| ASND Ascendis Pharma A/S | 24.94% | 10,281,496 | $2.4B | No change |
| PCVX Vaxcyte Inc. | 7.07% | 11,474,599 | $666.8M | Add +7.0% |
| RYTM Rhythm Pharmaceuticals Inc. | 6.15% | 6,666,837 | $579.8M | No change |
| TYRA Tyra Biosciences Inc. | 4.95% | 12,198,625 | $467.2M | No change |
| SION Sionna Therapeutics Inc. | 4.21% | 9,905,045 | $397.1M | No change |
| EWTX Edgewise Therapeutics Inc. | 3.48% | 10,428,437 | $328.5M | No change |
| NAMS Newamsterdam Pharma Co. NV | 3.24% | 9,550,191 | $305.7M | No change |
| NUVL Nuvalent Inc. Class A | 2.75% | 2,534,145 | $259.6M | Add +34.8% |
| DNTH Dianthus Therapeutics Inc. | 2.32% | 2,611,733 | $219.2M | Add +62.0% |
| MLYS Mineralys Therapeutics Inc. | 2.21% | 7,692,750 | $208.4M | Add +5.0% |
| SGP Spyglass Pharma Inc. | 2.20% | 8,021,117 | $207.8M | New |
| WVE Wave Life Sciences Ltd. | 2.07% | 26,975,505 | $195.6M | Add +48.2% |
| SEPN Septerna Inc. | 1.78% | 6,995,858 | $168.1M | No change |
| IRON Disc Medicine Inc. | 1.66% | 2,450,221 | $156.7M | Add +24.0% |
| JANX Janux Therapeutics Inc. | 1.65% | 11,189,693 | $155.5M | No change |
| BCRX Biocryst Pharmaceuticals Inc. | 1.60% | 15,827,186 | $150.7M | No change |
| BCAX Bicara Therapeutics Inc. | 1.53% | 7,255,993 | $144.3M | Add +4.3% |
| PRAX Praxis Precision Medicines I | 1.28% | 373,787 | $120.4M | No change |
| GHRS GH Research PLC | 1.14% | 7,676,697 | $107.9M | No change |
| ZLAB Zai Lab Ltd.-ADR | 1.14% | 5,707,262 | $107.4M | New |
| TSHA Taysha Gene Therapies Inc. | 1.12% | 23,555,648 | $105.3M | No change |
| VOR Vor Biopharma Inc. | 1.02% | 5,404,998 | $96.4M | No change |
| GERN Geron Corp. | 1.01% | 63,771,366 | $95.0M | No change |
| SPRY Ars Pharmaceuticals Inc. | 0.92% | 10,860,977 | $87.2M | No change |
| SRPT Sarepta Therapeutics Inc. | 0.90% | 3,902,596 | $84.9M | New |
| SYRE Spyre Therapeutics Inc. | 0.87% | 1,621,620 | $81.8M | No change |
| EVMN Evommune Inc. | 0.85% | 3,494,638 | $80.3M | Add +1.0% |
| CLYM Climb Bio Inc. | 0.82% | 11,300,939 | $77.4M | Add +0.1% |
| SLDB Solid Biosciences Inc. | 0.71% | 9,339,978 | $67.2M | Add +60.7% |
| ARTV Artiva Biotherapeutics Inc. | 0.67% | 9,853,302 | $63.5M | No change |
| DMRA Damora Therapeutics Inc. | 0.66% | 2,399,310 | $62.1M | New |
| XNCR Xencor Inc. | 0.63% | 4,897,237 | $59.1M | New |
| LBRX LB Pharmaceuticals Inc. | 0.58% | 2,208,604 | $54.5M | No change |
| JBIO Jade Biosciences Inc. | 0.55% | 3,671,083 | $51.6M | No change |
| ABOS Acumen Pharmaceuticals Inc. | 0.53% | 20,992,669 | $49.5M | Add +40.6% |
| FDMT 4D Molecular Therapeutics Inc. | 0.50% | 5,049,779 | $47.0M | Reduce -10.7% |
| FULC Fulcrum Therapeutics Inc. | 0.49% | 6,053,960 | $46.4M | No change |
| CAPR Capricor Therapeutics Inc. | 0.49% | 1,507,844 | $45.8M | No change |
| IPSC Century Therapeutics Inc. | 0.43% | 17,754,430 | $40.1M | New |
| OLMA Olema Pharmaceuticals Inc. | 0.41% | 2,600,000 | $38.8M | No change |
| LENZ Lenz Therapeutics Inc. | 0.41% | 4,178,823 | $38.2M | No change |
