KINIKSA PHARMACEUTICALS INTL KNSA
ORD SHS CL A · Common Stock · CUSIP G52694109
- SectorHealth care
- IndustryPharmaceutical Preparations
- 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 ($1.1m this quarter). Holder counts are more reliable. Implied quarter-end price ≈ $63.77. Options: 5 managers hold calls ($6.0m notional), 6 hold puts ($20.8m).
Trends to Q2 2026
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q2 2024 | 130 |
| Q3 2024 | 176 |
| Q4 2024 | 160 |
| Q1 2025 | 176 |
| Q2 2025 | 189 |
| Q3 2025 | 203 |
| Q4 2025 | 224 |
| Q1 2026 | 227 |
| Q2 2026 | 269 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q3 2024 | 113 | 57 |
| Q4 2024 | 75 | 92 |
| Q1 2025 | 93 | 74 |
| Q2 2025 | 111 | 94 |
| Q3 2025 | 107 | 99 |
| Q4 2025 | 114 | 87 |
| Q1 2026 | 111 | 118 |
| Q2 2026 | 156 | 107 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q3 2025 | $24.1m | $3.8m | 0.16 |
| Q4 2025 | $64.6m | $2.8m | 0.04 |
| Q1 2026 | $51.5m | $1.3m | 0.02 |
| Q2 2026 | $6.0m | $20.8m | 3.43 |
Biggest buyers
| BlackRock, Inc. | Added | +2.3m |
| Invesco Ltd. | Added | +745.1k |
| STATE STREET CORP | Added | +627.6k |
| GEODE CAPITAL MANAGEMENT, LLC | Added | +559.9k |
| NORTHERN TRUST CORP | Added | +278.3k |
| Rubric Capital Management LP | Added | +249.8k |
| ORBIMED ADVISORS LLC | Added | +240.0k |
| Bank of New York Mellon Corp | Added | +215.1k |
| STEMPOINT CAPITAL LP | New | +209.2k |
| Spruce Street Capital LP | Added | +157.0k |
Biggest sellers
| ACADIAN ASSET MANAGEMENT LLC | Reduced | -657.2k |
| MILLENNIUM MANAGEMENT LLC | Reduced | -471.1k |
| CITADEL ADVISORS LLC | Reduced | -433.1k |
| D. E. Shaw & Co., Inc. | Reduced | -389.5k |
| Qube Research & Technologies Ltd | Reduced | -382.8k |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | -365.6k |
| BANK OF AMERICA CORP /DE/ | Reduced | -322.5k |
| MARSHALL WACE, LLP | Sold out | -305.4k |
| Soleus Capital Management, L.P. | Reduced | -275.0k |
| Parkman Healthcare Partners LLC | Sold out | -259.2k |
Biggest calls
| JANE STREET GROUP, LLC | Added | $3.1m48.9k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $1.8m27.7k shares |
| CITADEL ADVISORS LLC | Added | $901.7k14.1k shares |
| GROUP ONE TRADING LLC | Reduced | $217.4k3.4k shares |
| SIMPLEX TRADING, LLC | Added | $25.6k400 shares |
Biggest puts
| Caption Management, LLC | New | $19.2m299.8k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $690.7k10.8k shares |
| JANE STREET GROUP, LLC | Added | $498.8k7.8k shares |
| CITADEL ADVISORS LLC | Reduced | $364.5k5.7k shares |
| SIMPLEX TRADING, LLC | Reduced | $19.2k300 shares |
| GROUP ONE TRADING LLC | New | $6.4k100 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 |
|---|---|
| FMR LLC 13G · institution +4.2 pts · filed 2026-05-06 | 14.8% |
| Rubric Capital Management LP 13G · institution -1.9 pts · filed 2026-02-13 | 7.4% |
BAKER BROS. ADVISORS LP
13D · may seek influence
filed 2026-05-26
Stated purposeItem 4 of Schedule 13D is supplemented and amended, as the case may be, as follows: On May 21, 2026, Kiniksa Pharmaceuticals International, plc (the "Issuer") and the Adviser on behalf of the Funds entered into a Deed of Waiver (the "Deed") according to which the Adviser on behalf of the Funds irrevocably and unconditionally waived the Funds' right to convert the Class A1 ordinary shares of the Issuer ("Class A1 ordinary shares") and Class B1 ordinary shares of the Issuer ("Class B1 ordinary shares") held by the Funds into Class A ordinary shares of the Issuer ("Class A ordinary shares") or Class B ordinary shares of the Issuer ("Class B ordinary shares") to the extent that, immediately prior to or following the exercise of such conversion, the Funds (together with their direct or indirec… Full filing |
