Paradigm Biocapital Advisors LP

In its 13F for Q2 2025 (holdings as of June 30, 2025, filed August 14, 2025), Paradigm Biocapital Advisors LP reported 28 stock positions worth $2.3 billion. Its top holding was Nuvalent Class A (NUVL) at 17.2% of the portfolio, followed by Arcellx (ACLX, 13.1%) and Merus (MRUS, 9.6%). Compared with Q1 2025, it opened 6 new positions, sold out of 5, added to 14 and reduced 5. The biggest buy was Merus (MRUS, shares +27%) and the biggest sale Beone Medicines Ltd.-ADR (ONC, shares −48%).

Most Recent 13F
Q2 2026
Location
NEW YORK, NY
CIK
0001855655
Portfolio Value
$2.3B (Q2 2025)
SEC Filing
0001855655-25-000010 ↗ filed Aug 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 Q4 2024 Q1 2025: $2.2B Q1 2025 Q2 2025: $2.3B $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 · $2.3B

NUVL Nuvalent Inc. Class A 17.17% 5,269,433 $402.1M No change
ACLX Arcellx Inc. 13.07% 4,649,016 $306.1M Add +3.5%
MRUS Merus NV 9.62% 4,281,954 $225.2M Add +27.1%
RVMD Revolution Medicines Inc. 9.57% 6,093,291 $224.2M Reduce -1.4%
TARS Tarsus Pharmaceuticals Inc. 5.15% 2,976,099 $120.6M Add +14.0%
PCVX Vaxcyte Inc. 4.68% 3,372,837 $109.7M Add +98.8%
ONC Beone Medicines Ltd.-ADR 3.59% 347,787 $84.2M Reduce -47.8%
EWTX Edgewise Therapeutics Inc. 3.44% 6,142,344 $80.5M Add +39.8%
COGT Cogent Biosciences Inc. 3.17% 10,352,449 $74.3M Add +15.5%
JANX Janux Therapeutics Inc. 2.88% 2,920,258 $67.5M Reduce -12.3%
CRNX Crinetics Pharmaceuticals Inc. 2.88% 2,343,553 $67.4M Add +20.4%
IRON Disc Medicine Inc. 2.74% 1,210,971 $64.1M No change
SRRK Scholar Rock Holding Corp. 2.42% 1,600,554 $56.7M New
LENZ Lenz Therapeutics Inc. 2.15% 1,717,066 $50.3M Add +13.6%
BBIO Bridgebio Pharma Inc. 1.78% 965,764 $41.7M New
APGE Apogee Therapeutics Inc. 1.78% 958,630 $41.6M Reduce -0.3%
MLTX Moonlake Immunotherapeutics 1.77% 878,323 $41.5M Add +40.0%
ALKS Alkermes PLC 1.68% 1,375,569 $39.4M New
VRDN Viridian Therapeutics Inc. 1.64% 2,741,576 $38.3M Add +30.9%
AGIO Agios Pharmaceuticals Inc. 1.62% 1,142,511 $38.0M New
OCUL Ocular Therapeutix Inc. 1.36% 3,420,340 $31.7M Add +160.3%
OLMA Olema Pharmaceuticals Inc. 1.23% 6,764,172 $28.8M Add +0.3%
SYRE Spyre Therapeutics Inc. 1.20% 1,870,445 $28.0M Reduce -12.1%
YMAB Y-Mabs Therapeutics Inc. 0.82% 4,236,346 $19.1M No change
PHVS Pharvaris NV 0.80% 1,062,911 $18.7M New
IMTX Immatics NV 0.72% 3,144,157 $16.9M Add +64.9%
ERAS Erasca Inc. 0.65% 11,907,182 $15.1M Add +10.2%
CBIO Crescent Biopharma Inc. 0.44% 642,721 $10.4M New

Portfolio Sells Q1 2025 → Q2 2025

ONC Beone Medicines Ltd.-ADR Reduce -47.8% 3.59% −4.75
ARGX Argenx SE - ADR Sold out 0.00% −1.63
CYTK Cytokinetics Inc. Sold out 0.00% −1.59
INSM Insmed Inc. Sold out 0.00% −1.59
MTSR Metsera Inc. Sold out 0.00% −1.49
JANX Janux Therapeutics Inc. Reduce -12.3% 2.88% −1.26
ARQT Arcutis Biotherapeutics Inc. Sold out 0.00% −1.05
RVMD Revolution Medicines Inc. Reduce -1.4% 9.57% −0.48
SYRE Spyre Therapeutics Inc. Reduce -12.1% 1.20% −0.38
APGE Apogee Therapeutics Inc. Reduce -0.3% 1.78% +0.12

Portfolio Buys Q1 2025 → Q2 2025

MRUS Merus NV Add +27.1% 9.62% +3.09
SRRK Scholar Rock Holding Corp. New 2.42% +2.42
BBIO Bridgebio Pharma Inc. New 1.78% +1.78
PCVX Vaxcyte Inc. Add +98.8% 4.68% +1.73
ALKS Alkermes PLC New 1.68% +1.68
AGIO Agios Pharmaceuticals Inc. New 1.62% +1.62
OCUL Ocular Therapeutix Inc. Add +160.3% 1.36% +0.91
PHVS Pharvaris NV New 0.80% +0.80
COGT Cogent Biosciences Inc. Add +15.5% 3.17% +0.70
MLTX Moonlake Immunotherapeutics Add +40.0% 1.77% +0.64
CBIO Crescent Biopharma Inc. New 0.44% +0.44
LENZ Lenz Therapeutics Inc. Add +13.6% 2.15% +0.36
VRDN Viridian Therapeutics Inc. Add +30.9% 1.64% +0.34
IMTX Immatics NV Add +64.9% 0.72% +0.33
OLMA Olema Pharmaceuticals Inc. Add +0.3% 1.23% +0.06
ERAS Erasca Inc. Add +10.2% 0.65% −0.04
CRNX Crinetics Pharmaceuticals Inc. Add +20.4% 2.88% −0.13
ACLX Arcellx Inc. Add +3.5% 13.07% −0.49
EWTX Edgewise Therapeutics Inc. Add +39.8% 3.44% −1.01
TARS Tarsus Pharmaceuticals Inc. Add +14.0% 5.15% −1.02

Options Activity Q1 2025 → Q2 2025

EWTX Edgewise Therapeutics Inc. call Sold out 500,000 $11.0Mbefore 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