PRAXIS PRECISION MEDICINES I PRAX
COM NEW · Common Stock · CUSIP 74006W207
- SectorHealth care
- IndustryPharmaceutical Preparations
- HeadquartersBoston, MA
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($611.8k this quarter). Holder counts are more reliable. Shares outstanding: 27.9m as of 2026-05-04, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $321.97. Options: 10 managers hold calls ($53.8m notional), 15 hold puts ($187.0m).
Trends to Q1 2026
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q4 2023 | 59 |
| Q1 2024 | 112 |
| Q2 2024 | 114 |
| Q3 2024 | 135 |
| Q4 2024 | 164 |
| Q1 2025 | 153 |
| Q2 2025 | 146 |
| Q3 2025 | 152 |
| Q4 2025 | 251 |
| Q1 2026 | 293 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q2 2024 | 78 | 60 |
| Q3 2024 | 74 | 58 |
| Q4 2024 | 88 | 63 |
| Q1 2025 | 79 | 96 |
| Q2 2025 | 89 | 68 |
| Q3 2025 | 87 | 63 |
| Q4 2025 | 190 | 59 |
| Q1 2026 | 192 | 101 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q2 2025 | $26.3m | $15.5m | 0.59 |
| Q3 2025 | $27.3m | $22.7m | 0.83 |
| Q4 2025 | $219.3m | $237.6m | 1.08 |
| Q1 2026 | $53.8m | $187.0m | 3.48 |
Biggest buyers
| Orbis Allan Gray Ltd | Added | +1.2m |
| FMR LLC | Added | +802.3k |
| BAKER BROS. ADVISORS LP | Added | +626.7k |
| BlackRock, Inc. | Added | +246.4k |
| JANUS HENDERSON GROUP PLC | Added | +218.8k |
| BNP PARIBAS FINANCIAL MARKETS | Added | +138.5k |
| Woodline Partners LP | Added | +94.6k |
| STEMPOINT CAPITAL LP | Added | +91.5k |
| GEODE CAPITAL MANAGEMENT, LLC | Added | +88.5k |
| ArrowMark Colorado Holdings LLC | Added | +87.9k |
Biggest sellers
| BARCLAYS PLC | Reduced | -523.8k |
| Point72 Asset Management, L.P. | Sold out | -492.3k |
| Assenagon Asset Management S.A. | Sold out | -408.8k |
| PRICE T ROWE ASSOCIATES INC /MD/ | Reduced | -155.1k |
| ADAGE CAPITAL PARTNERS GP, L.L.C. | Reduced | -149.6k |
| T. Rowe Price Investment Management, Inc. | Reduced | -119.2k |
| Logos Global Management LP | Reduced | -90.0k |
| FRANKLIN RESOURCES INC | Reduced | -80.0k |
| RENAISSANCE TECHNOLOGIES LLC | Sold out | -66.2k |
| Cormorant Asset Management, LP | Reduced | -64.5k |
Biggest calls
| JANE STREET GROUP, LLC | Reduced | $15.3m47.6k shares |
| CITADEL ADVISORS LLC | Reduced | $13.2m40.9k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $11.6m35.9k shares |
| DRW Securities, LLC | New | $3.2m9.9k shares |
| Squarepoint Ops LLC | New | $2.9m9.0k shares |
| Caption Management, LLC | Reduced | $2.9m9.0k shares |
| SIMPLEX TRADING, LLC | New | $1.9m5.9k shares |
| D. E. Shaw & Co., Inc. | Unchanged | $1.6m5.0k shares |
| HRT FINANCIAL LP | New | $1.1m3.4k shares |
| GROUP ONE TRADING LLC | Reduced | $128.9k400 shares |
Biggest puts
| Caption Management, LLC | Unchanged | $64.4m200.0k shares |
| 683 Capital Management, LLC | Reduced | $36.3m112.7k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $32.1m99.7k shares |
| JANE STREET GROUP, LLC | Reduced | $15.1m46.9k shares |
| CITADEL ADVISORS LLC | Reduced | $11.5m35.6k shares |
| Ishara Investments LP | New | $6.6m20.5k shares |
| Eversept Partners, LP | New | $4.8m14.8k shares |
| J. Goldman & Co LP | Added | $4.4m13.6k shares |
| SIMPLEX TRADING, LLC | New | $4.0m12.3k shares |
| NOMURA HOLDINGS INC | Unchanged | $3.9m12.0k shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
| JANUS HENDERSON GROUP PLC 13G · institution -0.1 pts · filed 2025-11-14 | 12.3% |
