Gulfstream Capital

13F portfolio / Healthcare and biotechnology

Perceptive Advisors

Perceptive Advisors is a New York City investment firm.

It makes public and private investments in healthcare and biotechnology.

Reported 13F value
$6.4B
Positions
102
Est. 1-yearEstimate
—SPY +15.7%
Est. 3-year, annualizedEstimate
—SPY +22.8%

As of Jun 30, 2026 · filed Aug 14, 2026

Holdings

23 new · 29 added · 26 trimmed · 24 unchanged · 13 sold out

1PRAX on Yahoo Finance (opens in a new tab)Praxis Precision Medicines ICOM NEW10.6%$682M2,035,986Unchanged$83.78$244.24+191.5%
2SYRE on Yahoo Finance (opens in a new tab)Spyre Therapeutics IncCOM NEW6.0%$383M4,319,496Added +14.2%$31.23*$79.50+154.6%
3CELC on Yahoo Finance (opens in a new tab)Celcuity IncCOM5.2%$334M3,197,200Added +2.2%$30.94$55.10+78.1%
4ASND on Yahoo Finance (opens in a new tab)Ascendis Pharma A/SORD SHS4.8%$310M1,163,721New$233.60$225.73-3.4%
5RYTM on Yahoo Finance (opens in a new tab)Rhythm Pharmaceuticals IncCOM4.5%$287M2,586,295Added +9.0%$92.34*$86.58-6.2%
6ROIV on Yahoo Finance (opens in a new tab)Roivant Sciences LtdSHS4.4%$286M8,085,461Trimmed -2.4%$12.79$33.43+161.4%
7RLAY on Yahoo Finance (opens in a new tab)Relay Therapeutics IncCOM4.1%$264M14,106,187Added +44.7%$10.42$16.56+58.8%
8TVTX on Yahoo Finance (opens in a new tab)Travere Therapeutics IncCOM3.3%$213M3,752,574Trimmed -9.4%$19.92$49.90+150.5%
9KARD on Yahoo Finance (opens in a new tab)Kardigan IncCOM3.0%$196M8,200,662New$23.12$12.91-44.2%
10—Nuvalent IncCOM3.0%$195M1,580,505Unchanged———
11EWTX on Yahoo Finance (opens in a new tab)Edgewise Therapeutics IncCOM2.8%$178M4,373,974Trimmed -1.1%$22.18$36.90+66.4%
12—Apogee Therapeutics IncCOM2.7%$174M1,308,113Trimmed -15.1%———
13AMLX on Yahoo Finance (opens in a new tab)Amylyx Pharmaceuticals IncCOM2.3%$150M8,334,882Added +0.6%$4.60$26.39+473.7%
14MGTX on Yahoo Finance (opens in a new tab)Meiragtx Hldgs PLCCOM2.3%$146M10,786,658Added +4.5%$5.58*$9.30+66.4%
15ORKA on Yahoo Finance (opens in a new tab)Oruka Therapeutics IncCOM2.0%$128M1,345,063Trimmed -3.6%$16.66$71.01+326.1%
16INBX on Yahoo Finance (opens in a new tab)Inhibrx Biosciences IncCOM1.9%$123M1,297,763Trimmed -10.0%$22.31$87.93+294.2%
17PTGX on Yahoo Finance (opens in a new tab)Protagonist Therapeutics IncCOM1.9%$120M981,879Trimmed -20.2%$39.31*$127.72+224.9%
18SLDB on Yahoo Finance (opens in a new tab)Solid Biosciences IncCOM NEW1.8%$119M11,906,646Unchanged$5.37*$5.59+3.9%
19ZYME on Yahoo Finance (opens in a new tab)Zymeworks IncCOM1.7%$109M4,182,953Added +19.2%$16.92*$25.40+50.1%
20TNGX on Yahoo Finance (opens in a new tab)Tango Therapeutics IncCOM1.6%$106M3,377,000Added +317.9%$21.33$22.19+4.0%
21IMTX on Yahoo Finance (opens in a new tab)Immatics N.VSHS1.6%$105M10,383,456Unchanged$11.09*$6.75-39.1%
22NRIX on Yahoo Finance (opens in a new tab)Nurix Therapeutics IncCOM1.6%$105M4,320,422Added +16.4%$14.46$24.86+72.0%
23BCRX on Yahoo Finance (opens in a new tab)Biocryst Pharmaceuticals IncCOM1.6%$103M10,308,888Added +38.7%$7.96$7.78-2.3%