| MNPR Monopar Therapeutics Inc. | 0.39% | 667,207 | $36.6M | No change |
| PEPG Pepgen Inc. | 0.38% | 20,064,545 | $35.5M | No change |
| DSGN Design Therapeutics Inc. | 0.34% | 2,972,973 | $31.6M | Add +103.4% |
| MIRM Mirum Pharmaceuticals Inc. | 0.31% | 318,554 | $29.4M | New |
| BIOA Bioage Labs Inc. | 0.31% | 1,650,648 | $28.9M | New |
| LXEO Lexeo Therapeutics Inc. | 0.30% | 5,000,000 | $28.7M | No change |
| ASMB Assembly Biosciences Inc. | 0.30% | 1,020,410 | $28.3M | No change |
| RZLT Rezolute Inc. | 0.30% | 9,180,000 | $28.0M | No change |
| AKTS Aktis Oncology Inc. | 0.29% | 1,503,084 | $26.9M | New |
| ALXO Alx Oncology Holdings Inc. | 0.28% | 13,011,849 | $26.1M | New |
| ACRS Aclaris Therapeutics Inc. | 0.27% | 6,804,072 | $25.5M | New |
| OVID Ovid Therapeutics Inc. | 0.25% | 10,714,000 | $23.8M | No change |
| NKTX Nkarta Inc. | 0.24% | 10,805,129 | $22.8M | No change |
| TVTX Travere Therapeutics Inc. | 0.24% | 746,841 | $22.2M | New |
| GRAL Grail Inc. | 0.23% | 428,266 | $22.1M | No change |
| CCCC C4 Therapeutics Inc. | 0.22% | 8,000,000 | $21.0M | No change |
| RLMD Relmada Therapeutics Inc. | 0.22% | 2,947,369 | $20.5M | New |
| BNTC Benitec Biopharma Inc. | 0.21% | 1,850,000 | $19.7M | No change |
| DRUG Bright Minds Biosciences Inc. | 0.20% | 265,000 | $19.3M | New |
| STRO Sutro Biopharma Inc. | 0.19% | 715,307 | $17.8M | New |
| CTNM Contineum Therapeutics Inc. Class A | 0.18% | 1,296,012 | $16.9M | Reduce -40.5% |
| SABS Sab Biotherapeutics Inc. | 0.18% | 4,401,500 | $16.9M | No change |
| INSP Inspire Medical Systems Inc. | 0.18% | 325,663 | $16.8M | Add +129.4% |
| AVR Anteris Technologies Global | 0.18% | 3,000,000 | $16.6M | New |
| OKUR Onkure Therapeutics Inc. Class A | 0.18% | 3,998,333 | $16.6M | New |
| HNGE Hinge Health Inc. Class A | 0.15% | 364,613 | $14.1M | Add +355.1% |
| WGS Genedx Holdings Corp. | 0.14% | 209,887 | $13.5M | Add +261.6% |
| WAY Waystar Holding Corp. | 0.14% | 529,400 | $12.8M | Add +266.6% |
| HLXC Helix Acquisition Corp. Class A | 0.13% | 1,250,000 | $12.7M | New |
| PALI Palisade Bio Inc. | 0.13% | 7,124,116 | $12.5M | No change |
| ACRV Acrivon Therapeutics Inc. | 0.12% | 8,340,508 | $11.6M | No change |
| RNA Atrium Therapeutics Inc. | 0.12% | 864,102 | $11.6M | New |
| KPTI Karyopharm Therapeutics Inc. | 0.11% | 1,917,354 | $10.7M | New |
| AVTX Avalo Therapeutics Inc. | 0.10% | 662,968 | $9.9M | No change |
| FRNM Freenome Inc. filed as PERCEPTIVE CAP SOLUTIONS COR | 0.09% | 750,000 | $8.2M | No change |
| ACET Adicet Bio Inc. | 0.09% | 1,182,624 | $8.1M | Add +24.7% |
| CRVS Corvus Pharmaceuticals Inc. | 0.07% | 450,000 | $6.6M | New |
| RANI Rani Therapeutics Holdings Class A | 0.07% | 8,500,000 | $6.2M | No change |
| EQ Equillium Inc. | 0.07% | 3,096,336 | $6.2M | New |
| HOWL Werewolf Therapeutics Inc. | 0.06% | 6,681,307 | $5.6M | No change |
| MGNX Macrogenics Inc. | 0.06% | 1,864,176 | $5.4M | New |
| MPLT Maplight Therapeutics Inc. | 0.05% | 248,294 | $5.0M | New |
| PTN Palatin Technologies Inc. | 0.01% | 70,000 | $1.2M | No change |