Stonepine Capital Management, LLC

In its 13F for Q3 2024 (holdings as of September 30, 2024, filed November 13, 2024), Stonepine Capital Management, LLC reported 38 stock positions worth $158.2 million. Its top holding was Adma Biologics (ADMA) at 23.6% of the portfolio, followed by Evolus (EOLS, 14.0%) and Lakefront Biotherapeutic-ADR (LKFT, 8.7%). Compared with Q2 2024, it opened 17 new positions, sold out of 4, added to 12 and reduced 5. The biggest buy was a new position in Jazz Pharmaceuticals (JAZZ) and the biggest sale an exit from Alimera Sciences (ALIM).

Most Recent 13F
Q2 2026
Location
Bend, OR
CIK
0001440771
Portfolio Value
$158.2M (Q3 2024)
SEC Filing
0000935836-24-000663 ↗ filed Nov 13, 2024

Holdings Value

0$50.0M$100.0M$150.0M$200.0M Q1 2024: $126.1M Q1 2024 Q2 2024: $109.6M Q2 2024 Q3 2024: $158.2M $158.2M Q3 2024 Q4 2024: $123.9M Q4 2024 Q1 2025: $102.8M Q1 2025 Q2 2025: $101.5M Q2 2025 Q3 2025: $123.0M Q3 2025 Q4 2025: $126.4M Q4 2025 Q1 2026: $113.7M Q1 2026 Q2 2026: $131.4M Q2 2026

Holdings 38 stocks · $158.2M

ADMA Adma Biologics Inc. 23.62% 1,870,000 $37.4M No change
EOLS Evolus Inc. 14.02% 1,369,821 $22.2M Reduce -17.4%
LKFT Lakefront Biotherapeutic-ADR filed as GALAPAGOS NV 8.71% 478,659 $13.8M Reduce -1.3%
JAZZ Jazz Pharmaceuticals PLC 3.87% 55,000 $6.1M New
RPRX Royalty Pharma PLC Class A 3.79% 212,000 $6.0M New
XOMA Xoma Royalty Corporation 3.26% 195,096 $5.2M Reduce -22.0%
RIGL Rigel Pharmaceuticals Inc. 3.16% 309,100 $5.0M Add +1.3%
ZVRA Zevra Therapeutics Inc. 3.07% 700,000 $4.9M New
ANIK Anika Therapeutics Inc. 2.95% 189,308 $4.7M Add +14.5%
RVNC Revance Therapeutics Inc. 2.69% 820,000 $4.3M Reduce -70.7%
IRWD Ironwood Pharmaceuticals Inc. 2.60% 1,000,000 $4.1M Add +1982.8%
VSTM Verastem Inc. 2.48% 1,310,287 $3.9M New
OPTINOSE INC 2.41% 5,688,590 $3.8M Add +142.1%
URGN Urogen Pharma Ltd. 2.25% 280,345 $3.6M New
SCPH Scpharmaceuticals Inc. 2.24% 778,874 $3.6M Add +84.7%
ESTA Establishment Labs Holdings 2.05% 75,000 $3.2M New
ACAD Acadia Pharmaceuticals Inc. 1.91% 196,895 $3.0M Add +3837.9%
DAWN Day One Biopharmaceuticals I 1.81% 205,675 $2.9M New
ACRS Aclaris Therapeutics Inc. 1.79% 2,458,873 $2.8M Add +27.6%
TELA Tela Bio Inc. 1.77% 1,110,000 $2.8M Add +77.4%
INDV Indivior Ltd. 1.66% 270,000 $2.6M New
XGN Exagen Inc. 1.04% 534,398 $1.7M Add +49.0%
MIST Milestone Pharmaceuticals Inc. 0.96% 999,790 $1.5M Reduce -19.3%
SRZN Surrozen Inc. 0.83% 110,000 $1.3M Add +66.5%
AYTU Aytu Biopharma Inc. 0.74% 500,958 $1.2M Add +6.0%
KEZAR LIFE SCIENCES INC 0.73% 1,491,305 $1.2M Add +42.0%
ACET Adicet Bio Inc. 0.55% 609,446 $878K No change
ARQT Arcutis Biotherapeutics Inc. 0.52% 88,457 $823K New
FNA Paragon 28 Inc. 0.48% 114,724 $766K New
KPRX Kiora Pharmaceuticals Inc. 0.47% 202,400 $741K New
PYPD Polypid Ltd. 0.30% 138,504 $476K New
TSVT 2SEVENTY Bio Inc. 0.30% 100,000 $472K No change
MYO Myomo Inc. 0.25% 100,000 $401K New
APRE Aprea Therapeutics Inc. 0.24% 137,174 $377K No change
ITOS Iteos Therapeutics Inc. 0.19% 30,000 $306K New
TENX Tenax Therapeutics Inc. 0.11% 50,000 $173K New
VIRX Viracta Therapeutics Inc. 0.07% 500,000 $116K New
ALIMERA SCIENCES INC CVR 0.06% 2,408,469 $96K New

