0B$4.0B$6.0B Q1 2024: $2.8B Q1 2024 Q2 2024: $2.6B Q2 2024 Q3 2024: $2.9B Q3 2024 Q4 2024: $2.9B $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 28 stocks · $2.9B

NUVL Nuvalent Inc. Class A 14.61% 5,363,379 $419.8M Add +7.3%
ACLX Arcellx Inc. 11.66% 4,371,601 $335.3M Add +9.3%
ARGX Argenx SE - ADR 10.30% 481,305 $296.0M Add +0.2%
RVMD Revolution Medicines Inc. 9.97% 6,553,111 $286.6M Add +23.3%
JANX Janux Therapeutics Inc. 6.55% 3,515,986 $188.2M Add +46.5%
TARS Tarsus Pharmaceuticals Inc. 4.88% 2,531,896 $140.2M Add +3.8%
EWTX Edgewise Therapeutics Inc. 4.17% 4,493,929 $120.0M Add +61.1%
PCVX Vaxcyte Inc. 4.05% 1,422,787 $116.5M Add +126.7%
ONC Beone Medicines Ltd.-ADR filed as BEIGENE LTD 3.96% 616,024 $113.8M Add +207.5%
CRNX Crinetics Pharmaceuticals Inc. 3.40% 1,910,761 $97.7M Reduce -24.1%
MLTX Moonlake Immunotherapeutics 3.34% 1,772,211 $96.0M Add +90.3%
IRON Disc Medicine Inc. 3.30% 1,497,720 $95.0M No change
MRUS Merus NV 2.47% 1,689,922 $71.1M Reduce -31.2%
VERA Vera Therapeutics Inc. 2.11% 1,437,339 $60.8M Add +31.0%
APGE Apogee Therapeutics Inc. 2.02% 1,283,766 $58.2M Add +82.9%
OLMA Olema Pharmaceuticals Inc. 1.48% 7,304,970 $42.6M Add +32.7%
PLRX Pliant Therapeutics Inc. 1.47% 3,197,050 $42.1M Add +3.0%
IMTX Immatics NV 1.34% 5,414,409 $38.5M Add +38.7%
COGT Cogent Biosciences Inc. 1.33% 4,917,412 $38.4M Add +6.7%
SYRE Spyre Therapeutics Inc. 1.24% 1,527,205 $35.6M Add +20.5%
VRDN Viridian Therapeutics Inc. 1.21% 1,820,079 $34.9M Reduce -37.1%
YMAB Y-Mabs Therapeutics Inc. 1.15% 4,236,346 $33.2M Add +3.7%
ERAS Erasca Inc. 0.94% 10,752,354 $27.0M Add +0.8%
TECX Tectonic Therapeutic Inc. 0.78% 485,105 $22.4M New
LENZ Lenz Therapeutics Inc. 0.77% 770,455 $22.2M New
SRRK Scholar Rock Holding Corp. 0.60% 400,000 $17.3M New
ORKA Oruka Therapeutics Inc. 0.55% 819,660 $15.9M Add +13.9%
AGIO Agios Pharmaceuticals Inc. 0.32% 276,439 $9.1M New

Portfolio Sells Q3 2024 → Q4 2024

KURA Kura Oncology Inc. Sold out 0.00% −2.96
ARVN Arvinas Inc. Sold out 0.00% −2.02
MRUS Merus NV Reduce -31.2% 2.47% −1.82
CGEM Cullinan Therapeutics Inc. Sold out 0.00% −1.36
IMVT Immunovant Inc. Sold out 0.00% −1.36
CRNX Crinetics Pharmaceuticals Inc. Reduce -24.1% 3.40% −1.10
VRDN Viridian Therapeutics Inc. Reduce -37.1% 1.21% −1.09
KROS Keros Therapeutics Inc. Sold out 0.00% −1.07
CATX Perspective Therapeutics Inc. Sold out 0.00% −0.43
CMPS Compass Pathways PLC Sold out 0.00% −0.26

Portfolio Buys Q3 2024 → Q4 2024

JANX Janux Therapeutics Inc. Add +46.5% 6.55% +2.73
ONC Beone Medicines Ltd.-ADR Add +207.5% 3.96% +2.38
TARS Tarsus Pharmaceuticals Inc. Add +3.8% 4.88% +2.07
MLTX Moonlake Immunotherapeutics Add +90.3% 3.34% +1.70
EWTX Edgewise Therapeutics Inc. Add +61.1% 4.17% +1.57
PCVX Vaxcyte Inc. Add +126.7% 4.05% +1.54
RVMD Revolution Medicines Inc. Add +23.3% 9.97% +1.54
ARGX Argenx SE - ADR Add +0.2% 10.30% +1.19
TECX Tectonic Therapeutic Inc. New 0.78% +0.78
LENZ Lenz Therapeutics Inc. New 0.77% +0.77
SRRK Scholar Rock Holding Corp. New 0.60% +0.60
APGE Apogee Therapeutics Inc. Add +82.9% 2.02% +0.58
VERA Vera Therapeutics Inc. Add +31.0% 2.11% +0.42
AGIO Agios Pharmaceuticals Inc. New 0.32% +0.32
PLRX Pliant Therapeutics Inc. Add +3.0% 1.47% +0.25
ACLX Arcellx Inc. Add +9.3% 11.66% −0.03
ORKA Oruka Therapeutics Inc. Add +13.9% 0.55% −0.06
SYRE Spyre Therapeutics Inc. Add +20.5% 1.24% −0.07
ERAS Erasca Inc. Add +0.8% 0.94% −0.08
IMTX Immatics NV Add +38.7% 1.34% −0.22
COGT Cogent Biosciences Inc. Add +6.7% 1.33% −0.41
YMAB Y-Mabs Therapeutics Inc. Add +3.7% 1.15% −0.73
OLMA Olema Pharmaceuticals Inc. Add +32.7% 1.48% −0.82
NUVL Nuvalent Inc. Class A Add +7.3% 14.61% −3.29

Options Activity Q3 2024 → Q4 2024

ACLX Arcellx Inc. call Sold out 800,000 $66.8Mbefore exit
PCVX Vaxcyte Inc. call Sold out 276,800 $31.6Mbefore 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