24RVMD on Yahoo Finance (opens in a new tab)Revolution Medicines IncCOM1.5%$99M527,600Added +104.0%$123.97$177.00+42.8%
25AVLN on Yahoo Finance (opens in a new tab)Avalyn Pharmaceuticals IncCOM SHS1.4%$88M2,675,296New$28.86$23.81-17.5%
26DYN on Yahoo Finance (opens in a new tab)Dyne Therapeutics IncCOM0.9%$60M2,689,235Trimmed -42.4%$18.66$14.35-23.1%
27BIIB on Yahoo Finance (opens in a new tab)Biogen IncCOM0.9%$60M276,173New$191.29$234.90+22.8%
28IMVT on Yahoo Finance (opens in a new tab)Immunovant IncCOM0.8%$52M1,357,383Trimmed -15.0%$25.53*$26.54+3.9%
29UNH on Yahoo Finance (opens in a new tab)Unitedhealth Group IncCOM0.8%$49M116,806New$366.70$401.73+9.6%
30IONS on Yahoo Finance (opens in a new tab)Ionis Pharmaceuticals IncCOM0.7%$45M566,000Added +12.3%$78.52$43.19-45.0%
31STRO on Yahoo Finance (opens in a new tab)Sutro Biopharma IncCOM SHS0.7%$43M1,304,846Added +82.4%$23.99$11.00-54.2%
32ANRO on Yahoo Finance (opens in a new tab)Alto Neuroscience IncCOM SHS0.7%$42M1,609,893Trimmed -19.9%$12.54$22.24+77.3%
33JAZZ on Yahoo Finance (opens in a new tab)Jazz Pharmaceuticals PLCSHS USD0.6%$41M170,000Unchanged$153.31$209.29+36.5%
34CRVS on Yahoo Finance (opens in a new tab)Corvus Pharmaceuticals IncCOM0.6%$40M2,667,441Added +16.4%$12.47$9.49-23.9%
35SION on Yahoo Finance (opens in a new tab)Sionna Therapeutics IncCOM0.6%$40M905,000Added +37.4%$22.79$3.88-83.0%
36CTMX on Yahoo Finance (opens in a new tab)Cytomx Therapeutics Inc.COM0.6%$39M10,439,185Added +3.4%$1.99$2.30+15.5%
37AORT on Yahoo Finance (opens in a new tab)Artivion IncCOM0.6%$39M1,737,290Added +6.1%$18.32*$21.68+18.4%
38XFOR on Yahoo Finance (opens in a new tab)X4 Pharmaceuticals IncCOM NEW0.6%$37M7,933,491Added +17.7%$3.71$2.64-28.7%
39CORT on Yahoo Finance (opens in a new tab)Corcept Therapeutics IncCOM0.5%$35M398,385Added +696.8%$57.50$108.55+88.8%
40RGEN on Yahoo Finance (opens in a new tab)Repligen CorpCOM0.5%$34M248,212Trimmed -11.5%$140.51$173.41+23.4%
41AVR on Yahoo Finance (opens in a new tab)Anteris Technologies GlobalCOM0.5%$34M3,425,476Unchanged$5.67$6.11+7.8%
42RAPP on Yahoo Finance (opens in a new tab)Rapport Therapeutics IncCOM0.5%$32M773,342Added +14.8%$23.70$27.09+14.3%
43DMRA on Yahoo Finance (opens in a new tab)Damora Therapeutics IncCOM NEW0.5%$32M1,223,000Unchanged$25.70$18.60-27.6%
44CRL on Yahoo Finance (opens in a new tab)Charles Riv Labs Intl IncCOM0.5%$32M140,000New$178.08$297.68+67.2%
45AXSM on Yahoo Finance (opens in a new tab)Axsome Therapeutics Inc.COM0.5%$29M118,450Trimmed -21.0%$78.95*$157.49+99.5%
46DBVT on Yahoo Finance (opens in a new tab)Dbv Technologies S ASPONSORED ADS0.4%$27M1,653,350Added +71.4%$20.05$8.84-55.9%
47IRTC on Yahoo Finance (opens in a new tab)Irhythm Holdings IncCOM0.4%$27M223,766Added +113.1%$136.28$110.21-19.1%
48ADPT on Yahoo Finance (opens in a new tab)Adaptive Biotechnologies CorCOM0.4%$26M1,217,325Added +698.2%$15.40$24.10+56.5%
