| ASND Ascendis Pharma A/S | 18.24% | 10,108,400 | $1.4B | No change |
| PCVX Vaxcyte Inc. | 8.20% | 8,203,754 | $619.5M | No change |
| JANX Janux Therapeutics Inc. | 5.08% | 9,165,652 | $383.9M | No change |
| LEGN Legend Biotech Corp.-ADR | 4.40% | 7,506,934 | $332.5M | Add +9.4% |
| RYTM Rhythm Pharmaceuticals Inc. | 3.31% | 6,084,412 | $249.8M | Add +14.2% |
| BIIB Biogen Inc. | 3.01% | 982,139 | $227.7M | Add +32.6% |
| CLYM Climb Bio Inc. filed as ELIEM THERAPEUTICS INC | 2.96% | 31,419,267 | $223.4M | Add +138.9% |
| RXST Rxsight Inc. | 2.94% | 3,694,825 | $222.3M | Add +7.3% |
| RNAM Avidity Biosciences Inc. | 2.92% | 5,400,408 | $220.6M | Add +64.5% |
| DYN Dyne Therapeutics Inc. | 2.82% | 6,049,204 | $213.5M | Add +22.1% |
| GERN Geron Corp. | 2.59% | 46,202,425 | $195.9M | No change |
| PEPG Pepgen Inc. | 2.26% | 10,689,545 | $170.6M | No change |
| TYRA Tyra Biosciences Inc. | 2.20% | 10,416,609 | $166.6M | No change |
| EVH Evolent Health Inc. Class A | 2.15% | 8,514,862 | $162.8M | Add +48.4% |
| EWTX Edgewise Therapeutics Inc. | 2.12% | 8,909,091 | $160.5M | No change |
| NAMS Newamsterdam Pharma Co. NV | 2.05% | 8,064,000 | $154.9M | Add +2.5% |
| RXRX Recursion Pharmaceuticals-A | 1.53% | 15,384,615 | $115.4M | New |
| ETNB 89BIO Inc. | 1.50% | 14,175,398 | $113.5M | Add +11.0% |
| VRNA Verona Pharma Ltd. | 1.46% | 7,632,646 | $110.4M | Add +20.8% |
| DAWN Day One Biopharmaceuticals I | 1.44% | 7,871,721 | $108.5M | Add +0.8% |
| FDMT 4D Molecular Therapeutics Inc. | 1.42% | 5,098,211 | $107.0M | Add +0.9% |
| SPRY Ars Pharmaceuticals Inc. | 1.22% | 10,860,977 | $92.4M | No change |
| WVE Wave Life Sciences Ltd. | 1.20% | 18,202,009 | $90.8M | No change |
| LBPH Longboard Pharmaceuticals Inc. | 1.18% | 3,289,119 | $88.9M | No change |
| ACLX Arcellx Inc. | 1.17% | 1,604,014 | $88.5M | New |
| AXSM Axsome Therapeutics Inc. | 1.07% | 1,000,000 | $80.5M | No change |
| APGE Apogee Therapeutics Inc. | 1.02% | 1,961,863 | $77.2M | Reduce -0.8% |
| GHRS GH Research PLC | 1.02% | 6,601,689 | $77.0M | Add +5.6% |
| GPCR Structure Therapeutics Inc. | 0.99% | 1,896,772 | $74.5M | Add +25.6% |
| LENZ Lenz Therapeutics Inc. | 0.96% | 4,178,823 | $72.3M | No change |
| FULC Fulcrum Therapeutics Inc. | 0.95% | 11,609,704 | $72.0M | No change |
| NKTX Nkarta Inc. | 0.84% | 10,805,129 | $63.9M | No change |
| DNTH Dianthus Therapeutics Inc. | 0.80% | 2,333,000 | $60.4M | No change |
| MLYS Mineralys Therapeutics Inc. | 0.75% | 4,850,984 | $56.8M | No change |
| ITOS Iteos Therapeutics Inc. | 0.69% | 3,517,259 | $52.2M | Reduce -20.4% |
| URGN Urogen Pharma Ltd. | 0.68% | 3,083,430 | $51.7M | No change |
| PRAX Praxis Precision Medicines I | 0.68% | 1,235,599 | $51.1M | Add +49.2% |
| ELVN Enliven Therapeutics Inc. | 0.66% | 2,122,465 | $49.6M | No change |
