Soleus Capital Management, L.P.

In its 13F for Q4 2025 (holdings as of December 31, 2025, filed February 12, 2026), Soleus Capital Management, L.P. reported 94 stock positions worth $2.4 billion. Its top holding was Krystal Biotech (KRYS) at 9.8% of the portfolio, followed by Celcuity (CELC, 7.7%) and Novocure (NVCR, 4.7%). Compared with Q3 2025, it opened 32 new positions, sold out of 25, added to 22 and reduced 35. The biggest buy was Celcuity (CELC, shares +53%) and the biggest sale an exit from Elevance Health (ELV).

Most Recent 13F
Q2 2026
Location
GREENWICH, CT
CIK
0001802630
Portfolio Value
$2.4B (Q4 2025)
SEC Filing
0001802630-26-000002 ↗ filed Feb 12, 2026

Holdings Value

0$1.0B$2.0B$3.0B Q1 2024: $1.1B Q1 2024 Q2 2024: $1.1B Q2 2024 Q3 2024: $1.2B Q3 2024 Q4 2024: $1.3B Q4 2024 Q1 2025: $1.3B Q1 2025 Q2 2025: $1.4B Q2 2025 Q3 2025: $1.9B Q3 2025 Q4 2025: $2.4B $2.4B Q4 2025 Q1 2026: $2.5B Q1 2026 Q2 2026: $2.9B Q2 2026

