Ikarian Capital, LLC

Institutional InvestorSimilar funds →SEC EDGAR: CIK 1778253
Institutional-grade research for retail investors

13F Reported Value

$1.2B

incl. option notional

Equity Holdings

$699.0M

Option Notional

$532.7M

$378.3M puts / $154.4M calls

Holdings

161

Latest Filing

2026-03-31

Filing Quarter

Q1 2026

Portfolio Overview

Ikarian Capital, LLC disclosed 161 positions worth $1.2B in its Form 13F-HR for Q1 2026$699.0M in common stock plus $532.7M of put/call option positions (reported at underlying notional value, not premium at risk), followed by $TERN and $TERN. During the quarter the fund opened 41 new positions and exited 54 — including a new stake in $TERN. The portfolio is most concentrated in Healthcare (99.7% of disclosed assets). All figures are sourced directly from Ikarian Capital, LLC’s Form 13F-HR filing with the SEC under CIK 1778253.

Sector Allocation

HealthcareOtherFinancials

AUM History

Top Equity Holdings by Value

Option Positions

13F rules report options at the value of the underlying shares (notional) — not the premium paid or capital at risk. Shown separately from the equity sleeve above.

SPDR SERIES TRUSTPUT$102M notional
$TERNPUT$63M notional
$QQQPUT$58M notional
ISHARES TRPUT$50M notional
$CYTKPUT$36M notional
$ABVXCALL$33M notional
$BMYPUT$30M notional
$CYTKCALL$27M notional
$NVOCALL$15M notional
$ANIPCALL$12M notional
$CAPRCALL$11M notional
$RVMDPUT$9M notional

Quarterly Activity — Q1 2026

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Top Holdings

AI Quality Scored

Unlock AI quality scores for every holding

32-signal composite ranking on each of Ikarian Capital, LLC's 161 positions.

Showing top 10 of 161 holdings.

Sector Allocation

Healthcare

$696.9M

Other

$1.9M

Financials

$152,705

Full Holdings — Ikarian Capital, LLC (Q1 2026)

All 161 disclosed positions from the latest Form 13F-HR, with quarter-over-quarter share changes and 13F Pro quality scores. Sourced from SEC EDGAR.

