Spruce Street Capital LP

In its 13F for Q1 2026 (holdings as of March 31, 2026, filed May 14, 2026), Spruce Street Capital LP reported 28 stock positions worth $415.9 million. Its top holding was Relmada Therapeutics (RLMD) at 10.3% of the portfolio, followed by Kiniksa Pharmaceuticals Inte (KNSA, 8.8%) and LB Pharmaceuticals (LBRX, 8.1%). Compared with Q4 2025, it opened 7 new positions, sold out of 6, added to 12 and reduced 3. The biggest buy was Alto Neuroscience (ANRO, shares +495%) and the biggest sale an exit from Cidara Therapeutics (CDTX).

Most Recent 13F
Q2 2026
Location
NEW YORK, NY
CIK
0002050194
Portfolio Value
$415.9M (Q1 2026)
SEC Filing
0002050194-26-000004 ↗ filed May 14, 2026

Holdings Value

0$200.0M$400.0M$600.0M Q4 2025: $302.7M Q4 2025 Q1 2026: $415.9M $415.9M Q1 2026 Q2 2026: $509.7M Q2 2026

Holdings 28 stocks · $415.9M

RLMD Relmada Therapeutics Inc. 10.34% 6,262,114 $43.0M Add +53.3%
KNSA Kiniksa Pharmaceuticals Inte 8.81% 761,063 $36.6M Add +75.0%
LBRX LB Pharmaceuticals Inc. 8.09% 1,376,159 $33.6M Add +36.9%
DNTH Dianthus Therapeutics Inc. 7.53% 373,274 $31.3M Add +25.5%
RLAY Relay Therapeutics Inc. 7.14% 2,984,125 $29.7M No change
ANRO Alto Neuroscience Inc. 7.00% 1,325,210 $29.1M Add +494.7%
CNTA Centessa Pharmaceuticals Ltd. 4.68% 489,849 $19.5M Add +528.0%
SVRA Savara Inc. 4.44% 3,383,175 $18.5M Add +40.3%
KALV Kalvista Pharmaceuticals Inc. 4.34% 897,681 $18.1M Add +131.4%
PCVX Vaxcyte Inc. 3.43% 245,709 $14.3M Reduce -38.6%
ELVN Enliven Therapeutics Inc. 3.10% 329,006 $12.9M Reduce -26.3%
SRZN Surrozen Inc. 3.03% 432,040 $12.6M No change
ENTA Enanta Pharmaceuticals Inc. 2.83% 932,598 $11.8M Add +139.3%
ALKS Alkermes PLC 2.70% 317,992 $11.2M New
CATX Perspective Therapeutics Inc. 2.63% 2,627,107 $11.0M New
NERV Minerva Neurosciences Inc. 2.40% 1,655,500 $10.0M No change
IPSC Century Therapeutics Inc. 2.21% 4,059,054 $9.2M Add +185.5%
ALMS Alumis Inc. 2.08% 392,574 $8.6M New
SABS Sab Biotherapeutics Inc. 2.02% 2,198,502 $8.4M No change
ERAS Erasca Inc. 1.64% 422,543 $6.8M Reduce -89.1%
IKT Inhibikase Therapeutics Inc. 1.45% 3,581,603 $6.0M No change
MAZE Maze Therapeutics Inc. 1.44% 200,000 $6.0M New
ANTX AN2 Therapeutics Inc. 1.34% 1,661,073 $5.6M New
LXEO Lexeo Therapeutics Inc. 1.28% 928,593 $5.3M Add +430.6%
HLXC Helix Acquisition Corp. Class A 1.22% 500,000 $5.1M New
ALEC Alector Inc. 1.09% 2,101,068 $4.5M Add +87.9%
LONA Leonabio Inc. 0.92% 393,701 $3.8M No change
CRVS Corvus Pharmaceuticals Inc. 0.81% 231,585 $3.4M New

Portfolio Sells Q4 2025 → Q1 2026

CDTX Cidara Therapeutics Inc. Sold out 0.00% −16.95
EYPT Eyepoint Inc. Sold out 0.00% −5.93
OCUL Ocular Therapeutix Inc. Sold out 0.00% −3.14
ERAS Erasca Inc. Reduce -89.1% 1.64% −3.14
PCVX Vaxcyte Inc. Reduce -38.6% 3.43% −2.67
ABVX Abivax SA-ADR Sold out 0.00% −2.19
HELP Cybin Inc. Sold out 0.00% −2.08
STRO Sutro Biopharma Inc. Sold out 0.00% −0.29
ELVN Enliven Therapeutics Inc. Reduce -26.3% 3.10% +0.83

Portfolio Buys Q4 2025 → Q1 2026

ANRO Alto Neuroscience Inc. Add +494.7% 7.00% +5.69
CNTA Centessa Pharmaceuticals Ltd. Add +528.0% 4.68% +4.03
RLMD Relmada Therapeutics Inc. Add +53.3% 10.34% +3.82
DNTH Dianthus Therapeutics Inc. Add +25.5% 7.53% +3.48
KNSA Kiniksa Pharmaceuticals Inte Add +75.0% 8.81% +2.88
ALKS Alkermes PLC New 2.70% +2.70
CATX Perspective Therapeutics Inc. New 2.63% +2.63
KALV Kalvista Pharmaceuticals Inc. Add +131.4% 4.34% +2.27
ALMS Alumis Inc. New 2.08% +2.08
IPSC Century Therapeutics Inc. Add +185.5% 2.21% +1.74
MAZE Maze Therapeutics Inc. New 1.44% +1.44
ANTX AN2 Therapeutics Inc. New 1.34% +1.34
HLXC Helix Acquisition Corp. Class A New 1.22% +1.22
CRVS Corvus Pharmaceuticals Inc. New 0.81% +0.81
ENTA Enanta Pharmaceuticals Inc. Add +139.3% 2.83% +0.80
LXEO Lexeo Therapeutics Inc. Add +430.6% 1.28% +0.71
LBRX LB Pharmaceuticals Inc. Add +36.9% 8.09% +0.69
ALEC Alector Inc. Add +87.9% 1.09% +0.51
SVRA Savara Inc. Add +40.3% 4.44% −0.36

All Filings

QuarterPositions13F Reported ValueTop Holdings
Q2 2026 30$509.7MKNSA, RLAY, LBRX, RLMD, ANRO
Q1 2026 28$415.9MRLMD, KNSA, LBRX, DNTH, RLAY
Q4 2025 27$302.7MCDTX, RLAY, LBRX, RLMD, PCVX