Ikarian Capital, LLC Q3 2025 Filing

Filed November 14, 2025

Portfolio Value

$990.4B

Holdings

139

Report Date

Q3 2025

Filing Type

13F-HR

All Holdings (139 positions)

#StockSharesValue% PortfolioType
1
UTHUNITED THERAPEUTICS CORP DEL
212,100$88.9B8.98%Put
2
XBISPDR SERIES TRUST
750,000$75.2B7.59%Put
3
GMABGENMAB A/S
175,000$53.0B5.35%
4
BMYBRISTOL-MYERS SQUIBB CO
800,000$36.1B3.64%Put
5
ABVXABIVAX SA
396,098$33.4B3.37%
6
QUREUNIQURE NV
535,600$31.3B3.16%Call
7
IM8NINSMED INC
213,751$30.8B3.11%Put
8
PTCTPTC THERAPEUTICS INC
493,551$30.3B3.06%Call
9
ISIIONIS PHARMACEUTICALS INC
428,463$28.0B2.83%Call
10
CDTXCIDARA THERAPEUTICS INC
277,704$26.6B2.69%
11
SRRKSCHOLAR ROCK HLDG CORP
657,800$24.5B2.47%Put
12
RAPTRAPT THERAPEUTICS INC
790,000$20.4B2.06%Call
13
MAZEMAZE THERAPEUTICS INC
740,825$19.2B1.94%
14
SLNOSOLENO THERAPEUTICS INC
282,046$19.1B1.93%Put
15
CYTKCYTOKINETICS INC
333,574$18.3B1.85%Call
16
APLSAPELLIS PHARMACEUTICALS INC
809,902$18.3B1.85%Call
17
CRNXCRINETICS PHARMACEUTICALS IN
388,602$16.2B1.63%Call
18
HROWHARROW INC
289,700$14.0B1.41%Call
19
DNTHDIANTHUS THERAPEUTICS INC
346,001$13.6B1.37%
20
BHVNBIOHAVEN LTD
796,400$12.0B1.21%Call
21
FULCFULCRUM THERAPEUTICS INC
1,289,225$11.9B1.20%
22
AKROAKERO THERAPEUTICS INC
248,454$11.8B1.19%Call
23
PCVXVAXCYTE INC
318,682$11.5B1.16%Call
24
ANABANAPTYSBIO INC
370,610$11.3B1.15%Put
25
AGIOAGIOS PHARMACEUTICALS INC
276,979$11.1B1.12%Call
26
CTMXCYTOMX THERAPEUTICS INC
3,372,616$10.8B1.09%
27
MLTXMOONLAKE IMMUNOTHERAPEUTICS
1,498,039$10.7B1.08%Put
28
JAZZJAZZ PHARMACEUTICALS PLC
77,800$10.3B1.04%
29
CGONCG ONCOLOGY INC
249,473$10.0B1.01%
30
TVTXTRAVERE THERAPEUTICS INC
405,281$9.7B0.98%Call
31
JAZZJAZZ PHARMACEUTICALS PLC
70,700$9.3B0.94%Call
32
ZURAZURA BIO LTD
2,132,322$9.2B0.93%
33
MTSRMETSERA INC
172,000$9.0B0.91%Put
34
NVONOVO-NORDISK A S
150,000$8.3B0.84%Call
35
MBXMBX BIOSCIENCES INC
448,071$7.8B0.79%Put
36
CNTACENTESSA PHARMACEUTICALS PLC
307,700$7.5B0.75%Call
37
TENXTENAX THERAPEUTICS INC
967,600$7.4B0.74%
38
PRAXPRAXIS PRECISION MEDICINES I
128,571$6.8B0.69%Call
39
KODKODIAK SCIENCES INC
413,841$6.8B0.68%
40
TGTXTG THERAPEUTICS INC
174,959$6.3B0.64%
41
ACOGALPHA COGNITION INC
946,259$6.2B0.62%
42
SPRYARS PHARMACEUTICALS INC
562,400$5.7B0.57%Call
43
VRDNVIRIDIAN THERAPEUTICS INC
245,518$5.3B0.53%
44
PHVSPHARVARIS N V
210,165$5.2B0.53%
45
SNDXSYNDAX PHARMACEUTICALS INC
333,733$5.1B0.52%
46
KALVKALVISTA PHARMACEUTICALS INC
400,000$4.9B0.49%Call
47
DCTHDELCATH SYS INC
431,251$4.6B0.47%
48
GPCRSTRUCTURE THERAPEUTICS INC
