Paradigm Biocapital Advisors LP

$4.9B reported 13(f) long value · latest quarter 2026-03-31 · CIK 1855655 · EDGAR ↗
sum of disclosed values for 2026-03-31; 0 positions carry a NULL value and are excluded from the sum, surfaced here rather than folded away
$4.9B
ALL retained default holdings for this (filer, period), including NULL-value ones
35
positions with no comparable holding in the prior quarter (kind new), 2026-03-31
10
positions absent from this quarter's filing after being held last quarter (kind exit), 2026-03-31 — inferred from absence, not a sale record
5
A quarter-end snapshot. Filed up to 45 days later, so this page is not current holdings and never a complete portfolio. what a 13F is — and is not ↓ methodology §13F ↗
FILING WINDOW OPEN
Quarter 2026-09-30: the 13F window is open until 2026-11-16. Rankings and QoQ moves that touch this quarter are provisional by construction — filers who have not yet reported are not zeros.

Position changes — into 2026-03-31

by shares · Δ value · filing link · how changes are classified §
Period
Position changes into quarter 2026-03-31
position matched across quarters by exact reported CUSIP over a registry gap — producer-reconciled identity, never a name match identity_reconciled_by_cusipthe reported share count is unchanged across the pair; this build's data classified the change from its reported value; builds from 2026-09-10 on read it as NO CHANGE classified_by_value · EXIT = absent this quarter: disposed, delisted, under confidential treatment, or reported instead by an affiliated manager — the filing does not say which · change not classifiable: value undisclosed on one side of the quarter pair, or neither shares nor value can classify it · NO CHANGE = the share count is identical in both quarters; the value moved only with price, so the row is mark-to-market and never an ADD or a TRIM (NEW / ADD / TRIM / EXIT / NO CHANGE) · NO PRIOR = this filer has no comparable holdings list for the previous quarter on record — a first filing under this registration, or a quarter reported inside an affiliated manager's filing — so the position is not called a new stakederived by Public Filings from the published aggregate; NULL means the source did not disclose a usable value — never zeroreported unit changed across the pair (SH↔PRN); the share delta is withheld rather than fabricated shares_unit_mismatchPrev valueCurr valuePrev sharesCurr shares
position key sid:sec:prov:45fc32dac56f2bd3e501273f0a0a1e4d · issuer key cusip6:03940C COMMON STOCKADD+$290M+50,000$373M$663M5,724,0165,774,016
position key pos:14656 · issuer key iss:1552 COMADD+$118M+11,300$529M$647M6,644,4036,655,703
position key pos:13206 · issuer key iss:1335 COMADD+$15.4M+55,000$530M$545M5,269,4335,324,433
position key pos:11660 · issuer key iss:1893 COMADD+$90.8M+725,000$188M$279M4,068,0204,793,020
position key pos:11808 · issuer key iss:635 COMADD+$69.7M+823,828$162M$232M6,541,2107,365,038
position key pos:16478 · issuer key iss:814 SPONSORED ADSADD−$3.0M+928,002$217M$214M7,039,8347,967,836
position key pos:14207 · issuer key iss:973 COM PAR $.01NEW+$205M+1,254,488$0$205M—1,254,488
position key sid:sec:prov:831c753eb8a6ce9972092ec4165601d4 · issuer key cusip6:07782B SPONSORED ADSNEW+$178M+1,114,784$0$178M—1,114,784
position key pos:11747 · issuer key iss:680 COMTRIM+$115M−3,766,393$52.7M$168M14,159,09510,392,702
position key pos:17964 · issuer key cusip6:152309 SPONSORED ADSNEW+$142M+3,574,048$0$142M—3,574,048
position key pos:13935 · issuer key iss:1355 COMADD−$69.0M+476,404$189M$120M7,544,1728,020,576
position key pos:17472 · issuer key cusip6:880881 COMADD+$84.1M+1,406,213$32.7M$117M810,2862,216,499
position key pos:13812 · issuer key iss:1378 COMADD+$62.0M+610,000$51.8M$114M1,710,3162,320,316
position key pos:13239 · issuer key iss:142 COMADD+$28.7M+225,000$84.8M$113M1,123,2431,348,243
position key pos:13625 · issuer key iss:45 COM NEWADD+$50.7M+490,000$48.1M$98.7M1,467,2661,957,266
position key pos:12465 · issuer key iss:548 COM NEWNEW+$97.6M+1,480,857$0$97.6M—1,480,857
position key pos:12364 · issuer key iss:26 SPONSORED ADSTRIM−$105M−645,000$191M$86.0M1,417,473772,473
position key pos:11535 · issuer key iss:1757 COMNEW+$83.9M+4,009,679$0$83.9M—4,009,679
position key pos:15345 · issuer key iss:1204 COMNEW+$81.9M+2,744,399$0$81.9M—2,744,399
position key sid:sec:prov:47170149b82e95e4444c881acffa67fc · issuer key cusip6:90240B COMNEW+$78.7M+2,054,991$0$78.7M—2,054,991
position key sid:sec:prov:4b145c10f034612809a5ead021971789 · issuer key cusip6:92790C COMADD+$16.7M+1,705,791$44.9M$61.6M1,443,1023,148,893
position key pos:17712 · issuer key iss:1630 COMTRIM−$74.6M−1,836,077$135M$60.3M3,062,1571,226,080
position key pos:11504 · issuer key iss:1236 COMNEW+$57.7M+625,000$0$57.7M—625,000
position key sid:sec:prov:dcfd7178444c2349b987cfc50b6bf1d8 · issuer key cusip6:30233G COM NEWTRIM−$26.9M−549,038$67.4M$40.5M3,691,4753,142,437
position key sid:sec:prov:bd4b862f6cf27f7bbb6f4d26443faaca · issuer key cusip6:52886X COMADD−$11.8M+1,420,936$47.3M$35.5M4,763,1986,184,134
position key pos:14234 · issuer key iss:1897 COMMON STOCKNEW+$33.2M+525,000$0$33.2M—525,000
position key sid:sec:prov:a469da6cabfc03832e3d85a7bff09e97 · issuer key cusip6:M96088 COMTRIM−$74.1M−2,769,699$105M$30.6M4,473,6481,703,949
position key sid:sec:prov:862b191ccb923fc424f39385b48ce4f8 · issuer key cusip6:86366E SPONSORED ADSNEW+$26.3M+545,287$0$26.3M—545,287
position key pos:10700 · issuer key iss:1374 COMTRIM+$1.9M−700,000$19.6M$21.6M2,401,2171,701,217
position key pos:12072 · issuer key iss:310 COM NEWTRIM−$20.5M−1,393,536$28.3M$7.8M2,261,749868,213
pos:10141 PUTEXIT‡e−$183M−1,500,000$183M$01,500,000—
pos:14584EXIT‡e−$52.3M−684,277$52.3M$0684,277—
pos:14981EXIT‡e−$103M−2,210,774$103M$02,210,774—
sid:sec:prov:26fd673c04b9acd4e799cbdab734d215EXIT‡e−$35.6M−2,935,284$35.6M$02,935,284—
sid:sec:prov:b436d0646c9759c2ba692c8fcd7924abEXIT‡e−$168M−759,565$168M$0759,565—

