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Perceptive Advisors LLC

SEC CIK
0001224962
Latest filing
Aug 14, 2026

Holdings in Q4 2025

Holdings as of Dec 31, 2025, filed Feb 17, 2026. Long positions only; changes compare share counts with Q3 2025.

Institution overview
Positions
112
+21 vs. Q3 2025
Portfolio value
$5.46B
+$2.00B (+57.7%) vs. Q3 2025
Filed
Feb 17, 2026
SEC
Holdings of Perceptive Advisors LLC in Q4 2025
SecurityClassSharesValue% of portfolioShare changeActionHistory
PRAXPraxis Precision Medicines, Inc.COM NEW1,995,986$588.3M10.8%+431,432+27.6%AddedHistory
CELCCelcuity Inc.COM3,160,200$315.2M5.8%+203,881+6.9%AddedHistory
RYTMRhythm Pharmaceuticals, Inc.COM2,546,391$272.6M5.0%+107,422+4.4%AddedHistory
ASNDAscendis Pharma A/SSPONSORED ADR1,081,421$230.6M4.2%−7,080−0.7%ReducedHistory
APGEApogee Therapeutics, Inc.COM2,330,651$175.9M3.2%+978,662+72.4%AddedHistory
ROIVRoivant Sciences Ltd.SHS7,985,461$173.3M3.2%+617,000+8.4%AddedHistory
NUVLNuvalent, Inc.COM1,665,105$167.5M3.1%+102,769+6.6%AddedHistory
TVTXTravere Therapeutics, Inc.COM4,278,180$163.5M3.0%+483,565+12.7%AddedHistory
EXASExact Sciences CorpCOM1,200,487$121.9M2.2%+735,000+157.9%AddedHistory
PTGXProtagonist Therapeutics, IncCOM1,350,425$117.9M2.2%+320,291+31.1%AddedHistory
INBXInhibrx Biosciences, Inc.COM1,452,707$114.8M2.1%+125,000+9.4%AddedHistory
EWTXEdgewise Therapeutics, Inc.COM4,457,974$110.6M2.0%+662,080+17.4%AddedHistory
IMTXImmatics N.V.SHS10,383,456$109.0M2.0%+1,000,000+10.7%AddedHistory
SYRESpyre Therapeutics, Inc.COM NEW3,069,225$100.5M1.8%+1,839,780+149.6%AddedHistory
AMLXAmylyx Pharmaceuticals, Inc.COM8,284,882$100.1M1.8%−667,483−7.5%ReducedHistory
ACLXArcellx, Inc.COMMON STOCK1,466,071$95.6M1.8%−1,002,282−40.6%ReducedHistory
VRDNViridian Therapeutics, Inc.COM3,042,703$94.7M1.7%+1,580,303+108.1%AddedHistory
BSXBoston Scientific CorpStock979,000$93.3M1.7%+669,000+215.8%AddedHistory
FOLDAmicus Therapeutics, Inc.COM6,370,851$90.7M1.7%00.0%UnchangedHistory
ZYMEZymeworks Inc.COM3,261,850$85.9M1.6%+1,171,187+56.0%AddedHistory
ATXSAstria Therapeutics, Inc.COM6,485,420$84.9M1.6%00.0%UnchangedHistory
MGTXMeiraGTx Holdings plcCOM10,326,103$82.1M1.5%−2,300,000−18.2%ReducedHistory
AORTArtivion, Inc.COM1,722,290$78.6M1.4%−297,710−14.7%ReducedHistory
CNTACentessa Pharmaceuticals plcSPONSORED ADS2,917,634$73.0M1.3%−183,268−5.9%ReducedHistory
DYNDyne Therapeutics, Inc.COM3,478,944$68.0M1.2%+2,938,500+543.7%AddedHistory
NRIXNurix Therapeutics, Inc.COM3,555,877$67.5M1.2%+2,139,728+151.1%AddedHistory
SLDBSolid Biosciences Inc.COM NEW11,833,539$66.7M1.2%00.0%UnchangedHistory
BLTEBelite Bio, IncSPONSORED ADS414,239$66.3M1.2%+364,451+732.0%AddedHistory
ABVXAbivax S.A.SPONSORED ADS458,343$61.8M1.1%+69,735+17.9%AddedHistory
IVVDInvivyd, Inc.COM21,785,166$53.8M1.0%+21,785,166NewHistory
ENGNenGene Therapeutics Inc.COM5,869,076$53.0M1.0%+3,771,840+179.8%AddedHistory
RGENRepligen CorpCOM315,541$51.7M0.9%+45,113+16.7%AddedHistory
IMVTImmunovant, Inc.COM1,994,890$50.7M0.9%+407,000+25.6%AddedHistory
ISRGIntuitive Surgical IncCOM NEW87,919$49.8M0.9%+35,800+68.7%AddedHistory
SIONSionna Therapeutics, Inc.COM1,179,098$48.5M0.9%00.0%UnchangedHistory
NBIXNeurocrine Biosciences IncStock331,050$47.0M0.9%−119,000−26.4%ReducedHistory
DHRDanaher CorpStock200,000$45.8M0.8%+200,000NewHistory
ORKAOruka Therapeutics, Inc.COM1,476,501$44.8M0.8%+208,480+16.4%AddedHistory
CTMXCytomX Therapeutics, Inc.COM9,680,185$41.2M0.8%00.0%UnchangedHistory
OMDAOmada Health, Inc.COM2,396,330$37.8M0.7%00.0%UnchangedHistory
CDTXCidara Therapeutics, Inc.COM NEW165,131$36.5M0.7%+165,131NewHistory
IRONDisc Medicine, Inc.COM450,743$35.8M0.7%+450,743NewHistory
DRUGBright Minds Biosciences Inc.COM NEW449,290$35.1M0.6%00.0%UnchangedHistory
PENPenumbra IncCOM110,529$34.4M0.6%−110,018−49.9%ReducedHistory
ANROAlto Neuroscience, Inc.COM SHS1,784,393$31.8M0.6%+1,629,027+1,048.5%AddedHistory
