Vault-13

FRACTYL HEALTH INC

COM · CUSIP 35168W103

83 institutional holders -14 vs Q4 2025
72,013,88372.0m shares reported held*
$33.0mreported value*
16 new 14 added 28 reduced 30 sold out net sold ≈ $16.5m (-36.1m shares)

* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once. Holder counts are more reliable. Implied quarter-end price ≈ $0.46. Options: 1 managers hold calls ($654.0k notional), 0 hold puts (—).

Trends to Q1 2026

Institutional holders

Managers reporting a position, each quarter

050100Q1 24: 43Q2 24: 45Q3 24: 62Q4 24: 66Q1 25: 66Q2 25: 63Q3 25: 74Q4 25: 97Q1 26: 8383Q1 24Q3 24Q1 25Q3 25Q1 26
Numbers
QuarterHolders
Q1 202443
Q2 202445
Q3 202462
Q4 202466
Q1 202566
Q2 202563
Q3 202574
Q4 202597
Q1 202683

Buyers vs sellers

Managers adding to or starting a position, vs cutting or selling out

Bought or addedCut or sold out
1000100Q2 24: 25 bought or addedQ2 24: 20 cut or sold outQ3 24: 46 bought or addedQ3 24: 10 cut or sold outQ3 24Q4 24: 33 bought or addedQ4 24: 22 cut or sold outQ1 25: 27 bought or addedQ1 25: 22 cut or sold outQ1 25Q2 25: 31 bought or addedQ2 25: 42 cut or sold outQ3 25: 48 bought or addedQ3 25: 32 cut or sold outQ3 25Q4 25: 65 bought or addedQ4 25: 26 cut or sold outQ1 26: 30 bought or addedQ1 26: 58 cut or sold outQ1 26
Numbers
QuarterBought or addedCut or sold out
Q2 20242520
Q3 20244610
Q4 20243322
Q1 20252722
Q2 20253142
Q3 20254832
Q4 20256526
Q1 20263058

Calls vs puts

Options held, notional value, last 4 quarters. P/C = puts ÷ calls

CallsPuts
$0$1m$2m$3m$4mQ2 25 calls: $0Q2 25 puts: $0Q2 25P/C —Q3 25 calls: $0Q3 25 puts: $0Q3 25P/C —Q4 25 calls: $3.1mQ4 25 puts: $0Q4 25P/C 0.00Q1 26 calls: $654.0kQ1 26 puts: $0Q1 26P/C 0.00
Numbers
QuarterCallsPutsP/C
Q2 2025$0$0—
Q3 2025$0$0—
Q4 2025$3.1m$00.00
Q1 2026$654.0k$00.00

Biggest buyers

Pale Fire Capital SE Added +2,711,103+2.7m
Nantahala Capital Management, LLC Added +2,518,079+2.5m
683 Capital Management, LLC Added +679,615+679.6k
CM Management, LLC Added +600,000+600.0k
UBS Group AG Added +508,181+508.2k
Shay Capital LLC Added +221,297+221.3k
GEODE CAPITAL MANAGEMENT, LLC Added +171,406+171.4k
BRIDGEWAY CAPITAL MANAGEMENT, LLC Added +154,425+154.4k
Accredited Investors Inc. New +100,000+100.0k
BlackRock, Inc. Added +56,519+56.5k

Biggest sellers

SILVERARC CAPITAL MANAGEMENT, LLC Reduced -8,138,416-8.1m
MARSHALL WACE, LLP Reduced -5,118,949-5.1m
Alyeska Investment Group, L.P. Sold out -3,809,523-3.8m
GOLDMAN SACHS GROUP INC Reduced -3,356,764-3.4m
Woodline Partners LP Reduced -3,265,092-3.3m
Atom Investors LP Sold out -1,883,018-1.9m
MILLENNIUM MANAGEMENT LLC Sold out -1,861,418-1.9m
RENAISSANCE TECHNOLOGIES LLC Reduced -1,827,851-1.8m
JANE STREET GROUP, LLC Reduced -1,822,891-1.8m
D. E. Shaw & Co., Inc. Sold out -1,442,745-1.4m

Biggest calls

ADAR1 Capital Management, LLC Unchanged $654.0k1.4m shares

Biggest puts

None

Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.

Major shareholders (over 5%)

Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.

