SEC ownership of Milestone Pharmaceuticals Inc.

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 CIK-linked ownership evidence from parsed SEC filings. 3 signals
Comparable ownership rows
50 of 50
Meaning: Rows with safely comparable ownership %
Latest 13D/G holder
RTW INVESTMENTS, LP
Source: Latest parsed Schedule 13D/G stake
Latest parsed ownership date
31 Mar 2026
Freshness: Most recent filing date in this holder set
Issuer Names, identifiers, and filing context for this profile. 2 identity fields
Issuer CIK
0001408443
Issuer location
Montreal, Quebec, Canada

Ownership snapshot

Top shareholders of Milestone Pharmaceuticals Inc. (13F + 13D/G + 3/4/5)

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.

Comparable stake leader
RTW INVESTMENTS, LP
Disclosed value leader
RTW INVESTMENTS, LP
Comparable rows
50/50
Latest evidence
31 Mar 2026
3/4/5 13D/G 13F Lead comparable stake: 9.9% 13D/G row: RTW INVESTMENTS, LP Showing 1-8 of 50 holder rows.

Quick read

RTW INVESTMENTS, LP leads the comparable SEC ownership view at 9.9%.

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.

Open SEC evidence Opens RTW INVESTMENTS, LP's linked filing trail.
Comparable ownership Top 5
RTW INVESTMENTS, LP 9.9%
Propel Bio Management, LLC 9.9%
Adage Capital Management, L.P. 6.4%
Trails Edge Capital Partners, LP 4.3%
INTEGRATED CORE STRATEGIES (US) LLC 0.6%

Ownership % is shown only when SEC disclosures are safely comparable across share classes.

Detailed SEC evidence table Showing 1-8 of 50 holder rows
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
13F
1.9%
$2,757,439
2,317,176 shares
31 Mar 2026
GOLDMAN SACHS GROUP INC
13F
Company
13F
1.6%
$2,380,030
2,000,025 shares
31 Mar 2026
MARSHALL WACE, LLP
13F
Company
13F
1.6%
$2,313,991
1,944,530 shares
31 Mar 2026
How to read this table

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

Insider trading overview

Net insider flow leans to selling over the last 12 months. Net value: -$1,176,157.

Buys
$0
Insiders: 0
Sells
$1,176,157
Insiders: 5
Net
-$1,176,157
Shares: -523,079
Window
Last 12 months
4 rolling buckets
Buy value Sell value
Shares: 0 Shares: 523,079
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

Insider holders from Forms 3/4/5

Showing 1-17 of 17 reporting-owner rows connected to Milestone Pharmaceuticals Inc.. Open a relationship link for the CIK-to-CIK filing trail.

Rows
17
Largest Forms 3/4/5 holder
RTW INVESTMENTS, LP
Net 12M change
-$1,176,158
Latest report
10 Jun 2026
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

Recent insider transactions for Milestone Pharmaceuticals Inc.

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
* marks a reported price that did not pass the local price check.
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