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Institutional Ownership · SEC Form 13F

Who owns AXSM (AXSM)


Which tracked institutional funds hold AXSM, how they are positioned, and who is buying versus exiting — from SEC Form 13F-HR filings. See AXSM company fundamentals →

Ownership as of the 2026-Q1 13F filings. 13F is disclosed up to 45 days after quarter-end, so the most recent quarter fills in over the following weeks.

411
Institutional holders
37,596,817
Shares held (tracked funds)
73.9%
Of shares outstanding

How the tape is positioned

87 tracked funds added or opened AXSM while 140 trimmed or exited it between 2025-Q4 and 2026-Q1 — the tape is split. When large holders disagree on a name, the funds moving first are sometimes ahead of the story.

A prompt to read the filings, not a verdict. 13F is a quarter-end snapshot disclosed up to 45 days late; a fund adds or exits for mandate, benchmark, and timing reasons that have nothing to do with a view on the stock. This is a starting question, not a signal to trade.

Conviction spread

AXSM’s largest tracked holder by dollar value, VANGUARD GROUP INC, sizes it at 0.0% of its own reported 13F book, while the median holder sizes it at 0.0% of theirs — a 0.0pp gap the other way — the median holder sizes AXSM more heavily than its largest holder by dollar value does.

Book-share is each fund’s reported value in AXSM divided by its whole reported 13F book, so it is comparable across funds of different sizes and is unaffected by stock splits. A higher share means a fund has committed more of its book to the name — a starting question about conviction, not a verdict or a signal to trade.

Institutional & insider positioning

Between 2025-Q4 and 2026-Q1, across 411 tracked filers holding AXSM, 211 increased or opened the position and 206 reduced or closed it; over the same quarter, open-market insider Form 4 buying and selling roughly offset.

This fuses two public signals for the same quarter — how tracked institutions changed their positions and whether insiders bought or sold in the open market. It describes what was filed; it is a starting question, not a verdict or a signal to trade.

New buyers & exits

Funds opening or closing a position in AXSM between the 2025-Q4 and 2026-Q1 13F filings, and the largest changes among funds holding it in both. New buyers and exits are counted on fund presence (split-invariant); adds and trims are measured on reported value.

New buyers 36

  • VANGUARD PORTFOLIO MANAGEMENT LLC$348M
  • VANGUARD CAPITAL MANAGEMENT LLC$328M
  • VANGUARD FIDUCIARY TRUST CO$50M
  • HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND$16M
  • HSBC HOLDINGS PLC$12M
  • Hillsdale Investment Management Inc.$9M

Full exits 27

  • VANGUARD GROUP INC$750M
  • RTW INVESTMENTS, LP$162M
  • Nationale-Nederlanden Powszechne Towarzystwo Emerytalne S.A.$51M
  • Vestal Point Capital, LP$38M
  • TWO SIGMA ADVISERS, LP$34M
  • Edgestream Partners, L.P.$10M

Largest adds

  • FIRST TRUST ADVISORS LP$90M
  • Point72 Asset Management, L.P.$69M
  • Assenagon Asset Management S.A.$61M
  • ADAGE CAPITAL PARTNERS GP, L.L.C.$58M
  • FMR LLC$49M
  • Sofinnova Investments, Inc.$34M

Largest trims

  • BlackRock, Inc.$163M
  • PRICE T ROWE ASSOCIATES INC /MD/$53M
  • NOMURA ASSET MANAGEMENT INTERNATIONAL INC.$43M
  • NORGES BANK$39M
  • MARSHALL WACE, LLP$35M
  • Invesco Ltd.$32M

Institutional holders

One row per tracked fund, largest reported value first. “% of value” is the fund’s share of this security’s tracked institutional value — not of shares outstanding. Rows marked stale are from an earlier filing than the security’s latest quarter — that fund is absent from the newest snapshot (position exited, or reported under a different name).

