Ikarian Capital 13F-HR Quarterly holdings report by institutional manager

The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 13F

FORM 13F INFORMATION TABLE

OMB APPROVAL

OMB Number:		3235-0006
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COLUMN 1	COLUMN 2	COLUMN 3	COLUMN 4	COLUMN 5			COLUMN 6	COLUMN 7	COLUMN 8
			VALUE	SHRS OR	SH/	PUT/	INVESTMENT	OTHER	VOTING AUTHORITY
NAME OF ISSUER	TITLE OF CLASS	CUSIP	(x$1000)	PRN AMT	PRN	CALL	DISCRETION	MANAGER	SOLE	SHARED	NONE
ABEONA THERAPEUTICS INC	COM NEW	00289Y206	72,504	171	SH	Call	SOLE		72,504	0	0
ABEONA THERAPEUTICS INC	COM NEW	00289Y206	3,258,835	768,593	SH		SOLE		3,258,835	0	0
ACELYRIN INC	COM	00445A100	6,505,077	1,475,074	SH		SOLE		6,505,077	0	0
ACHILLES THERAPEUTICS PLC	SPONSORED ADS	00449L102	1,176,193	1,443,181	SH		SOLE		1,176,193	0	0
ACUMEN PHARMACEUTICALS INC	COM	00509G209	644,774	266,435	SH		SOLE		644,774	0	0
AEON BIOPHARMA INC	CL A	00791X100	270,876	257,977	SH		SOLE		270,876	0	0
AEROVATE THERAPEUTICS INC	COM	008064107	166,000	1,000	SH	Call	SOLE		166,000	0	0
AEROVATE THERAPEUTICS INC	COM	008064107	610,822	367,965	SH		SOLE		610,822	0	0
ALEXANDRIA REAL ESTATE EQ IN	COM	015271109	8,573,901	733	SH	Put	SOLE		8,573,901	0	0
ALLAKOS INC	COM	01671P100	972,675	972,675	SH		SOLE		972,675	0	0
ALNYLAM PHARMACEUTICALS INC	COM	02043Q107	36,450,000	1,500	SH	Put	SOLE		36,450,000	0	0
ALNYLAM PHARMACEUTICALS INC	COM	02043Q107	36,450,000	1,500	SH	Call	SOLE		36,450,000	0	0
AMGEN INC	COM	031162100	10,935,750	350	SH	Call	SOLE		10,935,750	0	0
AMGEN INC	COM	031162100	7,811,250	250	SH	Call	SOLE		7,811,250	0	0
AMGEN INC	COM	031162100	11,966,835	38,300	SH		SOLE		11,966,835	0	0
AMYLYX PHARMACEUTICALS INC	COM	03237H101	521,647	274,551	SH		SOLE		521,647	0	0
ANEBULO PHARMACEUTICALS INC	COM	034569103	430,964	157,862	SH		SOLE		430,964	0	0
ANNEXON INC	COM	03589W102	1,862,000	380,000	SH		SOLE		1,862,000	0	0
ANNOVIS BIO INC	COM	03615A108	291,456	506	SH	Call	SOLE		291,456	0	0
ANNOVIS BIO INC	COM	03615A108	6,336	11	SH	Call	SOLE		6,336	0	0
ANNOVIS BIO INC	COM	03615A108	1,731,456	3,006	SH	Put	SOLE		1,731,456	0	0
ANNOVIS BIO INC	COM	03615A108	6,336	11	SH	Put	SOLE		6,336	0	0
ANNOVIS BIO INC	COM	03615A108	1,440,000	2,500	SH	Put	SOLE		1,440,000	0	0
ARCUS BIOSCIENCES INC	COM	03969F109	2,208,350	145,000	SH		SOLE		2,208,350	0	0
ARCUTIS BIOTHERAPEUTICS INC	COM	03969K108	4,553,672	489,642	SH		SOLE		4,553,672	0	0
ASTRAZENECA PLC	SPONSORED ADR	046353108	8,516,508	1,092	SH	Call	SOLE		8,516,508	0	0
AVALO THERAPEUTICS INC	COM NEW	05338F306	682,483	54,730	SH		SOLE		682,483	0	0
BRAINSTORM CELL THERAPEUTICS	COM NEW	10501E201	30,547	90,242	SH		SOLE		30,547	0	0
BRIDGEBIO PHARMA INC	COM	10806X102	10,132,000	4,000	SH	Call	SOLE		10,132,000	0	0
