| ONC Beone Medicines Ltd.-ADR filed as BEIGENE LTD | 24.85% | 10,568,897 | $2.4B | No change |
| INCY Incyte Corp. | 21.27% | 30,739,020 | $2.0B | Add +0.0% |
| ACAD Acadia Pharmaceuticals Inc. | 6.91% | 42,877,916 | $659.5M | No change |
| SMMT Summit Therapeutics Inc. | 5.60% | 24,424,865 | $534.9M | Add +5.2% |
| MDGL Madrigal Pharmaceuticals Inc. | 4.39% | 1,974,590 | $419.0M | No change |
| RVMD Revolution Medicines Inc. | 3.59% | 7,569,090 | $343.3M | No change |
| RYTM Rhythm Pharmaceuticals Inc. | 3.51% | 6,398,366 | $335.2M | Add +0.0% |
| INSM Insmed Inc. | 3.38% | 4,415,918 | $322.4M | Add +23.5% |
| KYMR Kymera Therapeutics Inc. | 2.97% | 5,995,929 | $283.8M | Add +0.0% |
| BCYC Bicycle Therapeutics PLC-ADR | 2.23% | 9,399,960 | $212.7M | No change |
| EWTX Edgewise Therapeutics Inc. | 1.63% | 5,840,059 | $155.9M | No change |
| REPL Replimune Group Inc. | 1.27% | 11,045,336 | $121.1M | Add +9.9% |
| ALKS Alkermes PLC | 1.23% | 4,181,751 | $117.0M | No change |
| DNLI Denali Therapeutics Inc. | 1.14% | 3,731,695 | $108.7M | No change |
| RARE Ultragenyx Pharmaceutical Inc. | 0.92% | 1,576,114 | $87.6M | Add +7.5% |
| NRIX Nurix Therapeutics Inc. | 0.91% | 3,882,125 | $87.2M | No change |
| TRDA Entrada Therapeutics Inc. | 0.81% | 4,865,819 | $77.8M | No change |
| IMTX Immatics NV | 0.77% | 6,443,398 | $73.5M | No change |
| ABCL Abcellera Biologics Inc. | 0.75% | 27,525,640 | $71.6M | No change |
| KNSA Kiniksa Pharmaceuticals Inte | 0.74% | 2,818,323 | $70.4M | No change |
| IGMS Igm Biosciences Inc. | 0.71% | 4,092,310 | $67.7M | Add +0.1% |
| ARGX Argenx SE - ADR | 0.64% | 111,904 | $60.7M | No change |
| STOK Stoke Therapeutics Inc. | 0.56% | 4,368,443 | $53.7M | No change |
| IMCR Immunocore Holdings PLC-ADR | 0.49% | 1,515,318 | $47.2M | No change |
| KOD Kodiak Sciences Inc. | 0.47% | 17,310,490 | $45.2M | No change |
| SERA Sera Prognostics Inc. Class A | 0.44% | 5,434,399 | $42.4M | No change |
| CRSP Crispr Therapeutics AG | 0.41% | 843,075 | $39.6M | Add +743.1% |
| XENE Xenon Pharmaceuticals Inc. | 0.41% | 993,679 | $39.1M | No change |
| IMVT Immunovant Inc. | 0.37% | 1,225,410 | $34.9M | Add +163.7% |
| CERS Cerus Corp. | 0.35% | 19,477,339 | $33.9M | No change |
| IDYA Ideaya Biosciences Inc. | 0.35% | 1,062,123 | $33.6M | No change |
| ROIV Roivant Sciences Ltd. | 0.34% | 2,798,716 | $32.3M | No change |
| AKRO Akero Therapeutics Inc. | 0.33% | 1,097,082 | $31.5M | No change |
| KRYS Krystal Biotech Inc. | 0.32% | 169,934 | $30.9M | No change |
| CELC Celcuity Inc. | 0.29% | 1,874,978 | $28.0M | No change |
| GLUE Monte Rosa Therapeutics Inc. | 0.27% | 4,916,095 | $26.1M | No change |
| DYN Dyne Therapeutics Inc. | 0.25% | 672,096 | $24.1M | No change |
| BMEA Biomea Fusion Inc. | 0.22% | 2,108,949 | $21.3M | No change |
| BCAX Bicara Therapeutics Inc. | 0.22% | 833,333 | $21.2M | New |
| PRLD Prelude Therapeutics Inc. | 0.22% | 10,123,824 | $21.0M | No change |
| CNTA Centessa Pharmaceuticals Ltd. | 0.21% | 1,227,178 | $19.6M | Add +123.4% |
| NGNE Neurogene Inc. | 0.20% | 456,015 | $19.1M | No change |
| PRAX Praxis Precision Medicines I | 0.19% | 323,105 | $18.6M | Add +145.7% |
| ALMS Alumis Inc. | 0.17% | 1,562,500 | $16.7M | No change |
| MRUS Merus NV | 0.16% | 300,000 | $15.0M | No change |
