The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 13F

FORM 13F INFORMATION TABLE

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COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
VALUE SHRS OR SH/ PUT/ INVESTMENT OTHER VOTING AUTHORITY
NAME OF ISSUER TITLE OF CLASS CUSIP FIGI (to the nearest dollar) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE
AKERO THERAPEUTICS INC COM 00973Y108 BBG00L9211Y8 6,322,369 156,185 SH   SOLE   137,747 0 18,438
ALKERMES PLC SHS G01767105 BBG000C9F2F9 6,351,463 192,352 SH   SOLE   172,190 0 20,162
AMICUS THERAPEUTICS INC COM 03152W109 BBG000PLF6N0 2,194,379 268,919 SH   SOLE   268,919 0 0
ARBUTUS BIOPHARMA CORP COM 03879J100 BBG000RR8V85 1,632,908 467,882 SH   SOLE   275,086 0 192,796
ARCELLX INC COMMON STOCK 03940C100 BBG00QHJM4S9 17,959,574 273,774 SH   SOLE   234,358 0 39,416
ARCUTIS BIOTHERAPEUTICS INC COM 03969K108 BBG00QN8K4M4 6,882,742 440,073 SH   SOLE   374,200 0 65,873
ARCUTIS BIOTHERAPEUTICS INC COM 03969K108 BBG01SD8CN29 42,500 100,000 SH Call SOLE   100,000 0 0
ASCENDIS PHARMA A/S SPONSORED ADR 04351P101 BBG007R7VNC1 2,296,130 14,732 SH   SOLE   14,732 0 0
BICARA THERAPEUTICS INC COM 055477103 BBG00Z15DGK7 613,426 47,078 SH   SOLE   47,078 0 0
BIOHAVEN LTD COM G1110E107 BBG017BXV3Q9 6,023,559 250,564 SH   SOLE   219,822 0 30,742
BLUEPRINT MEDICINES CORP COM 09627Y109 BBG001MC8YF7 5,481,159 61,927 SH   SOLE   55,456 0 6,471
BRIDGEBIO PHARMA INC COM 10806X102 BBG00P9KDZK6 7,205,667 208,437 SH   SOLE   186,599 0 21,838
CENTESSA PHARMACEUTICALS PLC SPONSORED ADS 152309100 BBG01081FC59 8,532,157 593,335 SH   SOLE   517,488 0 75,847
CG ONCOLOGY INC COM 156944100 BBG00YHKK4Q3 7,101,533 289,823 SH   SOLE   265,908 0 23,915
CVS HEALTH CORP COM 126650100 BBG01PVW5MX8 165,058 64,100 SH Put SOLE   64,100 0 0
CYTOKINETICS INC COM NEW 23282W605 BBG000F0R4N9 6,014,353 149,648 SH   SOLE   131,440 0 18,208
DENALI THERAPEUTICS INC COM 24823R105 BBG008P7F869 9,068,925 667,078 SH   SOLE   582,358 0 84,720
DYNE THERAPEUTICS INC COM 26818M108 BBG00NSGPJD0 883,138 84,430 SH   SOLE   84,430 0 0
EDGEWISE THERAPEUTICS INC COM 28036F105 BBG00K4Y2H24 3,965,610 180,255 SH   SOLE   161,227 0 19,028
EDGEWISE THERAPEUTICS INC COM 28036F105 BBG01S7VXTL8 237,500 50,000 SH Put SOLE   50,000 0 0
ENLIVEN THERAPEUTICS INC COM 29337E102 BBG00CP3BDD4 2,370,062 120,430 SH   SOLE   120,430 0 0
ETFIS SER TR I VIRTUS LIFESC CT 26923G301 BBG01S8PGCB7 16,563 132,500 SH Call SOLE   132,500 0 0
GERON CORP COM 374163103 BBG000GX1891 1,526,888 960,307 SH   SOLE   859,649 0 100,658
HELIX ACQUISITION CORP II CL A ORD SHS G4444H101 BBG01L3GYF02 2,270,170 200,900 SH   SOLE   200,900 0 0
IDEAYA BIOSCIENCES INC COM 45166A102 BBG00CTZ4D83 1,097,444 66,999 SH   SOLE   66,999 0 0
IMMUNOVANT INC COM 45258J102 BBG00P5MC0Q8 14,585,836 853,472 SH   SOLE   734,474 0 118,998
INFLARX NV COM N44821101 BBG00HZ6PLC3 739,519 725,019 SH   SOLE   725,019 0 0
INSMED INC COM PAR $.01 457669307 BBG000BWM5P3 6,641,731 87,059 SH   SOLE   77,957 0 9,102
JANUX THERAPEUTICS INC COM 47103J105 BBG00ZHSKH11 9,235,674 342,062 SH   SOLE   291,826 0 50,236