#TickerCompanyValueWeightQoQQuality
1SPDR SERIES TRUST$102.2M-6%
2TERN$TERNTerns Pharmaceuticals, Inc.$76.8M11.0%-9%
3TERN$TERNPUTTerns Pharmaceuticals, Inc.$63.3MNEW
4QQQ$QQQPUTINVESCO QQQ TRUST, SERIES 1$57.7MNEW
5ISHARES TR$49.6MNEW
6KOD$KODKodiak Sciences Inc.$48.3M6.9%+76%
7CYTK$CYTKPUTCYTOKINETICS INC$36.3MNEW28
8ABVX$ABVXCALLAbivax S.A.$32.7M+134%
9BMY$BMYPUTBRISTOL MYERS SQUIBB CO$30.3MNEW70.1
10CYTK$CYTKCALLCYTOKINETICS INC$26.9M+40%28
11ALMS$ALMSALUMIS INC.$26.7M3.8%NEW9.2
12PCVX$PCVXVaxcyte, Inc.$24.9M3.6%+13%
13PRAX$PRAXPraxis Precision Medicines, Inc.$23.1M3.3%-17%
14HROW$HROWHARROW, INC.$19.1M2.7%+196%41.6
15RLMD$RLMDRELMADA THERAPEUTICS, INC.$18.7M2.7%-12%
16CYTK$CYTKCYTOKINETICS INC$18.7M2.7%+64%28
17TENX$TENXTENAX THERAPEUTICS, INC.$16.3M2.3%+5%
18CAPR$CAPRCAPRICOR THERAPEUTICS, INC.$16.1M2.3%-9%
19RVMD$RVMDRevolution Medicines, Inc.$15.9M2.3%+18%
20NVO$NVOCALLNOVO NORDISK A S$14.7MNEW
21CLDX$CLDXCelldex Therapeutics, Inc.$14.6M2.1%NEW13.2
22PHVS$PHVSPharvaris N.V.$13.8M2.0%+0%
23CNTB$CNTBConnect Biopharma Holdings Ltd$13.1M1.9%+13%
24DRUG$DRUGBRIGHT MINDS BIOSCIENCES INC.$12.2M1.7%+5%
25BBIO$BBIOBridgeBio Pharma, Inc.$11.9M1.7%NEW31.7
26ORKA$ORKAOruka Therapeutics, Inc.$11.9M1.7%NEW
27ANRO$ANROAlto Neuroscience, Inc.$11.6M1.7%+0%
28ANIP$ANIPCALLANI PHARMACEUTICALS INC$11.5M+81%68.6
29SLNO$SLNOSOLENO THERAPEUTICS INC$11.5M1.6%+400%46.3
30MAZE$MAZEMaze Therapeutics, Inc.$11.3M1.6%-41%19.7
31ANIP$ANIPANI PHARMACEUTICALS INC$11.3M1.6%NEW68.6
32CAPR$CAPRCALLCAPRICOR THERAPEUTICS, INC.$10.6MNEW
33CTNM$CTNMContineum Therapeutics, Inc.$10.6M1.5%+186%
34RARE$RAREUltragenyx Pharmaceutical Inc.$10.1M1.4%+3708%31
35IONS$IONSIONIS PHARMACEUTICALS INC$9.5M1.4%-37%37.1
36RVMD$RVMDPUTRevolution Medicines, Inc.$9.2MNEW
37OLMA$OLMAOlema Pharmaceuticals, Inc.$8.9M1.3%-21%
38EPRX$EPRXEUPRAXIA PHARMACEUTICALS INC.$8.8M1.3%+99%
39DMRA$DMRADamora Therapeutics, Inc.$8.7M1.2%+18%
40IONS$IONSCALLIONIS PHARMACEUTICALS INC$8.4M+18%37.1
41OLMA$OLMACALLOlema Pharmaceuticals, Inc.$8.2M+175%
42PVLA$PVLAPALVELLA THERAPEUTICS, INC.$8.1M1.1%NEW
43FULC$FULCFulcrum Therapeutics, Inc.$8.0M1.1%-24%
44VERA$VERAVera Therapeutics, Inc.$8.0M1.1%NEW
45SPRB$SPRBSPRUCE BIOSCIENCES, INC.$7.9M1.1%+0%
46IVA$IVAInventiva S.A.$7.8M1.1%+184%
47JBIO$JBIOJade Biosciences, Inc.$7.2M1.0%+71%
48OCGN$OCGNOcugen, Inc.$7.2M1.0%NEW
49ZURA$ZURAZura Bio Ltd$7.1M1.0%+49%
50OVID$OVIDOvid Therapeutics Inc.$6.4M0.9%+1069%13.1
51ABVX$ABVXAbivax S.A.$6.2M0.9%-72%
52LLY$LLYELI LILLY & Co$6.0M0.9%-53%89.3
53AVTX$AVTXCALLAvalo Therapeutics, Inc.$6.0M+591%4.6
54ALMS$ALMSCALLALUMIS INC.$5.8MNEW9.2
55QURE$QURECALLuniQure N.V.$5.8M+237%
56ACOG$ACOGAlpha Cognition Inc.$5.8M0.8%+0%
57PTHS$PTHSPelthos Therapeutics Inc.$5.4M0.8%+0%25.4
58KPTI$KPTIPUTKaryopharm Therapeutics Inc.$5.1MNEW20.4
59KPTI$KPTICALLKaryopharm Therapeutics Inc.$5.1MNEW20.4
60SRZN$SRZNSurrozen, Inc./DE$5.0M0.7%+163%
61TECX$TECXTectonic Therapeutic, Inc.$4.9M0.7%NEW
62EYPT$EYPTPUTEyePoint, Inc.$4.8MNEW10.3
63EYPT$EYPTCALLEyePoint, Inc.$4.8MNEW10.3
64ALEC$ALECAlector, Inc.$4.5M0.6%+0%8.9
65BBIO$BBIOCALLBridgeBio Pharma, Inc.$4.3MNEW31.7
66KYMR$KYMRPUTKymera Therapeutics, Inc.$4.2MNEW29.2
67LEGN$LEGNLegend Biotech Corp$4.1M0.6%+0%44.2
68KPTI$KPTIKaryopharm Therapeutics Inc.$4.1M0.6%+35%20.4
69LPCN$LPCNLipocine Inc.$4.1M0.6%+155%
70DCTH$DCTHDELCATH SYSTEMS, INC.$4.0M0.6%+0%54.9
71KOD$KODCALLKodiak Sciences Inc.$3.8MNEW
72ARVN$ARVNARVINAS, INC.$3.8M0.5%+0%13.9
73CMPS$CMPSCOMPASS Pathways plc$3.7M0.5%+69%
74CRDL$CRDLCardiol Therapeutics Inc.$3.7M0.5%NEW
75CLDX$CLDXPUTCelldex Therapeutics, Inc.$3.6MNEW13.2
76ARWR$ARWRPUTARROWHEAD PHARMACEUTICALS, INC.$3.6MNEW74.4
77BHVN$BHVNBiohaven Ltd.$3.5M0.5%+94%
78IVVD$IVVDInvivyd, Inc.$3.5M0.5%+0%25.7
79ELVN$ELVNPUTEnliven Therapeutics, Inc.$3.3MNEW
80ANNX$ANNXAnnexon, Inc.$3.2M0.5%+152%
81FBRX$FBRXForte Biosciences, Inc.$3.1M0.4%-60%
82LXEO$LXEOLexeo Therapeutics, Inc.$2.9M0.4%+0%
