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Trevi Therapeutics, Inc.

TRVI
Exchange
Nasdaq
Industry
Pharmaceutical Preparations
SEC CIK
0001563880

In the last 90 days, Trevi Therapeutics, Inc. insiders filed 0 open-market purchases and 1 sale; 218 institutions reported holding it in 13F filings for Q2 2026, worth $2.79B in total; Viking Global Investors is the only superinvestor holding it.

13F holders, Q2 2026

Institutional positions in Trevi Therapeutics, Inc. as of Jun 30, 2026. Investment managers with $100 million or more in US stocks report their long positions on Form 13F within 45 days after each quarter ends. How 13F works

Institutional holders
218
+22 vs. Q1 2026
Shares held
150.6M
+15.7M (+11.6%) vs. Q1 2026
Total value
$2.79B
+$1.18B (+73.0%) vs. Q1 2026
New holders
42
89 more added
Sold out
20
60 more reduced

2 institutions that held it in Q1 2026 haven't filed for Q2 2026 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q1 2026: new holders, sold out and not filed yet

Holders and value by quarter

Institutions reporting TRVI on Form 13F each quarter since Q1 2021, and the total value they reported. Values are as of each quarter end, so they also move with the share price.

Institutional holdersQ2 2026: 218 institutions
Q1 2021: 19 institutionsQ2 2021: 17 institutionsQ3 2021: 18 institutionsQ4 2021: 17 institutionsQ1 2022: 23 institutionsQ2 2022: 32 institutionsQ3 2022: 40 institutionsQ4 2022: 37 institutionsQ1 2023: 36 institutionsQ2 2023: 53 institutionsQ3 2023: 55 institutionsQ4 2023: 63 institutionsQ1 2024: 80 institutionsQ2 2024: 77 institutionsQ3 2024: 93 institutionsQ4 2024: 110 institutionsQ1 2025: 137 institutionsQ2 2025: 154 institutionsQ3 2025: 164 institutionsQ4 2025: 184 institutionsQ1 2026: 198 institutionsQ2 2026: 218 institutions
Value heldQ2 2026: $2.79B
Q1 2021: $35.6MQ2 2021: $28.1MQ3 2021: $17.4MQ4 2021: $10.3MQ1 2022: $32.9MQ2 2022: $80.8MQ3 2022: $70.5MQ4 2022: $83.3MQ1 2023: $80.4MQ2 2023: $116.7MQ3 2023: $106.1MQ4 2023: $70.2MQ1 2024: $178.4MQ2 2024: $175.0MQ3 2024: $194.5MQ4 2024: $329.5MQ1 2025: $554.5MQ2 2025: $631.7MQ3 2025: $1.18BQ4 2025: $1.63BQ1 2026: $1.61BQ2 2026: $2.79B
Institutions holding TRVI and their total value by quarter
QuarterHoldersValue
Q2 2026218$2.79B
Q1 2026198$1.61B
Q4 2025184$1.63B
Q3 2025164$1.18B
Q2 2025154$631.7M
Q1 2025137$554.5M
Q4 2024110$329.5M
Q3 202493$194.5M
Q2 202477$175.0M
Q1 202480$178.4M
Q4 202363$70.2M
Q3 202355$106.1M
Q2 202353$116.7M
Q1 202336$80.4M
Q4 202237$83.3M
Q3 202240$70.5M
Q2 202232$80.8M
Q1 202223$32.9M
Q4 202117$10.3M
Q3 202118$17.4M
Q2 202117$28.1M
Q1 202119$35.6M

Institutions, Q2 2026

Shares, value and share of portfolio for each institution holding Trevi Therapeutics, Inc.; share changes are against Q1 2026.

