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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
Covestor Ltd12$00.00%+12New
Smartleaf Asset Management LLC1$110.00%00.0%Unchanged
Stone House Investment Management, LLC1$120.00%+1New
Keating Financial Advisory Services, Inc.1$120.00%+1New
Hughes Financial Services, LLC3$360.00%+3New
Essential Partners LLC11$1310.00%00.0%Unchanged
EverSource Wealth Advisors, LLC11$1310.00%+11New
SBI Securities Co., Ltd.29$3460.00%+29New
Twin Peaks Wealth Advisors, LLC29$3460.00%+29New
Bare Financial Services, Inc30$3580.00%+30New
Rothschild Investment LLC70$8350.00%+70New
Cornerstone Financial Management LLC78$9310.00%00.0%Unchanged
US Bancorp85$1.01K0.00%+81+2,025.0%Added
GAMMA Investing LLC94$1.12K0.00%−86−47.8%Reduced
Parkside Financial Bank & Trust140$1.67K0.00%00.0%Unchanged
Versant Capital Management, Inc232$2.77K0.00%+232New
Caitong International Asset Management Co., Ltd267$3.19K0.00%−3,755−93.4%Reduced
CWM, LLC424$5.06K0.00%+43+11.3%Added
Massmutual Trust Co FSB516$6.16K0.00%00.0%Unchanged
Los Angeles Capital Management LLC555$6.62K0.00%+468+537.9%Added
The PNC Financial Services Group, Inc.621$7.41K0.00%−378−37.8%Reduced
Sterling Capital Management LLC621$7.41K0.00%+40+6.9%Added
Optiver Holding B.V.666$7.95K0.00%+288+76.2%Added
Signaturefd, LLC758$9.04K0.00%−77−9.2%Reduced
Allworth Financial LP767$9.15K0.00%+14+1.9%Added
Quadrant Capital Group LLC789$9.41K0.00%00.0%Unchanged
Jones Financial Companies LLLP1,007$11.4K0.00%+387+62.4%Added
Larson Financial Group LLC1,047$12.5K0.00%+1,038+11,533.3%Added
Advisor Group Holdings, Inc.1,538$18.3K0.00%+1,538New
BNP PARIBAS ASSET MANAGEMENT Holding S.A.1,784$21.3K0.00%+1,784New
Chung Wu Investment Group, LLC2,000$23.9K0.02%00.0%Unchanged
KBC Group NV2,464$29.0K0.00%+2,464New
GF Fund Management Co. Ltd.2,865$34.2K0.00%+346+13.7%Added
National Bank of Canada2,963$35.3K0.00%−4−0.1%Reduced
Tower Research Capital LLC (TRC)3,169$37.8K0.00%−7,292−69.7%Reduced
Nisa Investment Advisors, LLC3,506$41.8K0.00%+2,607+290.0%Added
Hilton Head Capital Partners, LLC4,250$50.7K0.03%+1,044+32.6%Added
Federation des caisses Desjardins du Quebec4,300$51.3K0.00%+4,300New
Avidity Partners Management LP6,660$79.5K0.02%+6,660New
Mirae Asset Global Investments Co., Ltd.6,688$79.8K0.00%+457+7.3%Added
Ameritas Investment Partners, Inc.7,632$91.0K0.00%00.0%Unchanged
Farther Finance Advisors, LLC9,243$107.0K0.00%−27−0.3%Reduced
SIH Partners, LLLP10,001$119.3K0.00%+10,001New
Vontobel Holding Ltd.10,415$124.3K0.00%−349−3.2%Reduced
Maltin Wealth Management, Inc.10,560$126.0K0.05%+10,560New
Teacher Retirement System of Texas11,076$132.1K0.00%−1,527−12.1%Reduced
Hudson Bay Capital Management LP11,770$140.4K0.00%−63,230−84.3%Reduced
Rafferty Asset Management, LLC12,288$146.6K0.00%−4,211−25.5%Reduced
STRS Ohio12,800$152.7K0.00%−10,900−46.0%Reduced
Prudential Financial Inc14,726$175.7K0.00%−534,493−97.3%Reduced
Kingsview Wealth Management, LLC15,770$188.1K0.00%+5,132+48.2%Added