83VERA$VERACALLVera Therapeutics, Inc.$2.9MNEW
84PCSC$PCSCPerceptive Capital Solutions Corp$2.6M0.4%+0%
85VIR$VIRVir Biotechnology, Inc.$2.6M0.4%-49%5.6
86NXTC$NXTCNextCure, Inc.$2.5M0.4%+0%
87NMRA$NMRANeumora Therapeutics, Inc.$2.5M0.4%+0%
88ABOS$ABOSAcumen Pharmaceuticals, Inc.$2.5M0.4%+314%
89CABA$CABACabaletta Bio, Inc.$2.4M0.3%+0%
90BBOT$BBOTBridgeBio Oncology Therapeutics, Inc.$2.4M0.3%+23%
91PRQR$PRQRProQR Therapeutics N.V.$2.4M0.3%+0%
92NUVL$NUVLNuvalent, Inc.$2.4M0.3%-60%
93AVTX$AVTXPUTAvalo Therapeutics, Inc.$2.4MNEW4.6
94JAZZ$JAZZJazz Pharmaceuticals plc$2.4M0.3%-92%
95REPL$REPLPUTReplimune Group, Inc.$2.3MNEW
96DBVT$DBVTDBV Technologies S.A.$2.2M0.3%+0%6.1
97TARS$TARSTarsus Pharmaceuticals, Inc.$2.2M0.3%+0%40.8
98KLRS$KLRSKalaris Therapeutics, Inc.$2.1M0.3%+0%
99AVR$AVRAnteris Technologies Global Corp.$2.0M0.3%NEW
100SLDB$SLDBSolid Biosciences Inc.$1.9M0.3%+65%
101TENX$TENXCALLTENAX THERAPEUTICS, INC.$1.8MNEW
102IBIO$IBIOiBio, Inc.$1.8M0.3%+0%
103CPIX$CPIXCUMBERLAND PHARMACEUTICALS INC$1.8M0.3%-0%34.6
104SLN$SLNSilence Therapeutics plc$1.7M0.3%+0%
105DIREXION SHARES ETF TRUST$1.7M0.3%+159%
106QURE$QUREuniQure N.V.$1.5M0.2%+0%
107QNRX$QNRXQuoin Pharmaceuticals, Ltd.$1.4M0.2%+0%
108TRAW$TRAWTraws Pharma, Inc.$1.2M0.2%+0%
109DERM$DERMJourney Medical Corp$1.2M0.2%+0%26.4
110VSTM$VSTMVerastem, Inc.$1.1M0.2%+0%40.8
111DFTX$DFTXDefinium Therapeutics, Inc.$1.1M0.2%NEW
112STIM$STIMNeuronetics, Inc.$1.0M0.1%+0%31.3
113LYEL$LYELLyell Immunopharma, Inc.$824,0840.1%+0%3.6
114PEPG$PEPGPepGen Inc.$791,4820.1%+0%
115KZR$KZRKezar Life Sciences, Inc.$758,4050.1%+0%
116IMUX$IMUXIMMUNIC, INC.$748,8760.1%+0%
117CNTA$CNTACentessa Pharmaceuticals plc$719,4480.1%NEW
118KALV$KALVKalVista Pharmaceuticals, Inc.$706,9460.1%+0%25.9
119PMN$PMNProMIS Neurosciences Inc.$698,5000.1%NEW
120INSM$INSMINSMED Inc$689,0740.1%-55%29.4
121HELP$HELPCYBIN INC.$634,3340.1%+0%
122ACAD$ACADACADIA PHARMACEUTICALS INC$625,4840.1%NEW69.8
123WVE$WVEWave Life Sciences Ltd.$618,3170.1%+0%
124EQ$EQEquillium, Inc.$607,1100.1%+0%27.2
125PASG$PASGPassage BIO, Inc.$534,7730.1%NEW
126PEPG$PEPGCALLPepGen Inc.$531,000+0%
127GUTS$GUTSFRACTYL HEALTH, INC.$503,5800.1%+0%
128PALI$PALIPALISADE BIO, INC.$481,2120.1%+0%
129IMTX$IMTXImmatics N.V.$477,9190.1%+0%
130MAZE$MAZEPUTMaze Therapeutics, Inc.$429,840NEW19.7
131CNTB$CNTBCALLConnect Biopharma Holdings Ltd$378,852+0%
132VKTX$VKTXViking Therapeutics, Inc.$316,1910.1%+0%
133SGMO$SGMOSANGAMO THERAPEUTICS, INC$300,8900.0%+0%8.8
134VTGN$VTGNVistagen Therapeutics, Inc.$296,6540.0%+0%
135VERU$VERUVERU INC.$295,0730.0%+0%
136EVAX$EVAXEvaxion A/S$277,8760.0%+0%
137LXRX$LXRXLEXICON PHARMACEUTICALS, INC.$256,8920.0%+0%33.1
138ANL$ANLAdlai Nortye Ltd.$234,5810.0%NEW
139MGNX$MGNXMACROGENICS INC$216,4410.0%+0%31.7
140VYGR$VYGRVoyager Therapeutics, Inc.$204,8230.0%+0%5.5
141SENSEI BIOTHERAPEUTICS INC$200,1840.0%-70%
142NEUP$NEUPNeuphoria Therapeutics Inc.$193,0930.0%+0%
143VYNE$VYNEVYNE Therapeutics Inc.$158,2840.0%+0%
144PURR$PURRHyperliquid Strategies Inc$152,7050.0%+0%
145NYXH$NYXHNyxoah SA$138,2850.0%+0%
146RNAC$RNACCartesian Therapeutics, Inc.$127,9630.0%+0%7.5
147PMVP$PMVPPMV Pharmaceuticals, Inc.$110,5290.0%+0%
148CNSP$CNSPCNS Pharmaceuticals, Inc.$109,9920.0%+0%
149CMPX$CMPXCompass Therapeutics, Inc.$95,2200.0%-98%
150IOBT$IOBTIO Biotech, Inc.$81,3910.0%+0%
151CMMB$CMMBChemomab Therapeutics Ltd.$81,3150.0%+0%
152PHGE$PHGEBiomX Inc.$73,1020.0%+0%
153RZLT$RZLTRezolute, Inc.$50,2610.0%+0%
154MGRX$MGRXMANGOCEUTICALS, INC.$49,7470.0%+0%
155SHPH$SHPHShuttle Pharmaceuticals Holdings, Inc.$46,8320.0%+0%
156AIRS$AIRSAirsculpt Technologies, Inc.$46,4050.0%+0%24.3
157AEMD$AEMDAETHLON MEDICAL INC$31,4580.0%+0%
158GCTK$GCTKGlucotrack, Inc.$29,7900.0%+0%
159TOVX$TOVXTheriva Biologics, Inc.$21,9440.0%+0%
160JSPR$JSPRJasper Therapeutics, Inc.$21,1100.0%+0%
161AMIX$AMIXAutonomix Medical, Inc.$7,2900.0%+0%