Institutions holding TRVI in Q2 2026
InstitutionSharesValue% of portfolioChange in sharesAction
NEA Management Company, LLC13,222,228$246.6M15.53%00.0%Unchanged
FMR LLC12,562,839$234.3M0.01%+4,524,778+56.3%Added
BlackRock, Inc.11,155,026$208.0M0.00%+914,840+8.9%Added
Frazier Life Sciences Management, L.P.9,939,447$185.4M4.04%−1000.0%Reduced
Wellington Management Group LLP5,684,592$106.0M0.02%+495,504+9.5%Added
Vanguard Capital Management LLC5,530,675$103.1M0.00%+552,108+11.1%Added
Vivo Capital, LLC5,094,668$95.0M8.68%00.0%Unchanged
Woodline Partners LP4,081,333$76.1M0.24%+3,080,551+307.8%Added
Vestal Point Capital, LP3,100,000$57.8M1.35%+933,496+43.1%Added
MPM Oncology Impact Management LP3,073,577$57.3M3.50%−224,853−6.8%Reduced
Frontier Capital Management Co LLC3,070,740$57.3M0.53%+1,076,448+54.0%Added
Assenagon Asset Management S.A.3,050,628$56.9M0.04%+3,050,628New
State Street Corp3,027,315$56.5M0.00%+362,002+13.6%Added
Geode Capital Management, LLC2,928,068$54.6M0.00%+149,837+5.4%Added
Marshall Wace, LLP2,674,137$49.9M0.04%−1,291,882−32.6%Reduced
Eventide Asset Management, LLC2,660,000$49.6M0.66%+37,694+1.4%Added
Rubric Capital Management LP2,504,513$46.7M0.43%−1,207,860−32.5%Reduced
Artia Global Partners LP2,210,852$41.2M7.84%+197,250+9.8%Added
Acorn Capital Advisors, LLC2,144,844$40.0M10.92%00.0%Unchanged
First Light Asset Management, LLC2,097,215$39.1M2.38%+2,097,215New
Pictet Asset Management Holding SA2,013,786$37.6M0.04%+307,738+18.0%Added
Logos Global Management LP1,880,000$35.1M1.51%−520,000−21.7%Reduced
Affinity Asset Advisors, LLC1,800,172$33.6M1.64%−200,000−10.0%Reduced
Emerald Advisers, LLC1,797,611$33.5M0.79%−41,955−2.3%Reduced
Siren, L.L.C.1,786,867$33.3M0.68%00.0%Unchanged
Pivotal bioVenture Partners Investment Advisor LLC1,742,672$32.5M10.56%+188,946+12.2%Added
Raymond James Financial Inc1,610,657$30.0M0.01%−77,320−4.6%Reduced
Viking Global Investors LPSuperinvestorViking Global Investors1,544,644$28.8M0.08%−1,654,000−51.7%Reduced
Bank of America Corp1,532,889$28.6M0.00%+315,934+26.0%Added
Alliancebernstein L.P.2,355,453$28.1M0.01%−490,019−17.2%Reduced
OrbiMed Advisors LLC1,430,293$26.7M0.51%−1,024,107−41.7%Reduced
Jones Hill Capital LP1,339,212$25.0M5.31%+969,037+261.8%Added
Nan Fung Trinity (HK) Ltd1,213,620$22.6M2.23%+70,670+6.2%Added
Emerald Mutual Fund Advisers Trust1,210,965$22.6M0.79%−51,527−4.1%Reduced
Goldman Sachs Group Inc1,202,520$22.4M0.00%−25,252−2.1%Reduced
Jupiter Topco LLC1,190,973$22.2M0.01%+1,190,973New
Soleus Capital Management, L.P.1,179,618$22.0M0.76%−440,382−27.2%Reduced
Vanguard Portfolio Management LLC1,176,872$21.9M0.00%+208,284+21.5%Added
Barclays PLC1,142,077$21.3M0.01%+1,088,492+2,031.3%Added
Saturn V Capital Management LLC1,052,043$19.6M2.81%+1,052,043New
Flputnam Investment Management Co1,038,057$19.4M0.23%−25,244−2.4%Reduced
Northern Trust Corp1,006,038$18.8M0.00%+199,379+24.7%Added
Charles Schwab Investment Management Inc965,402$18.0M0.00%+124,830+14.9%Added
Candriam Luxembourg S.C.A.966,219$18.0M0.08%+192,599+24.9%Added
Balyasny Asset Management LLC845,087$15.8M0.03%+371,238+78.3%Added
Vanguard Fiduciary Trust Co841,059$15.7M0.00%+126,428+17.7%Added
Morgan Stanley800,465$14.9M0.00%+69,210+9.5%Added