49SABS on Yahoo Finance (opens in a new tab)Sab Biotherapeutics IncCOM NEW0.4%$26M6,627,501Added +3.0%$3.89$2.52-35.3%
50DHR on Yahoo Finance (opens in a new tab)Danaher Corp DelCOM0.4%$25M130,000New$180.89$229.01+26.6%
51TENX on Yahoo Finance (opens in a new tab)Tenax Therapeutics IncCOM NEW0.4%$25M1,700,000Added +17.4%$12.17$1.40-88.5%
52NAUT on Yahoo Finance (opens in a new tab)Nautilus Biotechnology IncCOM0.3%$22M11,634,211Trimmed -7.6%$3.21*$2.14-33.3%
53OBIO on Yahoo Finance (opens in a new tab)Orchestra Biomed Hldgs IncCOM0.3%$22M5,037,906Unchanged$6.42*$5.41-15.8%
54ISRG on Yahoo Finance (opens in a new tab)Intuitive Surgical IncCOM NEW0.3%$21M51,884Trimmed -39.3%$443.22$428.33-3.4%
55ANL on Yahoo Finance (opens in a new tab)Adlai Nortye LtdSPONSORED ADS0.3%$21M1,793,190New$12.17$11.42-6.1%
56CTNM on Yahoo Finance (opens in a new tab)Contineum Therapeutics IncCL A0.3%$21M1,255,592Unchanged$13.62$7.07-48.1%
57NVCT on Yahoo Finance (opens in a new tab)Nuvectis Pharma IncCOM0.3%$18M1,000,000New$11.20$18.41+64.4%
58PALI on Yahoo Finance (opens in a new tab)Palisade Bio IncCOM0.3%$18M8,425,065Trimmed -5.6%$1.92$1.46-24.3%
59OMDA on Yahoo Finance (opens in a new tab)Omada Health IncCOM0.3%$17M786,330Unchanged$17.31$18.02+4.1%
60LONA on Yahoo Finance (opens in a new tab)Leonabio IncCOM0.3%$17M1,859,322Unchanged$4.39$5.25+19.6%
61EOLS on Yahoo Finance (opens in a new tab)Evolus IncCOM0.3%$17M2,459,285Added +91.1%$5.35$7.03+31.4%
62IVVD on Yahoo Finance (opens in a new tab)Invivyd IncCOM0.3%$16M18,490,636Trimmed -11.4%$2.08$0.63-69.8%
63—Celcuity IncNOTE 2.750% 8/00.2%$15M6,500,000 prnUnchanged———
64MIRM on Yahoo Finance (opens in a new tab)Mirum Pharmaceuticals IncCOM0.2%$14M115,391New$100.40$80.24-20.1%
65SRZN on Yahoo Finance (opens in a new tab)Surrozen IncCOM NEW0.2%$13M503,985Added +119.7%$25.88$23.36-9.7%
66BBNX on Yahoo Finance (opens in a new tab)Beta Bionics IncCOM0.2%$13M832,944Trimmed -1.2%$20.65$16.84-18.5%
67AXGN on Yahoo Finance (opens in a new tab)Axogen IncCOM0.2%$11M247,312Trimmed -64.5%$24.59$35.05+42.5%
68OSCR on Yahoo Finance (opens in a new tab)Oscar Health IncCL A0.2%$11M400,000New$21.53$32.29+50.0%
69OCS on Yahoo Finance (opens in a new tab)Oculis Holding AGORDINARY SHARES0.2%$11M808,827Added +63.8%$21.05$7.19-65.8%
70SPTX on Yahoo Finance (opens in a new tab)Seaport Therapeutics IncCOMMON STOCK0.2%$11M500,000New$17.59$17.70+0.6%
71VRDN on Yahoo Finance (opens in a new tab)Viridian Therapeutics IncCOM0.2%$11M581,980Trimmed -50.3%$22.81*$19.25-15.6%
72BSX on Yahoo Finance (opens in a new tab)Boston Scientific CorpCOM0.2%$11M250,000New$54.30$44.06-18.8%
73BLLN on Yahoo Finance (opens in a new tab)Billiontoone IncCL A0.2%$10M86,812Trimmed -5.4%$97.35$97.49+0.1%
74ABVX on Yahoo Finance (opens in a new tab)Abivax SASPONSORED ADS0.2%$10M74,000Trimmed -77.5%$68.57$87.77+28.0%
75NTRA on Yahoo Finance (opens in a new tab)Natera IncCOM0.1%$9M34,689New$213.22$391.99+83.8%