Flags: no row carries a flag.

1–20 of the 35 changes on this page

Mark-to-market only (no share change) · 5

Positions whose share count is identical in both quarters; the value changed with price, not with a decision.

Positions held with no share change into quarter 2026-03-31
position matched across quarters by exact reported CUSIP over a registry gap — producer-reconciled identity, never a name match identity_reconciled_by_cusipthe reported share count is unchanged across the pair; this build's data classified the change from its reported value; builds from 2026-09-10 on read it as NO CHANGE classified_by_value · EXIT = absent this quarter: disposed, delisted, under confidential treatment, or reported instead by an affiliated manager — the filing does not say which · change not classifiable: value undisclosed on one side of the quarter pair, or neither shares nor value can classify it · NO CHANGE = the share count is identical in both quarters; the value moved only with price, so the row is mark-to-market and never an ADD or a TRIM (NEW / ADD / TRIM / EXIT / NO CHANGE) · NO PRIOR = this filer has no comparable holdings list for the previous quarter on record — a first filing under this registration, or a quarter reported inside an affiliated manager's filing — so the position is not called a new stakederived by Public Filings from the published aggregate; NULL means the source did not disclose a usable value — never zeroreported unit changed across the pair (SH↔PRN); the share delta is withheld rather than fabricated shares_unit_mismatchPrev valueCurr valuePrev sharesCurr shares
position key pos:10610 · issuer key iss:1761 COMNO CHANGE−$30.1M0$210M$180M2,562,1542,562,154
position key sid:sec:prov:60242973181bde6041719c13381cdbb1 · issuer key cusip6:929033 COM NEWNO CHANGE+$8.3M0$22.9M$31.2M1,750,0001,750,000
position key sid:sec:prov:36f6260da0bf69546f0e601e6d5bafdc · issuer key cusip6:46124U ADSNO CHANGE+$3.6M0$18.6M$22.2M4,000,0004,000,000
position key pos:17554 · issuer key cusip6:045396 COM NEWNO CHANGE−$4.2M0$22.6M$18.5M665,251665,251
position key pos:11729 · issuer key cusip6:482929 COMNO CHANGE−$1.9M0$5.9M$4.0M700,000700,000