FundSharesReported value% of valueQuarter
BlackRock, Inc. trimmed3,267,354$552M7.7%2026-Q1
VANGUARD PORTFOLIO MANAGEMENT LLC new2,058,170$348M4.9%2026-Q1
VANGUARD CAPITAL MANAGEMENT LLC new1,937,752$328M4.6%2026-Q1
FMR LLC added1,566,331$265M3.7%2026-Q1
PRICE T ROWE ASSOCIATES INC /MD/ trimmed1,317,059$223M3.1%2026-Q1
Invesco Ltd. trimmed1,184,888$200M2.8%2026-Q1
GEODE CAPITAL MANAGEMENT, LLC added1,162,981$197M2.8%2026-Q1
WELLINGTON MANAGEMENT GROUP LLP trimmed1,143,524$193M2.7%2026-Q1
Deep Track Capital, LP trimmed1,100,000$186M2.6%2026-Q1
STATE STREET CORP added986,809$167M2.3%2026-Q1
Assenagon Asset Management S.A. added865,958$146M2.1%2026-Q1
NOMURA ASSET MANAGEMENT INTERNATIONAL INC. trimmed812,809$137M1.9%2026-Q1
ADAGE CAPITAL PARTNERS GP, L.L.C. added737,578$125M1.7%2026-Q1
ALETHEA CAPITAL MANAGEMENT, LLC trimmed649,114$110M1.5%2026-Q1
D. E. Shaw & Co., Inc. added603,465$102M1.4%2026-Q1
BANK OF AMERICA CORP /DE/ trimmed598,091$101M1.4%2026-Q1
FIRST TRUST ADVISORS LP added577,479$98M1.4%2026-Q1
UBS Group AG added547,195$92M1.3%2026-Q1
EVENTIDE ASSET MANAGEMENT, LLC trimmed519,558$88M1.2%2026-Q1
MORGAN STANLEY trimmed476,701$81M1.1%2026-Q1
FRANKLIN RESOURCES INC added438,490$74M1.0%2026-Q1
Point72 Asset Management, L.P. added424,750$72M1.0%2026-Q1
GOLDMAN SACHS GROUP INC added421,447$71M1.0%2026-Q1
Pictet Asset Management Holding SA trimmed415,983$70M1.0%2026-Q1
NORTHERN TRUST CORP added401,459$68M1.0%2026-Q1
CHARLES SCHWAB INVESTMENT MANAGEMENT INC trimmed395,118$67M0.9%2026-Q1
Hood River Capital Management LLC added371,503$63M0.9%2026-Q1
PRINCIPAL FINANCIAL GROUP INC trimmed350,488$59M0.8%2026-Q1
Nuveen, LLC trimmed335,737$57M0.8%2026-Q1
Qube Research & Technologies Ltd added335,334$57M0.8%2026-Q1
TWO SIGMA INVESTMENTS, LP added322,778$55M0.8%2026-Q1
NORGES BANK trimmed437,497$51M0.7%2026-Q1
VANGUARD FIDUCIARY TRUST CO new295,139$50M0.7%2026-Q1
Driehaus Capital Management LLC added292,370$49M0.7%2026-Q1
CITADEL ADVISORS LLC added281,503$48M0.7%2026-Q1
PFM Health Sciences, LP added264,304$45M0.6%2026-Q1
LOOMIS SAYLES & CO L P trimmed256,625$43M0.6%2026-Q1
JPMORGAN CHASE & CO added270,160$43M0.6%2026-Q1
ORBIMED ADVISORS LLC trimmed213,921$36M0.5%2026-Q1
Sofinnova Investments, Inc. added212,747$36M0.5%2026-Q1
Bank of New York Mellon Corp trimmed206,644$35M0.5%2026-Q1
FRONTIER CAPITAL MANAGEMENT CO LLC added203,066$34M0.5%2026-Q1
First Turn Management, LLC trimmed188,772$32M0.4%2026-Q1
BNP PARIBAS FINANCIAL MARKETS trimmed188,146$32M0.4%2026-Q1
CITIGROUP INC trimmed185,658$31M0.4%2026-Q1
VOYA INVESTMENT MANAGEMENT LLC added183,967$31M0.4%2026-Q1
AMERIPRISE FINANCIAL INC added176,314$30M0.4%2026-Q1
RENAISSANCE TECHNOLOGIES LLC trimmed164,300$28M0.4%2026-Q1
Woodline Partners LP added162,221$27M0.4%2026-Q1
MetLife Investment Management, LLC trimmed152,645$26M0.4%2026-Q1
PERCEPTIVE ADVISORS LLC added149,950$25M0.4%2026-Q1
Aberdeen Group plc added149,688$25M0.4%2026-Q1
Voleon Capital Management LP added147,867$25M0.4%2026-Q1
RAYMOND JAMES FINANCIAL INC trimmed147,766$24M0.3%2026-Q1
1832 Asset Management L.P. added143,800$24M0.3%2026-Q1
Man Group plc trimmed142,271$24M0.3%2026-Q1
MARSHALL WACE, LLP trimmed141,236$24M0.3%2026-Q1
ALGERT GLOBAL LLC trimmed135,460$23M0.3%2026-Q1
Connor, Clark & Lunn Investment Management Ltd. trimmed134,792$23M0.3%2026-Q1
US BANCORP \DE\ added131,414$22M0.3%2026-Q1
MANUFACTURERS LIFE INSURANCE COMPANY, THE trimmed117,093$20M0.3%2026-Q1
Squarepoint Ops LLC trimmed114,102$19M0.3%2026-Q1
FEDERATED HERMES, INC. added108,571$18M0.3%2026-Q1