Holdings 94 stocks · $2.4B

KRYS Krystal Biotech Inc. 9.84% 941,059 $232.0M Reduce -7.6%
CELC Celcuity Inc. 7.65% 1,808,258 $180.4M Add +53.4%
NVCR Novocure Ltd. 4.68% 8,530,665 $110.3M Reduce -11.6%
PRAX Praxis Precision Medicines I 4.54% 362,966 $107.0M Reduce -57.8%
TGTX TG Therapeutics Inc. 3.97% 3,139,312 $93.6M Reduce -18.4%
DXCM Dexcom Inc. 3.65% 1,297,094 $86.1M New
BMRN Biomarin Pharmaceutical Inc. 3.33% 1,320,000 $78.4M Add +48.3%
GMED Globus Medical Inc. Class A 3.29% 887,000 $77.4M Add +404.0%
BBNX Beta Bionics Inc. 3.28% 2,534,565 $77.2M Reduce -34.5%
FOLD Amicus Therapeutics Inc. 3.15% 5,207,284 $74.2M Add +11.0%
TWST Twist Bioscience Corp. 2.51% 1,861,802 $59.1M Reduce -0.2%
ORGO Organogenesis Holdings Inc. 2.19% 9,985,951 $51.7M Reduce -17.7%
SNDX Syndax Pharmaceuticals Inc. 2.00% 2,247,110 $47.2M Add +11.7%
MIRM Mirum Pharmaceuticals Inc. 1.92% 573,614 $45.3M Add +285.8%
PODD Insulet Corp. 1.81% 150,000 $42.6M New
NPCE Neuropace Inc. 1.77% 2,703,208 $41.7M Reduce -8.6%
AXGN Axogen Inc. 1.68% 1,206,855 $39.5M Reduce -30.1%
ANIP Ani Pharmaceuticals Inc. 1.63% 486,243 $38.4M Add +42.9%
ALKS Alkermes PLC 1.57% 1,322,364 $37.0M New
LIVN Livanova PLC 1.48% 567,500 $34.9M New
GSK GSK PLC-Spon ADR 1.33% 639,000 $31.3M Add +190.4%
GERN Geron Corp. 1.30% 23,290,000 $30.7M Add +34.7%
UTHR United Therapeutics Corp. 1.24% 60,000 $29.2M Reduce -60.0%
IMVT Immunovant Inc. 1.20% 1,110,000 $28.2M New
PCVX Vaxcyte Inc. 1.19% 608,958 $28.1M New
ALNY Alnylam Pharmaceuticals Inc. 1.18% 70,000 $27.8M Add +359.0%
INSP Inspire Medical Systems Inc. 1.17% 299,399 $27.6M Reduce -58.9%
VCEL Vericel Corp. 1.17% 764,000 $27.5M Add +53.4%
ARGX Argenx SE - ADR 1.13% 31,726 $26.7M Reduce -54.3%
RAPT Rapt Therapeutics Inc. 1.10% 764,000 $25.9M Add +42.0%
NBIX Neurocrine Biosciences Inc. 1.06% 175,982 $25.0M Add +27.5%
KNSA Kiniksa Pharmaceuticals Inte 1.03% 587,000 $24.2M Add +291.3%
FOCL Edap TMS SA -ADR 1.02% 7,309,254 $24.0M No change
TFX Teleflex Inc. 0.98% 190,000 $23.2M New
NRIX Nurix Therapeutics Inc. 0.98% 1,219,394 $23.1M Reduce -49.7%
EWTX Edgewise Therapeutics Inc. 0.96% 910,000 $22.6M New
IKT Inhibikase Therapeutics Inc. 0.95% 10,875,000 $22.3M Add +71.9%
PHVS Pharvaris NV 0.83% 702,052 $19.5M Add +8.5%
IVVD Invivyd Inc. 0.81% 7,708,727 $19.0M New
CAPR Capricor Therapeutics Inc. 0.79% 646,390 $18.7M New
THC Tenet Healthcare Corp. 0.78% 92,500 $18.4M New
RCUS Arcus Biosciences Inc. 0.72% 711,983 $17.0M New
ELVN Enliven Therapeutics Inc. 0.67% 1,025,000 $15.8M New
MBX MBX Biosciences Inc. 0.55% 408,900 $12.9M Add +48.7%
RIGL Rigel Pharmaceuticals Inc. 0.55% 300,034 $12.9M Reduce -9.1%