BRIDGEBIO PHARMA INC	COM	10806X102	5,066,000	2,000	SH	Call	SOLE		5,066,000	0	0
BRIDGEBIO PHARMA INC	COM	10806X102	8,409,889	332,013	SH		SOLE		8,409,889	0	0
CARTESIAN THERAPEUTICS INC	COM NEW	816212302	6,546,413	242,370	SH		SOLE		6,546,413	0	0
CATALYST PHARMACEUTICALS INC	COM	14888U101	8,029,799	518,386	SH		SOLE		8,029,799	0	0
CERVOMED INC	COM	15713L109	4,063,346	237,345	SH		SOLE		4,063,346	0	0
CHEMOMAB THERAPEUTICS LTD	SPONSORED ADS	16385C104	196,320	213,392	SH		SOLE		196,320	0	0
COMPASS PATHWAYS PLC	SPONSORED ADS	20451W101	1,829,564	302,908	SH		SOLE		1,829,564	0	0
CORBUS PHARMACEUTICALS HLDGS	COM NEW	21833P301	14,006,685	309,540	SH		SOLE		14,006,685	0	0
CORCEPT THERAPEUTICS INC	COM	218352102	6,043,140	1,860	SH	Call	SOLE		6,043,140	0	0
CRINETICS PHARMACEUTICALS IN	COM	22663K107	26,373,158	588,818	SH		SOLE		26,373,158	0	0
CYBIN INC	COM	23256X100	3,781,396	13,953,488	SH		SOLE		3,781,396	0	0
CYTOKINETICS INC	COM NEW	23282W605	9,218,564	170,147	SH		SOLE		9,218,564	0	0
CYTOMX THERAPEUTICS INC	COM	23284F105	10,887	8,924	SH		SOLE		10,887	0	0
DELCATH SYS INC	COM NEW	24661P807	840,097	100,370	SH		SOLE		840,097	0	0
ELEVATION ONCOLOGY INC	COM	28623U101	1,863,242	690,089	SH		SOLE		1,863,242	0	0
ELIEM THERAPEUTICS INC	COM	28658R106	711,001	100,000	SH		SOLE		711,001	0	0
ENLIVEN THERAPEUTICS INC	COM	29337E102	13,707,720	586,552	SH		SOLE		13,707,720	0	0
G1 THERAPEUTICS INC	COM	3621LQ109	2,280,000	10,000	SH	Call	SOLE		2,280,000	0	0
G1 THERAPEUTICS INC	COM	3621LQ109	512,544	2,248	SH	Call	SOLE		512,544	0	0
G1 THERAPEUTICS INC	COM	3621LQ109	512,544	2,248	SH	Put	SOLE		512,544	0	0
G1 THERAPEUTICS INC	COM	3621LQ109	140,448	616	SH	Put	SOLE		140,448	0	0
G1 THERAPEUTICS INC	COM	3621LQ109	2,280,000	10,000	SH	Put	SOLE		2,280,000	0	0
IBIO INC	CON NEW	451033708	1,266,000	600,000	SH		SOLE		1,266,000	0	0
IMMATICS N.V	SHS	N44445109	574,202	49,415	SH		SOLE		574,202	0	0
IMMUNIC INC	COM	4525EP101	547,781	493,496	SH		SOLE		547,781	0	0
IMMUNOVANT INC	COM	45258J102	2,640,000	1,000	SH	Call	SOLE		2,640,000	0	0
IMMUNOVANT INC	COM	45258J102	7,310,821	276,925	SH		SOLE		7,310,821	0	0
INFLARX NV	COM	N44821101	1,226,677	704,987	SH		SOLE		1,226,677	0	0
INHIBRX BIOSCIENCES INC	COM	45720N103	3,259,099	230,000	SH		SOLE		3,259,099	0	0
INSMED INC	COM PAR $.01	457669307	13,400	2	SH	Call	SOLE		13,400	0	0
INSMED INC	COM PAR $.01	457669307	14,023,100	2,093	SH	Call	SOLE		14,023,100	0	0
INSMED INC	COM PAR $.01	457669307	1,882,700	281	SH	Call	SOLE		1,882,700	0	0
INSMED INC	COM PAR $.01	457669307	4,649,800	694	SH	Call	SOLE		4,649,800	0	0
INSMED INC	COM PAR $.01	457669307	13,400,000	2,000	SH	Call	SOLE		13,400,000	0	0
