Perceptive Advisors LLC

In its 13F for Q2 2024 (holdings as of June 30, 2024, filed August 16, 2024), Perceptive Advisors LLC reported 104 stock positions worth $4.1 billion. Its top holding was Cerevel Therapeutics (CERE) at 10.7% of the portfolio, followed by Amicus Therapeutics (FOLD, 6.7%) and Arcellx (ACLX, 5.2%). Compared with Q1 2024, it opened 19 new positions, sold out of 17, added to 20 and reduced 30. The biggest buy was Intra-Cellular Therapies (ITCI, shares +63%) and the biggest sale an exit from Fusion Pharmaceuticals (FUSN).

Most Recent 13F
Q2 2026
Location
NEW YORK, NY
CIK
0001224962
Portfolio Value
$4.1B (Q2 2024)
SEC Filing
0001012975-24-000346 ↗ filed Aug 16, 2024

Holdings Value

0$2.0B$4.0B$6.0B$8.0B Q1 2024: $5.7B Q1 2024 Q2 2024: $4.1B $4.1B Q2 2024 Q3 2024: $4.7B Q3 2024 Q4 2024: $3.6B Q4 2024 Q1 2025: $2.8B Q1 2025 Q2 2025: $2.7B Q2 2025 Q3 2025: $3.4B Q3 2025 Q4 2025: $5.4B Q4 2025 Q1 2026: $5.0B Q1 2026 Q2 2026: $6.4B Q2 2026

