| State Street Global Advisors | State Street Global Advisors | 8.009477% | 595,460,501 | 595,460,501 NS |
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| Apellis Pharmaceuticals Inc | Apellis Pharmaceuticals Inc | 1.834675% | 136,397,964.42 | 3,390,454 NS |
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| ALKS | Alkermes PLC | 1.451047% | 107,877,348.8 | 3,050,830 NS |
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| MDGL | Madrigal Pharmaceuticals Inc | 1.382936% | 102,813,695.76 | 196,408 NS |
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| TGTX | TG Therapeutics Inc | 1.349588% | 100,334,399.22 | 3,020,301 NS |
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| INSM | Insmed Inc | 1.336949% | 99,394,814.4 | 607,845 NS |
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| SRRK | Scholar Rock Holding Corp | 1.297342% | 96,450,199.4 | 1,961,965 NS |
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| APGE | Apogee Therapeutics Inc | 1.284318% | 95,481,942.98 | 1,134,394 NS |
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| PTGX | Protagonist Therapeutics Inc | 1.244863% | 92,548,683.4 | 878,071 NS |
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| SMMT | Summit Therapeutics Inc | 1.241085% | 92,267,854.08 | 4,866,448 NS |
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| UTHR | United Therapeutics Corp | 1.240525% | 92,226,179.4 | 155,530 NS |
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| PRAX | Praxis Precision Medicines Inc | 1.236209% | 91,905,341.88 | 285,252 NS |
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| ARWR | Arrowhead Pharmaceuticals Inc | 1.22981% | 91,429,578.9 | 1,458,207 NS |
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| COGT | Cogent Biosciences Inc | 1.215671% | 90,378,407.49 | 2,348,101 NS |
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| BBIO | Bridgebio Pharma Inc | 1.185467% | 88,132,956.16 | 1,186,816 NS |
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| PTCT | PTC Therapeutics Inc | 1.182233% | 87,892,537.23 | 1,290,071 NS |
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| CYTK | Cytokinetics Inc | 1.180398% | 87,756,067.23 | 1,331,453 NS |
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| ALNY | Alnylam Pharmaceuticals Inc | 1.176738% | 87,484,013.22 | 264,406 NS |
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| EXEL | Exelixis Inc | 1.170672% | 87,033,031.35 | 2,029,215 NS |
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| Nuvalent Inc | Nuvalent Inc | 1.166884% | 86,751,381.6 | 846,768 NS |
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| KYMR | Kymera Therapeutics Inc | 1.164332% | 86,561,631.2 | 1,039,280 NS |
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| CGON | CG oncology Inc | 1.162453% | 86,421,945.6 | 1,276,920 NS |
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| NTRA | Natera Inc | 1.159229% | 86,182,290.67 | 430,933 NS |
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| NBIX | Neurocrine Biosciences Inc | 1.15898% | 86,163,756.56 | 654,044 NS |
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| TWST | Twist Bioscience Corp | 1.155672% | 85,917,870.72 | 1,808,036 NS |
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| KRYS | Krystal Biotech Inc | 1.154541% | 85,833,794.64 | 332,277 NS |
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| PCVX | Vaxcyte Inc | 1.151121% | 85,579,468.65 | 1,472,715 NS |
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| MIRM | Mirum Pharmaceuticals Inc | 1.147502% | 85,310,435.74 | 923,473 NS |
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| Amicus Therapeutics Inc | Amicus Therapeutics Inc | 1.146708% | 85,251,388.2 | 5,895,670 NS |
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| IONS | Ionis Pharmaceuticals Inc | 1.144267% | 85,069,911.54 | 1,132,906 NS |
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| TVTX | Travere Therapeutics Inc | 1.144206% | 85,065,434.32 | 2,863,192 NS |
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| Arcellx Inc | Arcellx Inc | 1.144092% | 85,056,933.7 | 740,785 NS |
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| REGN | Regeneron Pharmaceuticals Inc | 1.136961% | 84,526,816 | 109,400 NS |