Dimensional Fund Advisors LP16,101$192.1K0.00%−20,409−55.9%Reduced
NBC Securities, Inc.17,000$202.8K0.02%00.0%Unchanged
HSBC Holdings PLC17,034$205.3K0.00%+17,034New
KLP Kapitalforvaltning AS18,300$218.3K0.00%00.0%Unchanged
Brevan Howard Capital Management LP18,895$225.4K0.00%+18,895New
ProShare Advisors LLC19,596$233.8K0.00%−2,673−12.0%Reduced
Chapin Davis, Inc.20,100$239.8K0.05%00.0%Unchanged
Simplex Trading, LLC20,277$241.9K0.01%−26,857−57.0%Reduced
Vanguard Investments Australia, Ltd.20,895$249.3K0.00%+20,895New
Profund Advisors LLC21,114$251.9K0.01%+1,736+9.0%Added
Diadema Partners LP21,663$258.4K0.11%−75,521−77.7%Reduced
Intech Investment Management LLC21,851$260.7K0.00%−7,219−24.8%Reduced
BNP Paribas Arbitrage, SA23,025$274.7K0.00%+969+4.4%Added
Arizona State Retirement System23,415$279.3K0.00%−648−2.7%Reduced
Diversified Trust Co23,477$280.1K0.01%+2,493+11.9%Added
Police & Firemen's Retirement System of New Jersey23,777$283.7K0.00%00.0%Unchanged
AlphaCentric Advisors LLC23,970$286.0K0.29%+1,303+5.7%Added
IMC-Chicago, LLC24,324$290.2K0.00%−14,503−37.4%Reduced
XTX Topco Ltd24,735$295.1K0.01%−59,083−70.5%Reduced
Stifel Financial Corp25,702$306.6K0.00%−2,586−9.1%Reduced
Group One Trading, L.P.25,930$309.3K0.01%+25,930New
Seven Fleet Capital Management LP27,149$323.9K0.10%+20,039+281.8%Added
New York State Common Retirement Fund27,765$331.2K0.00%00.0%Unchanged
Persistent Asset Partners Ltd27,913$333.0K0.13%−17,917−39.1%Reduced
SG Americas Securities, LLC28,051$335.0K0.00%−96,511−77.5%Reduced
AQR Capital Management LLC28,149$335.8K0.00%−1,053−3.6%Reduced
State of New Jersey Common Pension Fund D29,133$347.6K0.00%+29,133New
PSP Research LLC30,000$357.9K0.25%+30,000New
United Bank31,200$372.2K0.05%00.0%Unchanged
Optimize Financial Inc31,890$380.4K0.19%−29,593−48.1%Reduced
Royal Bank of Canada32,602$389.0K0.00%−517−1.6%Reduced
China Universal Asset Management Co., Ltd.32,755$390.8K0.03%+11,860+56.8%Added
Universal- Beteiligungs- und Servicegesellschaft mbH36,464$435.0K0.00%+36,464New
Janus Henderson Group PLC37,127$442.6K0.00%00.0%Unchanged
Wells Fargo & Company38,056$454.0K0.00%−63,223−62.4%Reduced
Two Sigma Investments, LP38,415$458.3K0.00%−45,340−54.1%Reduced
Z3 Capital Partners, LLC39,550$471.8K0.12%+100+0.3%Added
Campbell & CO Investment Adviser LLC40,045$477.7K0.03%−31,052−43.7%Reduced
Manufacturers Life Insurance Company, The43,561$519.7K0.00%+15,624+55.9%Added
Voya Investment Management LLC44,357$529.2K0.00%−181,858−80.4%Reduced
Mirae Asset Global ETFs Holdings Ltd.44,853$535.1K0.00%+2,790+6.6%Added
BIT Capital GmbH45,000$536.9K0.03%−85,000−65.4%Reduced
Creative Planning45,865$547.2K0.00%+5,643+14.0%Added
Franklin Resources Inc49,878$595.0K0.00%00.0%Unchanged
Checkpoint Capital L.P.50,000$596.5K0.21%+50,000New
Harbour Capital Advisors, LLC40,700$602.4K0.11%+13,200+48.0%Added
Steward Partners Investment Advisory, LLC51,525$614.7K0.00%+7,430+16.8%Added
MetLife Investment Management51,814$618.1K0.00%+1,564+3.1%Added
Vanguard Asset Management, Ltd53,254$635.3K0.00%+53,254New