New Positions (41)

TERN$TERNPUT Terns Pharmaceuticals, Inc.$63.3M
QQQ$QQQPUT INVESCO QQQ TRUST, SERIES 1$57.7M
PUT ISHARES TR$49.6M
CYTK$CYTKPUT CYTOKINETICS INC$36.3M
BMY$BMYPUT BRISTOL MYERS SQUIBB CO$30.3M
ALMS$ALMS ALUMIS INC.$26.7M
NVO$NVOCALL NOVO NORDISK A S$14.7M
CLDX$CLDX Celldex Therapeutics, Inc.$14.6M
BBIO$BBIO BridgeBio Pharma, Inc.$11.9M
ORKA$ORKA Oruka Therapeutics, Inc.$11.9M
ANIP$ANIP ANI PHARMACEUTICALS INC$11.3M
CAPR$CAPRCALL CAPRICOR THERAPEUTICS, INC.$10.6M
RVMD$RVMDPUT Revolution Medicines, Inc.$9.2M
PVLA$PVLA PALVELLA THERAPEUTICS, INC.$8.1M
VERA$VERA Vera Therapeutics, Inc.$8.0M

Exited Positions (54)

PUT CIDARA THERAPEUTICS INC
AMGN$AMGNPUT AMGEN INC
CIDARA THERAPEUTICS INC
JAZZ$JAZZCALL Jazz Pharmaceuticals plc
HROW$HROWCALL HARROW, INC.
SLNO$SLNOCALL SOLENO THERAPEUTICS INC
RAPT$RAPT RAPT Therapeutics, Inc.
CRNX$CRNXPUT Crinetics Pharmaceuticals, Inc.
OMER$OMERPUT OMEROS CORP
AMGN$AMGN AMGEN INC
CTMX$CTMX CytomX Therapeutics, Inc.
CELC$CELC Celcuity Inc.
RAPT$RAPTCALL RAPT Therapeutics, Inc.
OMER$OMERCALL OMEROS CORP
DXCM$DXCMCALL DEXCOM INC

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