Vestal Point Capital, LP

In its 13F for Q4 2024 (holdings as of December 31, 2024, filed February 14, 2025), Vestal Point Capital, LP reported 73 stock positions worth $1.7 billion. Its top holding was Jazz Pharmaceuticals (JAZZ) at 7.1% of the portfolio, followed by Cytokinetics (CYTK, 6.6%) and Merck (MRK, 4.7%). Compared with Q3 2024, it opened 25 new positions, sold out of 19, added to 32 and reduced 11. The biggest buy was a new position in Merck (MRK) and the biggest sale Insmed (INSM, shares −44%).

Most Recent 13F
Q2 2026
Location
NEW YORK, NY
CIK
0001974915
Portfolio Value
$1.7B (Q4 2024)
SEC Filing
0001974915-25-000002 ↗ filed Feb 14, 2025

Holdings Value

0$1.0B$2.0B$3.0B$4.0B$5.0B Q1 2024: $1.2B Q1 2024 Q2 2024: $1.3B Q2 2024 Q3 2024: $1.3B Q3 2024 Q4 2024: $1.7B $1.7B Q4 2024 Q1 2025: $1.4B Q1 2025 Q2 2025: $1.9B Q2 2025 Q3 2025: $2.2B Q3 2025 Q4 2025: $2.7B Q4 2025 Q1 2026: $3.6B Q1 2026 Q2 2026: $4.3B Q2 2026