163,237$4.6B0.46%
49
LQDALIQUIDIA CORPORATION
200,000$4.5B0.46%Call
50
FBRXFORTE BIOSCIENCES INC
300,000$4.5B0.45%
51
RVMDREVOLUTION MEDICINES INC
95,000$4.4B0.45%Call
52
ARCTARCTURUS THERAPEUTICS HLDGS
237,921$4.4B0.44%Call
53
TARSTARSUS PHARMACEUTICALS INC
73,619$4.4B0.44%
54
KRYSKRYSTAL BIOTECH INC
24,421$4.3B0.44%
55
ARGXARGENX SE
5,942$4.3B0.43%
56
VTYXVENTYX BIOSCIENCES INC
1,309,604$4.1B0.41%
57
PVLAPALVELLA THERAPEUTICS INC NE
64,746$4.1B0.41%
58
TEVATEVA PHARMACEUTICAL INDS LTD
200,000$4.0B0.41%Call
59
SLDBSOLID BIOSCIENCES INC
644,690$4.0B0.40%Call
60
ALTALTIMMUNE INC
1,000,000$3.8B0.38%Call
61
LXEOLEXEO THERAPEUTICS INC
567,601$3.8B0.38%
62
LABDDIREXION SHS ETF TR
91,959$3.7B0.38%
63
RLMDRELMADA THERAPEUTICS INC
1,843,060$3.7B0.37%
64
PRMEPRIME MEDICINE INC
650,000$3.6B0.36%Put
65
QUREUNIQURE NV
58,610$3.4B0.35%
66
VIRVIR BIOTECHNOLOGY INC
593,374$3.4B0.34%
67
CAPRCAPRICOR THERAPEUTICS INC
464,642$3.4B0.34%Put
68
NAMSNEWAMSTERDAM PHARMA COMPANY
106,800$3.0B0.31%
69
UPBUPSTREAM BIO INC
161,113$3.0B0.31%
70
GUTSFRACTYL HEALTH INC
1,800,000$2.9B0.29%
71
BBOTBRIDGEBIO ONCOLOGY THERAPEUT
245,231$2.8B0.29%
72
RAREULTRAGENYX PHARMACEUTICAL IN
92,600$2.8B0.28%Put
73
BBIOBRIDGEBIO PHARMA INC
51,967$2.7B0.27%
74
SRPTSAREPTA THERAPEUTICS INC
137,000$2.6B0.27%Call
75
PEPGPEPGEN INC
535,967$2.5B0.25%
76
STIMNEURONETICS INC
905,716$2.5B0.25%
77
RLAYRELAY THERAPEUTICS INC
467,362$2.4B0.25%
78
ADMAADMA BIOLOGICS INC
159,854$2.3B0.24%
79
CPRXCATALYST PHARMACEUTICALS INC
116,388$2.3B0.23%
80
CMPSCOMPASS PATHWAYS PLC
400,000$2.3B0.23%Call
81
IVVDINVIVYD INC
2,078,706$2.3B0.23%
82
ALECALECTOR INC
760,000$2.2B0.23%
83
VTGNVISTAGEN THERAPEUTICS INC
620,869$2.2B0.22%
84
AVTXAVALO THERAPEUTICS INC
159,777$2.0B0.21%
85
ARVNARVINAS INC
226,257$1.9B0.19%
86
PRQRPROQR THRAPEUTICS N V
892,229$1.9B0.19%
87
LRMRLARIMAR THERAPEUTICS INC
548,400$1.8B0.18%Call
88
PTHSPELTHOS THERAPEUTICS INC
62,451$1.7B0.18%
89
CPIXCUMBERLAND PHARMACEUTICALS I
555,932$1.7B0.18%
90
DYNDYNE THERAPEUTICS INC
113,837$1.4B0.15%
91
OVIDOVID THERAPEUTICS INC
1,095,574$1.4B0.14%
92
JANXJANUX THERAPEUTICS INC
54,691$1.3B0.13%
93
SLNSILENCE THERAPEUTICS PLC
900,784$1.3B0.13%
94
ZYMEZYMEWORKS INC
72,787$1.2B0.13%
95
TERNTERNS PHARMACEUTICALS INC
164,202$1.2B0.12%
96
IFRXINFLARX NV
722,066$967.6M0.10%
97
DRUGBRIGHT MINDS BIOSCIENCES INC
15,431$936.0M0.09%
98
GBYSANGAMO THERAPEUTICS INC
1,294,652$871.8M0.09%
99
HELPCYBIN INC
140,475$827.4M0.08%
100
IMUXIMMUNIC INC
914,170$805.9M0.08%
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