76ENGN on Yahoo Finance (opens in a new tab)Engene Therapeutics IncCOM0.1%$8M4,822,169New$4.08$1.66-59.2%
77RACC on Yahoo Finance (opens in a new tab)Research Alliance Corp IIIORD SHS CL A0.1%$8M750,000New$10.43$10.20-2.2%
78AGMB on Yahoo Finance (opens in a new tab)Agomab Therapeutics NVSPONSORED ADS0.1%$8M600,000Unchanged$14.16$8.35-41.0%
79CGEM on Yahoo Finance (opens in a new tab)Cullinan Therapeutics IncCOM0.1%$8M426,478New$14.85$13.19-11.2%
80QURE on Yahoo Finance (opens in a new tab)Uniqure NVSHS0.1%$8M168,000New$26.18$22.00-15.9%
81MOBI on Yahoo Finance (opens in a new tab)Mobia Med IncCOMMON STOCK0.1%$7M523,654New$12.95$8.12-37.3%
82ADGM on Yahoo Finance (opens in a new tab)Adagio Med Hldgs IncCOM0.1%$6M9,876,586Unchanged$4.74$0.10-97.8%
83GH on Yahoo Finance (opens in a new tab)Guardant Health IncCOM0.1%$6M41,327Trimmed -86.2%$94.56$159.15+68.3%
84PHAT on Yahoo Finance (opens in a new tab)Phathom Pharmaceuticals IncCOM0.1%$6M532,000Trimmed -42.5%$12.63$7.01-44.5%
85OTLK on Yahoo Finance (opens in a new tab)Outlook Therapeutics IncCOM0.1%$5M3,139,216New$0.62$0.51-17.8%
86COGT on Yahoo Finance (opens in a new tab)Cogent Biosciences IncCOM0.1%$5M121,082Unchanged$28.11$29.39+4.5%
87EDSA on Yahoo Finance (opens in a new tab)Edesa Biotech IncCOM NEW0.1%$5M563,239Unchanged$3.00$2.60-13.5%
88AVTX on Yahoo Finance (opens in a new tab)Avalo Therapeutics IncCOM NEW0.1%$4M219,813Added +57.4%$10.58$11.35+7.3%
89TWST on Yahoo Finance (opens in a new tab)Twist Bioscience CorpCOM0.1%$4M36,812Trimmed -75.5%$44.84$132.55+195.6%
90CBIO on Yahoo Finance (opens in a new tab)Crescent Biopharma Inc.COM0.1%$4M206,942Unchanged$21.15$12.07-42.9%
91XERS on Yahoo Finance (opens in a new tab)Xeris Biopharma Holdings IncCOM0.1%$4M467,013New$6.39$10.05+57.3%
92OM on Yahoo Finance (opens in a new tab)Outset Med IncCOM NEW0.1%$4M833,333Unchanged$11.92$3.97-66.7%
93BDSX on Yahoo Finance (opens in a new tab)Biodesix IncCOM0.0%$2M108,694New$14.82$23.68+59.8%
94RVMDW on Yahoo Finance (opens in a new tab)Revolution Medicines Inc*W EXP 12/17/2020.0%$2M250,000Unchanged—$8.41—
95CNTB on Yahoo Finance (opens in a new tab)Connect Biopharma Hldgs LtdSHS0.0%$2M792,696Unchanged$2.13$0.89-58.4%
96KPRX on Yahoo Finance (opens in a new tab)Kiora Pharmaceuticals IncCOM0.0%$1M438,471New$2.51$2.36-6.0%
97MDLN on Yahoo Finance (opens in a new tab)Medline IncCOM CL A0.0%$1M28,000Unchanged$42.23$36.44-13.7%
98ADMA on Yahoo Finance (opens in a new tab)Adma Biologics IncCOM0.0%$952K113,765Trimmed -75.7%$8.48*$10.66+25.7%
99CPIX on Yahoo Finance (opens in a new tab)Cumberland Pharmaceuticals ICOM0.0%$628K96,982Trimmed -50.8%$2.30$7.17+212.0%
100XGN on Yahoo Finance (opens in a new tab)Exagen IncCOM0.0%$534K114,893Unchanged$3.87$7.72+99.6%
101ENSC on Yahoo Finance (opens in a new tab)Ensysce Biosciences IncCOM NEW0.0%$25K86,666Unchanged$6.89$0.53-92.3%
102SRZN on Yahoo Finance (opens in a new tab)Surrozen Inc*W EXP 08/01/2030.0%$3K166,666Unchanged$7.33*$23.36+218.9%

