DaveManuel.com · Institutional Ownership · Who Owns It
TREVI THERAPEUTICS INC (TRVI)
Institutional ownership reported to the SEC as of Q2 2026, across 30 quarters.
223
Reporting holders
$2.8B
Reported value
105.7%
Of shares outstanding
0.9%
Calls
0.1%
Puts
+25
Holder change
Institutions report 150,572,920 shares against 142,475,841 outstanding. Shares only - option lines are excluded, which is why this can be compared with the company at all. The count comes from the cover page of the company's own most recent report, so it is dated when that was filed rather than at quarter end. Over 100% because an adviser and a sub-adviser can both report the same shares, and both are counted.
Calls and puts are the parts of reported value carried in derivative lines rather than shares, and they point in opposite directions: a manager holding calls is positioned for the security, one holding puts against it - or hedging shares they already own, which is why index funds carry so many. Most sites add the two together and report one figure, which averages away the only interesting part.
Holders
| Filer | Value | Shares | Their book | Held | Change |
|---|---|---|---|---|---|
| NEA Management Company, LLC | $246.6M | 13,222,228 | 15.53% | 29q | HELD |
| FMR LLC | $234.3M | 12,562,839 | 0.01% | 13q | +56.3%+$84.4M |
| BlackRock, Inc. | $208.0M | 11,155,026 | 0.00% | 8q | +8.9%+$17.1M |
| Frazier Life Sciences Management, L.P. | $185.4M | 9,939,447 | 4.04% | 17q | HELD |
| WELLINGTON MANAGEMENT GROUP LLP | $106.0M | 5,684,592 | 0.02% | 6q | +9.5%+$9.2M |
| VANGUARD CAPITAL MANAGEMENT LLC | $103.1M | 5,530,675 | 0.00% | 2q | +11.1%+$10.3M |
| Vivo Capital, LLC | $95.0M | 5,094,668 | 8.68% | 8q | HELD |
| Woodline Partners LP | $76.1M | 4,081,333 | 0.24% | 8q | +307.8%+$57.5M |
| Vestal Point Capital, LP | $57.8M | 3,100,000 | 1.35% | 2q | +43.1%+$17.4M |
| MPM BIOIMPACT LLC | $57.3M | 3,073,577 | 3.50% | 10q | -6.8%-$4.2M |
| FRONTIER CAPITAL MANAGEMENT CO LLC | $57.3M | 3,070,740 | 0.53% | 3q | +54.0%+$20.1M |
| Assenagon Asset Management S.A. | $56.9M | 3,050,628 | 0.04% | new | NEW |
| STATE STREET CORP | $56.5M | 3,027,315 | 0.00% | 18q | +13.6%+$6.8M |
| GEODE CAPITAL MANAGEMENT, LLC | $54.6M | 2,928,068 | 0.00% | 29q | +5.4%+$2.8M |
| MARSHALL WACE, LLP | $49.9M | 2,674,137 | 0.04% | 8q | -32.6%-$24.1M |
| EVENTIDE ASSET MANAGEMENT, LLC | $49.6M | 2,660,000 | 0.66% | 5q | +1.4%+$703.0K |
| Rubric Capital Management LP | $46.7M | 2,504,513 | 0.43% | 17q | -32.5%-$22.5M |
| Artia Global Partners LP | $41.2M | 2,210,852 | 7.61% | 5q | +9.8%+$3.7M |
| ACORN CAPITAL ADVISORS, LLC | $40.0M | 2,144,844 | 10.92% | 7q | HELD |
| First Light Asset Management, LLC | $39.1M | 2,097,215 | 2.38% | new | NEW |