| TCRX Tscan Therapeutics Inc. | 0.15% | 2,784,792 | $13.9M | No change |
| NMRA Neumora Therapeutics Inc. | 0.14% | 1,034,600 | $13.7M | No change |
| XNCR Xencor Inc. | 0.14% | 670,431 | $13.5M | Add +22.9% |
| TSVT 2SEVENTY Bio Inc. | 0.12% | 2,497,526 | $11.8M | No change |
| FATE Fate Therapeutics Inc. | 0.11% | 2,997,772 | $10.5M | No change |
| ARVN Arvinas Inc. | 0.10% | 405,576 | $10.0M | New |
| SANA Sana Biotechnology Inc. | 0.10% | 2,380,949 | $9.9M | No change |
| DSGN Design Therapeutics Inc. | 0.10% | 1,743,725 | $9.4M | Add +2.9% |
| IONS Ionis Pharmaceuticals Inc. | 0.09% | 223,470 | $9.0M | New |
| CYVNY Ceryvyn Therapeutics-ADR filed as OPTHEA LTD | 0.09% | 2,173,622 | $8.8M | No change |
| CLDX Celldex Therapeutics Inc. | 0.09% | 247,644 | $8.4M | No change |
| RLAY Relay Therapeutics Inc. | 0.09% | 1,160,117 | $8.2M | No change |
| VERV Verve Therapeutics Inc. | 0.09% | 1,691,530 | $8.2M | No change |
| TSHA Taysha Gene Therapies Inc. | 0.08% | 4,004,756 | $8.0M | No change |
| MIRM Mirum Pharmaceuticals Inc. | 0.08% | 190,476 | $7.4M | No change |
| CTNM Contineum Therapeutics Inc. Class A | 0.06% | 312,500 | $6.0M | No change |
| TNGX Tango Therapeutics Inc. | 0.06% | 750,000 | $5.8M | No change |
| SKYE Skye Bioscience Inc. | 0.06% | 1,434,634 | $5.6M | Add +186.9% |
| PCVX Vaxcyte Inc. | 0.06% | 48,885 | $5.6M | No change |
| CRNX Crinetics Pharmaceuticals Inc. | 0.06% | 103,927 | $5.3M | No change |
| DBV TECHNOLOGIES S A | 0.05% | 7,307,131 | $5.1M | No change |
| KALA Kala Bio Inc. | 0.05% | 891,335 | $5.1M | No change |
| GBIO Generation Bio Co. | 0.05% | 1,944,945 | $4.8M | Add +61.1% |
| ALEC Alector Inc. | 0.05% | 927,264 | $4.3M | No change |
| PRME Prime Medicine Inc. | 0.04% | 1,028,466 | $4.0M | No change |
| SGMT Sagimet Biosciences Inc. Class A | 0.04% | 1,381,898 | $3.8M | No change |
| GPCR Structure Therapeutics Inc. | 0.04% | 85,500 | $3.8M | New |
| ARCT Arcturus Therapeutics Holdin | 0.04% | 151,329 | $3.5M | No change |
| HOOK Hookipa Pharma Inc. | 0.04% | 812,814 | $3.5M | Reduce -90.0% |
| CYPH Cypherpunk Technologies Inc. filed as LEAP THERAPEUTICS INC | 0.03% | 1,172,175 | $3.0M | No change |
| ELVN Enliven Therapeutics Inc. | 0.03% | 114,833 | $2.9M | No change |
| CMPX Compass Therapeutics Inc. | 0.03% | 1,557,630 | $2.9M | No change |
| WVE Wave Life Sciences Ltd. | 0.03% | 344,063 | $2.8M | New |
| MERSANA THERAPEUTICS INC | 0.02% | 1,086,115 | $2.1M | No change |
| NAMS Newamsterdam Pharma Co. NV | 0.02% | 96,711 | $1.6M | Reduce -0.1% |
| IPSC Century Therapeutics Inc. | 0.01% | 797,460 | $1.4M | No change |
| VTVT VTV Therapeutics Inc. Class A | 0.01% | 97,314 | $1.3M | No change |
| AEROVATE THERAPEUTICS INC | 0.01% | 628,939 | $1.3M | No change |
| PFE Pfizer Inc. | 0.01% | 35,000 | $1.0M | No change |
| TARA Protara Therapeutic Inc. | 0.01% | 536,832 | $982K | No change |
| ALGS Aligos Therapeutics Inc. | 0.01% | 83,055 | $719K | No change |
| BCRX Biocryst Pharmaceuticals Inc. | 0.01% | 75,778 | $576K | No change |
| PMVP PMV Pharmaceuticals Inc. | 0.01% | 322,024 | $480K | No change |
| FHTX Foghorn Therapeutics Inc. | 0.00% | 45,027 | $419K | No change |
| ACRV Acrivon Therapeutics Inc. | 0.00% | 52,885 | $370K | No change |
| TYRA Tyra Biosciences Inc. | 0.00% | 10,607 | $249K | No change |