JBIO Jade Biosciences Inc. 0.52% 796,744 $12.3M No change
TRVI Trevi Therapeutics Inc. 0.48% 900,000 $11.3M Add +3500.0%
SION Sionna Therapeutics Inc. 0.47% 268,500 $11.0M Reduce -35.1%
SEPN Septerna Inc. 0.45% 383,368 $10.7M Add +1999.5%
KIDS Orthopediatrics Corp. 0.40% 525,447 $9.3M Add +310.5%
TERN Terns Pharmaceuticals Inc. 0.36% 212,710 $8.6M Reduce -97.4%
CDTX Cidara Therapeutics Inc. 0.36% 38,811 $8.6M Reduce -92.1%
INSM Insmed Inc. 0.36% 48,500 $8.4M Add +1802.0%
CERS Cerus Corp. 0.35% 4,000,000 $8.2M New
ERAS Erasca Inc. 0.34% 2,162,162 $8.0M No change
AVTX Avalo Therapeutics Inc. 0.34% 441,978 $8.0M New
CCCC C4 Therapeutics Inc. 0.31% 3,803,942 $7.3M Reduce -46.1%
EOLS Evolus Inc. 0.30% 1,070,000 $7.1M Reduce -26.2%
CGON CG Oncology Inc. 0.30% 170,000 $7.1M Reduce -41.4%
ANAB Anaptysbio Inc. 0.28% 135,000 $6.5M Reduce -78.4%
BLTE Belite Bio Inc. - ADR 0.27% 40,354 $6.5M Reduce -80.8%
GPCR Structure Therapeutics Inc. 0.27% 90,000 $6.3M New
ABVX Abivax SA-ADR 0.26% 45,000 $6.1M New
ORKA Oruka Therapeutics Inc. 0.24% 190,000 $5.8M New
MLTX Moonlake Immunotherapeutics 0.22% 400,000 $5.3M New
NEO Neogenomics Inc. 0.21% 427,504 $5.0M New
NTRA Natera Inc. 0.19% 20,000 $4.6M New
CALC Calcimedica Inc. 0.19% 683,904 $4.5M No change
LUNG Pulmonx Corp. 0.19% 2,038,323 $4.5M New
COGT Cogent Biosciences Inc. 0.18% 120,000 $4.3M New
INDV Indivior Ltd. 0.15% 100,000 $3.6M Reduce -93.2%
URGN Urogen Pharma Ltd. 0.15% 150,000 $3.5M Reduce -77.9%
TYRA Tyra Biosciences Inc. 0.14% 125,000 $3.3M New
KPTI Karyopharm Therapeutics Inc. 0.14% 440,000 $3.2M New
ZYME Zymeworks Inc. 0.11% 100,000 $2.6M New
VKTX Viking Therapeutics Inc. 0.10% 70,000 $2.5M New
QDEL Quidelortho Corp. 0.09% 75,000 $2.1M Reduce -80.0%
NSPR Inspiremd Inc. 0.09% 1,150,000 $2.0M Reduce -21.8%
INBX Inhibrx Biosciences Inc. 0.08% 25,000 $2.0M New
ACLX Arcellx Inc. 0.08% 30,000 $2.0M Reduce -70.0%
OLMA Olema Pharmaceuticals Inc. 0.07% 69,874 $1.7M Reduce -88.7%
BCAX Bicara Therapeutics Inc. 0.07% 100,000 $1.7M New
KOD Kodiak Sciences Inc. 0.07% 60,000 $1.7M Add +205.4%
GRAL Grail Inc. 0.04% 11,000 $941K New
GUTS Fractyl Health Inc. 0.04% 400,000 $880K Reduce -84.0%
STAA Staar Surgical Co. 0.02% 25,000 $577K Reduce -95.0%
VCYT Veracyte Inc. 0.02% 10,000 $421K Reduce -97.6%
JSPR Jasper Therapeutics Inc. 0.02% 200,000 $366K Reduce -86.6%
QNRX Quoin Pharmaceuticals LT-ADR 0.02% 25,000 $361K New
MDGL Madrigal Pharmaceuticals Inc. 0.01% 500 $291K Reduce -99.3%
LBRX LB Pharmaceuticals Inc. 0.01% 10,000 $223K Reduce -97.5%
DYN Dyne Therapeutics Inc. 0.01% 10,000 $196K New
DCTH Delcath Systems Inc. 0.00% 10,000 $101K No change
TNGX Tango Therapeutics Inc. 0.00% 10,000 $89K Reduce -96.7%

