| MIRM Mirum Pharmaceuticals Inc. | 19.62% | 7,679,684 | $899.1M | No change |
| NAMS Newamsterdam Pharma Co. NV | 13.38% | 18,088,902 | $613.0M | Add +6.8% |
| ERAS Erasca Inc. | 9.99% | 24,975,188 | $457.5M | Add +1.2% |
| MBX MBX Biosciences Inc. | 8.01% | 6,652,013 | $367.2M | No change |
| ARQT Arcutis Biotherapeutics Inc. | 5.65% | 9,874,511 | $258.9M | No change |
| TRVI Trevi Therapeutics Inc. | 4.05% | 9,939,447 | $185.4M | Reduce 0.0% |
| KRYS Krystal Biotech Inc. | 3.90% | 481,307 | $178.9M | No change |
| MAZE Maze Therapeutics Inc. | 3.28% | 5,032,915 | $150.2M | Add +10.2% |
| PHAT Phathom Pharmaceuticals Inc. | 2.95% | 12,466,489 | $135.3M | No change |
| PVLA Palvella Therapeutics Inc. | 2.94% | 882,400 | $134.8M | No change |
| BBIO Bridgebio Pharma Inc. | 2.52% | 1,548,139 | $115.3M | Reduce -55.1% |
| IRON Disc Medicine Inc. | 2.16% | 1,354,852 | $99.1M | No change |
| CYTK Cytokinetics Inc. | 2.16% | 1,159,879 | $98.8M | No change |
| DYN Dyne Therapeutics Inc. | 1.53% | 3,153,082 | $70.0M | No change |
| ASND Ascendis Pharma A/S | 1.31% | 225,155 | $60.1M | Add +68.9% |
| SVRA Savara Inc. | 1.31% | 9,720,852 | $59.9M | No change |
| PBLS Parabilis Medicines Inc. | 1.15% | 1,920,805 | $52.6M | New |
| AURA Aura Biosciences Inc. | 1.10% | 7,100,000 | $50.4M | Add +39.2% |
| ACHV Achieve Life Sciences Inc. | 1.09% | 7,614,836 | $49.7M | New |
| VOR Vor Biopharma Inc. | 1.02% | 2,543,939 | $46.8M | No change |
| ALLO Allogene Therapeutics Inc. | 1.02% | 22,446,668 | $46.7M | Add +491.2% |
| TARS Tarsus Pharmaceuticals Inc. | 1.00% | 728,644 | $45.9M | No change |
| BCRX Biocryst Pharmaceuticals Inc. | 0.88% | 4,009,240 | $40.1M | No change |
| ALKS Alkermes PLC | 0.80% | 700,647 | $36.7M | No change |
| ACAD Acadia Pharmaceuticals Inc. | 0.79% | 1,438,198 | $36.4M | No change |
| ZLAB Zai Lab Ltd.-ADR | 0.79% | 1,902,320 | $36.1M | No change |
| MNKD Mannkind Corp. | 0.61% | 6,600,000 | $28.1M | Add +11.9% |
| DSGN Design Therapeutics Inc. | 0.57% | 1,809,854 | $26.2M | New |
| ACRS Aclaris Therapeutics Inc. | 0.57% | 4,925,374 | $26.1M | No change |
| STTK Shattuck Labs Inc. | 0.57% | 3,750,000 | $26.0M | New |
| KLRA Kailera Therapeutics Inc. | 0.53% | 1,100,000 | $24.2M | New |
| GLUE Monte Rosa Therapeutics Inc. | 0.53% | 1,000,000 | $24.2M | No change |
| LXEO Lexeo Therapeutics Inc. | 0.49% | 4,824,725 | $22.5M | Add +9.0% |
| RLAY Relay Therapeutics Inc. | 0.41% | 1,015,693 | $19.0M | New |
| EOLS Evolus Inc. | 0.40% | 2,630,665 | $18.3M | No change |
| IMCR Immunocore Holdings PLC-ADR | 0.34% | 484,782 | $15.4M | No change |
| VALN Valneva SE - ADR | 0.26% | 2,291,666 | $12.0M | No change |
| AUTL Autolus Therapeutics PLC | 0.16% | 4,447,910 | $7.1M | No change |
| XLO Xilio Therapeutics Inc. | 0.09% | 422,505 | $4.0M | No change |
| IBIO Ibio Inc. | 0.07% | 1,953,467 | $3.4M | No change |