KALVISTA PHARMACEUTICALS INC COM 483497103 BBG0026ZG5B0 4,464,099 386,837 SH   SOLE   334,855 0 51,982
KALVISTA PHARMACEUTICALS INC COM 483497103 BBG01SF6XQH5 32,500 100,000 SH Call SOLE   100,000 0 0
MADRIGAL PHARMACEUTICALS INC COM 558868105 BBG000QS6NV8 13,559,231 40,936 SH   SOLE   35,635 0 5,301
MBX BIOSCIENCES INC COM 55287L101 BBG00W7W53M5 713,019 96,615 SH   SOLE   96,615 0 0
MERCK & CO INC COM 58933Y105 BBG01P9CYYR6 8,344 151,700 SH Call SOLE   151,700 0 0
MERUS N V COM N5749R100 BBG00B8LXMS5 14,594,960 346,756 SH   SOLE   310,564 0 36,192
MINERALYS THERAPEUTICS INC COM 603170101 BBG01RR46J49 93,750 125,000 SH Put SOLE   125,000 0 0
NEUROCRINE BIOSCIENCES INC COM 64125C109 BBG000GJS7C1 2,328,351 21,052 SH   SOLE   21,052 0 0
NEWAMSTERDAM PHARMA COMPANY ORDINARY SHARES N62509109 BBG01BNNTQN4 2,140,855 104,585 SH   SOLE   89,695 0 14,890
NOVO-NORDISK A S ADR 670100205 BBG01Q3VMD15 3,793 151,700 SH Call SOLE   151,700 0 0
NUVALENT INC COM 670703107 BBG00Z1SLMK5 13,503,239 190,401 SH   SOLE   162,961 0 27,440
OCULAR THERAPEUTIX INC COM 67576A100 BBG001J1BZV0 912,754 124,523 SH   SOLE   124,523 0 0
PERCEPTIVE CAP SOLUTIONS COR CL A ORD SHS G70077105 BBG01N0FG6L0 1,545,000 150,000 SH   SOLE   150,000 0 0
PROTAGONIST THERAPEUTICS INC COM 74366E102 BBG002B63KM7 2,381,295 49,241 SH   SOLE   49,241 0 0
PROTARA THERAPEUTICS INC COM STK 74365U107 BBG001ZLYSH5 5,071,867 1,190,579 SH   SOLE   1,114,888 0 75,691
REVOLUTION MEDICINES INC COM 76155X100 BBG00829F4P8 11,272,132 318,782 SH   SOLE   268,947 0 49,835
RHYTHM PHARMACEUTICALS INC COM 76243J105 BBG007DLZ601 1,791,234 33,816 SH   SOLE   33,816 0 0
RHYTHM PHARMACEUTICALS INC COM 76243J105 BBG01P9PDCZ9 15,500 10,000 SH Call SOLE   10,000 0 0
ROIVANT SCIENCES LTD SHS G76279101 BBG007STW2B8 26,020,697 2,578,860 SH   SOLE   2,368,791 0 210,069
SCHOLAR ROCK HLDG CORP COM 80706P103 BBG00KT2RRM6 18,203,716 566,212 SH   SOLE   485,795 0 80,417
SIONNA THERAPEUTICS INC COM 829401108 BBG016X2DC85 627,600 60,000 SH   SOLE   60,000 0 0
SOLENO THERAPEUTICS INC COM 834203309 BBG0024L5B86 797,025 11,155 SH   SOLE   11,155 0 0
SOLID BIOSCIENCES INC COM NEW 83422E204 BBG00JN4FXG8 733,155 198,150 SH   SOLE   198,150 0 0
SPRINGWORKS THERAPEUTICS INC COM 85205L107 BBG00Q011TW9 7,030,130 159,305 SH   SOLE   136,919 0 22,386
SPYRE THERAPEUTICS INC COM NEW 00773J202 BBG0067L94B2 2,196,603 136,139 SH   SOLE   120,682 0 15,457
SURROZEN INC COM NEW 86889P208 BBG00XY94S95 2,808,031 240,826 SH   SOLE   197,835 0 42,991
SYNDAX PHARMACEUTICALS INC COM 87164F105 BBG000R33JY1 19,638,727 1,598,594 SH   SOLE   1,431,721 0 166,873
UNIQURE NV SHS N90064101 BBG005SSJYH3 7,749,013 731,039 SH   SOLE   629,324 0 101,715
VISTAGEN THERAPEUTICS INC COM 92840H400 BBG000BB33L9 737,176 616,749 SH   SOLE   616,749 0 0
VISTAGEN THERAPEUTICS INC COM 92840H400 BBG000BB33L9 4,374,513 1,749,805 SH   SOLE   1,475,334 0 274,471
WAVE LIFE SCIENCES LTD SHS Y95308105 BBG00B642V54 725,851 89,833 SH   SOLE   52,815 0 37,018
XENON PHARMACEUTICALS INC COM 98420N105 BBG0073DM784 9,213,937 274,633 SH   SOLE   246,188 0 28,445
ZAI LAB LTD ADR 98887Q104 BBG00HFX3N90 954,855 26,421 SH   SOLE   26,421 0 0