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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 $2.76B in total; Viking Global Investors is the only superinvestor holding it.

13F holders, Q3 2025

Institutional positions in Trevi Therapeutics, Inc. as of Sep 30, 2025. 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
164
+11 vs. Q2 2025
Shares held
129.3M
+14.7M (+12.8%) vs. Q2 2025
Total value
$1.18B
+$556.1M (+88.7%) vs. Q2 2025
New holders
35
65 more added
Sold out
24
42 more reduced

1 institution that held it in Q2 2025 haven't filed for Q3 2025 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q2 2025: 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 holdersQ3 2025: 164 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 heldQ3 2025: $1.18B
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: $70.0MQ1 2024: $177.9MQ2 2024: $166.6MQ3 2024: $194.1MQ4 2024: $329.5MQ1 2025: $554.3MQ2 2025: $627.2MQ3 2025: $1.18BQ4 2025: $1.63BQ1 2026: $1.61BQ2 2026: $2.76B
Institutions holding TRVI and their total value by quarter
QuarterHoldersValue
Q2 2026218$2.76B
Q1 2026198$1.61B
Q4 2025184$1.63B
Q3 2025164$1.18B
Q2 2025154$627.2M
Q1 2025137$554.3M
Q4 2024110$329.5M
Q3 202493$194.1M
Q2 202477$166.6M
Q1 202480$177.9M
Q4 202363$70.0M
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, Q3 2025

Shares, value and share of portfolio for each institution holding Trevi Therapeutics, Inc.; share changes are against Q2 2025.

