Comparable stake leader
RTW INVESTMENTS, LP
Top holders, 13D/G large-stake signals, insider positions, and transaction flow tied to CIK 0001408443.
Comparable stake leader
RTW INVESTMENTS, LP
Disclosed value leader
RTW INVESTMENTS, LP
Comparable rows
50/50
Latest evidence
31 Mar 2026
Ownership snapshot
Grouped by holder across the latest SEC ownership disclosures. Start with comparable ownership when available, then verify the linked 13F, 13D/G, or 3/4/5 evidence.
Quick read
50 of 50 rows have a safely comparable ownership percentage. Use this as a filing-backed starting point, then open the detailed table for source links, reporting role, position value, share count, and filing date.
Ownership % is shown only when SEC disclosures are safely comparable across share classes.
| Holder | Evidence | Ownership % | Position | 12M Net Δ | As of |
|---|---|---|---|---|---|
| RTW INVESTMENTS, LP |
3/4/5
13D/G
13F
10%+ Owner · Company
|
9.9%
from 13D/G
|
$28,360,648
3,256,102 shares
|
— | 22 Mar 2023 |
| Propel Bio Management, LLC |
13D/G
13F
Company
|
9.9%
|
$21,001,011
8,861,186 shares
|
$0 | 11 Jul 2025 |
| Adage Capital Management, L.P. |
13D/G
|
6.4%
|
$16,000,000
8,000,000 shares
|
-$1,318,128 | 31 Mar 2026 |
| Trails Edge Capital Partners, LP |
13D/G
|
4.3%
|
$9,013,333
5,333,333 shares
|
-$6,226,884 | 20 Mar 2026 |
| INTEGRATED CORE STRATEGIES (US) LLC |
13D/G
|
0.6%
|
$396,161
322,082 shares
|
$0 | 31 Mar 2025 |
| TWO SIGMA INVESTMENTS, LP |
13F
Company
|
1.9%
|
$2,757,439
2,317,176 shares
|
— | 31 Mar 2026 |
| GOLDMAN SACHS GROUP INC |
13F
Company
|
1.6%
|
$2,380,030
2,000,025 shares
|
— | 31 Mar 2026 |
| MARSHALL WACE, LLP |
13F
Company
|
1.6%
|
$2,313,991
1,944,530 shares
|
— | 31 Mar 2026 |
Rows are grouped by holder and ranked first by SEC-reported ownership % when it is safely comparable, then by disclosed holdings value. — indicates unavailable or non-comparable values; "mixed-class rows" means the latest filing spans non-comparable classes.
Forms 3/4/5 flow
Net insider flow leans to selling over the last 12 months. Net value: -$1,176,157.
| Window (months) | Buy shares | Sell shares | Buy value | Sell value | Net value |
|---|---|---|---|---|---|
| 0-3 | 0 | 0 | $0 | $0 | $0 |
| 3-6 | 0 | 36,500 | $0 | $82,490 | -$82,490 |
| 6-9 | 0 | 486,579 | $0 | $1,093,667 | -$1,093,667 |
| 9-12 | 0 | 0 | $0 | $0 | $0 |
Reporting owners
Showing 1-17 of 17 reporting-owner rows connected to Milestone Pharmaceuticals Inc.. Open a relationship link for the CIK-to-CIK filing trail.
| Name | Relationship | Holdings Value | Past Year Net Change | Change % | Valuation | Report Date |
|---|---|---|---|---|---|---|
| RTW INVESTMENTS, LP | 10%+ Owner | $28,360,648 | Mixed | 22 Mar 2023 | ||
| Joseph Oliveto | President and CEO, Director | $1,008,511 | -$555,680 | -36% | Filing P/S | 16 Apr 2026 |
| Lorenz Muller | Chief Commercial Officer | $396,433 | -$145,851 | -27% | Filing P/S | 02 Feb 2026 |
| Paul F. Truex | Director | $383,548 | Mixed | 31 May 2022 | ||
| David Bharucha | Chief Medical Officer | $218,439 | -$158,209 | -42% | Filing P/S | 02 Feb 2026 |
| Amit Hasija | CFO & EVP of Corp. Development | $192,706 | -$158,209 | -45% | Filing P/S | 02 Feb 2026 |
| Joseph C. Papa | Director | $137,000 | Mixed | 10 Jun 2026 | ||
| Jeffrey Edward Nelson | Chief Operating Officer | $96,206 | -$158,209 | -62% | Filing P/S | 02 Feb 2026 |
| Robert James Wills | Director | $89,050 | Mixed | 10 Jun 2026 | ||
| Debra K. Liebert | Director | $42,186 | Mixed | 11 Jul 2025 | ||
| David I. Sandoval | GC & Chief Compliance Officer | Mixed | 17 Mar 2026 | |||
| Stuart Duty | Director | Mixed | 10 Jun 2026 | |||
| Andrew Saik | Director | Mixed | 10 Jun 2026 | |||
| Seth H. Z. Fischer | Director | Mixed | 10 Jun 2026 | |||
| Richard C. Pasternak | Director | Mixed | 07 Jun 2023 | |||
| Michael John Tomsicek | Director | Mixed | 10 Jun 2026 | |||
| Lisa M. Giles | Director | Mixed | 10 Jun 2026 |
Showing up to 300 recent insider transactions from the last 12 months.
