Funds · 13F filer · New York, NY

Paradigm Biocapital Advisors LP

$5.3B in 28 U.S. stocks and ETFs at the end of June 30, 2026, as reported to the SEC.1

1y return+110.5%S&P 500 +20.9%
3y return+108.6%S&P 500 +68.5%

These returns are for its stock picks as disclosed on Form 13F: last quarter's holdings, valued at this quarter's prices. They miss trades within each quarter, short positions, options, bonds, cash and fees, so they aren't the returns its clients got.

$100 invested in its stock picks

Since December 31, 2021: $198 against $157 in the S&P 500.2

Paradigm Biocapital Advisors LPS&P 500 (SPY)
$75$100$19820212026

Top holdings

At the end of June 30, 2026. Change is in shares since the quarter before.2

StockValueShare of portfolioChange
RVMDRevolution Medicines Inc$1.2B22.3%−4.4%
Nuvalent IncCUSIP 670703107$731.7M13.7%+11.3%
EWTXEdgewise Therapeutics Inc$415.1M7.8%+38.7%
GMABGenmab A/s$360.8M6.8%+64.8%
SYRESpyre Therapeutics Inc$341.0M6.4%+96.2%
Apogee Therapeutics IncCUSIP 03770N101$209.2M3.9%+16.9%
ORKAOruka Therapeutics Inc$204.1M3.8%−7.6%
TNGXTango Therapeutics Inc$198.7M3.7%+58.6%
BLTEBelite Bio Inc$189.8M3.6%+10.6%
ERASErasca Inc$175.0M3.3%−8.1%
TARSTarsus Pharmaceuticals Inc$174.7M3.3%+8.3%
ALNYAlnylam Pharmaceuticals Inc$144.5M2.7%New
INSMInsmed Inc$141.4M2.6%+5.7%
MBXMbx Biosciences Inc$138.4M2.6%New
PCVXVaxcyte Inc$123.7M2.3%−55.6%
VRDNViridian Therapeutics Inc$123.5M2.3%+113.5%
OLMAOlema Pharmaceuticals Inc$108.5M2.0%+8.1%
JBIOJade Biosciences Inc$63.5M1.2%New
TYRATyra Biosciences Inc$58.4M1.1%−11.0%
ASMBAssembly Biosciences Inc$42.7M0.8%+133.6%
EYPTEyepoint Inc$41.3M0.8%−8.0%
ACHVAchieve Life Science Inc$32.3M0.6%New
VORVor Biopharma Inc$32.2M0.6%
MPLTMaplight Therapeutics Inc$24.6M0.5%New
KARDKardigan Inc$21.5M0.4%New

Best picks still held

How each current holding has done since the quarter it first appeared in its filings (up to six years back).

StockHeld sinceReturn sinceNow worth
RVMDRevolution Medicines IncMarch 31, 2024+481.1%$1.2B
OLMAOlema Pharmaceuticals IncMarch 31, 2023+260.5%$108.5M
ORKAOruka Therapeutics IncDecember 31, 2025+214.0%$204.1M
TARSTarsus Pharmaceuticals IncDecember 31, 2023+210.8%$174.7M
SYRESpyre Therapeutics IncSeptember 30, 2024+201.9%$341.0M
Nuvalent IncCUSIP 670703107June 30, 2023+192.9%$731.7M
EWTXEdgewise Therapeutics IncMarch 31, 2024+122.8%$415.1M
Apogee Therapeutics IncCUSIP 03770N101March 31, 2024+99.7%$209.2M
TNGXTango Therapeutics IncMarch 31, 2026+49.4%$198.7M
VORVor Biopharma IncDecember 31, 2025+40.7%$32.2M

Sold off last quarter

  • Arcellx IncCUSIP 03940C100 was $663.0M
  • Centessa Pharmaceuticals PLCCUSIP 152309100 was $142.0M
  • Terns Pharmaceuticals IncCUSIP 880881107 was $116.9M
  • CYTKCytokinetics Inc was $97.6M
  • ABVXAbivax Sa was $86.0M
  • MAZEMaze Therapeutics Inc was $81.9M
  • SRRKScholar Rock Hldg Corp was $60.3M
  • MIRMMirum Pharmaceuticals Inc was $57.7M
  • MANEVeradermics Inc was $33.2M
  • Urogen Pharma LtdCUSIP M96088105 was $30.6M

Quarter by quarter

QuarterIts picksS&P 500
June 30, 2026+15.9%+14.8%
March 31, 2026+9.2%−4.6%
December 31, 2025+24.5%+2.4%
September 30, 2025+33.6%+7.8%
June 30, 2025−0.3%+10.5%
March 31, 2025−18.4%−4.6%
December 31, 2024−9.4%+2.1%
September 30, 2024+17.7%+5.4%
June 30, 2024−10.1%+4.0%
March 31, 2024+7.0%+10.0%
December 31, 2023+26.5%+11.2%
September 30, 2023−6.1%−3.6%
June 30, 2023+3.5%+8.3%
March 31, 2023−8.9%+7.0%
December 31, 2022+10.7%+7.1%
September 30, 2022+14.2%−5.3%
June 30, 2022−6.7%−16.5%
March 31, 2022−14.8%−4.9%

Sources

Every number on this page points here. Each one links to the public record.

  1. 1
    CIK 1855655
  2. 2
    Filed August 14, 2026 · accession 0001855655-26-000014