7.0% |
| BlackRock, Inc. 13G · institution +4.5 pts · filed 2026-07-29 | 5.5% |
| TANG CAPITAL MANAGEMENT LLC 13G · passive investor new · filed 2025-04-04 | 5.2% |
Fell to 5% or below in the last year: VANGUARD GROUP INC (0.0%, 2026-03-27)
Insider purchases and sales since 1 Apr 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 |
|---|---|---|---|---|---|
| Q4 2024 | 0 | — | 4 | $4.5m | $4.5m |
| Q1 2025 | 0 | — | 3 | $2.6m | $2.6m |
| Q2 2025 | 0 | — | 7 | $14.3m | $13.4m |
| Q3 2025 | 0 | — | 6 | $20.4m | $14.6m |
| Q4 2025 | 0 | — | 6 | $20.0m | $20.0m |
| Q1 2026 | 0 | — | 3 | $5.6m | $5.6m |
| Q2 2026 | 0 | — | 5 | $34.0m | $34.0m |
| Q3 2026 | 0 | — | 2 | $668.5k | $369.4k |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2026-09-03 | Megna Michael R CHIEF ACCOUNTING OFFICER | Sold plan | $369.4k4.6k shares |
| 2026-07-29 | Cole G Bradley Director | Sold | $299.1k3.7k shares |
| 2026-05-01 | Paolini John F. CHIEF MEDICAL OFFICER | Sold plan | $3.1m58.4k shares |
| 2026-05-01 | Patel Sanj K CHAIRMAN & CEO, director | Sold plan | $2.6m48.6k shares |
| 2026-04-30 | Patel Sanj K CHAIRMAN & CEO, director | Sold plan | $115.6k2.1k shares |
| 2026-04-29 | Patel Sanj K CHAIRMAN & CEO, director | Sold plan | $1.2m22.5k shares |
| 2026-04-28 | Patel Sanj K CHAIRMAN & CEO, director | Sold plan | $25.1m483.7k shares |
| 2026-04-28 | Quart Barry D Director | Sold plan | $656.3k13.1k shares |
| 2026-04-09 | Megna Michael R CHIEF ACCOUNTING OFFICER | Sold plan | $309.3k6.6k shares |
| 2026-04-09 | Moat Ross CHIEF OPERATING OFFICER | Sold plan | $79.5k1.7k shares |
| 2026-04-06 | Patel Sanj K CHAIRMAN & CEO, director | Sold plan | $364.0k7.3k shares |
| 2026-04-06 | Quart Barry D Director | Sold plan | $345.1k6.9k shares |
| 2026-04-06 | Moat Ross CHIEF OPERATING OFFICER | Sold plan | $115.0k2.4k shares |
Their holding: how much the trade added to or took from the insider's holding (direct, or the trust or fund named). The same trade is sometimes reported by more than one insider, such as a fund and the director who represents it; totals count it once. A value is left blank where the reported price is far from the market price (usually a typo).
Holders, Q2 2026
| Manager | Shares | Change |
|---|---|---|
| FMR LLC 0.02% of their portfolio | 7.0m $445.8m | Added +147.7k |
| Rubric Capital Management LP 2.35% of their portfolio | 4.0m $255.8m | Added +249.8k |
| BAKER BROS. ADVISORS LP 0.91% of their portfolio | 2.8m $181.3m | Added +8.4k |
| BlackRock, Inc. 0.00% of their portfolio | 2.7m $175.2m | Added +2.3m |
| TANG CAPITAL MANAGEMENT LLC 6.56% of their portfolio | 2.3m $144.5m | Unchanged |
| VANGUARD PORTFOLIO MANAGEMENT LLC 0.01% of their portfolio | 1.9m $122.2m | Added +145.1k |
| VANGUARD CAPITAL MANAGEMENT LLC 0.00% of their portfolio | 1.4m $87.0m | Added +27.7k |
| MORGAN STANLEY 0.00% of their portfolio | 1.0m $64.7m | Added +13.4k |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.03% of their portfolio | 957.5k $61.2m | Added +64.8k |
| Spruce Street Capital LP 11.52% of their portfolio | 918.1k $58.7m | Added +157.0k |
| DIMENSIONAL FUND ADVISORS LP 0.01% of their portfolio | 874.8k $55.9m | Added +62.9k |
| Invesco Ltd. 0.00% of their portfolio | 772.8k $49.4m | Added +745.1k |
| Driehaus Capital Management LLC 0.27% of their portfolio | 718.2k $45.9m | Added +106.8k |
| STATE STREET CORP 0.00% of their portfolio | 704.2k $45.0m | Added +627.6k |
| ACADIAN ASSET MANAGEMENT LLC 0.05% of their portfolio | 679.1k $43.4m | Reduced -657.2k |
| Point72 Asset Management, L.P. 0.06% of their portfolio | 659.5k $42.2m | Added +18.5k |
