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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, 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
149.0M
+14.2M (+10.5%) vs. Q1 2026
Total value
$2.76B
+$1.15B (+71.6%) vs. Q1 2026
New holders
42
89 more added
Sold out
20
59 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: $2.76B
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, 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
Smartleaf Asset Management LLC1$190.00%00.0%Unchanged
Dauntless Investment Group, LLC1$190.00%+1New
Keating Financial Advisory Services, Inc.2$370.00%+1+100.0%Added
Hughes Financial Services, LLC4$750.00%+1+33.3%Added
Global Retirement Partners, LLC4$750.00%+4New
Essential Partners LLC11$2050.00%00.0%Unchanged
SBI Securities Co., Ltd.12$2240.00%−17−58.6%Reduced
Stone House Investment Management, LLC17$3170.00%+16+1,600.0%Added
CoreCap Advisors, LLC18$3360.00%+18New
Bare Financial Services, Inc30$5600.00%00.0%Unchanged
US Bancorp32$5970.00%−53−62.4%Reduced
Silver Grove Financial Group, Inc.40$7460.00%+40New
Covestor Ltd43$1.00K0.00%+31+258.3%Added
Rothschild Investment LLC70$1.31K0.00%00.0%Unchanged
Cornerstone Financial Management LLC78$1.46K0.00%00.0%Unchanged
GAMMA Investing LLC99$1.85K0.00%+5+5.3%Added
Caitong International Asset Management Co., Ltd124$2.31K0.00%−143−53.6%Reduced
Parkside Financial Bank & Trust140$2.61K0.00%00.0%Unchanged
State of Wyoming186$3.47K0.00%+186New
SRS Capital Advisors, Inc.194$3.62K0.00%+194New
Caption Management, LLC209$3.90K0.00%+209New
Optiver Holding B.V.210$3.92K0.00%−456−68.5%Reduced
Northwestern Mutual Wealth Management Co343$6.40K0.00%+343New
Sterling Capital Management LLC376$7.01K0.00%−245−39.5%Reduced
Aster Capital Management (DIFC) Ltd417$7.78K0.00%+417New
Massmutual Trust Co FSB516$9.62K0.00%00.0%Unchanged
Los Angeles Capital Management LLC555$10.4K0.00%00.0%Unchanged
Signaturefd, LLC758$14.1K0.00%00.0%Unchanged
Allworth Financial LP766$14.3K0.00%−1−0.1%Reduced
The PNC Financial Services Group, Inc.783$14.6K0.00%+162+26.1%Added
Jones Financial Companies LLLP1,007$18.3K0.00%00.0%Unchanged
Larson Financial Group LLC1,150$21.4K0.00%+103+9.8%Added
Kemnay Advisory Services Inc.1,168$21.8K0.00%+1,168New
Nykredit A/S1,168$21.8K0.00%+1,168New
BNP PARIBAS ASSET MANAGEMENT Holding S.A.1,661$31.0K0.00%−123−6.9%Reduced
Advisor Group Holdings, Inc.1,712$31.9K0.00%+174+11.3%Added
NBC Securities, Inc.2,000$37.3K0.00%−15,000−88.2%Reduced
Chung Wu Investment Group, LLC2,000$37.3K0.02%00.0%Unchanged
KBC Group NV2,464$46.0K0.00%00.0%Unchanged
GF Fund Management Co. Ltd.2,717$50.7K0.00%−148−5.2%Reduced
National Bank of Canada3,026$56.3K0.00%+63+2.1%Added
EverSource Wealth Advisors, LLC3,452$64.4K0.00%+3,441+31,281.8%Added
Nisa Investment Advisors, LLC3,839$71.6K0.00%+333+9.5%Added
Tower Research Capital LLC (TRC)3,897$72.7K0.00%+728+23.0%Added
Hilton Head Capital Partners, LLC4,351$81.1K0.04%+101+2.4%Added
SG Americas Securities, LLC6,325$118.0K0.00%−21,726−77.5%Reduced
Mirae Asset Global Investments Co., Ltd.6,350$118.4K0.00%−338−5.1%Reduced
Avidity Partners Management LP6,660$124.2K0.02%00.0%Unchanged
