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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
SEI Investments Co68,484$1.28M0.00%−9,738−12.4%Reduced
Fred Alger Management, LLC66,490$1.24M0.00%+66,490New
Sectoral Asset Management Inc65,596$1.22M0.85%−8,850−11.9%Reduced
Vanguard Global Advisers, LLC64,278$1.20M0.00%+5,378+9.1%Added
Steward Partners Investment Advisory, LLC63,600$1.19M0.01%+12,075+23.4%Added
LPL Financial LLC63,449$1.18M0.00%−17,434−21.6%Reduced
Kennedy Capital Management, Inc.63,108$1.18M0.02%+1,810+3.0%Added
MetLife Investment Management62,493$1.17M0.01%+10,679+20.6%Added
XTX Topco Ltd61,896$1.15M0.01%+37,161+150.2%Added
WealthTrust Axiom LLC61,500$1.15M0.26%00.0%Unchanged
Creative Planning57,576$1.07M0.00%+11,711+25.5%Added
MAI Capital Management56,130$1.05M0.00%−8,995−13.8%Reduced
HighVista Strategies LLC53,033$989.1K0.23%−492−0.9%Reduced
Teachers Retirement System of the State of Kentucky50,049$933.0K0.01%+50,049New
Ghisallo Capital Management LLC50,000$932.5K0.02%+50,000New
Franklin Resources Inc49,966$931.9K0.00%+88+0.2%Added
Manufacturers Life Insurance Company, The49,611$925.2K0.00%+6,050+13.9%Added
Mirae Asset Global ETFs Holdings Ltd.49,143$916.5K0.00%+4,290+9.6%Added
BIT Capital GmbH45,000$839.3K0.03%00.0%Unchanged
Seven Fleet Capital Management LP45,598$833.4K0.14%+18,449+68.0%Added
Z3 Capital Partners, LLC39,250$732.0K0.15%−300−0.8%Reduced
Harbour Capital Advisors, LLC40,200$717.2K0.13%−500−1.2%Reduced
New York State Common Retirement Fund37,665$702.5K0.00%+9,900+35.7%Added
Royal Bank of Canada35,804$668.0K0.00%+3,202+9.8%Added
Dymon Asia Capital (Singapore) Pte. Ltd.35,300$658.3K0.11%+35,300New
Universal- Beteiligungs- und Servicegesellschaft mbH34,554$644.4K0.00%−1,910−5.2%Reduced
Optimize Financial Inc31,780$592.7K0.21%−110−0.3%Reduced
Sound Capital Solutions LLC31,780$592.7K0.14%+31,780New
Police & Firemen's Retirement System of New Jersey31,611$589.5K0.00%+7,834+32.9%Added
United Bank31,200$581.9K0.07%00.0%Unchanged
State of New Jersey Common Pension Fund D30,976$577.7K0.00%+1,843+6.3%Added
HRT Financial LP30,146$562.0K0.00%+30,146New
PSP Research LLC30,000$559.5K0.30%00.0%Unchanged
Arizona State Retirement System26,434$493.0K0.00%+3,019+12.9%Added
Zurcher Kantonalbank (Zurich Cantonalbank)25,753$480.3K0.00%−34,109−57.0%Reduced
Persistent Asset Partners Ltd25,601$477.5K0.15%−2,312−8.3%Reduced
Vanguard Investments Australia, Ltd.25,120$468.5K0.00%+4,225+20.2%Added
Stifel Financial Corp25,102$468.2K0.00%−600−2.3%Reduced
Brevan Howard Capital Management LP24,646$459.6K0.01%+5,751+30.4%Added
AlphaCentric Advisors LLC24,317$453.5K0.38%+347+1.4%Added
Diversified Trust Co23,496$438.2K0.01%+19+0.1%Added
Susquehanna International Group, LLP23,350$435.5K0.00%−204,338−89.7%Reduced
China Universal Asset Management Co., Ltd.23,196$432.6K0.03%−9,559−29.2%Reduced
Intech Investment Management LLC23,102$430.9K0.00%+1,251+5.7%Added
KLP Kapitalforvaltning AS21,700$404.7K0.00%+3,400+18.6%Added