| Insider | Symbol | Class | Transaction | % | SEC-reported value | SEC-reported price | Shares | Shares owned | Date | Ownership |
|---|---|---|---|---|---|---|---|---|---|---|
| Lisa M. Giles | MIST | Stock Option (right to buy) | Award | 77,000 | 77,000 | 10 Jun 2026 | Direct | |||
| Seth H. Z. Fischer | MIST | Stock Option (right to buy) | Award | 77,000 | 77,000 | 10 Jun 2026 | Direct | |||
| Stuart Duty | MIST | Stock Option (right to buy) | Award | 77,000 | 77,000 | 10 Jun 2026 | Direct | |||
| Robert James Wills | MIST | Stock Option (right to buy) | Award | 77,000 | 77,000 | 10 Jun 2026 | Direct | |||
| Michael John Tomsicek | MIST | Stock Option (right to buy) | Award | 77,000 | 77,000 | 10 Jun 2026 | Direct | |||
| Andrew Saik | MIST | Stock Option (right to buy) | Award | 77,000 | 77,000 | 10 Jun 2026 | Direct | |||
| Joseph C. Papa | MIST | Stock Option (right to buy) | Award | 77,000 | 77,000 | 10 Jun 2026 | Direct | |||
| Joseph Oliveto | MIST | Common Shares | Sale | -7.56% | $82,490 | $2.26 | -36,500 | 446,244 | 16 Apr 2026 | Direct |
| Jeffrey Edward Nelson | MIST | Employee Stock Option (right to buy) | Award | 204,000 | 204,000 | 02 Feb 2026 | Direct | |||
| David Bharucha | MIST | Employee Stock Option (right to buy) | Award | 204,000 | 204,000 | 02 Feb 2026 | Direct | |||
| Amit Hasija | MIST | Employee Stock Option (right to buy) | Award | 204,000 | 204,000 | 02 Feb 2026 | Direct | |||
| Lorenz Muller | MIST | Employee Stock Option (right to buy) | Award | 204,000 | 204,000 | 02 Feb 2026 | Direct | |||
| Joseph Oliveto | MIST | Employee Stock Option (right to buy) | Award | 679,000 | 679,000 | 02 Feb 2026 | Direct | |||
| Jeffrey Edward Nelson | MIST | Common Shares | Sale | -19.7% | $23,633 | $1.93 | -12,245 | 49,848 | 26 Jan 2026 | Direct |
| Jeffrey Edward Nelson | MIST | Common Shares | Options Exercise | 47.9% | 20,100 | 62,093 | 26 Jan 2026 | Direct | ||
| Jeffrey Edward Nelson | MIST | Restricted Stock Units | Options Exercise | -25% | -20,100 | 60,300 | 26 Jan 2026 | Direct | ||
| David Bharucha | MIST | Common Shares | Sale | -9.76% | $23,633 | $1.93 | -12,245 | 113,181 | 26 Jan 2026 | Direct |
| David Bharucha | MIST | Common Shares | Options Exercise | 19.1% | 20,100 | 125,426 | 26 Jan 2026 | Direct | ||
| David Bharucha | MIST | Restricted Stock Units | Options Exercise | -25% | -20,100 | 60,300 | 26 Jan 2026 | Direct | ||
| Amit Hasija | MIST | Common Shares | Sale | -10.9% | $23,633 | $1.93 | -12,245 | 99,848 | 26 Jan 2026 | Direct |
| Amit Hasija | MIST | Common Shares | Options Exercise | 21.8% | 20,100 | 112,093 | 26 Jan 2026 | Direct | ||
| Amit Hasija | MIST | Restricted Stock Units | Options Exercise | -25% | -20,100 | 60,300 | 26 Jan 2026 | Direct | ||