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| INCY | Incyte Corp | 1.133085% | 84,238,623.56 | 895,013 NS |
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| CELC | Celcuity Inc | 1.123714% | 83,541,919.5 | 731,925 NS |
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| Revolution Medicines Inc | Revolution Medicines Inc | 1.112889% | 82,737,188 | 850,768 NS |
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| HALO | Halozyme Therapeutics Inc | 1.107953% | 82,370,224.07 | 1,274,489 NS |
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| RYTM | Rhythm Pharmaceuticals Inc | 1.100994% | 81,852,859.14 | 941,162 NS |
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| BIIB | Biogen Inc | 1.096991% | 81,555,267.15 | 444,855 NS |
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| ARQT | Arcutis Biotherapeutics Inc | 1.089451% | 80,994,685.8 | 3,437,805 NS |
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| ABBV | AbbVie Inc | 1.088563% | 80,928,681.47 | 372,103 NS |
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| GILD | Gilead Sciences Inc | 1.087793% | 80,871,393.68 | 580,264 NS |
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| CRSP | CRISPR Therapeutics AG | 1.085714% | 80,716,823.57 | 1,696,801 NS |
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| BMRN | BioMarin Pharmaceutical Inc | 1.067274% | 79,345,910.49 | 1,404,601 NS |
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| ROIV | Roivant Sciences Ltd | 1.067186% | 79,339,364.9 | 2,864,237 NS |
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| AMGN | Amgen Inc | 1.062708% | 79,006,510.1 | 224,546 NS |
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| IBRX | ImmunityBio Inc | 1.056859% | 78,571,671.75 | 10,244,025 NS |
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| BEAM | Beam Therapeutics Inc | 1.041298% | 77,414,757.58 | 3,248,626 NS |
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| VKTX | Viking Therapeutics Inc | 1.036975% | 77,093,410.06 | 2,369,189 NS |
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| VERA | Vera Therapeutics Inc | 1.034669% | 76,921,932.42 | 1,912,054 NS |
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| MRNA | Moderna Inc | 1.034333% | 76,896,976 | 1,513,720 NS |
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| VRTX | Vertex Pharmaceuticals Inc | 1.033563% | 76,839,710.12 | 172,078 NS |
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| ERAS | Erasca Inc | 1.030089% | 76,581,460.92 | 4,733,094 NS |
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| ACAD | ACADIA Pharmaceuticals Inc | 1.021807% | 75,965,700.3 | 3,412,655 NS |
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| SRPT | Sarepta Therapeutics Inc | 0.894767% | 66,520,972.8 | 3,057,030 NS |
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| AGIO | Agios Pharmaceuticals Inc | 0.878382% | 65,302,860.92 | 1,930,324 NS |
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| RARE | Ultragenyx Pharmaceutical Inc | 0.875777% | 65,109,185.15 | 3,107,837 NS |
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| IRON | Disc Medicine Inc | 0.870412% | 64,710,349.12 | 1,012,048 NS |
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| IMNM | Immunome Inc | 0.863334% | 64,184,119.74 | 2,934,802 NS |
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| IMVT | Immunovant Inc | 0.857529% | 63,752,555.52 | 2,566,528 NS |
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| BCRX | BioCryst Pharmaceuticals Inc | 0.852197% | 63,356,114.08 | 6,655,054 NS |
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| VCYT | Veracyte Inc | 0.848172% | 63,056,905.01 | 1,957,681 NS |
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| DYN | Dyne Therapeutics Inc | 0.838291% | 62,322,310.12 | 3,437,524 NS |
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| Catalyst Pharmaceuticals Inc | Catalyst Pharmaceuticals Inc | 0.755441% | 56,162,909.92 | 2,268,292 NS |
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| SNDX | Syndax Pharmaceuticals Inc | 0.736261% | 54,736,941.76 | 2,343,191 NS |
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| DNLI | Denali Therapeutics Inc | 0.731088% | 54,352,396.8 | 2,830,854 NS |
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| IDYA | Ideaya Biosciences Inc | 0.729969% | 54,269,150.32 | 1,628,726 NS |
