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Alto Neuroscience ANRO

US equityMarket cap rank #3294Biotechnology
$23.52 −$0.17 (-0.72%)
Pre-market · Oct 8, 9:10 am ET · After hours $23.97 +1.92%
Open$23.39
Prev close$23.69
Day range$23.33 – $24.42
Volume348.0K
Market cap$922.97M
P/E (TTM)–
Dividend yield–

Ownership & positioning

Who holds it, who is betting against it, and where the big money is moving

Institutional ownership86.6%-4.54 pts vs. prior quarter
Institutions holding139+2 vs. prior quarter
Insider trades (recent)40 buys / 9 sellsNet buying
Short interest10.64% of floatDays to cover 9.1 · as of 15 Sep 2026
Short-sale volume share31.5%5-day average of daily volume

Short-sale volume as % of daily volume

11%27%43%59%Sep '26Sep '26Oct '26

Large-order net flow, last 20 sessions

Net of large-order buying minus selling, in USD. Over this window: −$3.22M (3 inflow days, 17 outflow days).

Net flow by order size, last 20 sessions

−$2.1MSuper−$1.1MBig−$1.3MMid+$683.7KSmall

Super/Big orders approximate institutional-size trades; Mid/Small approximate retail-size trades. Net buy minus sell value in each bucket, summed over the window.

The five largest holders on file together own 31.6% of shares outstanding.

Largest holders

  • Alpha Wave Global, LP9.45%
  • Commodore Capital LP6.94%
  • EcoR1 Capital, LLC5.69%
  • BlackRock5.40%
  • Perceptive Advisors LLC4.10%
  • Vanguard Capital Management, LLC4.08%
  • Adage Capital Management, L.P.4.08%
  • Sirenia Capital Management LP3.65%

By investor type

  • Hedge Fund47.15%
  • Mutual Fund27.14%
  • VC/PE Fund11.01%
  • Individual/Insider2.51%
  • Public Company0.85%
  • Private Company0.15%
  • Insurance Company0.14%
  • Government Pension Fund0.10%

Reported short interest has risen from 6.87% to 10.64% of float over the last 6 biweekly reports (30 Jun 2026 to 15 Sep 2026).

Recent institutional activity

HolderTypePeriodShare changeNew stake
Nuveen Asset Management LLC Insurance Company 2026/Q3 +56,133 0.1%
EcoR1 Capital, LLC Hedge Fund 2026/Q3 +2,232,000 5.7%
BlackRock Mutual Fund 2026/Q3 +1,454,821 5.4%
Adage Capital Management, L.P. Hedge Fund 2026/Q3 +1,215,000 4.1%
State Street Global Advisors Mutual Fund 2026/Q3 +486,442 1.7%
Parkman Healthcare Partners LLC Hedge Fund 2026/Q3 +429,035 1.1%
Geode Capital Management, LLC Mutual Fund 2026/Q3 +385,300 1.7%
Affinity Asset Advisors, LLC Hedge Fund 2026/Q3 +350,000 2.2%
Schonfeld Strategic Advisors LLC Hedge Fund 2026/Q3 +257,631 0.7%
Vanguard Capital Management, LLC Mutual Fund 2026/Q3 +228,437 4.1%
Vanguard Portfolio Management, LLC Mutual Fund 2026/Q3 +181,101 0.5%
Columbia Management Investment Advisers, LLC Mutual Fund 2026/Q3 +177,672 0.5%
Vivo Capital, LLC VC/PE Fund 2026/Q3 +173,307 3.1%
Northern Trust Global Investments Mutual Fund 2026/Q3 +159,298 1.6%
The Goldman Sachs Group, Inc. Public Company 2026/Q3 +98,970 0.5%

Institutional buy/sell activity by reporting period, largest moves first.

Insider transactions

DateInsiderTitleTransactionSharesPriceHeld after
1 Oct 2026 Nicholas Smith Chief Financial Officer Derivative Exercise and Retained +55,000 $2.32 79,060
29 Sep 2026 Nicholas Smith Chief Financial Officer Derivative Exercise and Sale -134,886 $26.87 24,060
28 Sep 2026 Nicholas Smith Chief Financial Officer Intent to Sell (Form 144) -134,886 $26.66 –
26 May 2026 Andrew Miller Director Other Derivative Acquisition +26,000 $20.44 26,000
13 May 2026 Amit Etkin Founder, Chairman of the Board, CEO & President Other Disposition -400,000 – 833,949
11 May 2026 Gwill York Independent Director Other Derivative Acquisition +10,958 $24.63 10,958
11 May 2026 Andrew Dreyfus Independent Director Other Derivative Acquisition +10,958 $24.63 10,958
11 May 2026 Husseini Manji Non-Employee Independent Director Other Derivative Acquisition +10,958 $24.63 10,958
11 May 2026 Raymond Sanchez Director Other Derivative Acquisition +10,958 $24.63 10,958
11 May 2026 Christopher Cox Independent Director Other Derivative Acquisition +10,958 $24.63 10,958
28 Feb 2026 Nicholas Smith Chief Financial Officer Sale to Issuer -2,806 $19.69 24,060
28 Feb 2026 Amit Etkin Founder, Chairman of the Board, CEO & President Sale to Issuer -6,227 $19.69 1,233,949
10 Feb 2026 Nicholas Smith Chief Financial Officer Other Derivative Acquisition +200,000 $16.71 200,000
10 Feb 2026 Amit Etkin Founder, Chairman of the Board, CEO & President Other Derivative Acquisition +306,000 $16.71 306,000
10 Feb 2026 Michael Hanley Chief Operating Officer Other Derivative Acquisition +131,000 $16.71 131,000
10 Feb 2026 Adam Savitz Chief Medical Officer Other Derivative Acquisition +124,000 $16.71 124,000
1 Jan 2026 Gwill York Independent Director Other Derivative Acquisition +5,243 $16.59 5,243
1 Jan 2026 Husseini Manji Non-Employee Independent Director Other Derivative Acquisition +4,228 $16.59 4,228
1 Jan 2026 Raymond Sanchez Director Other Derivative Acquisition +3,806 $16.59 3,806
1 Jan 2026 Christopher Cox Independent Director Other Derivative Acquisition +7,189 $16.59 7,189

From Form 4/Form 144 filings. Negative share counts are disposals (sales, gifts, or shares withheld for taxes); positive are acquisitions.

Short interest, by report

Report dateShares short% of floatDays to cover
15 Sep 2026 4,174,082 10.6% 9.1
31 Aug 2026 3,836,359 9.8% 8.1
14 Aug 2026 3,556,066 9.1% 7.5
31 Jul 2026 3,235,210 9.2% 7.5
15 Jul 2026 3,096,805 8.8% 4.3
30 Jun 2026 2,410,038 6.9% 3.0

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