Flags: no row carries a flag.

Newest filing in this build: 2026-07-31. Per-row filing dates are on each receipt.
Truncated by Public Filings. Changes compare every position with a security identifier, new and exited included; holdings without one are counted, not compared. methodology §13F ↗

Reported positions — 2026-03-31

1–35 of 35 positions · $4.9B disclosed value over 35 rows · 0 undisclosed-value rows
View
This build carries one quarter for this manager: 2026-03-31. Notable managers carry four published quarters, others two.
Positions Paradigm Biocapital Advisors LP reported for the quarter ended 2026-03-31, as that filer reported them
This list carries reported issuer names and security identities, without a dated ticker mapping. Symbols are not inferred from names.a position composed from a base filing plus NEW-HOLDINGS amendments keeps every source row here; the composition's latest filed date is the one shown served from this build's published holdings (derived from the filer's own reported rows); every row resolves to its filingShare of total reported value, calculated only when the full position list has disclosed values. This is 13F long value, not total assets.value undisclosed on the filing: retained and counted, excluded from sums, never shown as $0SharesWt
—ARCELLX INC · COMMON STOCK CUSIP 03940C100
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$663M5,774,01613.5%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)REVOLUTION MEDICINES INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$647M6,655,70313.2%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)NUVALENT INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$545M5,324,43311.1%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)VAXCYTE INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$279M4,793,0205.7%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)EDGEWISE THERAPEUTICS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$232M7,365,0384.7%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)GENMAB A/S · SPONSORED ADS CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$214M7,967,8364.4%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)INSMED INC · COM PAR $.01 CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$205M1,254,4884.2%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)TARSUS PHARMACEUTICALS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$180M2,562,1543.7%
—BELITE BIO INC · SPONSORED ADS CUSIP 07782B104
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$178M1,114,7843.6%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)ERASCA INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$168M10,392,7023.4%
—CENTESSA PHARMACEUTICALS PLC · SPONSORED ADS CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$142M3,574,0482.9%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)OLEMA PHARMACEUTICALS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$120M8,020,5762.4%
—TERNS PHARMACEUTICALS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$117M2,216,4992.4%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)ORUKA THERAPEUTICS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$114M2,320,3162.3%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)APOGEE THERAPEUTICS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$113M1,348,2432.3%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)SPYRE THERAPEUTICS INC · COM NEW CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$98.7M1,957,2662.0%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)CYTOKINETICS INC · COM NEW CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$97.6M1,480,8572.0%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)ABIVAX SA · SPONSORED ADS CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$86.0M772,4731.8%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)TANGO THERAPEUTICS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$83.9M4,009,6791.7%
—MAZE THERAPEUTICS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$81.9M2,744,3991.7%
—TYRA BIOSCIENCES INC · COM CUSIP 90240B106
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$78.7M2,054,9911.6%
—VIRIDIAN THERAPEUTICS INC · COM CUSIP 92790C104
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$61.6M3,148,8931.3%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)SCHOLAR ROCK HLDG CORP · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$60.3M1,226,0801.2%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)MIRUM PHARMACEUTICALS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$57.7M625,0001.2%
—EYEPOINT INC · COM NEW CUSIP 30233G209
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$40.5M3,142,4370.8%
—LEXEO THERAPEUTICS INC · COM CUSIP 52886X107
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$35.5M6,184,1340.7%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)VERADERMICS INC · COMMON STOCK CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$33.2M525,0000.7%
—VOR BIOPHARMA INC · COM NEW CUSIP 929033207
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$31.2M1,750,0000.6%
—UROGEN PHARMA LTD · COM CUSIP M96088105
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$30.6M1,703,9490.6%
—STRUCTURE THERAPEUTICS INC · SPONSORED ADS CUSIP 86366E106
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$26.3M545,2870.5%
—INVENTIVA SA · ADS CUSIP 46124U107
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$22.2M4,000,0000.5%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)ORIC PHARMACEUTICALS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$21.6M1,701,2170.4%
—ASSEMBLY BIOSCIENCES INC · COM NEW CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$18.5M665,2510.4%
verified against the SEC company list on 2026-09-10 — a reviewed mapping row for this filed issuer name and class (never inferred)BRIDGEBIO ONCOLOGY THERAPEUT · COM NEW CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
$7.8M868,2130.2%
—KALARIS THERAPEUTICS INC · COM CUSIP —
quarter ended 2026-03-31 filed filed 2026-05-15 +45d
ticker not yet mapped
$4.0M700,0000.1%