HolderStakeChangeShares Last filed
Nantahala Capital Management, LLC 13G · institution no change · filed 2026-05-15 10.0% no change 16.1m≈ $12.8m 2026-05-15
BVP VII SPECIAL OPPORTUNITY FUND LP 13G · exempt (held before listing) new · filed 2025-02-14 9.9% new 4.8m≈ $3.8m 2025-02-14

Fell to 5% or below in the last year: 683 Capital Management, LLC (4.8%, 2026-05-15), SILVERARC CAPITAL MANAGEMENT, LLC (2.3%, 2026-05-13), Alyeska Investment Group, L.P. (5.0%, 2026-02-17), Mithril LP (4.7%, 2026-02-12), HCC Manager LLC (3.4%, 2026-02-04), MAVERICK CAPITAL LTD (3.1%, 2025-11-14)

Holders, Q1 2026

#ManagerLocationShares Value% of their portfolioChangeShares change
1 Nantahala Capital Management, LLC 0.38% of their portfolio NEW CANAAN, CT 13,364,51913.4m $6.1m $6.1m 0.38% Added +2.5m +2,518,079
2 683 Capital Management, LLC 0.29% of their portfolio NEW YORK, NY 6,727,2356.7m $3.1m $3.1m 0.29% Added +679.6k +679,615
3 Pale Fire Capital SE 0.24% of their portfolio Prague, 2N 5,921,0455.9m $2.7m $2.7m 0.24% Added +2.7m +2,711,103
4 VANGUARD CAPITAL MANAGEMENT LLC 0.00% of their portfolio MALVERN, PA 5,533,0065.5m $2.5m $2.5m 0.00% First filing
5 Catalio Capital Management, LP 0.53% of their portfolio NEW YORK, NY 5,491,8665.5m $2.5m $2.5m 0.53% Unchanged
6 General Catalyst Group Management, LLC 1.22% of their portfolio CAMBRIDGE, MA 4,884,1934.9m $2.2m $2.2m 1.22% Unchanged
7 Deer Management Co. LLC 0.35% of their portfolio LARCHMONT, NY 4,770,9014.8m $2.2m $2.2m 0.35% Unchanged
8 MAVERICK CAPITAL LTD 0.02% of their portfolio DALLAS, TX 3,974,8064.0m $1.8m $1.8m 0.02% Reduced -273.7k -273,686
9 Woodline Partners LP 0.00% of their portfolio San Francisco, CA 2,241,6792.2m $1.0m $1.0m 0.00% Reduced -3.3m -3,265,092
10 BlackRock, Inc. 0.00% of their portfolio New York, NY 2,139,8372.1m $979.6k $979.6k 0.00% Added +56.5k +56,519
11 M28 Capital Management LP 1.58% of their portfolio STAMFORD, CT 1,856,1171.9m $849.7k $849.7k 1.58% Unchanged
12 SILVERARC CAPITAL MANAGEMENT, LLC 0.09% of their portfolio BOSTON, MA 1,701,6251.7m $779.0k $779.0k 0.09% Reduced -8.1m -8,138,416
13 UBS Group AG 0.00% of their portfolio ZURICH, V8 1,622,1631.6m $743.0k $743.0k 0.00% Added +508.2k +508,181
14 GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio BOSTON, MA 1,435,2611.4m $657.4k $657.4k 0.00% Added +171.4k +171,406
15 CM Management, LLC 0.54% of their portfolio GULF BREEZE, FL 1,400,0001.4m $640.9k $640.9k 0.54% Added +600.0k +600,000
16 Ikarian Capital, LLC 0.07% of their portfolio DALLAS, TX 1,100,0001.1m $503.6k $503.6k 0.07% Unchanged
17 Logos Global Management LP 0.02% of their portfolio San Francisco, CA 1,000,0001.0m $457.8k $457.8k 0.02% Reduced -100.0k -100,000
18 MARSHALL WACE, LLP 0.00% of their portfolio LONDON, X0 807,796807.8k $371.6k $371.6k 0.00% Reduced -5.1m -5,118,949
19 VANGUARD FIDUCIARY TRUST CO 0.00% of their portfolio MALVERN, PA 606,185606.2k $277.6k $277.6k 0.00% First filing
20 Burkehill Global Management, LP 0.01% of their portfolio NEW YORK, NY 500,000500.0k $228.9k $228.9k 0.01% Unchanged
21 MORGAN STANLEY 0.00% of their portfolio NEW YORK, NY 495,901495.9k $227.0k $227.0k 0.00% Reduced -160.6k -160,581
22 TWO SIGMA INVESTMENTS, LP 0.00% of their portfolio NEW YORK, NY 479,737479.7k $219.6k $219.6k 0.00% Reduced -1.4m -1,360,399
23 STATE STREET CORP 0.00% of their portfolio BOSTON, MA 464,700464.7k $212.7k $212.7k 0.00% Reduced -48.0k -48,000