INSMED INC	COM PAR $.01	457669307	4,750,300	709	SH	Put	SOLE		4,750,300	0	0
INSMED INC	COM PAR $.01	457669307	3,204,945	47,835	SH		SOLE		3,204,945	0	0
ITEOS THERAPEUTICS INC	COM	46565G104	1,166,038	78,574	SH		SOLE		1,166,038	0	0
JASPER THERAPEUTICS INC	COM NEW	471871202	2,387,473	105,175	SH		SOLE		2,387,473	0	0
KARYOPHARM THERAPEUTICS INC	COM	48576U106	355,157	409,355	SH		SOLE		355,157	0	0
KEZAR LIFE SCIENCES INC	COM	49372L100	521,395	868,992	SH		SOLE		521,395	0	0
KODIAK SCIENCES INC	COM	50015M109	1,119,977	476,586	SH		SOLE		1,119,977	0	0
LARIMAR THERAPEUTICS INC	COM	517125100	2,345,578	323,528	SH		SOLE		2,345,578	0	0
LENZ THERAPEUTICS INC	COM	52635N103	3,536,029	204,513	SH		SOLE		3,536,029	0	0
LYELL IMMUNOPHARMA INC	COM	55083R104	762,796	526,066	SH		SOLE		762,796	0	0
LYRA THERAPEUTICS INC	COM	55234L105	292,424	1,056,829	SH		SOLE		292,424	0	0
MACROGENICS INC	COM	556099109	850,337	200,079	SH		SOLE		850,337	0	0
MARINUS PHARMACEUTICALS INC	COM NEW	56854Q200	826,200	706,154	SH		SOLE		826,200	0	0
MILESTONE PHARMACEUTICALS IN	COM	59935V107	619,806	466,019	SH		SOLE		619,806	0	0
MIND MEDICINE MINDMED INC	COM NEW	60255C885	1,171,487	162,481	SH		SOLE		1,171,487	0	0
NEKTAR THERAPEUTICS	COM	640268108	1,627,382	1,312,405	SH		SOLE		1,627,382	0	0
NEUROCRINE BIOSCIENCES INC	COM	64125C109	13,767,000	1,000	SH	Call	SOLE		13,767,000	0	0
NEUROCRINE BIOSCIENCES INC	COM	64125C109	5,506,799	40,000	SH		SOLE		5,506,799	0	0
NURIX THERAPEUTICS INC	COM	67080M103	9,193,234	440,500	SH		SOLE		9,193,234	0	0
NUVALENT INC	COM	670703107	11,500,452	151,601	SH		SOLE		11,500,452	0	0
NUVATION BIO INC	COM CL A	67080N101	1,046,183	358,282	SH		SOLE		1,046,183	0	0
NYXOAH S A	SHS	B6S7WD106	356,921	50,699	SH		SOLE		356,921	0	0
PRAXIS PRECISION MEDICINES I	COM NEW	74006W207	4,136,000	1,000	SH	Call	SOLE		4,136,000	0	0
PRAXIS PRECISION MEDICINES I	COM NEW	74006W207	8,272,000	2,000	SH	Call	SOLE		8,272,000	0	0
PRAXIS PRECISION MEDICINES I	COM NEW	74006W207	4,136,000	1,000	SH	Put	SOLE		4,136,000	0	0
PRAXIS PRECISION MEDICINES I	COM NEW	74006W207	13,338,600	3,225	SH	Put	SOLE		13,338,600	0	0
PROQR THRAPEUTICS N V	SHS EURO	N71542109	802,748	483,583	SH		SOLE		802,748	0	0
PROTARA THERAPEUTICS INC	COM STK	74365U107	375,881	180,712	SH		SOLE		375,881	0	0
PYXIS ONCOLOGY INC	COMMON STOCK	747324101	855,966	2,586	SH	Call	SOLE		855,966	0	0
PYXIS ONCOLOGY INC	COMMON STOCK	747324101	331,000	1,000	SH	Call	SOLE		331,000	0	0
PYXIS ONCOLOGY INC	COMMON STOCK	747324101	5,502,571	1,662,408	SH		SOLE		5,502,571	0	0
Q32 BIO INC	COM	746964105	1,958,237	109,094	SH		SOLE		1,958,237	0	0
RAPT THERAPEUTICS INC	COM	75382E109	610,000	2,000	SH	Call	SOLE		610,000	0	0
RAPT THERAPEUTICS INC	COM	75382E109	471,606	154,625	SH		SOLE		471,606	0	0
