| ASND Ascendis Pharma A/S | 25.20% | 10,281,496 | $2.0B | No change |
| RYTM Rhythm Pharmaceuticals Inc. | 7.07% | 5,681,359 | $573.8M | Add +2.2% |
| PCVX Vaxcyte Inc. | 5.31% | 11,965,991 | $431.0M | No change |
| RNAM Avidity Biosciences Inc. | 4.64% | 8,641,031 | $376.5M | Add +18.9% |
| CDTX Cidara Therapeutics Inc. | 3.97% | 3,365,523 | $322.3M | No change |
| SION Sionna Therapeutics Inc. | 3.79% | 10,445,322 | $307.2M | No change |
| ETNB 89BIO Inc. | 3.61% | 19,889,683 | $292.4M | No change |
| NAMS Newamsterdam Pharma Co. NV | 3.56% | 10,138,938 | $288.4M | No change |
| MLYS Mineralys Therapeutics Inc. | 3.42% | 7,323,750 | $277.7M | Add +19.1% |
| JANX Janux Therapeutics Inc. | 3.37% | 11,189,693 | $273.5M | No change |
| ACLX Arcellx Inc. | 3.07% | 3,036,527 | $249.3M | No change |
| LENZ Lenz Therapeutics Inc. | 2.40% | 4,178,823 | $194.6M | No change |
| TYRA Tyra Biosciences Inc. | 2.10% | 12,198,625 | $170.7M | No change |
| EWTX Edgewise Therapeutics Inc. | 2.09% | 10,428,437 | $169.1M | Add +5.3% |
| WVE Wave Life Sciences Ltd. | 1.64% | 18,202,009 | $133.2M | No change |
| SEPN Septerna Inc. | 1.62% | 6,995,858 | $131.6M | No change |
| DNTH Dianthus Therapeutics Inc. | 1.39% | 2,866,733 | $112.8M | No change |
| BCAX Bicara Therapeutics Inc. | 1.35% | 6,955,993 | $109.8M | No change |
| GHRS GH Research PLC | 1.35% | 7,676,697 | $109.8M | No change |
| SPRY Ars Pharmaceuticals Inc. | 1.35% | 10,860,977 | $109.2M | No change |
| NUVL Nuvalent Inc. Class A | 1.33% | 1,246,456 | $107.8M | New |
| IRON Disc Medicine Inc. | 1.28% | 1,577,106 | $104.2M | No change |
| VOR Vor Biopharma Inc. | 1.19% | 1,982,301 | $96.6M | No change |
| FULC Fulcrum Therapeutics Inc. | 1.16% | 10,229,099 | $94.1M | No change |
| PEPG Pepgen Inc. | 1.14% | 20,064,545 | $92.7M | Add +87.7% |
| GERN Geron Corp. | 1.02% | 60,379,366 | $82.7M | No change |
| TSHA Taysha Gene Therapies Inc. | 0.95% | 23,555,648 | $77.0M | No change |
| BLTE Belite Bio Inc. - ADR | 0.80% | 875,000 | $64.8M | New |
| CLYM Climb Bio Inc. | 0.78% | 31,419,267 | $63.2M | No change |
| SRRK Scholar Rock Holding Corp. | 0.54% | 1,166,788 | $43.5M | Add +2.7% |
| GPCR Structure Therapeutics Inc. | 0.52% | 1,517,418 | $42.5M | No change |
| MNPR Monopar Therapeutics Inc. | 0.51% | 511,207 | $41.8M | No change |
| FDMT 4D Molecular Therapeutics Inc. | 0.49% | 4,563,211 | $39.7M | No change |
| SLDB Solid Biosciences Inc. | 0.44% | 5,811,423 | $35.9M | Add +0.0% |
| MTSR Metsera Inc. | 0.44% | 675,525 | $35.4M | No change |
| ARTV Artiva Biotherapeutics Inc. | 0.35% | 9,853,302 | $28.3M | No change |
| LBRX LB Pharmaceuticals Inc. | 0.35% | 1,776,958 | $28.1M | New |
| TVTX Travere Therapeutics Inc. | 0.34% | 1,150,000 | $27.5M | No change |
| ASMB Assembly Biosciences Inc. | 0.32% | 1,020,410 | $26.1M | New |
| ABOS Acumen Pharmaceuticals Inc. | 0.31% | 14,932,063 | $25.5M | No change |
| CTNM Contineum Therapeutics Inc. Class A | 0.31% | 2,122,000 | $24.9M | New |
| NKTX Nkarta Inc. | 0.28% | 10,805,129 | $22.4M | No change |
| LRMR Larimar Therapeutics Inc. | 0.24% | 6,045,351 | $19.5M | No change |
| IVVD Invivyd Inc. | 0.23% | 17,119,096 | $18.8M | New |
| TNGX Tango Therapeutics Inc. | 0.21% | 2,000,000 | $16.8M | No change |
| PRME Prime Medicine Inc. | 0.20% | 3,000,000 | $16.6M | New |
| RCUS Arcus Biosciences Inc. | 0.19% | 1,136,364 | $15.5M | No change |
| ACRV Acrivon Therapeutics Inc. | 0.19% | 8,340,508 | $15.1M | No change |
| HOWL Werewolf Therapeutics Inc. | 0.16% | 6,681,307 | $13.2M | No change |
| QURE Uniqure NV | 0.14% | 200,000 | $11.7M | New |
| ELDN Eledon Pharmaceuticals Inc. | 0.11% | 3,566,338 | $9.2M | No change |
| JBIO Jade Biosciences Inc. | 0.11% | 1,062,326 | $9.2M | No change |
| SABS Sab Biotherapeutics Inc. | 0.11% | 4,401,500 | $8.8M | New |
| INSP Inspire Medical Systems Inc. | 0.11% | 114,901 | $8.5M | New |
| CTMX Cytomx Therapeutics Inc. | 0.10% | 2,661,331 | $8.5M | No change |
| AVTX Avalo Therapeutics Inc. | 0.10% | 662,968 | $8.4M | Reduce -28.9% |
| FRNM Freenome Inc. filed as PERCEPTIVE CAP SOLUTIONS COR | 0.10% | 750,000 | $8.0M | No change |
| SRZN Surrozen Inc. | 0.10% | 602,626 | $7.8M | No change |
| WGS Genedx Holdings Corp. | 0.08% | 58,044 | $6.3M | No change |
| ACET Adicet Bio Inc. | 0.08% | 7,541,000 | $6.1M | No change |
| EVH Evolent Health Inc. Class A | 0.06% | 579,052 | $4.9M | New |
| GKOS Glaukos Corp. | 0.05% | 54,180 | $4.4M | New |
| DSGN Design Therapeutics Inc. | 0.04% | 475,699 | $3.6M | New |
| EXAS Exact Sciences Corp. | 0.04% | 54,939 | $3.0M | New |
| IFRX Inflarx NV | 0.03% | 1,973,233 | $2.6M | No change |
| PGNY Progyny Inc. | 0.03% | 96,628 | $2.1M | New |