Farther Finance Advisors, LLC9,226$172.1K0.00%−17−0.2%Reduced
Ameritas Investment Partners, Inc.9,727$181.4K0.00%+2,095+27.5%Added
Albion Financial Group10,000$186.5K0.01%+10,000New
Vontobel Holding Ltd.10,053$187.5K0.00%−362−3.5%Reduced
Xponance, Inc.10,257$191.3K0.00%+10,257New
Amundi10,304$192.2K0.00%+10,304New
Maltin Wealth Management, Inc.10,560$196.9K0.07%00.0%Unchanged
HSBC Holdings PLC10,516$199.3K0.00%−6,518−38.3%Reduced
Victory Capital Management Inc10,705$199.6K0.00%+10,705New
Teacher Retirement System of Texas11,116$207.3K0.00%+40+0.4%Added
Gsa Capital Partners LLP12,520$233.0K0.01%+12,520New
CIBC Bancorp USA Inc.12,733$237.5K0.00%+12,733New
Marex Group plc14,000$261.1K0.00%+14,000New
Rafferty Asset Management, LLC14,824$276.5K0.00%+2,536+20.6%Added
Bridgefront Capital, LLC15,161$282.8K0.07%+15,161New
Kingsview Wealth Management, LLC15,895$296.4K0.00%+125+0.8%Added
STRS Ohio16,200$302.1K0.00%+3,400+26.6%Added
Prudential Financial Inc17,411$324.7K0.00%+2,685+18.2%Added
Cowa, LLC17,938$334.5K0.08%+17,938New
Graham Capital Management, L.P.17,947$334.7K0.01%+17,947New
ProShare Advisors LLC18,691$348.6K0.00%−905−4.6%Reduced
BNP Paribas Arbitrage, SA19,930$371.7K0.00%−3,095−13.4%Reduced
Chapin Davis, Inc.20,100$374.9K0.07%00.0%Unchanged
Profund Advisors LLC21,106$393.6K0.01%−80.0%Reduced
Cerity Partners LLC21,578$402.4K0.00%+21,578New
KLP Kapitalforvaltning AS21,700$404.7K0.00%+3,400+18.6%Added
Intech Investment Management LLC23,102$430.9K0.00%+1,251+5.7%Added
China Universal Asset Management Co., Ltd.23,196$432.6K0.03%−9,559−29.2%Reduced
Susquehanna International Group, LLP23,350$435.5K0.00%−204,338−89.7%Reduced
Diversified Trust Co23,496$438.2K0.01%+19+0.1%Added
AlphaCentric Advisors LLC24,317$453.5K0.38%+347+1.4%Added
Brevan Howard Capital Management LP24,646$459.6K0.01%+5,751+30.4%Added
Stifel Financial Corp25,102$468.2K0.00%−600−2.3%Reduced
Vanguard Investments Australia, Ltd.25,120$468.5K0.00%+4,225+20.2%Added
Persistent Asset Partners Ltd25,601$477.5K0.15%−2,312−8.3%Reduced
Zurcher Kantonalbank (Zurich Cantonalbank)25,753$480.3K0.00%−34,109−57.0%Reduced
Arizona State Retirement System26,434$493.0K0.00%+3,019+12.9%Added
PSP Research LLC30,000$559.5K0.30%00.0%Unchanged
HRT Financial LP30,146$562.0K0.00%+30,146New
State of New Jersey Common Pension Fund D30,976$577.7K0.00%+1,843+6.3%Added
United Bank31,200$581.9K0.07%00.0%Unchanged
Police & Firemen's Retirement System of New Jersey31,611$589.5K0.00%+7,834+32.9%Added
Optimize Financial Inc31,780$592.7K0.21%−110−0.3%Reduced
Sound Capital Solutions LLC31,780$592.7K0.14%+31,780New
Universal- Beteiligungs- und Servicegesellschaft mbH34,554$644.4K0.00%−1,910−5.2%Reduced
Dymon Asia Capital (Singapore) Pte. Ltd.35,300$658.3K0.11%+35,300New
Royal Bank of Canada35,804$668.0K0.00%+3,202+9.8%Added
New York State Common Retirement Fund37,665$702.5K0.00%+9,900+35.7%Added
Harbour Capital Advisors, LLC40,200$717.2K0.13%−500−1.2%Reduced
Z3 Capital Partners, LLC39,250$732.0K0.15%−300−0.8%Reduced
Seven Fleet Capital Management LP45,598$833.4K0.14%+18,449+68.0%Added
BIT Capital GmbH45,000$839.3K0.03%00.0%Unchanged