Holdings 104 stocks · $4.1B

CERE Cerevel Therapeutics Holding 10.65% 10,794,876 $441.4M No change
FOLD Amicus Therapeutics Inc. 6.72% 28,057,456 $278.3M No change
ACLX Arcellx Inc. 5.18% 3,889,739 $214.7M Reduce -1.1%
IOVA Iovance Biotherapeutics Inc. 5.02% 25,933,142 $208.0M Add +34.6%
NUVL Nuvalent Inc. Class A 4.67% 2,549,077 $193.4M Reduce -8.4%
RYTM Rhythm Pharmaceuticals Inc. 3.42% 3,446,579 $141.5M Add +5.5%
PCVX Vaxcyte Inc. 3.39% 1,862,608 $140.6M Reduce -3.6%
SLNO Soleno Therapeutics Inc. 3.16% 3,204,976 $130.8M Add +4.2%
ITCI Intra-Cellular Therapies Inc. 2.84% 1,716,407 $117.6M Add +62.6%
IMTX Immatics NV 2.27% 8,086,159 $94.0M Add +76.5%
NBIX Neurocrine Biosciences Inc. 2.16% 649,909 $89.5M Reduce -19.2%
APGE Apogee Therapeutics Inc. 2.00% 2,105,636 $82.9M Add +2.2%
MDGL Madrigal Pharmaceuticals Inc. 1.79% 264,600 $74.1M Reduce -38.5%
AORT Artivion Inc. 1.73% 2,793,703 $71.7M Add +4.7%
SYRE Spyre Therapeutics Inc. 1.72% 3,031,018 $71.3M Add +18.6%
CRNX Crinetics Pharmaceuticals Inc. 1.60% 1,476,203 $66.1M No change
EOLS Evolus Inc. 1.51% 5,753,798 $62.4M No change
SWTX Springworks Therapeutics Inc. 1.50% 1,652,962 $62.3M Reduce -26.9%
CRGX Cargo Therapeutics Inc. 1.46% 3,683,004 $60.5M Add +6.8%
ATXS Astria Therapeutics Inc. 1.42% 6,485,420 $59.0M No change
NTRA Natera Inc. 1.39% 530,000 $57.4M Reduce -30.0%
VRCA Verrica Pharmaceuticals Inc. 1.25% 7,099,182 $51.8M No change
BHVN Biohaven Ltd. 1.24% 1,485,232 $51.6M Reduce -13.9%
IMVT Immunovant Inc. 1.23% 1,923,786 $50.8M Reduce -35.1%
MGTX Meiragtx Holdings PLC 1.15% 11,331,103 $47.7M No change
PTGX Protagonist Therapeutics Inc. 1.06% 1,268,735 $44.0M Add +27.6%
SLDB Solid Biosciences Inc. 0.95% 6,906,646 $39.2M No change
CELC Celcuity Inc. 0.93% 2,362,279 $38.7M No change
MDT Medtronic PLC 0.93% 490,665 $38.6M Reduce -65.7%
VKTX Viking Therapeutics Inc. 0.92% 721,377 $38.2M Reduce -27.4%
APLT Applied Therapeutics Inc. 0.90% 8,005,000 $37.4M No change
AXSM Axsome Therapeutics Inc. 0.89% 459,111 $37.0M Reduce -58.5%
CNTA Centessa Pharmaceuticals Ltd. 0.86% 3,933,307 $35.5M Add +27.6%
TARS Tarsus Pharmaceuticals Inc. 0.85% 1,296,416 $35.2M No change
VRNA Verona Pharma Ltd. 0.85% 2,433,725 $35.2M Reduce -35.3%
AKRO Akero Therapeutics Inc. 0.85% 1,499,897 $35.2M Add +8.1%
EWTX Edgewise Therapeutics Inc. 0.81% 1,856,417 $33.4M Reduce -20.0%
ACRV Acrivon Therapeutics Inc. 0.75% 5,360,858 $31.1M Add +78.2%
PRAX Praxis Precision Medicines I 0.75% 750,230 $31.0M Reduce -8.7%
ADMA Adma Biologics Inc. 0.75% 2,771,000 $31.0M Reduce -56.9%
BBIO Bridgebio Pharma Inc. 0.74% 1,215,346 $30.8M Reduce -13.9%
ALDX Aldeyra Therapeutics Inc. 0.74% 9,275,851 $30.7M Add +7.9%
NAUT Nautilus Biotechnology Inc. 0.71% 12,594,211 $29.5M No change
CTNM Contineum Therapeutics Inc. Class A 0.67% 1,566,668 $27.6M New
ISRG Intuitive Surgical Inc. 0.66% 61,800 $27.5M Reduce -39.3%
ARVN Arvinas Inc. 0.66% 1,027,749 $27.4M Reduce -16.9%
RCKT Rocket Pharmaceuticals Inc. 0.65% 1,246,597 $26.8M Reduce -30.8%
IRON Disc Medicine Inc. 0.60% 553,437 $24.9M Reduce -41.1%
LIVN Livanova PLC 0.59% 444,000 $24.3M Add +48.5%
