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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, Q1 2026

Institutional positions in Trevi Therapeutics, Inc. as of Mar 31, 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
198
+16 vs. Q4 2025
Shares held
134.9M
+11.1M (+9.0%) vs. Q4 2025
Total value
$1.61B
+$60.9M (+3.9%) vs. Q4 2025
New holders
41
65 more added
Sold out
25
62 more reduced

2 institutions that held it in Q4 2025 haven't filed for Q1 2026 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q4 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 holdersQ1 2026: 198 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 heldQ1 2026: $1.61B
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, Q1 2026

Shares, value and share of portfolio for each institution holding Trevi Therapeutics, Inc.; share changes are against Q4 2025.

Institutions holding TRVI in Q1 2026
InstitutionSharesValue% of portfolioChange in sharesAction
NEA Management Company, LLC13,222,228$157.7M8.97%00.0%Unchanged
BlackRock, Inc.10,240,186$122.2M0.00%+114,003+1.1%Added
Frazier Life Sciences Management, L.P.9,939,547$118.6M3.05%−319,862−3.1%Reduced
FMR LLC8,038,061$95.9M0.01%+1,538,052+23.7%Added
Wellington Management Group LLP5,189,088$61.9M0.01%+1,785,098+52.4%Added
Vivo Capital, LLC5,094,668$60.8M5.05%00.0%Unchanged
Vanguard Capital Management LLC4,978,567$59.4M0.00%+4,978,567New
Marshall Wace, LLP3,966,019$47.3M0.05%−614,529−13.4%Reduced
Rubric Capital Management LP3,712,373$44.3M0.54%−54,376−1.4%Reduced
MPM Oncology Impact Management LP3,298,430$39.4M3.04%+11,343+0.3%Added
Viking Global Investors LPSuperinvestorViking Global Investors3,198,644$38.2M0.11%00.0%Unchanged
Alliancebernstein L.P.2,845,472$35.6M0.01%−237,514−7.7%Reduced
Geode Capital Management, LLC2,778,231$33.2M0.00%+365,346+15.1%Added
State Street Corp2,665,313$31.8M0.00%+230,313+9.5%Added
Eventide Asset Management, LLC2,622,306$31.3M0.52%00.0%Unchanged
OrbiMed Advisors LLC2,454,400$29.3M0.67%−736,300−23.1%Reduced
Logos Global Management LP2,400,000$28.6M1.47%+850,000+54.8%Added
Vestal Point Capital, LP2,166,504$25.8M0.72%+2,166,504New
Acorn Capital Advisors, LLC2,144,844$25.6M7.27%00.0%Unchanged
Artia Global Partners LP2,013,602$24.0M5.42%00.0%Unchanged
Affinity Asset Advisors, LLC2,000,172$23.9M1.40%−150,000−7.0%Reduced
Frontier Capital Management Co LLC1,994,292$23.8M0.24%+885,824+79.9%Added
Emerald Advisers, LLC1,839,566$21.9M0.69%−52,710−2.8%Reduced
Siren, L.L.C.1,786,867$21.3M0.59%−500,000−21.9%Reduced
Pictet Asset Management Holding SA1,706,048$20.4M0.02%+174,035+11.4%Added
Raymond James Financial Inc1,687,977$20.1M0.01%−78,986−4.5%Reduced
Soleus Capital Management, L.P.1,620,000$19.3M0.78%+720,000+80.0%Added
Pivotal bioVenture Partners Investment Advisor LLC1,553,726$18.5M6.63%+296,944+23.6%Added
Octagon Capital Advisors LP1,485,000$17.7M1.96%−1,330,000−47.2%Reduced
Emerald Mutual Fund Advisers Trust1,262,492$15.1M0.73%−9,881−0.8%Reduced
Goldman Sachs Group Inc1,227,772$14.6M0.00%+170,881+16.2%Added
Bank of America Corp1,216,955$14.5M0.00%+122,104+11.2%Added
Citadel Advisors LLC1,201,489$14.3M0.01%+1,048,634+686.0%Added
Nan Fung Trinity (HK) Ltd1,142,950$13.6M1.50%+225,500+24.6%Added
Flputnam Investment Management Co1,063,301$12.7M0.19%+9,874+0.9%Added
Woodline Partners LP1,000,782$11.9M0.05%+5000.0%Added
Vanguard Portfolio Management LLC968,588$11.6M0.00%+968,588New
Charles Schwab Investment Management Inc840,572$10.0M0.00%+3,772+0.5%Added
Northern Trust Corp806,659$9.62M0.00%+44,693+5.9%Added
Candriam Luxembourg S.C.A.773,620$9.23M0.05%+773,620New