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| SYRE | Spyre Therapeutics Inc | 0.725654% | 53,948,404.64 | 1,069,556 NS |
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| GRAL | GRAIL Inc | 0.723848% | 53,814,125.6 | 1,041,295 NS |
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| VRDN | Viridian Therapeutics Inc | 0.701688% | 52,166,656.92 | 2,667,007 NS |
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| RXRX | Recursion Pharmaceuticals Inc | 0.690957% | 51,368,808.77 | 16,732,511 NS |
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| KOD | Kodiak Sciences Inc | 0.689211% | 51,239,036.12 | 1,344,151 NS |
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| Soleno Therapeutics Inc | Soleno Therapeutics Inc | 0.673738% | 50,088,691.44 | 1,496,078 NS |
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| DNTH | Dianthus Therapeutics Inc | 0.662236% | 49,233,598.16 | 586,673 NS |
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| NTLA | Intellia Therapeutics Inc | 0.647227% | 48,117,729.06 | 3,753,333 NS |
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| MLYS | Mineralys Therapeutics Inc | 0.646145% | 48,037,288.32 | 1,773,248 NS |
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| RCUS | Arcus Biosciences Inc | 0.628542% | 46,728,640.8 | 2,163,363 NS |
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| ARDX | Ardelyx Inc | 0.617531% | 45,910,043.52 | 7,664,448 NS |
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| ADMA | ADMA Biologics Inc | 0.595794% | 44,293,988.92 | 4,916,092 NS |
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| NRIX | Nurix Therapeutics Inc | 0.585828% | 43,553,093.5 | 2,809,877 NS |
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| TNGX | Tango Therapeutics Inc | 0.555067% | 41,266,185.32 | 1,972,571 NS |
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| CLDX | Celldex Therapeutics Inc | 0.521586% | 38,777,065.6 | 1,222,480 NS |
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| NVAX | Novavax Inc | 0.511069% | 37,995,200.1 | 4,667,715 NS |
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| ORKA | Oruka Therapeutics Inc | 0.502104% | 37,328,668.65 | 761,033 NS |
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| OLMA | Olema Pharmaceuticals Inc | 0.495742% | 36,855,715.89 | 2,471,879 NS |
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| STOK | Stoke Therapeutics Inc | 0.493001% | 36,651,880.32 | 1,125,672 NS |
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| VCEL | Vericel Corp | 0.483019% | 35,909,826.84 | 1,116,252 NS |
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| CAPR | Capricor Therapeutics Inc | 0.479196% | 35,625,577.6 | 1,171,894 NS |
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| PVLA | Palvella Therapeutics Inc | 0.459792% | 34,183,018.8 | 274,232 NS |
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| BHVN | Biohaven Ltd | 0.437504% | 32,526,009.72 | 3,844,682 NS |
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| GLUE | Monte Rosa Therapeutics Inc | 0.435173% | 32,352,724.95 | 1,966,731 NS |
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| CRVS | Corvus Pharmaceuticals Inc | 0.416569% | 30,969,632.54 | 2,116,858 NS |
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| IOVA | Iovance Biotherapeutics Inc | 0.384305% | 28,570,954.23 | 8,139,873 NS |
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| ANAB | AnaptysBio Inc | 0.382076% | 28,405,225.5 | 512,175 NS |
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| RLAY | Relay Therapeutics Inc | 0.378976% | 28,174,808.05 | 2,831,639 NS |
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| QURE | uniQure NV | 0.373296% | 27,752,522.7 | 1,697,402 NS |
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| ORIC | ORIC Pharmaceuticals Inc | 0.370075% | 27,513,057.04 | 2,171,512 NS |
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| MNKD | MannKind Corp | 0.360315% | 26,787,459.65 | 10,933,657 NS |
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| CDNA | CareDx Inc | 0.345689% | 25,700,073.84 | 1,480,419 NS |
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| TSHA | Taysha Gene Therapies Inc | 0.339042% | 25,205,932.17 | 5,638,911 NS |
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