CGON CG Oncology Inc. 0.56% 733,695 $23.2M Reduce -43.7%
XENE Xenon Pharmaceuticals Inc. 0.55% 583,256 $22.7M Reduce -34.6%
OCUL Ocular Therapeutix Inc. 0.55% 3,324,468 $22.7M No change
PEPG Pepgen Inc. 0.54% 1,410,438 $22.5M No change
VRDN Viridian Therapeutics Inc. 0.51% 1,631,828 $21.2M Reduce -55.4%
OBIO Orchestra Biomed Holdings Inc. 0.50% 2,545,881 $20.7M No change
MRUS Merus NV 0.43% 300,000 $17.8M New
RAPP Rapport Therapeutics Inc. 0.42% 748,183 $17.4M New
TYRA Tyra Biosciences Inc. 0.39% 1,007,367 $16.1M Add +50.5%
INBX Inhibrx Biosciences Inc. 0.36% 1,064,026 $15.1M No change
ARQT Arcutis Biotherapeutics Inc. 0.35% 1,558,500 $14.5M Add +107.8%
ATHIRA PHARMA INC 0.35% 5,402,964 $14.3M No change
ZYME Zymeworks Inc. 0.34% 1,667,711 $14.2M Add +55.2%
CGEM Cullinan Therapeutics Inc. 0.32% 749,916 $13.1M New
PRCT Procept Biorobotics Corp. 0.31% 210,659 $12.9M No change
INSM Insmed Inc. 0.29% 180,000 $12.1M New
BCYC Bicycle Therapeutics PLC-ADR 0.28% 572,000 $11.6M New
ICLR Icon PLC 0.24% 31,250 $9.8M New
TEM Tempus AI Inc. Class A 0.23% 275,000 $9.6M New
AVBP Arrivent Biopharma Inc. 0.19% 415,000 $7.7M No change
ENGN Engene Holdings Inc. 0.18% 800,000 $7.5M Reduce -19.9%
SPRY Ars Pharmaceuticals Inc. 0.18% 867,319 $7.4M No change
ARGX Argenx SE - ADR 0.16% 15,600 $6.7M New
ALLO Allogene Therapeutics Inc. 0.15% 2,725,000 $6.3M New
VERU Veru Inc. 0.14% 7,063,277 $5.9M Add +26.5%
KALV Kalvista Pharmaceuticals Inc. 0.14% 500,000 $5.9M No change
RXRX Recursion Pharmaceuticals-A 0.14% 769,230 $5.8M New
EYPT Eyepoint Inc. 0.13% 640,274 $5.6M Add +8.6%
BBOT Bridgebio Oncology Therapeut filed as HELIX ACQUISITION CORP II 0.12% 500,000 $5.1M No change
MREO Mereo Biopharma Group PL-ADR 0.11% 1,253,250 $4.5M New
CABA Cabaletta Bio Inc. 0.11% 585,045 $4.4M Reduce -65.9%
DTIL Precision Biosciences Inc. 0.10% 426,293 $4.1M Reduce -11.3%
SKYE Skye Bioscience Inc. 0.10% 500,000 $4.0M New
TRINITY BIOTECH INVT LTD 0.09% 1,800,000 $3.8M No change
IRTC Irhythm Holdings Inc. 0.09% 35,205 $3.8M Reduce -85.6%
LYRA Lyra Therapeutics Inc. 0.09% 12,757,562 $3.5M No change
BDSX Biodesix Inc. 0.08% 2,173,880 $3.3M New
NVNO Envveno Medical Corporation 0.08% 623,315 $3.3M No change
FHTX Foghorn Therapeutics Inc. 0.08% 544,000 $3.1M New
NBTX Nanobiotix SA - ADR 0.07% 555,066 $2.8M No change
ABSI Absci Corp. 0.05% 700,000 $2.2M No change
XBI SS SPDR S&P Biotech ETF 0.05% 22,665 $2.1M New
XFOR X4 Pharmaceuticals Inc. 0.05% 3,545,454 $2.1M No change
FORTE BIOSCIENCES INC 0.04% 3,265,359 $1.8M No change
RVNC Revance Therapeutics Inc. 0.04% 600,000 $1.5M No change
GPCR Structure Therapeutics Inc. 0.03% 34,852 $1.4M New
FATE Fate Therapeutics Inc. 0.03% 345,575 $1.1M New
KYTX Kyverna Therapeutics Inc. 0.03% 150,000 $1.1M No change
EGRX Eagle Pharmaceuticals Inc. 0.02% 173,365 $971K New
VBIVQ Vbi Vaccines Inc. 0.02% 1,261,710 $833K No change
TCMD Tactile Systems Technology I 0.02% 62,639 $748K Reduce -93.1%
SYRS Syros Pharmaceuticals Inc. 0.01% 116,754 $602K No change
OMIC Singular Genomics Systems Inc. 0.01% 70,896 $599K No change
CMAXQ Caremax Inc. 0.01% 122,643 $342K No change
AXGN Axogen Inc. 0.01% 30,421 $220K Reduce -98.0%

