13F filings

Perceptive Advisors

Joseph Edelman · Q2 2026 filing · 109 positions · Filed Aug 14, 2026

$6.7B
Disclosed 13F value
on Jun 30, 2026
109
Positions in the filing
+30.2%
Change in disclosed value vs the Q1 2026 filing

$5.1B to $6.7B. Includes price moves and buying or selling; not the fund's return.

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Sector mix of the disclosed holdings

by disclosed value
  • Healthcare95.4%
  • Funds & ETFs0.6%
  • Financial Services0.1%
  • Options and unclassified (not a sector)3.9%

The grey slice is mostly calls and puts (3.3% of the disclosed value), which get no sector because a put is a position against a company.

Largest holdings

50 largest of 109 positions
HoldingTypeValueShares% of 13F value
PRAXPraxis Precision MedicinesShares$681.6M2,035,98610.2%
SYRESpyre TherapeuticsShares$383.5M4,319,4965.8%
CELCCelcuityShares$334.5M3,197,2005.0%
ASNDAscendis Pharma A/SShares$310.4M1,163,7214.7%
RYTMRhythm PharmaceuticalsShares$287.2M2,586,2954.3%
ROIVRoivant SciencesShares$286.1M8,085,4614.3%
RLAYRelay TherapeuticsShares$263.9M14,106,1874.0%
TVTXTravere TherapeuticsShares$213.2M3,752,5743.2%
KARDKardiganShares$195.6M8,200,6622.9%
NUVLNuvalentShares$195.2M1,580,5052.9%
EWTXEdgewise TherapeuticsShares$177.7M4,373,9742.7%
APGEApogee TherapeuticsShares$173.6M1,308,1132.6%
AMLXAmylyx PharmaceuticalsShares$149.7M8,334,8822.2%
MGTXMeiraGTx HoldingsShares$145.7M10,786,6582.2%
ORKAOruka TherapeuticsShares$128.0M1,345,0631.9%
INBXInhibrx BiosciencesShares$123.0M1,297,7631.8%
PTGXProtagonist TherapeuticsShares$120.4M981,8791.8%
SLDBSolid BiosciencesShares$118.9M11,906,6461.8%
ZYMEZymeworksShares$109.3M4,182,9531.6%
TNGXTango TherapeuticsShares$105.6M3,377,0001.6%
IMTXImmaticsShares$105.2M10,383,4561.6%
NRIXNurix TherapeuticsShares$104.8M4,320,4221.6%
BCRXBioCryst PharmaceuticalsShares$103.1M10,308,8881.5%
RVMDRevolution MedicinesShares$98.8M527,6001.5%
AVLNAvalyn PharmaShares$88.1M2,675,2961.3%
MRNAModernaPut$70.0M1,000,0001.1%
DYNDyne TherapeuticsShares$59.7M2,689,2350.9%
BIIBBiogenShares$59.7M276,1730.9%
IMVTImmunovantShares$52.3M1,357,3830.8%
UNHUnitedHealth GroupShares$48.5M116,8060.7%
XBIState Street SPDR S&P Biotech ETFPut$47.5M300,0000.7%
IONSIonis PharmaceuticalsShares$44.9M566,0000.7%
STROSutro BiopharmaShares$43.3M1,304,8460.7%
ANROAlto NeuroscienceShares$42.5M1,609,8930.6%
JAZZJazz PharmaceuticalsShares$41.0M170,0000.6%
CRVSCorvus PharmaceuticalsShares$39.9M2,667,4410.6%
SIONSionna TherapeuticsShares$39.8M905,0000.6%
CTMXCytomX TherapeuticsShares$39.1M10,439,1850.6%
CRYArtivionShares$39.0M1,737,2900.6%
XFORX4 PharmaceuticalsShares$37.0M7,933,4910.6%
CORTCorcept TherapeuticsShares$34.6M398,3850.5%
RGENRepligenShares$33.9M248,2120.5%
AVRAnteris Technologies GlobalShares$33.7M3,425,4760.5%
RAPPRapport TherapeuticsShares$32.2M773,3420.5%
DMRADamora TherapeuticsShares$31.8M1,223,0000.5%
CRLCharles River Laboratories InternationalShares$31.8M140,0000.5%
AXSMAxsome TherapeuticsShares$29.0M118,4500.4%
EYPTEyePoint PharmaceuticalsPut$28.6M2,000,0000.4%
DBVTDBV TechnologiesShares$27.1M1,653,3500.4%
IRTCiRhythm TechnologiesShares$26.6M223,7660.4%