Holdings 73 stocks · $1.7B

JAZZ Jazz Pharmaceuticals PLC 7.12% 975,000 $120.1M Add +8.3%
CYTK Cytokinetics Inc. 6.55% 2,350,000 $110.5M Add +56.7%
MRK Merck & Co. Inc. 4.72% 800,000 $79.6M New
ASND Ascendis Pharma A/S 4.24% 520,000 $71.6M Add +108.0%
RARE Ultragenyx Pharmaceutical Inc. 3.74% 1,500,000 $63.1M Add +100.0%
INSM Insmed Inc. 3.68% 900,000 $62.1M Reduce -43.8%
BMRN Biomarin Pharmaceutical Inc. 3.35% 860,000 $56.5M Add +115.0%
QURE Uniqure NV 3.17% 3,025,000 $53.4M Reduce -36.3%
SLNO Soleno Therapeutics Inc. 2.82% 1,060,000 $47.6M Add +47.2%
NUVL Nuvalent Inc. Class A 2.78% 600,000 $47.0M New
GPCR Structure Therapeutics Inc. 2.77% 1,725,000 $46.8M Add +50.0%
VERA Vera Therapeutics Inc. 2.70% 1,075,000 $45.5M New
IMTX Immatics NV 2.65% 6,275,000 $44.6M Add +67.3%
KALV Kalvista Pharmaceuticals Inc. 2.40% 4,770,000 $40.4M Add +19.3%
GERN Geron Corp. 2.31% 11,000,000 $38.9M Add +947.6%
ATXS Astria Therapeutics Inc. 2.22% 4,180,000 $37.4M Add +4.5%
ACLX Arcellx Inc. 2.16% 475,000 $36.4M Reduce -29.6%
SNY Sanofi-ADR 2.14% 750,000 $36.2M Add +400.0%
GSK GSK PLC-Spon ADR 2.01% 1,000,000 $33.8M Add +233.3%
SVRA Savara Inc. 1.96% 10,775,000 $33.1M Add +33.2%
XENE Xenon Pharmaceuticals Inc. 1.88% 810,000 $31.8M Reduce -1.8%
FOLD Amicus Therapeutics Inc. 1.87% 3,350,000 $31.6M New
AZN Astrazeneca PLC-Spons ADR 1.85% 475,000 $31.1M New
SRPT Sarepta Therapeutics Inc. 1.80% 250,000 $30.4M New
MDGL Madrigal Pharmaceuticals Inc. 1.74% 95,000 $29.3M Add +216.7%
GMED Globus Medical Inc. Class A 1.59% 325,000 $26.9M New
DNTH Dianthus Therapeutics Inc. 1.39% 1,075,000 $23.4M Add +172.2%
NYXH Nyxoah SA 1.39% 2,924,216 $23.4M New
VRNA Verona Pharma Ltd. 1.36% 495,000 $23.0M New
IONS Ionis Pharmaceuticals Inc. 1.23% 595,000 $20.8M New
LQDA Liquidia Corp. 1.23% 1,760,000 $20.7M Add +17.3%
DAWN Day One Biopharmaceuticals I 1.08% 1,440,000 $18.2M Reduce -42.4%
URGN Urogen Pharma Ltd. 1.03% 1,630,000 $17.4M Add +307.5%
LEGN Legend Biotech Corp.-ADR 0.92% 475,000 $15.5M Add +280.0%
ROIV Roivant Sciences Ltd. 0.88% 1,250,000 $14.8M New
REGN Regeneron Pharmaceuticals 0.84% 20,000 $14.2M New
ESTA Establishment Labs Holdings 0.82% 300,000 $13.8M Add +650.0%
TYRA Tyra Biosciences Inc. 0.82% 990,000 $13.8M New
BCAX Bicara Therapeutics Inc. 0.73% 710,000 $12.4M Add +67.1%
BDTX Black Diamond Therapeutics I 0.71% 5,600,000 $12.0M Add +11.4%
SLDB Solid Biosciences Inc. 0.68% 2,850,000 $11.4M Add +1.8%
A Agilent Technologies Inc. 0.60% 75,000 $10.1M Reduce -25.0%
APLT Applied Therapeutics Inc. 0.58% 11,500,000 $9.8M Add +904.4%
PRGO Perrigo Co. PLC 0.57% 375,000 $9.6M New
NRIX Nurix Therapeutics Inc. 0.54% 485,000 $9.1M Add +14.1%
LXEO Lexeo Therapeutics Inc. 0.47% 1,200,000 $7.9M Add +41.2%
ZLAB Zai Lab Ltd.-ADR 0.47% 300,000 $7.9M New
CLDX Celldex Therapeutics Inc. 0.46% 305,000 $7.7M New
VYGR Voyager Therapeutics Inc. 0.41% 1,230,000 $7.0M Add +151.0%
ITOS Iteos Therapeutics Inc. 0.41% 900,000 $6.9M Reduce -12.2%
NTLA Intellia Therapeutics Inc. 0.36% 525,000 $6.1M New
OKUR Onkure Therapeutics Inc. Class A 0.32% 635,000 $5.5M New
LKFT Lakefront Biotherapeutic-ADR filed as GALAPAGOS NV 0.29% 180,000 $5.0M No change
CMRX Chimerix Inc. 0.29% 1,400,000 $4.9M No change
STRO Sutro Biopharma Inc. Com SHS 0.28% 2,570,000 $4.7M New
VTYX Ventyx Biosciences Inc. 0.26% 2,000,000 $4.4M Add +15.9%
FATE Fate Therapeutics Inc. 0.24% 2,465,000 $4.1M Add +46.3%
ANRO Alto Neuroscience Inc. 0.23% 915,000 $3.9M Add +40.8%
VERV Verve Therapeutics Inc. 0.22% 645,000 $3.6M Add +22.9%
PASG Passage Bio Inc. 0.21% 6,100,000 $3.5M No change
ALLO Allogene Therapeutics Inc. 0.19% 1,500,000 $3.2M No change
TMDX Transmedics Group Inc. 0.18% 50,000 $3.1M New
GLUE Monte Rosa Therapeutics Inc. 0.17% 425,000 $2.9M Reduce -54.3%
ZYME Zymeworks Inc. 0.16% 185,000 $2.7M Reduce -69.9%
ENGN Engene Holdings Inc. 0.15% 370,000 $2.5M New
BHC Bausch Health Cos Inc. 0.12% 250,000 $2.0M New
NGNE Neurogene Inc. 0.11% 80,000 $1.8M New
ACHL Achilles Therapeutics PL-ADR 0.10% 1,500,000 $1.7M No change
ATRA Atara Biotherapeutics Inc. 0.10% 125,000 $1.7M Add +0.3%
IMVT Immunovant Inc. 0.07% 45,000 $1.1M New
MGNX Macrogenics Inc. 0.05% 280,000 $910K Reduce -66.3%
TRAW Traws Pharma Inc. 0.04% 75,000 $666K New
TENX Tenax Therapeutics Inc. 0.02% 55,189 $342K Reduce -33.8%