| Lorenz Muller | MIST | Common Shares | Sale | -5.16% | $21,577 | $1.93 | -11,180 | 205,406 | 26 Jan 2026 | Direct |
| Lorenz Muller | MIST | Common Shares | Options Exercise | 10.2% | 20,100 | 216,586 | 26 Jan 2026 | Direct | ||
| Lorenz Muller | MIST | Restricted Stock Units | Options Exercise | -25% | -20,100 | 60,300 | 26 Jan 2026 | Direct | ||
| Joseph Oliveto | MIST | Common Shares | Sale | -6.67% | $66,629 | $1.93 | -34,523 | 482,744 | 26 Jan 2026 | Direct |
| Joseph Oliveto | MIST | Common Shares | Options Exercise | 14.8% | 66,600 | 517,267 | 26 Jan 2026 | Direct | ||
| Joseph Oliveto | MIST | Restricted Stock Units | Options Exercise | -25% | -66,600 | 199,800 | 26 Jan 2026 | Direct | ||
| Joseph Oliveto | MIST | Common Shares | Sale | -12.4% | $96,750 | $2.25 | -43,000 | 303,721 | 08 Jan 2026 | Direct |
| Joseph Oliveto | MIST | Common Shares | Sale | -0.14% | $1,125 | $2.25 | -500 | 346,721 | 07 Jan 2026 | Direct |
| Jeffrey Edward Nelson | MIST | Common Shares | Sale | -58% | $134,576 | $2.32 | -58,007 | 41,993 | 15 Dec 2025 | Direct |
| David Bharucha | MIST | Common Shares | Sale | -35.5% | $134,576 | $2.32 | -58,007 | 105,326 | 15 Dec 2025 | Direct |
| Amit Hasija | MIST | Common Shares | Sale | -38.7% | $134,576 | $2.32 | -58,007 | 91,993 | 15 Dec 2025 | Direct |
| Lorenz Muller | MIST | Common Shares | Sale | -21.4% | $124,273 | $2.32 | -53,566 | 196,486 | 15 Dec 2025 | Direct |
| Joseph Oliveto | MIST | Common Shares | Sale | -22.8% | $308,685 | $2.32 | -133,054 | 450,667 | 15 Dec 2025 | Direct |
| Jeffrey Edward Nelson | MIST | Common Shares | Award | 100,000 | 100,000 | 12 Dec 2025 | Direct | |||
| Jeffrey Edward Nelson | MIST | Employee Stock Option (right to buy) | Award | 100,000 | 100,000 | 12 Dec 2025 | Direct | |||
| David Bharucha | MIST | Common Shares | Award | 157.9% | 100,000 | 163,333 | 12 Dec 2025 | Direct | ||
| David Bharucha | MIST | Employee Stock Option (right to buy) | Award | 100,000 | 100,000 | 12 Dec 2025 | Direct | |||
| Amit Hasija | MIST | Common Shares | Award | 200% | 100,000 | 150,000 | 12 Dec 2025 | Direct | ||
| Amit Hasija | MIST | Employee Stock Option (right to buy) | Award | 100,000 | 100,000 | 12 Dec 2025 | Direct | |||
| Lorenz Muller | MIST | Common Shares | Award | 66.6% | 100,000 | 250,052 | 12 Dec 2025 | Direct | ||
| Lorenz Muller | MIST | Employee Stock Option (right to buy) | Award | 100,000 | 100,000 | 12 Dec 2025 | Direct | |||
| Joseph Oliveto | MIST | Common Shares | Award | 92.2% | 280,000 | 583,721 | 12 Dec 2025 | Direct | ||
| Joseph Oliveto | MIST | Employee Stock Option (right to buy) | Award | 280,000 | 280,000 | 12 Dec 2025 | Direct | |||
| Lorenz Muller | MIST | Common Shares | Gift | -14.3% | -25,000 | 150,052 | 09 Dec 2025 | Direct |