Portfolio Sells Q2 2024 → Q3 2024

ALIM Alimera Sciences Inc. Sold out 0.00% −17.81
RVNC Revance Therapeutics Inc. Reduce -70.7% 2.69% −3.88
EOLS Evolus Inc. Reduce -17.4% 14.02% −2.39
LKFT Lakefront Biotherapeutic-ADR Reduce -1.3% 8.71% −2.26
XOMA Xoma Royalty Corporation Reduce -22.0% 3.26% −2.14
AUPH Aurinia Pharmaceuticals Inc. Sold out 0.00% −1.56
KPRX Kiora Pharmaceuticals Inc. Sold out 0.00% −0.77
MIST Milestone Pharmaceuticals Inc. Reduce -19.3% 0.96% −0.53
ETON Eton Pharmaceuticals Inc. Sold out 0.00% −0.33

Portfolio Buys Q2 2024 → Q3 2024

JAZZ Jazz Pharmaceuticals PLC New 3.87% +3.87
RPRX Royalty Pharma PLC Class A New 3.79% +3.79
ZVRA Zevra Therapeutics Inc. New 3.07% +3.07
VSTM Verastem Inc. New 2.48% +2.48
IRWD Ironwood Pharmaceuticals Inc. Add +1982.8% 2.60% +2.32
URGN Urogen Pharma Ltd. New 2.25% +2.25
ESTA Establishment Labs Holdings New 2.05% +2.05
ACAD Acadia Pharmaceuticals Inc. Add +3837.9% 1.91% +1.84
DAWN Day One Biopharmaceuticals I New 1.81% +1.81
INDV Indivior Ltd. New 1.66% +1.66
RIGL Rigel Pharmaceuticals Inc. Add +1.3% 3.16% +0.87
SCPH Scpharmaceuticals Inc. Add +84.7% 2.24% +0.57
ARQT Arcutis Biotherapeutics Inc. New 0.52% +0.52
FNA Paragon 28 Inc. New 0.48% +0.48
KPRX Kiora Pharmaceuticals Inc. New 0.47% +0.47
XGN Exagen Inc. Add +49.0% 1.04% +0.45
PYPD Polypid Ltd. New 0.30% +0.30
MYO Myomo Inc. New 0.25% +0.25
ITOS Iteos Therapeutics Inc. New 0.19% +0.19
OPTINOSE INC Add +142.1% 2.41% +0.18
SRZN Surrozen Inc. Add +66.5% 0.83% +0.17
KEZAR LIFE SCIENCES INC Add +42.0% 0.73% +0.15
TENX Tenax Therapeutics Inc. New 0.11% +0.11
VIRX Viracta Therapeutics Inc. New 0.07% +0.07
ALIMERA SCIENCES INC CVR New 0.06% +0.06
ACRS Aclaris Therapeutics Inc. Add +27.6% 1.79% −0.15
AYTU Aytu Biopharma Inc. Add +6.0% 0.74% −0.51
ANIK Anika Therapeutics Inc. Add +14.5% 2.95% −0.87
TELA Tela Bio Inc. Add +77.4% 1.77% −0.91

All Filings

QuarterPositions13F Reported ValueTop Holdings
Q2 2026Amended 72$131.4MVSTM, EOLS, TENX, NKTR, ADMA
Q1 2026 66$113.7MVSTM, TENX, EOLS, ADMA, CAMP
Q4 2025 61$126.4MVSTM, ADMA, EOLS, ZVRA, IKT
Q3 2025 58$123.0MVSTM, ADMA, EOLS, ZVRA, NKTR
Q2 2025 58$101.5MADMA, EOLS, ZVRA, VSTM, INDV
Q1 2025 66$102.8MANIP, EOLS, OPTINOSE INC, ZVRA, VSTM
Q4 2024 52$123.9MADMA, EOLS, TELA, LKFT, ZVRA
Q3 2024 38$158.2MADMA, EOLS, LKFT, JAZZ, RPRX
Q2 2024Amended 25$109.6MADMA, ALIM, EOLS, LKFT, RVNC
Q1 2024 20$126.1MEOLS, ADMA, ALIM, LKFT, RVNC