Portfolio Sells Q3 2024 → Q4 2024

INSM Insmed Inc. Reduce -43.8% 3.68% −5.53
NARI Inari Medical Inc. Sold out 0.00% −5.04
AGIO Agios Pharmaceuticals Inc. Sold out 0.00% −2.66
ACLX Arcellx Inc. Reduce -29.6% 2.16% −2.29
JANX Janux Therapeutics Inc. Sold out 0.00% −1.74
DAWN Day One Biopharmaceuticals I Reduce -42.4% 1.08% −1.67
EW Edwards Lifesciences Corp. Sold out 0.00% −1.43
GILD Gilead Sciences Inc. Sold out 0.00% −1.32
BMY Bristol-Myers Squibb Co. Sold out 0.00% −1.02
CRNX Crinetics Pharmaceuticals Inc. Sold out 0.00% −0.83
BRKR Bruker Corp. Sold out 0.00% −0.68
XENE Xenon Pharmaceuticals Inc. Reduce -1.8% 1.88% −0.68
APGE Apogee Therapeutics Inc. Sold out 0.00% −0.63
TARS Tarsus Pharmaceuticals Inc. Sold out 0.00% −0.60
A Agilent Technologies Inc. Reduce -25.0% 0.60% −0.57
BDX Becton Dickinson and Co. Sold out 0.00% −0.57
ZYME Zymeworks Inc. Reduce -69.9% 0.16% −0.45
ITOS Iteos Therapeutics Inc. Reduce -12.2% 0.41% −0.42
PRME Prime Medicine Inc. Sold out 0.00% −0.33
ZVRA Zevra Therapeutics Inc. Sold out 0.00% −0.29
ARDX Ardelyx Inc. Sold out 0.00% −0.27
PTCT PTC Therapeutics Inc. Sold out 0.00% −0.23
PEN Penumbra Inc. Sold out 0.00% −0.23
GLUE Monte Rosa Therapeutics Inc. Reduce -54.3% 0.17% −0.21
ITCI Intra-Cellular Therapies Inc. Sold out 0.00% −0.17
MGNX Macrogenics Inc. Reduce -66.3% 0.05% −0.16
RLMD Relmada Therapeutics Inc. Sold out 0.00% −0.13
RENEO PHARMACEUTICALS INC Sold out 0.00% −0.11
TENX Tenax Therapeutics Inc. Reduce -33.8% 0.02% −0.00
QURE Uniqure NV Reduce -36.3% 3.17% +1.32