Nuveen, LLC765,176$14.3M0.00%+576,994+306.6%Added
Burkehill Global Management, LP725,000$13.5M0.49%+200,000+38.1%Added
Silverarc Capital Management, LLC678,095$12.6M1.41%+166,968+32.7%Added
Ameriprise Financial Inc622,381$11.6M0.00%+117,545+23.3%Added
Superstring Capital Management LP524,224$9.78M6.17%+272,658+108.4%Added
Sphera Funds Management Ltd.499,029$9.31M1.33%−75,000−13.1%Reduced
Peregrine Capital Management LLC444,310$8.29M0.27%−86,141−16.2%Reduced
KVP Capital Advisors, LP414,000$7.72M5.67%00.0%Unchanged
Ensign Peak Advisors, Inc396,173$7.39M0.01%−68,573−14.8%Reduced
Octagon Capital Advisors LP315,000$5.87M0.54%−1,170,000−78.8%Reduced
Invesco Ltd.311,749$5.81M0.00%−41,235−11.7%Reduced
Opaleye Management Inc.310,000$5.78M0.52%−35,100−10.2%Reduced
Bank of New York Mellon Corp306,681$5.72M0.00%+46,520+17.9%Added
D. E. Shaw & Co., Inc.281,996$5.26M0.00%+100,652+55.5%Added
UBS Group AG270,498$5.04M0.00%−175,694−39.4%Reduced
EAM Investors, LLC264,631$4.94M0.44%+264,631New
Fifth Third Bancorp260,644$4.86M0.01%+132,319+103.1%Added
Rock Springs Capital Management LP260,000$4.85M0.24%+260,000New
Trexquant Investment LP242,537$4.52M0.03%+242,537New
Walleye Capital LLC241,987$4.51M0.02%+241,987New
F/M Investments LLC234,208$4.37M0.22%+2,606+1.1%Added
Integral Health Asset Management, LLC200,000$3.73M0.15%+200,000New
Swiss National Bank192,300$3.59M0.00%+24,100+14.3%Added
UBS Asset Management Americas Inc183,225$3.42M0.00%+29,057+18.8%Added
Panagora Asset Management Inc182,235$3.40M0.01%−443,343−70.9%Reduced
Seven Grand Managers, LLC150,000$2.80M0.11%+150,000New
Rhumbline Advisers132,463$2.47M0.00%+23,402+21.5%Added
Trust Co of Toledo NA124,002$2.31M0.19%−7,500−5.7%Reduced
Harvest Investment Services, LLC115,104$2.15M0.33%+115,104New
Wells Fargo & Company114,707$2.14M0.00%+76,651+201.4%Added
Deutsche Bank AG114,487$2.14M0.00%+29,732+35.1%Added
California State Teachers Retirement System108,004$2.01M0.00%+24,613+29.5%Added
Winton Group Ltd106,852$1.99M0.06%+106,852New
Qube Research & Technologies Ltd102,226$1.91M0.00%+102,226New
LMR Partners LLP100,000$1.86M0.01%00.0%Unchanged
Oppenheimer & Co Inc99,771$1.86M0.02%−256−0.3%Reduced
Simplex Trading, LLC97,557$1.82M0.05%+77,280+381.1%Added
Voya Investment Management LLC93,562$1.74M0.00%+49,205+110.9%Added
Russell Investments Group, Ltd.90,926$1.70M0.00%+22,806+33.5%Added
Wexford Capital LP90,752$1.69M0.23%00.0%Unchanged
Erste Asset Management GmbH90,000$1.68M0.01%00.0%Unchanged
Price T Rowe Associates Inc88,057$1.64M0.00%+23,354+36.1%Added
State of Wisconsin Investment Board82,753$1.54M0.00%−51,978−38.6%Reduced
Campbell & CO Investment Adviser LLC81,874$1.53M0.08%+41,829+104.5%Added
J. Goldman & Co LP80,998$1.51M0.05%−155,961−65.8%Reduced
Legal & General Group Plc79,220$1.48M0.00%+15,401+24.1%Added
PFS Partners, LLC79,000$1.47M0.60%00.0%Unchanged
Citigroup Inc77,474$1.44M0.00%−22,475−22.5%Reduced
Schonfeld Strategic Advisors LLC75,970$1.42M0.01%+75,970New
Checkpoint Capital L.P.75,000$1.40M0.36%+25,000+50.0%Added
Tudor Investment Corp Et Al73,978$1.38M0.01%+9,454+14.7%Added
JPMorgan Chase & Co73,273$1.37M0.00%+2,642+3.7%Added
Vanguard Asset Management, Ltd72,296$1.35M0.00%+19,042+35.8%Added