1–20 of 35 positions

Change kind and share change are in Position changes above; Congress overlap is planned.

1–35 of 35 positions · page 1 of 1
One line per issuer, largest first; a row with no issuer key stands on its own line. Open a line for its rows as this filer reported them. The list holds every row this filer reported for the quarter. Issuer totals on the holders pages count each manager's own report once; that never removes a row here. how positions are grouped ↗

Book shape

2026-03-31 · concentration · vs tracked median · tick = median
Top-25 concentration
95.3%above median 80.0%
Concentration index
670 bpsabove median 446 bps
Positions with value
35 / 35median book 97.5 positions

Concentration uses reported 13F long value, not total assets. The index is withheld when any position lacks a value. Medians are over the 8,748 tracked filers with a 2026-03-31 book; the index median over the 8,662 with a complete book.

holdings whose <value> did not parse — retained and counted, never zero-filled: 0 · share of the period's disclosed value held in the top-N positions; denominator is reported 13F value, not total assets: 95.3% · integer Herfindahl–Hirschman index in basis points over disclosed position values: 670 · QoQ moves: 40

Filing history

AVAILABLE QUARTERS
Available filing periods
PeriodSource
2026-03-31EDGAR ↗

PLANNED sector rotation · Congress overlap · signals for this filer

Complete source filings on SEC EDGAR

The complete filing on EDGAR.

The position list above is served from the published Public Filings build, each position as this filer reported it; where the page cannot embed every reported row, the list says how many it leaves out. This block is provenance, not a substitute: the filing itself is the record, and it is one click away. Public Filings decided on 2026-08-01 to serve this list from its published build; filings newer than this build are on EDGAR.

Open Paradigm Biocapital Advisors LP's 13F filings on SEC EDGAR ↗
Notes on this data

Quarter-end holdings as filed

Explore the full published position list and its source filing. This record excludes the manager’s cash, shorts and non-13(f) assets.

Compare consecutive quarters

Position changes retain the producer’s classification and comparability flags. Share counts and reported values describe different changes.

A snapshot, not current holdings

Use the quarter selector to inspect available periods. Unknown values stay unknown and each table states its coverage.

A 13F is a quarterly, long-only snapshot filed up to 45 days late — not current holdings. what a 13F covers ↗

13F reports cover LONG positions in Section 13(f) securities (US exchange-traded equities plus reportable options, warrants, certain convertibles) held by managers with at least $100M in such securities — so managers below that threshold are absent entirely. No short positions, no cash, no non-13(f) assets — not a full portfolio, and not a census of institutional ownership.

Positions are quarter-end snapshots filed up to 45 days late — not current holdings. A position may have been changed or closed before you ever see it, and is older still by however long ago that quarter ended.

Values are the manager's stated market value at quarter-end in era-dependent units (whole dollars for form versions effective 2023-01-03 onward, thousands before), normalized here to whole dollars with unit_basis carried on every record.

Affiliated managers may report the same position (otherManager), so one position can appear under more than one filer.

Positions under confidential treatment may be omitted until a later amendment discloses them.

These are disclosures, not investment advice (ARCHITECTURE.md §5.2 / M2-CONTRACT §5).