RELMADA THERAPEUTICS INC	COM	75955J402	121,107	40,369	SH		SOLE		121,107	0	0
REZOLUTE INC	COM NEW	76200L309	3,886,099	903,744	SH		SOLE		3,886,099	0	0
ROCKET PHARMACEUTICALS INC	COM	77313F106	4,243,477	197,096	SH		SOLE		4,243,477	0	0
ROIVANT SCIENCES LTD	SHS	G76279101	1,063,437	100,609	SH		SOLE		1,063,437	0	0
SAGIMET BIOSCIENCES INC	COM SER A	786700104	1,410,973	412,565	SH		SOLE		1,410,973	0	0
SANA BIOTECHNOLOGY INC	COM	799566104	2,184,000	4,000	SH	Call	SOLE		2,184,000	0	0
SANA BIOTECHNOLOGY INC	COM	799566104	2,184,000	4,000	SH	Put	SOLE		2,184,000	0	0
SAREPTA THERAPEUTICS INC	COM	803607100	15,800,000	1,000	SH	Call	SOLE		15,800,000	0	0
SAREPTA THERAPEUTICS INC	COM	803607100	32,170,696	203,612	SH		SOLE		32,170,696	0	0
SCHOLAR ROCK HLDG CORP	COM	80706P103	1,530,229	183,701	SH		SOLE		1,530,229	0	0
SENSEI BIOTHERAPEUTICS INC	COM	81728A108	403,065	650,000	SH		SOLE		403,065	0	0
SILENCE THERAPEUTICS PLC	ADS	82686Q101	3,293,324	506,665	SH		SOLE		3,293,324	0	0
SOLENO THERAPEUTICS INC	COM	834203309	18,174,401	445,451	SH		SOLE		18,174,401	0	0
STOKE THERAPEUTICS INC	COM	86150R107	92,083	6,816	SH		SOLE		92,083	0	0
STRUCTURE THERAPEUTICS INC	SPONSORED ADS	86366E106	78,540	20	SH	Call	SOLE		78,540	0	0
STRUCTURE THERAPEUTICS INC	SPONSORED ADS	86366E106	1,060,290	270	SH	Call	SOLE		1,060,290	0	0
STRUCTURE THERAPEUTICS INC	SPONSORED ADS	86366E106	1,138,830	290	SH	Put	SOLE		1,138,830	0	0
SYNLOGIC INC	COM NEW	87166L209	30,673	20,448	SH		SOLE		30,673	0	0
TARSUS PHARMACEUTICALS INC	COM	87650L103	21,751,529	800,277	SH		SOLE		21,751,529	0	0
TECTONIC THERAPEUTIC INC	COM	878972108	1,034,909	62,836	SH		SOLE		1,034,909	0	0
TEMPEST THERAPEUTICS INC	COM	87978U108	231,264	105,600	SH		SOLE		231,264	0	0
TERNS PHARMACEUTICALS INC	COM	880881107	3,122,365	458,497	SH		SOLE		3,122,365	0	0
TOURMALINE BIO INC	COM	89157D105	1,395,092	108,483	SH		SOLE		1,395,092	0	0
VENTYX BIOSCIENCES INC	COM	92332V107	1,022,514	442,647	SH		SOLE		1,022,514	0	0
VERONA PHARMA PLC	SPONSORED ADS	925050106	2,908,138	201,116	SH		SOLE		2,908,138	0	0
VERU INC	COM	92536C103	796,191	946,382	SH		SOLE		796,191	0	0
VIKING THERAPEUTICS INC	COM	92686J106	7,329,269	138,262	SH		SOLE		7,329,269	0	0
VIRIDIAN THERAPEUTICS INC	COM	92790C104	1,301,000	1,000	SH	Call	SOLE		1,301,000	0	0
VIRIDIAN THERAPEUTICS INC	COM	92790C104	1,301,000	1,000	SH	Put	SOLE		1,301,000	0	0
VIRIDIAN THERAPEUTICS INC	COM	92790C104	2,327,489	1,789	SH	Put	SOLE		2,327,489	0	0
VOYAGER THERAPEUTICS INC	COM	92915B106	441,829	55,857	SH		SOLE		441,829	0	0
WAVE LIFE SCIENCES LTD	SHS	Y95308105	2,869,690	575,088	SH		SOLE		2,869,690	0	0
XENON PHARMACEUTICALS INC	COM	98420N105	4,179,221	107,187	SH		SOLE		4,179,221	0	0