Options reported separately and not counted above: IMVT calls ($5.3M), FLNA puts ($2.3M), NVAX puts ($1.3M).

Other holdings (3): bonds, preferreds, convertibles and warrants · $29K (not counted above)
SecurityClassShares / PrincipalValueChange
RVMDW Revolution Medicines Inc.-28 *W EXP 12/17/202 250,000$26KNo change
SRZNW Surrozen Inc.-CW25 *W EXP 08/01/203 166,666$3KNo change
CMXWQ Caremax-CW *W EXP 06/08/202 60,000$846No change

Total filed on the 13F, all lines: $4.1B.

Portfolio Sells Q1 2024 → Q2 2024

FUSN Fusion Pharmaceuticals Inc. Sold out 0.00% −2.56
MDT Medtronic PLC Reduce -65.7% 0.93% −1.26
SRPT Sarepta Therapeutics Inc. Sold out 0.00% −1.20
AXSM Axsome Therapeutics Inc. Reduce -58.5% 0.89% −0.66
VRDN Viridian Therapeutics Inc. Reduce -55.4% 0.51% −0.62
LABP Landos Biopharma Inc. Sold out 0.00% −0.56
TMCI Treace Medical Concepts Inc. Sold out 0.00% −0.53
VKTX Viking Therapeutics Inc. Reduce -27.4% 0.92% −0.51
AUTL Autolus Therapeutics PLC Sold out 0.00% −0.49
IMVT Immunovant Inc. Reduce -35.1% 1.23% −0.46
SWTX Springworks Therapeutics Inc. Reduce -26.9% 1.50% −0.46
CGON CG Oncology Inc. Reduce -43.7% 0.56% −0.45
IRON Disc Medicine Inc. Reduce -41.1% 0.60% −0.43
BHVN Biohaven Ltd. Reduce -13.9% 1.24% −0.42
CABA Cabaletta Bio Inc. Reduce -65.9% 0.11% −0.41
IRTC Irhythm Holdings Inc. Reduce -85.6% 0.09% −0.41
RVMD Revolution Medicines Inc. Sold out 0.00% −0.35
ABBV Abbvie Inc. Sold out 0.00% −0.34
MLTX Moonlake Immunotherapeutics Sold out 0.00% −0.30
TCMD Tactile Systems Technology I Reduce -93.1% 0.02% −0.24
ARVN Arvinas Inc. Reduce -16.9% 0.66% −0.24
MDGL Madrigal Pharmaceuticals Inc. Reduce -38.5% 1.79% −0.23
VRNA Verona Pharma Ltd. Reduce -35.3% 0.85% −0.22
AXGN Axogen Inc. Reduce -98.0% 0.01% −0.22
RCKT Rocket Pharmaceuticals Inc. Reduce -30.8% 0.65% −0.21
RAPT THERAPEUTICS INC Sold out 0.00% −0.19
MORF Morphic Holding Inc. Sold out 0.00% −0.18
PRAX Praxis Precision Medicines I Reduce -8.7% 0.75% −0.13
XENE Xenon Pharmaceuticals Inc. Reduce -34.6% 0.55% −0.13
ENGN Engene Holdings Inc. Reduce -19.9% 0.18% −0.12
COGT Cogent Biosciences Inc. Sold out 0.00% −0.10
IBRX Immunitybio Inc. Sold out 0.00% −0.10
MGNX Macrogenics Inc. Sold out 0.00% −0.10
ESTA Establishment Labs Holdings Sold out 0.00% −0.07
NAMS Newamsterdam Pharma Co. NV Sold out 0.00% −0.07
ISRG Intuitive Surgical Inc. Reduce -39.3% 0.66% −0.05
BBIO Bridgebio Pharma Inc. Reduce -13.9% 0.74% −0.03
KURA Kura Oncology Inc. Sold out 0.00% −0.02
AMLX Amylyx Pharmaceuticals Inc. Sold out 0.00% −0.01
DTIL Precision Biosciences Inc. Reduce -11.3% 0.10% −0.01
ADMA Adma Biologics Inc. Reduce -56.9% 0.75% −0.00
EWTX Edgewise Therapeutics Inc. Reduce -20.0% 0.81% +0.06
NTRA Natera Inc. Reduce -30.0% 1.39% +0.16
NBIX Neurocrine Biosciences Inc. Reduce -19.2% 2.16% +0.20
ACLX Arcellx Inc. Reduce -1.1% 5.18% +0.36
NUVL Nuvalent Inc. Class A Reduce -8.4% 4.67% +0.98
PCVX Vaxcyte Inc. Reduce -3.6% 3.39% +1.07