CAICaris Life Sciences, Inc.COM1,136,206$30.7M0.6%+38,043+3.5%AddedHistory
JAZZJazz Pharmaceuticals plcSHS USD170,000$28.9M0.5%+170,000NewHistory
PALIPalisade Bio, Inc.COM12,050,000$28.3M0.5%+12,050,000NewHistory
RAPTRAPT Therapeutics, Inc.COM NEW825,890$28.0M0.5%+642,000+349.1%AddedHistory
PVLAPalvella Therapeutics, Inc.COM266,287$27.9M0.5%−128,806−32.6%ReducedHistory
AXSMAxsome Therapeutics, Inc.COM148,900$27.2M0.5%00.0%UnchangedHistory
AXGNAxogen, Inc.COM784,140$25.7M0.5%+784,140NewHistory
XFORX4 Pharmaceuticals, IncCOM NEW6,314,452$25.3M0.5%+6,314,452NewHistory
BCRXBiocryst Pharmaceuticals IncCOM3,162,529$24.7M0.5%+3,162,529NewHistory
NAUTNautilus Biotechnology, Inc.COM12,594,211$24.6M0.4%00.0%UnchangedHistory
KODKodiak Sciences Inc.COM848,900$23.7M0.4%+214,323+33.8%AddedHistory
BIIBBiogen Inc.COM124,000$21.8M0.4%+124,000NewHistory
ALDXAldeyra Therapeutics, Inc.COM4,185,632$21.7M0.4%−1,036,679−19.9%ReducedHistory
OBIOOrchestra BioMed Holdings, Inc.COM5,127,256$21.3M0.4%−165,300−3.1%ReducedHistory
MIRMMirum Pharmaceuticals, Inc.COM259,545$20.5M0.4%+259,545NewHistory
RAPPRapport Therapeutics, Inc.COM673,923$20.4M0.4%+270,000+66.8%AddedHistory
GRALGRAIL, Inc.COM237,342$20.3M0.4%+237,342NewHistory
IRTCiRhythm Holdings, Inc.COM108,000$19.2M0.4%−15,000−12.2%ReducedHistory
BBNXBeta Bionics, Inc.COM602,944$18.4M0.3%+325,000+116.9%AddedHistory
CVSCVS Health CorpStock220,000$17.5M0.3%+220,000NewHistory
CTNMContineum Therapeutics, Inc.CL A1,464,592$16.7M0.3%+750,000+105.0%AddedHistory
GHGuardant Health, Inc.COM160,000$16.3M0.3%+160,000NewHistory
ADMAAdma Biologics, Inc.COM883,468$16.1M0.3%−270,000−23.4%ReducedHistory
RLAYRelay Therapeutics, Inc.COM1,903,245$16.1M0.3%+1,903,245NewHistory
GKOSGLAUKOS CorpCOM140,000$15.8M0.3%+140,000NewHistory
DXCMDexcom IncCOM225,758$15.0M0.3%+225,758NewHistory
SVRASavara IncCOM2,400,000$14.5M0.3%+2,400,000NewHistory
Celcuity Inc.15102KAA8NOTE 2.750% 8/0–$14.1M0.3%–––
LONALeonaBio, Inc.COM1,859,322$14.1M0.3%+1,319,026+244.1%AddedHistory
SEPNSepterna, Inc.COM433,160$12.1M0.2%−108,290−20.0%ReducedHistory
IKTInhibikase Therapeutics, Inc.COM NEW5,421,568$11.1M0.2%00.0%UnchangedHistory
ADGMAdagio Medical Holdings, Inc.COM9,876,576$10.3M0.2%00.0%UnchangedHistory
OCSOculis Holding AGORDINARY SHARES493,827$9.86M0.2%+493,827NewHistory
GOSSGossamer Bio, Inc.COM3,139,669$9.73M0.2%−673,128−17.7%ReducedHistory
MPLTMapLight Therapeutics, Inc.COM550,000$9.66M0.2%+550,000NewHistory
XENEXenon Pharmaceuticals Inc.COM200,791$9.00M0.2%00.0%UnchangedHistory
IRDOpus Genetics, Inc.COM4,325,000$8.69M0.2%00.0%UnchangedHistory
AVRAnteris Technologies Global Corp.COM1,675,476$8.36M0.2%−29,654−1.7%ReducedHistory
KMTSKestra Medical Technologies, Ltd.SHS285,000$7.56M0.1%+285,000NewHistory
BLLNBillionToOne, Inc.CL A72,812$5.96M0.1%+72,812NewHistory
KYMRKymera Therapeutics, Inc.COM69,935$5.44M0.1%−99,861−58.8%ReducedHistory
PEPGPepGen Inc.COM829,870$5.40M0.1%00.0%UnchangedHistory
CBIOCrescent Biopharma, Inc.COM453,686$5.38M0.1%00.0%UnchangedHistory
TENXTenax Therapeutics, Inc.COM NEW439,142$5.35M0.1%+439,142NewHistory
CRVSCorvus Pharmaceuticals, Inc.COM692,441$5.33M0.1%−746,154−51.9%ReducedHistory
AQSTAquestive Therapeutics, Inc.COM747,193$4.83M0.1%−3,012,906−80.1%ReducedHistory
TNGXTango Therapeutics, Inc.COM513,035$4.55M0.1%+513,035NewHistory
KRYSKrystal Biotech, Inc.COM17,500$4.31M0.1%−17,500−50.0%ReducedHistory
COGTCogent Biosciences, Inc.COM121,082$4.30M0.1%+121,082NewHistory
OLMAOlema Pharmaceuticals, Inc.COM165,713$4.14M0.1%+165,713NewHistory
SDGRSchrodinger, Inc.COM202,400$3.62M0.1%+202,400NewHistory
OMOutset Medical, Inc.COM NEW833,333$3.09M0.1%00.0%UnchangedHistory
SABSSAB Biotherapeutics, Inc.COM NEW803,210$3.00M0.1%+803,210NewHistory
AVTXAvalo Therapeutics, Inc.COM NEW139,667$2.54M<0.1%00.0%UnchangedHistory
CNTBConnect Biopharma Holdings LtdSHS792,696$2.24M<0.1%+792,696NewHistory