Institutions holding TRVI in Q3 2025
InstitutionSharesValue% of portfolioChange in sharesAction
Smartleaf Asset Management LLC1$80.00%+1New
Larson Financial Group LLC3$270.00%+3New
US Bancorp4$370.00%+4New
Essential Partners LLC11$1010.00%+11New
Clearstead Advisors, LLC39$3570.00%+39New
Allworth Financial LP53$4850.00%+53New
GAMMA Investing LLC69$6310.00%−25−26.6%Reduced
SBI Securities Co., Ltd.117$1.07K0.00%+117New
Parkside Financial Bank & Trust140$1.28K0.00%00.0%Unchanged
Nisa Investment Advisors, LLC169$1.55K0.00%00.0%Unchanged
SRS Capital Advisors, Inc.185$1.69K0.00%+185New
Sterling Capital Management LLC212$1.94K0.00%+29+15.8%Added
Daiwa Securities Group Inc.305$3.00K0.00%00.0%Unchanged
CWM, LLC364$3.00K0.00%+135+59.0%Added
Comerica Bank424$3.88K0.00%−211−33.2%Reduced
Massmutual Trust Co FSB516$4.72K0.00%−12−2.3%Reduced
The PNC Financial Services Group, Inc.585$5.35K0.00%−6−1.0%Reduced
Signaturefd, LLC674$6.17K0.00%+674New
Quadrant Capital Group LLC789$7.22K0.00%+789New
Optiver Holding B.V.888$8.13K0.00%+888New
Jones Financial Companies LLLP1,094$9.59K0.00%00.0%Unchanged
Chung Wu Investment Group, LLC1,600$14.6K0.01%−400−20.0%Reduced
NBC Securities, Inc.2,000$18.3K0.00%00.0%Unchanged
REAP Financial Group, LLC2,000$18.3K0.00%+2,000New
Amalgamated Bank2,568$23.0K0.00%00.0%Unchanged
GF Fund Management Co. Ltd.2,620$24.0K0.00%+652+33.1%Added
Tower Research Capital LLC (TRC)2,786$25.5K0.00%−4,412−61.3%Reduced
National Bank of Canada2,936$26.9K0.00%+435+17.4%Added
Mirae Asset Global Investments Co., Ltd.4,708$43.1K0.00%+778+19.8%Added
BIT Capital GmbH6,739$61.7K0.00%+1,633+32.0%Added
Ameritas Investment Partners, Inc.7,632$69.8K0.00%+1,300+20.5%Added
Quest Partners LLC8,697$79.6K0.01%+8,697New
Farther Finance Advisors, LLC8,838$80.9K0.00%00.0%Unchanged
Kingswood Wealth Advisors, LLC10,907$99.8K0.01%−3,725−25.5%Reduced
Pictet Asset Management Holding SA11,259$103.0K0.00%+11,259New
Rafferty Asset Management, LLC13,566$124.1K0.00%+2,583+23.5%Added
Voya Investment Management LLC15,180$138.9K0.00%−6,365−29.5%Reduced
Axq Capital, LP15,524$142.0K0.05%−25,971−62.6%Reduced
KLP Kapitalforvaltning AS17,400$159.2K0.00%+17,400New
BNP Paribas Arbitrage, SA18,212$166.6K0.00%−12,784−41.2%Reduced
Diversified Trust Co18,309$167.5K0.00%00.0%Unchanged
ProShare Advisors LLC19,322$176.8K0.00%−33−0.2%Reduced
Persistent Asset Partners Ltd19,688$180.1K0.13%−23,100−54.0%Reduced
Profund Advisors LLC20,103$183.9K0.01%+2,044+11.3%Added
Teacher Retirement System of Texas20,219$185.0K0.00%+20,219New
China Universal Asset Management Co., Ltd.21,346$195.3K0.02%+911+4.5%Added
Vontobel Holding Ltd.21,859$200.0K0.00%−3,041−12.2%Reduced
Stifel Financial Corp22,901$209.5K0.00%+2,250+10.9%Added
Police & Firemen's Retirement System of New Jersey23,777$217.6K0.00%+7,943+50.2%Added
Arizona State Retirement System24,662$225.7K0.00%+24,662New
Campbell & CO Investment Adviser LLC24,885$227.7K0.02%+11,137+81.0%Added
Soleus Capital Management, L.P.25,000$228.8K0.01%−675,000−96.4%Reduced
Zurcher Kantonalbank (Zurich Cantonalbank)25,178$230.4K0.00%+22,602+877.4%Added
Intech Investment Management LLC25,329$231.8K0.00%−17,680−41.1%Reduced
Creative Planning26,175$239.5K0.00%+5,928+29.3%Added
Engineers Gate Manager LP26,598$243.4K0.00%−1,564−5.6%Reduced
Citigroup Inc26,913$246.3K0.00%−37,046−57.9%Reduced
New York State Common Retirement Fund27,765$254.1K0.00%+12,500+81.9%Added
Harbour Capital Advisors, LLC27,500$262.6K0.05%+27,500New
Manufacturers Life Insurance Company, The29,615$271.0K0.00%+1,296+4.6%Added
IMC-Chicago, LLC30,602$280.0K0.00%+30,602New
United Bank31,200$285.5K0.03%00.0%Unchanged
Steward Partners Investment Advisory, LLC31,595$289.1K0.00%+19,595+163.3%Added
STRS Ohio32,300$295.5K0.00%+8,300+34.6%Added
Readystate Asset Management LP34,399$314.8K0.02%+34,399New
Chapin Davis, Inc.35,100$321.2K0.08%+35,100New
Trust Co of Toledo NA36,502$334.0K0.03%00.0%Unchanged
Janus Henderson Group PLC37,127$339.9K0.00%+37,127New
Tejara Capital Ltd37,200$340.4K0.19%−289,195−88.6%Reduced
LPL Financial LLC40,450$370.1K0.00%+28,550+239.9%Added
Mirae Asset Global ETFs Holdings Ltd.40,625$371.7K0.00%−920−2.2%Reduced
HSBC Holdings PLC41,634$372.2K0.00%−20,805−33.3%Reduced
Dimensional Fund Advisors LP41,443$379.2K0.00%−85,481−67.3%Reduced
AQR Capital Management LLC42,810$391.7K0.00%+17,980+72.4%Added
Gsa Capital Partners LLP43,506$398.0K0.03%+43,506New
Price T Rowe Associates Inc46,859$429.0K0.00%+8,307+21.5%Added
Graham Capital Management, L.P.49,043$448.7K0.02%+8,982+22.4%Added
Franklin Resources Inc49,878$456.4K0.00%−40−0.1%Reduced
MetLife Investment Management50,752$464.4K0.00%+6,096+13.7%Added
Cantor Fitzgerald, L. P.50,861$465.4K0.01%−49,140−49.1%Reduced
Deutsche Bank AG51,640$472.5K0.00%+8,203+18.9%Added
Kennedy Capital Management, Inc.54,933$502.6K0.01%+27,082+97.2%Added
DLD Asset Management, LP55,000$503.3K0.06%+55,000New
Wells Fargo & Company55,686$509.5K0.00%+14,515+35.3%Added
Russell Investments Group, Ltd.56,460$516.6K0.00%+51,924+1,144.7%Added
Alps Advisors Inc58,292$533.4K0.00%−6,002−9.3%Reduced
JPMorgan Chase & Co58,815$538.2K0.00%+4,473+8.2%Added
Optimize Financial Inc60,599$554.5K0.29%+60,599New
WealthTrust Axiom LLC61,500$562.7K0.15%00.0%Unchanged
Simplex Trading, LLC63,149$577.0K0.01%+63,149New
SG Americas Securities, LLC64,545$591.0K0.00%+64,545New
Capstone Investment Advisors, LLC73,287$670.6K0.01%+73,287New
PFS Partners, LLC79,000$722.9K0.34%00.0%Unchanged
California State Teachers Retirement System81,697$747.5K0.00%+77,200+1,716.7%Added
Legal & General Group Plc81,972$750.0K0.00%+73,526+870.5%Added
SEI Investments Co85,798$785.1K0.00%+85,798New
Diadema Partners LP85,830$785.3K0.55%−100,000−53.8%Reduced
Nan Fung Trinity (HK) Ltd89,575$819.6K0.08%+89,575New
MAI Capital Management98,492$901.2K0.01%−749,061−88.4%Reduced
Oppenheimer & Co Inc98,668$902.8K0.01%−1,157−1.2%Reduced