EMERALD ADVISERS, LLC trimmed107,610$18M0.3%2026-Q1
DEUTSCHE BANK AG\ added104,266$18M0.2%2026-Q1
AQR CAPITAL MANAGEMENT LLC trimmed103,373$17M0.2%2026-Q1
WCM INVESTMENT MANAGEMENT, LLC trimmed107,817$17M0.2%2026-Q1
HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND added97,550$16M0.2%2026-Q1
UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC added94,937$16M0.2%2026-Q1
ROYCE & ASSOCIATES LP94,017$16M0.2%2026-Q1
CANADA PENSION PLAN INVESTMENT BOARD trimmed91,400$15M0.2%2026-Q1
M&G PLC added91,339$15M0.2%2026-Q1
DNB Asset Management AS trimmed90,088$15M0.2%2026-Q1
Cannell & Spears LLC84,154$14M0.2%2026-Q1
Nicholas Investment Partners, LP trimmed81,478$14M0.2%2026-Q1
Granite Investment Partners, LLC trimmed80,299$14M0.2%2026-Q1
Universal- Beteiligungs- und Servicegesellschaft mbH added70,725$12M0.2%2026-Q1
SEI INVESTMENTS CO added70,064$12M0.2%2026-Q1
Swiss National Bank added69,100$12M0.2%2026-Q1
HSBC HOLDINGS PLC trimmed68,453$12M0.2%2026-Q1
ALLIANCEBERNSTEIN L.P. added62,822$11M0.2%2026-Q1
IRIDIAN ASSET MANAGEMENT LLC/CT trimmed67,491$11M0.2%2026-Q1
EMERALD MUTUAL FUND ADVISERS TRUST trimmed67,054$11M0.2%2026-Q1
Summit Financial, LLC trimmed65,249$11M0.2%2026-Q1
Rhenman & Partners Asset Management AB trimmed63,800$11M0.2%2026-Q1
Tri Locum Partners LP trimmed62,116$10M0.1%2026-Q1
WELLS FARGO & COMPANY/MN trimmed61,405$10M0.1%2026-Q1
IFP Advisors, Inc trimmed60,994$10M0.1%2026-Q1
NEUBERGER BERMAN GROUP LLC trimmed60,759$10M0.1%2026-Q1
Privium Fund Management B.V. added58,729$10M0.1%2026-Q1
VANGUARD GROUP INC trimmed4,108,427$750M10.5%2025-Q4 stale
RTW INVESTMENTS, LP trimmed888,001$162M2.3%2025-Q4 stale
MACQUARIE GROUP LTD trimmed1,084,536$132M1.8%2025-Q3 stale
Fairmount Funds Management LLC815,176$99M1.4%2025-Q3 stale
Nationale-Nederlanden Powszechne Towarzystwo Emerytalne S.A. trimmed278,835$51M0.7%2025-Q4 stale
Vestal Point Capital, LP added210,000$38M0.5%2025-Q4 stale
TWO SIGMA ADVISERS, LP added188,500$34M0.5%2025-Q4 stale
VOLORIDGE INVESTMENT MANAGEMENT, LLC added235,383$27M0.4%2025-Q1 stale
Edgestream Partners, L.P. added56,364$10M0.1%2025-Q4 stale
Atika Capital Management LLC added55,500$10M0.1%2025-Q4 stale

Ownership over time

Tracked institutional holder count and total shares held by filing quarter (independent scales). The curated-era tail and any mid-ingest latest quarter are handled honestly — a partial quarter is not drawn as a collapse.

HoldersTotal shares

Reading this table

Funds hold the same stock for different reasons — an index fund “holds” almost everything, an active manager sizes a name to a mandate and a benchmark, and each fund entered at its own price and time. Because 13F is filed up to 45 days after quarter-end, every row is a backward-looking snapshot; a manager may have traded since. Share-class siblings (a company’s A and C shares) are rolled up to one line so a dual-class name is never double-counted. Compare like-for-like. A large holder is not an endorsement, and a fund exiting is not a warning — this is a starting question, not a verdict.

About 13F filings

A Form 13F is a quarterly disclosure that institutional investment managers with over $100 million in US-listed equities must file with the SEC. In plain English: it is a snapshot of the long stock positions a fund held at the end of a quarter. It covers long US-listed equities only — not short positions, options, cash, or private holdings — and the funds shown are the large sample we track, not the complete 13F universe.

Learn how to read institutional ownership