Options reported separately and not counted above: XBI puts ($353.6M).

Portfolio Sells Q3 2025 → Q4 2025

ELV Elevance Health Inc. Sold out 0.00% −4.48
TGTX TG Therapeutics Inc. Reduce -18.4% 3.97% −3.45
TERN Terns Pharmaceuticals Inc. Reduce -97.4% 0.36% −2.90
CDTX Cidara Therapeutics Inc. Reduce -92.1% 0.36% −2.16
UTHR United Therapeutics Corp. Reduce -60.0% 1.24% −2.12
NVCR Novocure Ltd. Reduce -11.6% 4.68% −1.98
INDV Indivior Ltd. Reduce -93.2% 0.15% −1.74
INSP Inspire Medical Systems Inc. Reduce -58.9% 1.17% −1.72
MDGL Madrigal Pharmaceuticals Inc. Reduce -99.3% 0.01% −1.66
ARGX Argenx SE - ADR Reduce -54.3% 1.13% −1.60
GRFS Grifols SA-ADR Sold out 0.00% −1.33
IART Integra Lifesciences Holding Sold out 0.00% −1.10
BBNX Beta Bionics Inc. Reduce -34.5% 3.28% −0.83
VCYT Veracyte Inc. Reduce -97.6% 0.02% −0.76
ANAB Anaptysbio Inc. Reduce -78.4% 0.28% −0.75
STAA Staar Surgical Co. Reduce -95.0% 0.02% −0.69
QURE Uniqure NV Sold out 0.00% −0.62
ADMA Adma Biologics Inc. Sold out 0.00% −0.58
URGN Urogen Pharma Ltd. Reduce -77.9% 0.15% −0.57
BLTE Belite Bio Inc. - ADR Reduce -80.8% 0.27% −0.56
ORGO Organogenesis Holdings Inc. Reduce -17.7% 2.19% −0.54
CCCC C4 Therapeutics Inc. Reduce -46.1% 0.31% −0.53
QDEL Quidelortho Corp. Reduce -80.0% 0.09% −0.50
VSTM Verastem Inc. Sold out 0.00% −0.44
NUVL Nuvalent Inc. Class A Sold out 0.00% −0.41
ACLX Arcellx Inc. Reduce -70.0% 0.08% −0.36
LBRX LB Pharmaceuticals Inc. Reduce -97.5% 0.01% −0.33
CGON CG Oncology Inc. Reduce -41.4% 0.30% −0.32
ESTA Establishment Labs Holdings Sold out 0.00% −0.31
TWST Twist Bioscience Corp. Reduce -0.2% 2.51% −0.30
OLMA Olema Pharmaceuticals Inc. Reduce -88.7% 0.07% −0.25
ETON Eton Pharmaceuticals Inc. Sold out 0.00% −0.23
CBLL Ceribell Inc. Sold out 0.00% −0.22
HROW Harrow Inc. Sold out 0.00% −0.22
NRIX Nurix Therapeutics Inc. Reduce -49.7% 0.98% −0.22
SION Sionna Therapeutics Inc. Reduce -35.1% 0.47% −0.18
AKRO Akero Therapeutics Inc. Sold out 0.00% −0.18
GUTS Fractyl Health Inc. Reduce -84.0% 0.04% −0.18
JSPR Jasper Therapeutics Inc. Reduce -86.6% 0.02% −0.17
EOLS Evolus Inc. Reduce -26.2% 0.30% −0.17
IDYA Ideaya Biosciences Inc. Sold out 0.00% −0.15
TNGX Tango Therapeutics Inc. Reduce -96.7% 0.00% −0.13
CBIO Crescent Biopharma Inc. Sold out 0.00% −0.13
RAPP Rapport Therapeutics Inc. Sold out 0.00% −0.13
IOVA Iovance Biotherapeutics Inc. Sold out 0.00% −0.11
VTGN Vistagen Therapeutics Inc. Sold out 0.00% −0.10
NSPR Inspiremd Inc. Reduce -21.8% 0.09% −0.10
MNKD Mannkind Corp. Sold out 0.00% −0.09
IMUX Immunic Inc. Sold out 0.00% −0.07
ADVM Adverum Biotechnologies Inc. Sold out 0.00% −0.07