Cerity Partners LLC21,578$402.4K0.00%+21,578New
Profund Advisors LLC21,106$393.6K0.01%−80.0%Reduced
Chapin Davis, Inc.20,100$374.9K0.07%00.0%Unchanged
BNP Paribas Arbitrage, SA19,930$371.7K0.00%−3,095−13.4%Reduced
ProShare Advisors LLC18,691$348.6K0.00%−905−4.6%Reduced
Graham Capital Management, L.P.17,947$334.7K0.01%+17,947New
Cowa, LLC17,938$334.5K0.08%+17,938New
Prudential Financial Inc17,411$324.7K0.00%+2,685+18.2%Added
STRS Ohio16,200$302.1K0.00%+3,400+26.6%Added
Kingsview Wealth Management, LLC15,895$296.4K0.00%+125+0.8%Added
Bridgefront Capital, LLC15,161$282.8K0.07%+15,161New
Rafferty Asset Management, LLC14,824$276.5K0.00%+2,536+20.6%Added
Marex Group plc14,000$261.1K0.00%+14,000New
CIBC Bancorp USA Inc.12,733$237.5K0.00%+12,733New
Gsa Capital Partners LLP12,520$233.0K0.01%+12,520New
Teacher Retirement System of Texas11,116$207.3K0.00%+40+0.4%Added
Victory Capital Management Inc10,705$199.6K0.00%+10,705New
HSBC Holdings PLC10,516$199.3K0.00%−6,518−38.3%Reduced
Maltin Wealth Management, Inc.10,560$196.9K0.07%00.0%Unchanged
Amundi10,304$192.2K0.00%+10,304New
Xponance, Inc.10,257$191.3K0.00%+10,257New
Vontobel Holding Ltd.10,053$187.5K0.00%−362−3.5%Reduced
Albion Financial Group10,000$186.5K0.01%+10,000New
Ameritas Investment Partners, Inc.9,727$181.4K0.00%+2,095+27.5%Added
Farther Finance Advisors, LLC9,226$172.1K0.00%−17−0.2%Reduced
Avidity Partners Management LP6,660$124.2K0.02%00.0%Unchanged
Mirae Asset Global Investments Co., Ltd.6,350$118.4K0.00%−338−5.1%Reduced
SG Americas Securities, LLC6,325$118.0K0.00%−21,726−77.5%Reduced
Hilton Head Capital Partners, LLC4,351$81.1K0.04%+101+2.4%Added
Tower Research Capital LLC (TRC)3,897$72.7K0.00%+728+23.0%Added
Nisa Investment Advisors, LLC3,839$71.6K0.00%+333+9.5%Added
EverSource Wealth Advisors, LLC3,452$64.4K0.00%+3,441+31,281.8%Added
National Bank of Canada3,026$56.3K0.00%+63+2.1%Added
GF Fund Management Co. Ltd.2,717$50.7K0.00%−148−5.2%Reduced
KBC Group NV2,464$46.0K0.00%00.0%Unchanged
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
Advisor Group Holdings, Inc.1,712$31.9K0.00%+174+11.3%Added
BNP PARIBAS ASSET MANAGEMENT Holding S.A.1,661$31.0K0.00%−123−6.9%Reduced
Kemnay Advisory Services Inc.1,168$21.8K0.00%+1,168New
Nykredit A/S1,168$21.8K0.00%+1,168New
Larson Financial Group LLC1,150$21.4K0.00%+103+9.8%Added
Jones Financial Companies LLLP1,007$18.3K0.00%00.0%Unchanged
The PNC Financial Services Group, Inc.783$14.6K0.00%+162+26.1%Added
Allworth Financial LP766$14.3K0.00%−1−0.1%Reduced
Signaturefd, LLC758$14.1K0.00%00.0%Unchanged
Los Angeles Capital Management LLC555$10.4K0.00%00.0%Unchanged
Massmutual Trust Co FSB516$9.62K0.00%00.0%Unchanged
Aster Capital Management (DIFC) Ltd417$7.78K0.00%+417New
Sterling Capital Management LLC376$7.01K0.00%−245−39.5%Reduced
Northwestern Mutual Wealth Management Co343$6.40K0.00%+343New
Optiver Holding B.V.210$3.92K0.00%−456−68.5%Reduced
Caption Management, LLC209$3.90K0.00%+209New
SRS Capital Advisors, Inc.194$3.62K0.00%+194New
State of Wyoming186$3.47K0.00%+186New