| ACRV Acrivon Therapeutics Inc. | 0.64% | 8,340,508 | $48.4M | Add +73.4% |
| ATXS Astria Therapeutics Inc. | 0.61% | 5,043,756 | $45.9M | Add +14.3% |
| BCYC Bicycle Therapeutics PLC-ADR | 0.60% | 2,253,000 | $45.6M | Add +181.6% |
| CGON CG Oncology Inc. | 0.58% | 1,397,433 | $44.1M | No change |
| LRMR Larimar Therapeutics Inc. | 0.58% | 6,045,351 | $43.8M | No change |
| ABOS Acumen Pharmaceuticals Inc. | 0.48% | 14,932,063 | $36.1M | No change |
| TRML Tourmaline Bio Inc. | 0.43% | 2,538,925 | $32.7M | New |
| THRD Third Harmonic Bio Inc. | 0.35% | 2,033,056 | $26.4M | No change |
| SLDB Solid Biosciences Inc. | 0.32% | 4,330,446 | $24.6M | No change |
| TSHA Taysha Gene Therapies Inc. | 0.32% | 10,872,503 | $24.4M | No change |
| TNYA Tenaya Therapeutics Inc. | 0.31% | 7,622,347 | $23.6M | Add +32.5% |
| VOR Vor Biopharma Inc. | 0.30% | 22,748,880 | $22.7M | No change |
| CCCC C4 Therapeutics Inc. | 0.30% | 4,878,000 | $22.5M | No change |
| ANRO Alto Neuroscience Inc. | 0.29% | 2,085,554 | $22.3M | Add +50.5% |
| IMTX Immatics NV | 0.27% | 1,750,000 | $20.3M | No change |
| SERA Sera Prognostics Inc. Class A | 0.24% | 3,032,808 | $18.0M | Add +49.8% |
| AEROVATE THERAPEUTICS INC | 0.20% | 9,192,092 | $15.3M | Add +11.2% |
| HOWL Werewolf Therapeutics Inc. | 0.20% | 6,144,881 | $15.0M | No change |
| CRVO Cervomed Inc. | 0.19% | 817,120 | $14.0M | Reduce -5.2% |
| PLRX Pliant Therapeutics Inc. | 0.18% | 1,281,000 | $13.8M | No change |
| NRIX Nurix Therapeutics Inc. | 0.18% | 650,000 | $13.6M | New |
| INSM Insmed Inc. | 0.18% | 200,000 | $13.4M | New |
| ANTX AN2 Therapeutics Inc. | 0.16% | 5,551,295 | $11.9M | No change |
| CYBIN INC | 0.16% | 44,004,464 | $11.9M | Reduce -24.3% |
| ZURA Zura Bio Ltd. | 0.15% | 3,217,503 | $11.3M | New |
| ARVN Arvinas Inc. | 0.15% | 421,348 | $11.2M | No change |
| RGLS Regulus Therapeutics Inc. | 0.15% | 6,250,000 | $11.2M | No change |
| LXEO Lexeo Therapeutics Inc. | 0.14% | 672,712 | $10.8M | Add +1.8% |
| ACET Adicet Bio Inc. | 0.12% | 7,541,000 | $9.1M | No change |
| NUVL Nuvalent Inc. Class A | 0.12% | 119,789 | $9.1M | New |
| MGNX Macrogenics Inc. | 0.12% | 2,082,021 | $8.8M | No change |
| BOLD Boundless Bio Inc. | 0.11% | 2,180,631 | $8.4M | No change |
| CMRX Chimerix Inc. | 0.10% | 8,800,000 | $7.7M | No change |
| FRNM Freenome Inc. filed as PERCEPTIVE CAP SOLUTIONS COR | 0.10% | 750,000 | $7.5M | New |
| MGX Metagenomi Therapeutics Inc. | 0.08% | 1,477,749 | $6.0M | Reduce -15.3% |
| TARA Protara Therapeutic Inc. | 0.05% | 1,900,000 | $4.0M | New |
| SRZN Surrozen Inc. | 0.04% | 282,580 | $3.1M | New |
| UNICYCIVE THERAPEUTICS INC | 0.02% | 2,632,200 | $1.3M | Reduce -24.2% |
| SCLX Scilex Holding Co. | 0.01% | 261,179 | $504K | New |