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Trevi Therapeutics

137 hedge funds and large institutions have $554M invested in Trevi Therapeutics in 2025 Q1 according to their latest regulatory filings, with 41 funds opening new positions, 54 increasing their positions, 32 reducing their positions, and 14 closing their positions.

New
Increased
Maintained
Reduced
Closed

700% more funds holding in top 10

Funds holding in top 10: 18 (+7)

381% more call options, than puts

Call options by funds: $10.7M | Put options by funds: $2.23M

193% more first-time investments, than exits

New positions opened: 41 | Existing positions closed: 14

69% more repeat investments, than reductions

Existing positions increased: 54 | Existing positions reduced: 32

68% more capital invested

Capital invested by funds: $330M → $554M (+$225M)

25% more funds holding

Funds holding: 110137 (+27)

2.2% more ownership

Funds ownership: 88.95%91.16% (+2.2%)

Holders
137
Holders Change
+27
Holders Change %
+24.55%
% of All Funds
1.84%
Holding in Top 10
8
Holding in Top 10 Change
+7
Holding in Top 10 Change %
+700%
% of All Funds
0.11%
New
41
Increased
54
Reduced
32
Closed
14
Calls
$10.7M
Puts
$2.23M
Net Calls
+$8.5M
Net Calls Change
+$8.63M
Name Holding Trade Value Shares
Change
Change in
Stake
NMC
1
NEA Management Company
Maryland
$71.5M
FLSM
2
Frazier Life Sciences Management
California
$64.5M -$1.93M -405,365 -4%
BlackRock
3
BlackRock
New York
$33.4M +$6.6M +1,384,080 +35%
RCMNY
4
Rubric Capital Management (New York)
New York
$28.5M +$1.59M +333,406 +8%
Vanguard Group
5
Vanguard Group
Pennsylvania
$24.1M +$1.57M +328,819 +9%
VC
6
Vivo Capital
California
$21.9M
MB
7
MPM BioImpact
Massachusetts
$21.6M +$1.59M +333,470 +11%
OCA
8
Octagon Capital Advisors
New York
$20.9M +$15.8M +3,322,000 New
Viking Global Investors
9
Viking Global Investors
Connecticut
$20.3M -$5.59M -1,172,208 -27%
AC
10
Armistice Capital
New York
$18.8M +$14.3M +2,988,000 New
SL
11
Siren LLC
Connecticut
$18M -$202K -42,267 -1%
Marshall Wace
12
Marshall Wace
United Kingdom
$16.1M +$12M +2,511,300 +5,851%
Point72 Asset Management
13
Point72 Asset Management
Connecticut
$14.9M -$8.5M -1,782,232 -43%
ACA
14
Acorn Capital Advisors
New York
$13.5M +$686K +143,796 +7%
WP
15
Woodline Partners
California
$12.9M -$5.51M -1,154,785 -36%
Balyasny Asset Management
16
Balyasny Asset Management
Illinois
$11.1M +$8.39M +1,758,619 New
Geode Capital Management
17
Geode Capital Management
Massachusetts
$10.2M +$1.51M +315,543 +24%
State Street
18
State Street
Massachusetts
$8.96M +$1.21M +253,824 +22%
MCM
19
MAI Capital Management
Ohio
$8.71M +$134K +28,164 +2%
AAA
20
Affinity Asset Advisors
New York
$7.86M +$5.96M +1,250,000 New
O
21
OrbiMed
New York
$7.04M +$5.34M +1,120,000 New
Invesco
22
Invesco
Georgia
$5.37M +$3.96M +829,364 +3,511%
Millennium Management
23
Millennium Management
New York
$5.18M +$3.07M +642,830 +356%
OM
24
Opaleye Management
Massachusetts
$5M -$7.26M -1,522,500 -66%
ACP
25
Acuta Capital Partners
California
$4.94M +$66.8K +14,003 +2%

TRVI Hedge Fund Activity: Q1 2025 in Review

137 of the 7,459 institutional investors tracked by Wall St. Rank reported a position in Trevi Therapeutics (TRVI) for Q1 2025, worth a combined $554M — up 68% from $330M a quarter earlier.

Buyers outnumbered sellers: 41 funds opened new TRVI positions and 14 closed out — a net gain of 27 holders — while 54 added to existing stakes and 32 trimmed.

The largest buyer was Octagon Capital Advisors, opening a new position worth an estimated $15.8M. The largest seller was Adage Capital Partners, cutting an estimated $9.83M.

  • 137 institutional investors held Trevi Therapeutics (TRVI) as of Q1 2025, up from 110 in Q4 2024.
  • Funds reported $554M of Trevi Therapeutics stock for Q1 2025, up 68% quarter-over-quarter.
  • 41 funds opened new Trevi Therapeutics positions in Q1 2025 and 14 closed out, a net change of +27 holders.
  • The largest Trevi Therapeutics buyer in Q1 2025 was Octagon Capital Advisors, an estimated $15.8M added.
  • The largest Trevi Therapeutics seller in Q1 2025 was Adage Capital Partners, an estimated $9.83M sold.

Based on aggregated 13F filings for Q1 2025.