% of 13F value is the position's value against the whole disclosed 13F value, so the rows shown here do not sum to 100% unless every position is listed. Calls and puts are shown as filed: most filers give Value as the notional value of the shares underneath, not money invested, but some give the premium paid, and some count contracts rather than shares.

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What Perceptive Advisors bought and sold in Q2 2026

15 largest moves
HoldingMoveShare changeEst. amount movedValue after
CNTACentessa PharmaceuticalsExited-100%-$208.9M$0
KARDKardiganNewnew+$195.6M$195.6M
ASNDAscendis Pharma A/STrimmed-24.0%-$98.1M$310.4M
AVLNAvalyn PharmaNewnew+$88.1M$88.1M
RLAYRelay TherapeuticsAdded+44.7%+$81.5M$263.9M
TNGXTango TherapeuticsAdded+317.9%+$80.3M$105.6M
BIIBBiogenNewnew+$59.7M$59.7M
RVMDRevolution MedicinesAdded+104.0%+$50.4M$98.8M
UNHUnitedHealth GroupNewnew+$48.5M$48.5M
SYRESpyre TherapeuticsAdded+14.2%+$47.6M$383.5M
XBIState Street SPDR S&P Biotech ETFNew putnew+$47.5M$47.5M
DYNDyne TherapeuticsTrimmed-42.4%-$44.0M$59.7M
GHGuardant HealthTrimmed-86.2%-$38.8M$6.2M
DAWNDay One BiopharmaceuticalsExited-100%-$37.6M$0
ABVXAbivaxTrimmed-77.5%-$34.0M$9.9M

A change is this filing measured against the one before it. Est. amount moved is the shares added or sold, priced at the Jun 30, 2026 close. An estimate: a 13F gives no trade prices or dates. For a sold-out position, its value at the previous quarter end. A put gains when the stock falls; a call gains when it rises. Option values are as filed, which for most filers is the notional value of the shares underneath.

Questions

What does Perceptive Advisors hold?

Perceptive Advisors disclosed 109 positions worth $6.7B in the Q2 2026 13F filing. The largest is PRAX at 10.2% of the disclosed value. A 13F lists US-listed stock and options on it; short sales and cash are not in it.

What did Perceptive Advisors buy and sell last quarter?

Comparing the Q2 2026 filing with the quarter before, the largest moves were selling out of CNTA, opening a position in KARD, trimming ASND and opening a position in AVLN. Changes are measured against the previous filing, not against trades, because a 13F does not disclose trades.

How current is this?

This is the Q2 2026 filing, covering positions held on Jun 30, 2026 and filed with the SEC on Aug 14, 2026. A 13F is due 45 days after the quarter ends, so the most recent filing is always at least six weeks behind the market, and the manager may have changed the book since.

How to read a 13F

WHAT THE FILING COVERS

45Filed 45 days after the quarter. Every 13F is a photograph of a date that has already passed. This one shows Jun 30, 2026.
USUS-listed stock and options on it. Short sales, cash, most bonds and shares listed only abroad are not in a 13F, so this is a slice of what the manager holds, not all of it.
$Value, not cost. Positions are reported at their market value on the quarter-end date. A position that grew in value did not necessarily grow in size.

Positions are as disclosed to the SEC on Form 13F and are not investment advice. How this data is sourced, and what it cannot tell you, is on the methodology page. How the filing itself works is explained in our guide to Form 13F.

Checked for newer filings on Oct 26, 2026.

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