| RICE HALL JAMES & ASSOCIATES, LLC 1.95% of their portfolio | 624.9k $40.0m | Added +16.5k |
| Pictet Asset Management Holding SA 0.04% of their portfolio | 608.6k $38.9m | Reduced -14.6k |
| GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 604.2k $38.6m | Added +559.9k |
| Jupiter Topco LLC 0.02% of their portfolio | 586.2k $37.5m | First filing |
| Connor, Clark & Lunn Investment Management Ltd. 0.07% of their portfolio | 572.6k $36.6m | Reduced -77.0k |
| D. E. Shaw & Co., Inc. 0.02% of their portfolio | 569.8k $36.4m | Reduced -389.5k |
| TWO SIGMA INVESTMENTS, LP 0.03% of their portfolio | 561.5k $35.9m | Added +140.6k |
| ALLIANCEBERNSTEIN L.P. 0.01% of their portfolio | 556.2k $26.8m | Reduced -42.7k |
| VICTORY CAPITAL MANAGEMENT INC 0.02% of their portfolio | 504.9k $32.3m | Reduced -1.7k |
| SG Americas Securities, LLC 0.02% of their portfolio | 504.0k $32.2m | Reduced -136.2k |
| BNP PARIBAS FINANCIAL MARKETS 0.01% of their portfolio | 437.2k $28.0m | Reduced -210.5k |
| MASSACHUSETTS FINANCIAL SERVICES CO /MA/ 0.01% of their portfolio | 431.3k $27.6m | Reduced -6.7k |
| ORBIMED ADVISORS LLC 0.51% of their portfolio | 420.6k $26.9m | Added +240.0k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 413.4k $26.4m | Reduced -322.5k |
| OBERWEIS ASSET MANAGEMENT INC/ 0.55% of their portfolio | 413.0k $26.4m | Added +94.4k |
| Aberdeen Group plc 0.04% of their portfolio | 403.5k $25.8m | Added +29.9k |
| Fisher Asset Management, LLC 0.01% of their portfolio | 398.3k $25.5m | Reduced -30.7k |
| DEUTSCHE BANK AG\ 0.01% of their portfolio | 387.6k $24.8m | Reduced -136.1k |
| AQR CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 375.0k $24.0m | Reduced -3.7k |
| Penn Capital Management Company, LLC 1.49% of their portfolio | 368.1k $23.6m | Added +66.1k |
| NORTHERN TRUST CORP 0.00% of their portfolio | 315.2k $20.2m | Added +278.3k |
| Balyasny Asset Management L.P. 0.04% of their portfolio | 309.7k $19.8m | Reduced -190.1k |
| Qube Research & Technologies Ltd 0.02% of their portfolio | 304.1k $19.4m | Reduced -382.8k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.02% of their portfolio | 272.6k $17.4m | Added +63.0k |
| NOMURA HOLDINGS INC 0.07% of their portfolio | 270.7k $17.3m | Reduced -72.2k |
| Soleus Capital Management, L.P. 0.54% of their portfolio | 246.4k $15.8m | Reduced -275.0k |
| ESSEX INVESTMENT MANAGEMENT CO LLC 2.02% of their portfolio | 241.4k $15.4m | Reduced -7.9k |
| Bank of New York Mellon Corp 0.00% of their portfolio | 232.5k $14.9m | Added +215.1k |
| ArrowMark Colorado Holdings LLC 0.57% of their portfolio | 215.5k $13.8m | Reduced -101.4k |
| STEMPOINT CAPITAL LP 2.32% of their portfolio | 209.2k $13.4m | New |
| GOLDMAN SACHS GROUP INC 0.00% of their portfolio | 191.4k $12.2m | Added +16.5k |
| SEI INVESTMENTS CO 0.01% of their portfolio | 188.6k $12.1m | Reduced -95.4k |
| BRAIDWELL LP 0.43% of their portfolio | 183.8k $11.8m | Reduced -88.7k |
| CASTLEARK MANAGEMENT LLC 0.30% of their portfolio | 174.0k $11.1m | Reduced -7.5k |
| Rockefeller Capital Management L.P. 0.02% of their portfolio | 173.4k $11.1m | Unchanged |
| PEREGRINE CAPITAL MANAGEMENT LLC 0.34% of their portfolio | 161.5k $10.3m | Reduced -19.9k |
| Granahan Investment Management, LLC 0.35% of their portfolio | 151.7k $9.7m | Reduced -57.5k |
| Squarepoint Ops LLC 0.02% of their portfolio | 140.1k $9.0m | Reduced -18.0k |
| Nuveen, LLC 0.00% of their portfolio | 127.3k $8.1m | Added +100.3k |
| SILVERCREST ASSET MANAGEMENT GROUP LLC 0.05% of their portfolio | 109.4k $7.0m | Reduced -4.9k |
| NORDEA INVESTMENT MANAGEMENT AB 0.01% of their portfolio | 107.2k $6.8m | Added +522 |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio | 101.6k $6.5m | Added +51.3k |
