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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
StemPoint Capital LP0$00.00%−399,557−100.0%Sold out
Velan Capital Investment Management LP0$00.00%−205,000−100.0%Sold out
Fred Alger Management, LLC0$00.00%−157,980−100.0%Sold out
HRT Financial LP0$00.00%−125,104−100.0%Sold out
Rosalind Advisors, Inc.0$00.00%−100,000−100.0%Sold out
Allianz Asset Management GmbH0$00.00%−52,800−100.0%Sold out
Jane Street Group, LLC0$00.00%−45,995−100.0%Sold out
Verition Fund Management LLC0$00.00%−32,119−100.0%Sold out
Fox Run Management, L.L.C.0$00.00%−31,346−100.0%Sold out
Qube Research & Technologies Ltd0$00.00%−22,622−100.0%Sold out
Axq Capital, LP0$00.00%−22,204−100.0%Sold out
Dymon Asia Capital (Singapore) Pte. Ltd.0$00.00%−20,000−100.0%Sold out
Abel Hall, LLC0$00.00%−10,191−100.0%Sold out
DLD Asset Management, LP0$00.00%−10,000−100.0%Sold out
Quest Partners LLC0$00.00%−7,988−100.0%Sold out
Bellevue Group AG0$00.00%−7,603−100.0%Sold out
Amalgamated Bank0$00.00%−2,852−100.0%Sold out
Aquatic Capital Management LLC0$00.00%−1,978−100.0%Sold out
Bessemer Group Inc0$00.00%−1,560−100.0%Sold out
Aster Capital Management (DIFC) Ltd0$00.00%−602−100.0%Sold out
Daiwa Securities Group Inc.0$00.00%−427−100.0%Sold out
SRS Capital Advisors, Inc.0$00.00%−206−100.0%Sold out
SageView Advisory Group, LLC0$00.00%−49−100.0%Sold out
Vanguard Group Inc––––Not filed
Comerica Bank––––Not filed