Sold out since Q1 2026

Estimated, from reported holdings

Quarter by quarter

Q2 2026: est. holdings +22.0%Q2 2026: S&P 500 (SPY) +15.1%Q2 ’26Q3 2026: est. holdings -8.4%Q3 2026: S&P 500 (SPY) +2.4%Q3 ’26
Estimated holdings return S&P 500 (SPY), by quarter

High-conviction buys (new positions at 3% or more of the portfolio) since Q3 2023: 3. Of 0 with six months of history, — beat the S&P 500 from the filing date.

Source: SEC Form 13F-HR 0001012975-26-000777, compared with the Q1 2026 report. 7 option rows are excluded from weights. Tickers map from CUSIP via OpenFIGI. Estimated returns weight each position’s next-quarter total return (Yahoo Finance adjusted closes) by its quarter-end value and assume no trades. Estimated cost averages daily adjusted closes in each quarter the share count rose, from Q3 2023 onward (* = held at the start of our data). Price is the latest close.

Important information

Form 13F data is delayed. Managers have up to 45 days after each calendar quarter to file, so holdings shown may have changed materially since the report date. 13F reports cover long positions in US-listed equities and certain other securities only; they exclude short positions, most non-US holdings, cash, bonds and private investments, and managers may request confidential treatment for some positions. Options rows are listed in filings but are not counted in the holdings and weights shown here.

Estimated holdings returns, estimated cost and high-conviction results are hypothetical calculations from quarter-end holdings and public prices, assuming no trades between reports. They are not the actual returns or costs of any fund or manager and do not reflect fees, trading, leverage, shorts or cash. Biographies are drawn from cited public sources. This page is for information only and is not individualized investment advice or a recommendation to buy or sell any security. Gulfstream Capital and its clients may hold positions in securities shown.