24 Shay Capital LLC 0.02% of their portfolio NEW YORK, NY 357,865357.9k $163.8k $163.8k 0.02% Added +221.3k +221,297
25 BOOTHBAY FUND MANAGEMENT, LLC 0.00% of their portfolio NEW YORK, NY 275,219275.2k $126.0k $126.0k 0.00% Unchanged
26 Brevan Howard Capital Management LP 0.00% of their portfolio ST. HELIER, Y9 232,369232.4k $99.2k $99.2k 0.00% Reduced -232.4k -232,369
27 NORTHERN TRUST CORP 0.00% of their portfolio CHICAGO, IL 215,877215.9k $98.8k $98.8k 0.00% Unchanged
28 BRIDGEWAY CAPITAL MANAGEMENT, LLC 0.00% of their portfolio HOUSTON, TX 208,925208.9k $95.6k $95.6k 0.00% Added +154.4k +154,425
29 PEAK6 LLC 0.00% of their portfolio AUSTIN, TX 200,000200.0k $91.6k $91.6k 0.00% Reduced -200.0k -200,000
30 SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.00% of their portfolio BALA CYNWYD, PA 176,087176.1k $80.6k $80.6k 0.00% Reduced -623.4k -623,370
31 Cerity Partners LLC 0.00% of their portfolio NEW YORK, NY 168,500168.5k $77.1k $77.1k 0.00% Added +5.0k +5,000
32 BANK OF AMERICA CORP /DE/ 0.00% of their portfolio CHARLOTTE, NC 124,989125.0k $57.1k $57.1k 0.00% Reduced -1.1m -1,067,247
33 OMERS ADMINISTRATION Corp 0.00% of their portfolio TORONTO, A6 123,900123.9k $56.7k $56.7k 0.00% Reduced -55.4k -55,400
34 BARCLAYS PLC 0.00% of their portfolio LONDON, X0 116,048116.0k $53.1k $53.1k 0.00% Reduced -127.2k -127,246
35 OSAIC HOLDINGS, INC. 0.00% of their portfolio SCOTTSDALE, AZ 100,812100.8k $46.4k $46.4k 0.00% Added +25.3k +25,336
36 Accredited Investors Inc. 0.00% of their portfolio EDINA, MN 100,000100.0k $45.8k $45.8k 0.00% New
37 GSA CAPITAL PARTNERS LLP 0.00% of their portfolio LONDON, X0 87,46587.5k $40.0k $40.0k 0.00% Reduced -101.7k -101,711
38 GOLDMAN SACHS GROUP INC 0.00% of their portfolio NEW YORK, NY 68,43368.4k $31.3k $31.3k 0.00% Reduced -3.4m -3,356,764
39 Conservest Capital Advisors, Inc. 0.00% of their portfolio WYNNEWOOD, PA 64,11864.1k $29.4k $29.4k 0.00% Unchanged
40 Cambridge Investment Research Advisors, Inc. 0.00% of their portfolio FAIRFIELD, IA 64,00064.0k $29.0k $29.0k 0.00% Unchanged
41 HighTower Advisors, LLC 0.00% of their portfolio CHICAGO, IL 51,44251.4k $23.6k $23.6k 0.00% Unchanged
42 CITADEL ADVISORS LLC 0.00% of their portfolio MIAMI, FL 48,19648.2k $22.1k $22.1k 0.00% Reduced -180.8k -180,789
43 Catalyst Funds Management Pty Ltd 0.00% of their portfolio SYDNEY NSW, C3 46,80046.8k $21.4k $21.4k 0.00% New
44 XTX Topco Ltd 0.00% of their portfolio LONDON, X0 44,19244.2k $20.2k $20.2k 0.00% Reduced -7.7k -7,740
45 Vanguard Global Advisers, LLC 0.00% of their portfolio MALVERN, PA 41,31141.3k $18.9k $18.9k 0.00% First filing
46 Phraction Management LLC 0.00% of their portfolio COLCHESTER, CT 41,00041.0k $18.8k $18.8k 0.00% New
47 EVOKE WEALTH, LLC 0.00% of their portfolio Los Angeles, CA 40,00040.0k $18.3k $18.3k 0.00% New
48 JANE STREET GROUP, LLC 0.00% of their portfolio NEW YORK, NY 39,70939.7k $18.2k $18.2k 0.00% Reduced -1.8m -1,822,891
49 FNY Investment Advisers, LLC 0.01% of their portfolio NEW YORK, NY 35,50035.5k $16.0k $16.0k 0.01% Reduced -13.2k -13,150
50 RENAISSANCE TECHNOLOGIES LLC 0.00% of their portfolio NEW YORK, NY 35,20035.2k $16.1k $16.1k 0.00% Reduced -1.8m -1,827,851
51 WELLS FARGO & COMPANY/MN 0.00% of their portfolio SAN FRANCISCO, CA 31,00031.0k $14.2k $14.2k 0.00% New
52 Chicago Partners Investment Group LLC 0.00% of their portfolio CHICAGO, IL 31,00031.0k $18.3k $18.3k 0.00% Unchanged