Morgan Stanley731,255$8.72M0.00%−319,041−30.4%Reduced
Vanguard Fiduciary Trust Co714,631$8.53M0.00%+714,631New
Panagora Asset Management Inc625,578$7.46M0.03%−67,423−9.7%Reduced
Sphera Funds Management Ltd.574,029$6.85M1.18%−24,505−4.1%Reduced
Millennium Management LLC570,971$6.81M0.01%+745+0.1%Added
Peregrine Capital Management LLC530,451$6.33M0.23%+22,766+4.5%Added
Burkehill Global Management, LP525,000$6.26M0.31%00.0%Unchanged
Silverarc Capital Management, LLC511,127$6.10M0.72%−30,113−5.6%Reduced
Ameriprise Financial Inc504,836$6.02M0.00%+180,664+55.7%Added
Balyasny Asset Management LLC473,849$5.65M0.01%+299,208+171.3%Added
Ensign Peak Advisors, Inc464,746$5.54M0.01%+464,746New
UBS Group AG446,192$5.32M0.00%+171,564+62.5%Added
KVP Capital Advisors, LP414,000$4.94M3.69%00.0%Unchanged
Jones Hill Capital LP370,175$4.42M0.95%+370,175New
Invesco Ltd.352,984$4.21M0.00%−145,942−29.3%Reduced
Opaleye Management Inc.345,100$4.12M0.54%00.0%Unchanged
GMT Capital Corp317,700$3.79M0.17%+317,700New
Bank of New York Mellon Corp260,161$3.10M0.00%−426−0.2%Reduced
Superstring Capital Management LP251,566$3.00M2.14%+103,274+69.6%Added
J. Goldman & Co LP236,959$2.83M0.13%−207,398−46.7%Reduced
F/M Investments LLC231,602$2.76M0.18%−9,881−4.1%Reduced
Susquehanna International Group, LLP227,688$2.72M0.00%−597,860−72.4%Reduced
Propel Bio Management, LLC223,802$2.65M1.67%+223,802New
Nuveen, LLC188,182$2.25M0.00%+4,853+2.6%Added
D. E. Shaw & Co., Inc.181,344$2.16M0.00%+40,032+28.3%Added
Swiss National Bank168,200$2.01M0.00%00.0%Unchanged
UBS Asset Management Americas Inc154,168$1.84M0.00%+13,435+9.5%Added
State of Wisconsin Investment Board134,731$1.61M0.00%+14,165+11.7%Added
Trust Co of Toledo NA131,502$1.57M0.15%+95,000+260.3%Added
Fifth Third Bancorp128,325$1.53M0.00%+128,325New
Rhumbline Advisers109,061$1.30M0.00%+3,139+3.0%Added
Squarepoint Ops LLC103,967$1.24M0.00%+103,967New
Oppenheimer & Co Inc100,027$1.19M0.01%−671−0.7%Reduced
LMR Partners LLP100,000$1.19M0.01%00.0%Unchanged
Citigroup Inc99,949$1.19M0.00%−23,549−19.1%Reduced
Wexford Capital LP90,752$1.08M0.18%+8,718+10.6%Added
Deutsche Bank AG84,755$1.01M0.00%+13,922+19.7%Added
Erste Asset Management GmbH90,000$1.01M0.01%00.0%Unchanged
California State Teachers Retirement System83,391$994.9K0.00%−397−0.5%Reduced
LPL Financial LLC80,883$964.9K0.00%+27,923+52.7%Added
ExodusPoint Capital Management, LP79,859$952.7K0.01%+79,859New
PFS Partners, LLC79,000$942.5K0.43%00.0%Unchanged
Sectoral Asset Management Inc74,446$939.5K0.78%−9,809−11.6%Reduced
SEI Investments Co78,222$933.2K0.00%−69,719−47.1%Reduced
Russell Investments Group, Ltd.68,120$812.7K0.00%+8,676+14.6%Added
JPMorgan Chase & Co70,631$790.4K0.00%+11,156+18.8%Added
Simplify Asset Management Inc.65,412$780.4K0.01%+65,412New
MAI Capital Management65,125$776.9K0.00%−12,644−16.3%Reduced
Price T Rowe Associates Inc64,703$772.0K0.00%+14,430+28.7%Added
Tudor Investment Corp Et Al64,524$769.8K0.00%−3,957−5.8%Reduced
Legal & General Group Plc63,819$761.4K0.00%−17,854−21.9%Reduced
WealthTrust Axiom LLC61,500$733.7K0.18%00.0%Unchanged
Kennedy Capital Management, Inc.61,298$731.3K0.02%+5,029+8.9%Added
Zurcher Kantonalbank (Zurich Cantonalbank)59,862$714.2K0.00%+13,181+28.2%Added
Vanguard Global Advisers, LLC58,900$702.7K0.00%+58,900New
Barclays PLC53,585$639.3K0.00%−529,068−90.8%Reduced
HighVista Strategies LLC53,525$638.6K0.18%−52,634−49.6%Reduced
Vanguard Asset Management, Ltd53,254$635.3K0.00%+53,254New
MetLife Investment Management51,814$618.1K0.00%+1,564+3.1%Added
Steward Partners Investment Advisory, LLC51,525$614.7K0.00%+7,430+16.8%Added