Portfolio Buys Q3 2024 → Q4 2024

MRK Merck & Co. Inc. New 4.72% +4.72
NUVL Nuvalent Inc. Class A New 2.78% +2.78
VERA Vera Therapeutics Inc. New 2.70% +2.70
GERN Geron Corp. Add +947.6% 2.31% +1.93
FOLD Amicus Therapeutics Inc. New 1.87% +1.87
AZN Astrazeneca PLC-Spons ADR New 1.85% +1.85
SRPT Sarepta Therapeutics Inc. New 1.80% +1.80
GMED Globus Medical Inc. Class A New 1.59% +1.59
SNY Sanofi-ADR Add +400.0% 2.14% +1.46
NYXH Nyxoah SA New 1.39% +1.39
VRNA Verona Pharma Ltd. New 1.36% +1.36
ASND Ascendis Pharma A/S Add +108.0% 4.24% +1.30
MDGL Madrigal Pharmaceuticals Inc. Add +216.7% 1.74% +1.24
IONS Ionis Pharmaceuticals Inc. New 1.23% +1.23
BMRN Biomarin Pharmaceutical Inc. Add +115.0% 3.35% +1.13
GSK GSK PLC-Spon ADR Add +233.3% 2.01% +1.04
ROIV Roivant Sciences Ltd. New 0.88% +0.88
REGN Regeneron Pharmaceuticals New 0.84% +0.84
TYRA Tyra Biosciences Inc. New 0.82% +0.82
ESTA Establishment Labs Holdings Add +650.0% 0.82% +0.68
URGN Urogen Pharma Ltd. Add +307.5% 1.03% +0.63
PRGO Perrigo Co. PLC New 0.57% +0.57
DNTH Dianthus Therapeutics Inc. Add +172.2% 1.39% +0.54
ZLAB Zai Lab Ltd.-ADR New 0.47% +0.47
CLDX Celldex Therapeutics Inc. New 0.46% +0.46
RARE Ultragenyx Pharmaceutical Inc. Add +100.0% 3.74% +0.45
LEGN Legend Biotech Corp.-ADR Add +280.0% 0.92% +0.44
NTLA Intellia Therapeutics Inc. New 0.36% +0.36
OKUR Onkure Therapeutics Inc. Class A New 0.32% +0.32
CYTK Cytokinetics Inc. Add +56.7% 6.55% +0.30
STRO Sutro Biopharma Inc. Com SHS New 0.28% +0.28
VYGR Voyager Therapeutics Inc. Add +151.0% 0.41% +0.19
TMDX Transmedics Group Inc. New 0.18% +0.18
ENGN Engene Holdings Inc. New 0.15% +0.15
BHC Bausch Health Cos Inc. New 0.12% +0.12
NGNE Neurogene Inc. New 0.11% +0.11
IMVT Immunovant Inc. New 0.07% +0.07
LQDA Liquidia Corp. Add +17.3% 1.23% +0.04
TRAW Traws Pharma Inc. New 0.04% +0.04
ATRA Atara Biotherapeutics Inc. Add +0.3% 0.10% +0.02
VERV Verve Therapeutics Inc. Add +22.9% 0.22% +0.02
VTYX Ventyx Biosciences Inc. Add +15.9% 0.26% −0.04
SLNO Soleno Therapeutics Inc. Add +47.2% 2.82% −0.04
BCAX Bicara Therapeutics Inc. Add +67.1% 0.73% −0.12
LXEO Lexeo Therapeutics Inc. Add +41.2% 0.47% −0.14
APLT Applied Therapeutics Inc. Add +904.4% 0.58% −0.18
NRIX Nurix Therapeutics Inc. Add +14.1% 0.54% −0.21
FATE Fate Therapeutics Inc. Add +46.3% 0.24% −0.22
ANRO Alto Neuroscience Inc. Add +40.8% 0.23% −0.36
IMTX Immatics NV Add +67.3% 2.65% −0.73

Options Activity Q3 2024 → Q4 2024

AVDL Avadel Pharmaceuticals Ltd. put Sold out 2,000,000 $26.2Mbefore exit
BHVN Biohaven Ltd. call Sold out 500,000 $25.0Mbefore 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 68$4.3BBMRN, NBIX, ABVX, UTHR, ELVN
Q1 2026 90$3.6BRVMD, BMRN, ABVX, NBIX, ARWR
Q4 2025 75$2.7BABVX, ACLX, TERN, BMRN, GMED
Q3 2025 80$2.2BASND, ACLX, NUVL, ABVX, ALC
Q2 2025 72$1.9BACLX, JAZZ, CYTK, NUVL, VERA
Q1 2025 63$1.4BACLX, CYTK, INSM, NUVL, VERA
Q4 2024 73$1.7BJAZZ, CYTK, MRK, ASND, RARE
Q3 2024 67$1.3BINSM, JAZZ, CYTK, NARI, ACLX
Q2 2024 60$1.3BJAZZ, CYTK, ASND, RARE, GMED
Q1 2024 58$1.2BCYTK, JAZZ, NBIX, ASND, GMED