| FMR LLC 13G · institution +2.3 pts · filed 2026-05-06 | 7.7% |
| PERCEPTIVE ADVISORS LLC 13G · passive investor +0.5 pts · filed 2026-02-17 | 7.2% |
| BAKER BROS. ADVISORS LP 13G · institution new · filed 2026-05-15 | 6.3% |
| ORBIS INVESTMENT MANAGEMENT LTD 13G · institution -3.4 pts · filed 2026-08-14 | 5.5% |
| VANGUARD CAPITAL MANAGEMENT LLC 13G · institution new · filed 2026-04-30 | 5.1% |
Fell to 5% or below in the last year: Point72 Asset Management, L.P. (0.2%, 2026-05-15), VANGUARD GROUP INC (0.0%, 2026-03-27; now reported by VANGUARD CAPITAL MANAGEMENT LLC), Adage Capital Management, L.P. (3.8%, 2026-02-12), PRICE T ROWE ASSOCIATES INC /MD/ (4.8%, 2025-11-14), Cormorant Asset Management, LP (4.0%, 2025-11-14)
Insider purchases and sales in Q1 2026
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
Officers and directors buying vs selling
Number of people, by quarter (10% owners not included)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q2 2024 | 0 | — | 0 | — | — |
| Q3 2024 | 0 | — | 0 | — | — |
| Q4 2024 | 0 | — | 2 | $1.1m | — |
| Q1 2025 | 0 | — | 0 | — | — |
| Q2 2025 | 0 | — | 0 | — | — |
| Q3 2025 | 0 | — | 0 | — | — |
| Q4 2025 | 0 | — | 2 | $7.5m | — |
| Q1 2026 | 0 | — | 0 | — | — |
None reported in Q1 2026.
Holders, Q1 2026
| Manager | Shares | Change |
|---|---|---|
| JANUS HENDERSON GROUP PLC 0.53% of their portfolio | 3.5m $1.1bn | Added +218.8k |
| Orbis Allan Gray Ltd 3.36% of their portfolio | 2.5m $796.6m | Added +1.2m |
| BlackRock, Inc. 0.01% of their portfolio | 2.3m $749.1m | Added +246.4k |
| FMR LLC 0.04% of their portfolio | 2.2m $696.2m | Added +802.3k |
| PERCEPTIVE ADVISORS LLC 12.96% of their portfolio | 2.0m $656.0m | Added +40.0k |
| BAKER BROS. ADVISORS LP 3.24% of their portfolio | 1.8m $564.9m | Added +626.7k |
| VANGUARD CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 1.2m $393.7m | First filing |
| DEERFIELD MANAGEMENT COMPANY, L.P. 3.66% of their portfolio | 963.4k $310.4m | Added +60.0k |
| Driehaus Capital Management LLC 2.25% of their portfolio | 949.2k $305.8m | Added +16.2k |
| Cormorant Asset Management, LP 14.38% of their portfolio | 885.5k $285.3m | Reduced -64.5k |
| STATE STREET CORP 0.01% of their portfolio | 884.2k $284.9m | Added +2.0k |
| MORGAN STANLEY 0.02% of their portfolio | 833.5k $268.5m | Reduced -56.4k |
| ADAGE CAPITAL PARTNERS GP, L.L.C. 0.41% of their portfolio | 815.7k $262.8m | Reduced -149.6k |
| VANGUARD PORTFOLIO MANAGEMENT LLC 0.01% of their portfolio | 756.7k $243.8m | First filing |
| GOLDMAN SACHS GROUP INC 0.03% of their portfolio | 710.7k $229.0m | Reduced -5.5k |
| GEODE CAPITAL MANAGEMENT, LLC 0.01% of their portfolio | 650.9k $209.8m | Added +88.5k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.02% of their portfolio | 630.9k $203.3m | Reduced -155.1k |
| BANK OF AMERICA CORP /DE/ 0.01% of their portfolio | 534.6k $172.2m | Added +11.8k |
| RA CAPITAL MANAGEMENT, L.P. 1.28% of their portfolio | 373.8k $120.4m | Unchanged |
| Hood River Capital Management LLC 1.16% of their portfolio | 358.6k $115.5m | Added +69.2k |
| Vivo Capital, LLC 9.08% of their portfolio | 338.9k $109.2m | Added +10.0k |
| Soleus Capital Management, L.P. 4.31% of their portfolio | 330.5k $106.5m | Reduced -32.4k |
| Pictet Asset Management Holding SA 0.10% of their portfolio | 286.6k $91.4m | Added +46.1k |