Portfolio Buys Q1 2024 → Q2 2024

ITCI Intra-Cellular Therapies Inc. Add +62.6% 2.84% +1.55
IMTX Immatics NV Add +76.5% 2.27% +1.42
RYTM Rhythm Pharmaceuticals Inc. Add +5.5% 3.42% +0.92
SLNO Soleno Therapeutics Inc. Add +4.2% 3.16% +0.84
AORT Artivion Inc. Add +4.7% 1.73% +0.73
CTNM Contineum Therapeutics Inc. Class A New 0.67% +0.67
PTGX Protagonist Therapeutics Inc. Add +27.6% 1.06% +0.55
MRUS Merus NV New 0.43% +0.43
RAPP Rapport Therapeutics Inc. New 0.42% +0.42
ACRV Acrivon Therapeutics Inc. Add +78.2% 0.75% +0.37
CGEM Cullinan Therapeutics Inc. New 0.32% +0.32
LIVN Livanova PLC Add +48.5% 0.59% +0.29
INSM Insmed Inc. New 0.29% +0.29
BCYC Bicycle Therapeutics PLC-ADR New 0.28% +0.28
ALDX Aldeyra Therapeutics Inc. Add +7.9% 0.74% +0.25
CNTA Centessa Pharmaceuticals Ltd. Add +27.6% 0.86% +0.24
ICLR Icon PLC New 0.24% +0.24
TEM Tempus AI Inc. Class A New 0.23% +0.23
AKRO Akero Therapeutics Inc. Add +8.1% 0.85% +0.23
ARQT Arcutis Biotherapeutics Inc. Add +107.8% 0.35% +0.22
TYRA Tyra Biosciences Inc. Add +50.5% 0.39% +0.20
ARGX Argenx SE - ADR New 0.16% +0.16
ALLO Allogene Therapeutics Inc. New 0.15% +0.15
ZYME Zymeworks Inc. Add +55.2% 0.34% +0.14
RXRX Recursion Pharmaceuticals-A New 0.14% +0.14
MREO Mereo Biopharma Group PL-ADR New 0.11% +0.11
CRGX Cargo Therapeutics Inc. Add +6.8% 1.46% +0.10
SKYE Skye Bioscience Inc. New 0.10% +0.10
BDSX Biodesix Inc. New 0.08% +0.08
FHTX Foghorn Therapeutics Inc. New 0.08% +0.08
VERU Veru Inc. Add +26.5% 0.14% +0.07
XBI SS SPDR S&P Biotech ETF New 0.05% +0.05
GPCR Structure Therapeutics Inc. New 0.03% +0.03
FATE Fate Therapeutics Inc. New 0.03% +0.03
EGRX Eagle Pharmaceuticals Inc. New 0.02% +0.02
SYRE Spyre Therapeutics Inc. Add +18.6% 1.72% +0.01
IOVA Iovance Biotherapeutics Inc. Add +34.6% 5.02% −0.01
EYPT Eyepoint Inc. Add +8.6% 0.13% −0.08
APGE Apogee Therapeutics Inc. Add +2.2% 2.00% −0.41

Options Activity Q1 2024 → Q2 2024

IRON Disc Medicine Inc. put Sold out 300,000 $18.7Mbefore exit
IMVT Immunovant Inc. call Add +100.0% 200,000 $5.3M
AMLX Amylyx Pharmaceuticals Inc. call Sold out 1,679,125 $4.8Mbefore exit
XBI SS SPDR S&P Biotech ETF put Sold out 50,000 $4.7Mbefore exit
APLT Applied Therapeutics Inc. call Sold out 500,000 $3.4Mbefore exit
AGIO Agios Pharmaceuticals Inc. call Sold out 100,000 $2.9Mbefore exit
FLNA Filana Therapeutics Inc. put New 183,000 $2.3M
NVAX Novavax Inc. put Reduce -85.7% 100,000 $1.3M

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 99$6.4BPRAX, SYRE, CELC, ASND, RYTM
Q1 2026Amended 89$5.0BPRAX, CELC, ASND, ROIV, CNTA
Q4 2025 109$5.4BPRAX, CELC, RYTM, ASND, APGE
Q3 2025 88$3.4BRYTM, ASND, ACLX, CELC, NUVL
Q2 2025 80$2.7BVRNA, ASND, ACLX, RYTM, NUVL
Q1 2025Amended 84$2.8BVRNA, ACLX, FOLD, EWTX, RYTM
Q4 2024 95$3.6BVRNA, ACLX, FOLD, RYTM, NUVL
Q3 2024 99$4.7BACLX, NUVL, FOLD, IOVA, PCVX
Q2 2024Amended 104$4.1BCERE, FOLD, ACLX, IOVA, NUVL
Q1 2024Amended 102$5.7BCERE, FOLD, IOVA, ACLX, NUVL