Portfolio Buys Q3 2025 → Q4 2025

CELC Celcuity Inc. Add +53.4% 7.65% +4.54
DXCM Dexcom Inc. New 3.65% +3.65
GMED Globus Medical Inc. Class A Add +404.0% 3.29% +2.75
PODD Insulet Corp. New 1.81% +1.81
ALKS Alkermes PLC New 1.57% +1.57
LIVN Livanova PLC New 1.48% +1.48
MIRM Mirum Pharmaceuticals Inc. Add +285.8% 1.92% +1.34
IMVT Immunovant Inc. New 1.20% +1.20
PCVX Vaxcyte Inc. New 1.19% +1.19
FOLD Amicus Therapeutics Inc. Add +11.0% 3.15% +1.17
TFX Teleflex Inc. New 0.98% +0.98
EWTX Edgewise Therapeutics Inc. New 0.96% +0.96
GSK GSK PLC-Spon ADR Add +190.4% 1.33% +0.82
ALNY Alnylam Pharmaceuticals Inc. Add +359.0% 1.18% +0.81
IVVD Invivyd Inc. New 0.81% +0.81
CAPR Capricor Therapeutics Inc. New 0.79% +0.79
THC Tenet Healthcare Corp. New 0.78% +0.78
BMRN Biomarin Pharmaceutical Inc. Add +48.3% 3.33% +0.75
RCUS Arcus Biosciences Inc. New 0.72% +0.72
KNSA Kiniksa Pharmaceuticals Inte Add +291.3% 1.03% +0.72
ELVN Enliven Therapeutics Inc. New 0.67% +0.67
TRVI Trevi Therapeutics Inc. Add +3500.0% 0.48% +0.47
SEPN Septerna Inc. Add +1999.5% 0.45% +0.44
IKT Inhibikase Therapeutics Inc. Add +71.9% 0.95% +0.40
RAPT Rapt Therapeutics Inc. Add +42.0% 1.10% +0.36
CERS Cerus Corp. New 0.35% +0.35
SNDX Syndax Pharmaceuticals Inc. Add +11.7% 2.00% +0.35
AVTX Avalo Therapeutics Inc. New 0.34% +0.34
INSM Insmed Inc. Add +1802.0% 0.36% +0.34
VCEL Vericel Corp. Add +53.4% 1.17% +0.33
MBX MBX Biosciences Inc. Add +48.7% 0.55% +0.29
KIDS Orthopediatrics Corp. Add +310.5% 0.40% +0.27
GPCR Structure Therapeutics Inc. New 0.27% +0.27
ABVX Abivax SA-ADR New 0.26% +0.26
ORKA Oruka Therapeutics Inc. New 0.24% +0.24
MLTX Moonlake Immunotherapeutics New 0.22% +0.22
NEO Neogenomics Inc. New 0.21% +0.21
NTRA Natera Inc. New 0.19% +0.19
LUNG Pulmonx Corp. New 0.19% +0.19
COGT Cogent Biosciences Inc. New 0.18% +0.18
TYRA Tyra Biosciences Inc. New 0.14% +0.14
KPTI Karyopharm Therapeutics Inc. New 0.14% +0.14
ZYME Zymeworks Inc. New 0.11% +0.11
VKTX Viking Therapeutics Inc. New 0.10% +0.10
INBX Inhibrx Biosciences Inc. New 0.08% +0.08
BCAX Bicara Therapeutics Inc. New 0.07% +0.07
KOD Kodiak Sciences Inc. Add +205.4% 0.07% +0.05
GRAL Grail Inc. New 0.04% +0.04
GERN Geron Corp. Add +34.7% 1.30% +0.04
NBIX Neurocrine Biosciences Inc. Add +27.5% 1.06% +0.02

Options Activity Q3 2025 → Q4 2025

XBI SS SPDR S&P Biotech ETF put Add +152.2% 2,900,000 $353.6M

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 97$2.9BKRYS, CELC, TGTX, PODD, NVCR
Q1 2026 93$2.5BKRYS, CELC, TGTX, PODD, NVCR
Q4 2025 94$2.4BKRYS, CELC, NVCR, PRAX, TGTX
Q3 2025 87$1.9BKRYS, TGTX, NVCR, ELV, BBNX
Q2 2025 94$1.4BKRYS, NVCR, TGTX, UTHR, BBNX
Q1 2025 74$1.3BTGTX, NVCR, KRYS, BMRN, ORGO
Q4 2024 80$1.3BNVCR, TGTX, BMRN, KRYS, GRFS
Q3 2024 86$1.2BIOVA, TGTX, TERN, AXGN, GRFS
Q2 2024 92$1.1BTGTX, IOVA, UTHR, NRIX, FOCL
Q1 2024 90$1.1BUTHR, FOCL, IOVA, TEVA, TGTX