| Logos Global Management LP 4.73% of their portfolio | 285.0k $91.8m | Reduced -90.0k |
| FRANKLIN RESOURCES INC 0.02% of their portfolio | 276.1k $89.0m | Reduced -80.0k |
| NORTHERN TRUST CORP 0.01% of their portfolio | 227.9k $73.4m | Added +35.6k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.01% of their portfolio | 215.4k $69.4m | Added +17.1k |
| Woodline Partners LP 0.24% of their portfolio | 200.0k $64.4m | Added +94.6k |
| T. Rowe Price Investment Management, Inc. 0.04% of their portfolio | 175.2k $56.5m | Reduced -119.2k |
| WELLINGTON MANAGEMENT GROUP LLP 0.01% of their portfolio | 174.3k $56.2m | Reduced -2.2k |
| ORBIMED ADVISORS LLC 1.21% of their portfolio | 172.5k $55.6m | Added +78.0k |
| Aberdeen Group plc 0.09% of their portfolio | 172.5k $55.6m | Added +37.5k |
| Affinity Asset Advisors, LLC 3.21% of their portfolio | 170.0k $54.8m | Reduced -15.0k |
| VANGUARD FIDUCIARY TRUST CO 0.01% of their portfolio | 169.9k $54.7m | First filing |
| BNP PARIBAS FINANCIAL MARKETS 0.03% of their portfolio | 143.1k $46.1m | Added +138.5k |
| AMERICAN CENTURY COMPANIES INC 0.02% of their portfolio | 128.3k $41.3m | Added +52.9k |
| Qube Research & Technologies Ltd 0.06% of their portfolio | 128.2k $41.3m | Reduced -40.7k |
| ArrowMark Colorado Holdings LLC 1.01% of their portfolio | 117.9k $38.0m | Added +87.9k |
| STEMPOINT CAPITAL LP 3.51% of their portfolio | 112.5k $36.3m | Added +91.5k |
| UBS Group AG 0.01% of their portfolio | 108.4k $34.9m | Added +19.2k |
| Velan Capital Investment Management LP 20.34% of their portfolio | 100.8k $32.5m | Unchanged |
| Bank of New York Mellon Corp 0.01% of their portfolio | 87.0k $28.0m | Added +9.2k |
| ACUTA CAPITAL PARTNERS, LLC 19.46% of their portfolio | 84.9k $27.4m | Added +1.9k |
| MetLife Investment Management, LLC 0.13% of their portfolio | 80.9k $26.1m | Added +68.5k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 80.2k $22.2m | Added +24.9k |
| Alyeska Investment Group, L.P. 0.07% of their portfolio | 72.2k $23.3m | Reduced -2.2k |
| Nuveen, LLC 0.01% of their portfolio | 72.0k $23.2m | Added +22.1k |
| Ikarian Capital, LLC 3.30% of their portfolio | 71.6k $23.1m | Reduced -15.0k |
| SILVERARC CAPITAL MANAGEMENT, LLC 2.72% of their portfolio | 71.6k $23.1m | Reduced -10.9k |
| Ensign Peak Advisors, Inc 0.04% of their portfolio | 68.4k $22.0m | Added +4.1k |
| 72 Investment Holdings, LLC 42.83% of their portfolio | 65.9k $21.2m | Unchanged |
| Sofinnova Investments, Inc. 1.03% of their portfolio | 63.7k $20.5m | Reduced -62.0k |
| Candriam S.C.A. 0.11% of their portfolio | 63.6k $20.5m | Reduced -47.0k |
| Invesco Ltd. 0.00% of their portfolio | 61.4k $19.8m | Reduced -15.7k |
| AQR CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 58.7k $18.9m | Added +29.8k |
| DEUTSCHE BANK AG\ 0.01% of their portfolio | 57.8k $18.6m | Added +7.0k |
| FRONTIER CAPITAL MANAGEMENT CO LLC 0.18% of their portfolio | 53.4k $17.2m | New |
| Universal- Beteiligungs- und Servicegesellschaft mbH 0.03% of their portfolio | 47.4k $15.3m | Added +10.1k |
| Swiss National Bank 0.01% of their portfolio | 46.7k $15.0m | Added +6.2k |
| Boxer Capital Management, LLC 1.97% of their portfolio | 46.5k $15.0m | Unchanged |
| Exome Asset Management LLC 8.62% of their portfolio | 45.5k $14.6m | Reduced -12.7k |