53 Marex Group Ltd 0.00% of their portfolio London, X0 29,53729.5k $13.5k $13.5k 0.00% New
54 Schonfeld Strategic Advisors LLC 0.00% of their portfolio NEW YORK, NY 29,11529.1k $13.3k $13.3k 0.00% Reduced -21.1k -21,089
55 Brookstone Capital Management 0.00% of their portfolio WHEATON, IL 21,27221.3k $9.7k $9.7k 0.00% New
56 LPL Financial LLC 0.00% of their portfolio FORT MILL, SC 20,42520.4k $9.4k $9.4k 0.00% Added +10.0k +10,000
57 RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio ST. PETERSBURG, FL 20,07420.1k $9.2k $9.2k 0.00% Added +5.0k +5,000
58 Verition Fund Management LLC 0.00% of their portfolio GREENWICH, CT 19,97120.0k $9.1k $9.1k 0.00% Reduced -34.9k -34,939
59 SummitTX Capital, L.P. 0.00% of their portfolio FORT WORTH, TX 18,20018.2k $8.3k $8.3k 0.00% New
60 Bronte Capital Management Pty Ltd. 0.00% of their portfolio Bondi Junction, C3 16,90516.9k $7.7k $7.7k 0.00% Unchanged
61 Creative Planning 0.00% of their portfolio OVERLAND PARK, KS 16,52816.5k $7.6k $7.6k 0.00% Reduced -986 -986
62 LMR Partners LLP 0.00% of their portfolio LONDON, X0 15,87115.9k $7.3k $7.3k 0.00% New
63 Parkside Financial Bank & Trust 0.00% of their portfolio SAINT LOUIS, MO 15,66415.7k $7.2k $7.2k 0.00% Reduced -640 -640
64 Wealthspire Advisors, LLC 0.00% of their portfolio NEW YORK, NY 15,61715.6k $7.2k $7.2k 0.00% New
65 Algorithmic Investment Models, LLC 0.01% of their portfolio Boston, MA 15,50015.5k $7.1k $7.1k 0.01% New
66 VICTORY CAPITAL MANAGEMENT INC 0.00% of their portfolio San Antonio, TX 12,68612.7k $5.8k $5.8k 0.00% Reduced -373 -373
67 PRELUDE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio NEW YORK, NY 11,28611.3k $5.2k $5.2k 0.00% Reduced -69.3k -69,311
68 R Squared Ltd 0.00% of their portfolio HONG KONG, K3 11,27611.3k $5.2k $5.2k 0.00% Reduced -2.7k -2,703
69 Bank of New York Mellon Corp 0.00% of their portfolio NEW YORK, NY 10,07910.1k $4.6k $4.6k 0.00% Unchanged
70 Larson Financial Group LLC 0.00% of their portfolio ST LOUIS, MO 5,9536.0k $2.7k $2.7k 0.00% Unchanged
71 TFC Financial Management, Inc. 0.00% of their portfolio BOSTON, MA 5,0005.0k $2.3k $2.3k 0.00% New
72 ROYAL BANK OF CANADA 0.00% of their portfolio TORONTO, A6 3,4713.5k $2.0k $2.0k 0.00% New
73 Triumph Capital Management 0.00% of their portfolio DENVER, CO 3,0003.0k $1.4k $1.4k 0.00% Unchanged
74 St. Johns Investment Management Company, LLC 0.00% of their portfolio JACKSONVILLE, FL 1,9802.0k $906 $906 0.00% Unchanged
75 Sound Income Strategies, LLC 0.00% of their portfolio FT LAUDERDALE, FL 1,9712.0k $916 $916 0.00% Unchanged
76 Avion Wealth 0.00% of their portfolio THE WOODLANDS, TX 1,0421.0k $0 $0 0.00% New
77 JPMORGAN CHASE & CO 0.00% of their portfolio NEW YORK, NY 934934 $399 $399 0.00% Unchanged
78 BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio PARIS, I0 802802 $367 $367 0.00% Unchanged
79 JONES FINANCIAL COMPANIES LLLP 0.00% of their portfolio DES PERES, MO 500500 $224 $224 0.00% Unchanged
80 NORTHWESTERN MUTUAL WEALTH MANAGEMENT CO 0.00% of their portfolio MILWAUKEE, WI 360360 $165 $165 0.00% New
81 Annis Gardner Whiting Capital Advisors, LLC 0.00% of their portfolio TAMPA, FL 200200 $92 $92 0.00% New
82 SBI Securities Co., Ltd. 0.00% of their portfolio TOKYO, M0 121121 $55 $55 0.00% Added +1 +1
83 Optiver Holding B.V. 0.00% of their portfolio AMSTERDAM, P7 1414 $6 $6 0.00% Unchanged