| Universal- Beteiligungs- und Servicegesellschaft mbH 0.01% of their portfolio | 99.9k $6.4m | Reduced -4.8k |
| GLOBEFLEX CAPITAL L P 0.76% of their portfolio | 93.4k $6.0m | Unchanged |
| MILLENNIUM MANAGEMENT LLC 0.00% of their portfolio | 93.4k $6.0m | Reduced -471.1k |
| Lisanti Capital Growth, LLC 1.23% of their portfolio | 87.3k $5.6m | Added +56.2k |
| Legato Capital Management LLC 0.46% of their portfolio | 87.3k $5.6m | Added +16.5k |
| Swiss National Bank 0.00% of their portfolio | 73.7k $4.7m | Added +2.2k |
| VANGUARD FIDUCIARY TRUST CO 0.00% of their portfolio | 72.4k $4.6m | Added +40.3k |
| SEGALL BRYANT & HAMILL, LLC 0.05% of their portfolio | 71.9k $4.6m | New |
| RENAISSANCE TECHNOLOGIES LLC 0.01% of their portfolio | 68.1k $4.4m | New |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.00% of their portfolio | 67.7k $4.3m | Added +4.4k |
| LAZARD ASSET MANAGEMENT LLC 0.01% of their portfolio | 67.3k $4.3m | Added +45.9k |
| Allspring Global Investments Holdings, LLC 0.01% of their portfolio | 65.1k $4.2m | Added +49.7k |
| RHUMBLINE ADVISERS 0.00% of their portfolio | 58.5k $3.7m | Added +51.2k |
| AMERICAN CENTURY COMPANIES INC 0.00% of their portfolio | 56.4k $3.6m | Added +49.1k |
| Informed Momentum Co LLC 0.32% of their portfolio | 55.8k $3.6m | Reduced -729 |
| Linden Thomas Advisory Services, LLC 0.28% of their portfolio | 54.8k $3.5m | Reduced -67.0k |
| Trexquant Investment LP 0.02% of their portfolio | 53.5k $3.4m | Reduced -81.8k |
| HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND 0.00% of their portfolio | 52.7k $3.4m | Reduced -35.9k |
| TRUIST FINANCIAL CORP 0.00% of their portfolio | 51.7k $3.3m | New |
| LOS ANGELES CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 50.8k $3.2m | Added +34.6k |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 48.7k $3.1m | Added +40.3k |
| UBS Group AG 0.00% of their portfolio | 45.2k $2.9m | Reduced -24.5k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 42.6k $2.7m | Added +584 |
| CITADEL ADVISORS LLC 0.00% of their portfolio | 41.7k $2.7m | Reduced -433.1k |
| Aquatic Capital Management LLC 0.09% of their portfolio | 41.5k $2.7m | Added +37.2k |
| MUTUAL OF AMERICA CAPITAL MANAGEMENT LLC 0.03% of their portfolio | 41.5k $2.7m | New |
| PDT Partners, LLC 0.14% of their portfolio | 40.6k $2.6m | Reduced -39.7k |
| Man Group plc 0.00% of their portfolio | 40.5k $2.6m | Reduced -86.7k |
| CITIGROUP INC 0.00% of their portfolio | 40.5k $2.6m | Added +6.8k |
| Cerity Partners LLC 0.00% of their portfolio | 40.5k $2.6m | Reduced -3.2k |
| RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio | 38.1k $2.4m | Added +7.1k |
| Legal & General Group Plc 0.00% of their portfolio | 35.5k $2.3m | Added +10.9k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.00% of their portfolio | 34.8k $2.2m | New |
| Timothy G. Youngquist 2020 Irrevocable Trust 0.44% of their portfolio | 34.3k $2.2m | New |
| ExodusPoint Capital Management, LP 0.02% of their portfolio | 33.0k $2.1m | Reduced -19.3k |
| Voleon Capital Management LP 0.04% of their portfolio | 32.8k $2.1m | Reduced -87.6k |
| AMERIPRISE FINANCIAL INC 0.00% of their portfolio | 32.6k $2.1m | Added +816 |
| LPL Financial LLC 0.00% of their portfolio | 32.4k $2.1m | Added +11.5k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 31.6k $2.1m | Reduced -75.5k |
| Financial Enhancement Group LLC 0.24% of their portfolio | 31.4k $2.0m | New |
| Baird Financial Group, Inc. 0.00% of their portfolio | 30.7k $2.0m | Reduced -9.5k |
| Penserra Capital Management LLC 0.01% of their portfolio | 30.2k $1.9m | Reduced -22.9k |