| MARSHALL WACE, LLP 0.02% of their portfolio | 45.1k $14.5m | Reduced -24.1k |
| KVP Capital Advisors, LP 10.32% of their portfolio | 42.9k $13.8m | Unchanged |
| First Turn Management, LLC 1.53% of their portfolio | 42.4k $13.7m | Added +6.7k |
| California Public Employees Retirement System 0.01% of their portfolio | 42.2k $13.6m | New |
| CANADA PENSION PLAN INVESTMENT BOARD 0.01% of their portfolio | 40.1k $12.9m | Reduced -29.6k |
| Integral Health Asset Management, LLC 0.68% of their portfolio | 40.0k $12.9m | Unchanged |
| EVENTIDE ASSET MANAGEMENT, LLC 0.21% of their portfolio | 38.6k $12.4m | Reduced -28.5k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.00% of their portfolio | 38.1k $12.3m | Added +2.9k |
| SummitTX Capital, L.P. 0.38% of their portfolio | 36.8k $11.9m | Reduced -4.8k |
| PFM Health Sciences, LP 1.20% of their portfolio | 35.4k $11.4m | Added +4.3k |
| TD Asset Management Inc 0.01% of their portfolio | 35.1k $11.3m | Reduced -11.0k |
| Burkehill Global Management, LP 0.56% of their portfolio | 35.0k $11.3m | Added +10.0k |
| FIRST TRUST ADVISORS LP 0.01% of their portfolio | 33.3k $10.7m | Reduced -55.4k |
| B Group, Inc. 7.94% of their portfolio | 33.2k $10.7m | Unchanged |
| RHUMBLINE ADVISERS 0.01% of their portfolio | 32.9k $10.6m | Added +4.6k |
| Ally Bridge Group (NY) LLC 10.50% of their portfolio | 32.8k $10.6m | Added +12.9k |
| AMERIPRISE FINANCIAL INC 0.00% of their portfolio | 31.2k $10.1m | Added +8.5k |
| DIMENSIONAL FUND ADVISORS LP 0.00% of their portfolio | 31.2k $10.0m | Added +7.6k |
| PRUDENTIAL FINANCIAL INC 0.01% of their portfolio | 30.5k $9.8m | Added +15.6k |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.01% of their portfolio | 30.1k $9.7m | Reduced -3.2k |
| LORD, ABBETT & CO. LLC 0.03% of their portfolio | 29.6k $9.5m | Reduced -1.1k |
| SEI INVESTMENTS CO 0.01% of their portfolio | 29.5k $9.5m | Added +13.7k |
| VOYA INVESTMENT MANAGEMENT LLC 0.01% of their portfolio | 28.1k $9.1m | Added +14.5k |
| MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. 0.01% of their portfolio | 27.7k $8.9m | Added +2.2k |
| ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio | 27.7k $8.2m | Added +2.6k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.01% of their portfolio | 27.5k $8.9m | Added +7.8k |
| HighVista Strategies LLC 2.34% of their portfolio | 26.3k $8.5m | Added +482 |
| NEUBERGER BERMAN GROUP LLC 0.01% of their portfolio | 26.0k $8.4m | Added +282 |
| University of Wisconsin Foundation 7.21% of their portfolio | 25.2k $8.1m | New |
| CONGRESS ASSET MANAGEMENT CO 0.06% of their portfolio | 24.8k $8.0m | Reduced -6.4k |
| Susquehanna Portfolio Strategies, LLC 0.11% of their portfolio | 23.3k $7.5m | Unchanged |
| Russell Investments Group, Ltd. 0.01% of their portfolio | 23.1k $7.4m | Added +2.5k |
| Ishara Investments LP 7.34% of their portfolio | 22.6k $7.3m | Reduced -17.4k |
| VANGUARD ASSET MANAGEMENT, Ltd 0.01% of their portfolio | 22.0k $7.1m | First filing |
| Moody Aldrich Partners LLC 1.26% of their portfolio | 21.7k $7.0m | Reduced -20.0k |
| Atom Investors LP 0.49% of their portfolio | 21.2k $6.8m | Added +4.7k |
| Informed Momentum Co LLC 0.71% of their portfolio | 19.0k $6.1m | Reduced -1.9k |
| Legal & General Group Plc 0.00% of their portfolio | 18.5k $6.0m | Added +501 |
| TWO SIGMA INVESTMENTS, LP 0.00% of their portfolio | 17.6k $5.7m | Reduced -5.5k |