Options (4)

Puts and calls in the same filing. Amounts are the market value of the underlying shares, which is what 13F reports.

Option positions of Perceptive Advisors LLC in Q4 2025
SecurityClassPutsCalls
State Street SPDR S&P Biotech ETF78464A870ETF$134.1M–
CAPRCapricor Therapeutics, Inc.COM NEW–$6.99M
BHVNBiohaven Ltd.COM–$5.64M
TECXTectonic Therapeutic, Inc.COM–$5.21M

Sold out since Q3 2025 (14)

Positions held at the end of Q3 2025 that are gone from this filing.

Positions of Perceptive Advisors LLC sold out since Q3 2025
SecurityClassShares in Q3 2025Value in Q3 2025% of portfolio in Q3 2025History
MRUSMerus N.V.COM1,353,093$127.4M3.7%History
INSMINSMED IncCOM PAR $.01702,130$101.1M2.9%History
VRNAVerona Pharma plcSPONSORED ADS524,088$55.9M1.6%History
AKROAkero Therapeutics, Inc.COM1,135,766$53.9M1.6%History
JANXJanux Therapeutics, Inc.COM292,686$7.15M0.2%History
TEMTempus AI, Inc.CL A85,000$6.86M0.2%History
HTFLHeartflow, Inc.COM150,000$5.05M0.1%History
SCPHscPharmaceuticals Inc.COM583,142$3.31M0.1%History
VKTXViking Therapeutics, Inc.COM105,597$2.78M0.1%History
PYXSPyxis Oncology, Inc.COMMON STOCK1,178,307$2.62M0.1%History
TRIBTrinity Biotech PLCSPONS ADR NEW1,790,000$1.86M0.1%History
LYRALyra Therapeutics, Inc.COM NEW229,382$1.50M<0.1%History
QUREuniQure N.V.SHS20,000$1.17M<0.1%History
APYXApyx Medical CorpCOM150,000$321.0K<0.1%History