| Pictet Asset Management Holding SA | $37.6M | 2,013,786 | 0.04% | 4q | +18.0%+$5.7M |
| Logos Global Management LP | $35.1M | 1,880,000 | 1.51% | 10q | -21.7%-$9.7M |
| Affinity Asset Advisors, LLC | $33.6M | 1,800,172 | 1.52% | 6q | -10.0%-$3.7M |
| EMERALD ADVISERS, LLC | $33.5M | 1,797,611 | 0.79% | 3q | -2.3%-$782.5K |
| Siren, L.L.C. | $33.3M | 1,786,867 | 0.67% | 7q | HELD |
| Pivotal bioVenture Partners Investment Advisor LLC | $32.5M | 1,742,672 | 10.56% | 5q | +12.2%+$3.5M |
| RAYMOND JAMES FINANCIAL INC | $30.4M incl. $350.0K options CALL | 1,610,657 | 0.01% | 7q | -4.6%-$1.5M |
| VIKING GLOBAL INVESTORS LP | $28.8M | 1,544,644 | 0.08% | 16q | -51.7%-$30.8M |
| BANK OF AMERICA CORP /DE/ | $28.6M | 1,532,889 | 0.00% | 13q | +26.0%+$5.9M |
| ALLIANCEBERNSTEIN L.P. | $28.1M | 2,355,453 | 0.01% | 9q | -17.2%-$5.8M |
| ORBIMED ADVISORS LLC | $26.7M | 1,430,293 | 0.49% | 6q | -41.7%-$19.1M |
| Jones Hill Capital LP | $25.0M | 1,339,212 | 5.31% | 2q | +261.8%+$18.1M |
| NAN FUNG TRINITY (HK) LTD | $22.6M | 1,213,620 | 2.23% | 4q | +6.2%+$1.3M |
| EMERALD MUTUAL FUND ADVISERS TRUST | $22.6M | 1,210,965 | 0.79% | 3q | -4.1%-$961.0K |
| GOLDMAN SACHS GROUP INC | $22.4M | 1,202,520 | 0.00% | 13q | -2.1%-$470.9K |
| Jupiter Topco LLC | $22.2M | 1,190,973 | 0.01% | new | FIRST |
| Soleus Capital Management, L.P. | $22.0M | 1,179,618 | 0.76% | 5q | -27.2%-$8.2M |
| VANGUARD PORTFOLIO MANAGEMENT LLC | $21.9M | 1,176,872 | 0.00% | 2q | +21.5%+$3.9M |
| BARCLAYS PLC | $21.3M | 1,142,077 | 0.00% | 13q | +2031.3%+$20.3M |
| Saturn V Capital Management LP | $19.6M | 1,052,043 | 2.81% | new | NEW |
| FLPUTNAM INVESTMENT MANAGEMENT CO | $19.4M | 1,038,057 | 0.23% | 5q | -2.4%-$470.8K |
| NORTHERN TRUST CORP | $18.8M | 1,006,038 | 0.00% | 29q | +24.7%+$3.7M |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | $18.6M incl. $18.1M options CALL | 23,350 | 0.00% | 9q | -89.7%-$162.5M |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC | $18.0M | 965,402 | 0.00% | 17q | +14.9%+$2.3M |
| Candriam S.C.A. | $18.0M | 966,219 | 0.08% | 2q | +24.9%+$3.6M |
| Balyasny Asset Management L.P. | $15.8M | 845,087 | 0.02% | 6q | +78.3%+$6.9M |
| VANGUARD FIDUCIARY TRUST CO | $15.7M | 841,059 | 0.00% | 2q | +17.7%+$2.4M |
| MORGAN STANLEY | $14.9M | 800,465 | 0.00% | 16q | +9.5%+$1.3M |
| Nuveen, LLC | $14.3M | 765,176 | 0.00% | 6q | +306.6%+$10.8M |
| Burkehill Global Management, LP | $13.5M | 725,000 | 0.49% | 5q | +38.1%+$3.7M |
| SILVERARC CAPITAL MANAGEMENT, LLC | $12.6M | 678,095 | 1.31% | 16q | +32.7%+$3.1M |
| AMERIPRISE FINANCIAL INC | $11.6M | 622,381 | 0.00% | 3q | +23.3%+$2.2M |
| SUPERSTRING CAPITAL MANAGEMENT LP | $9.8M | 524,224 | 6.17% | 3q | +108.4%+$5.1M |
| SPHERA FUNDS MANAGEMENT LTD. | $9.3M | 499,029 | 1.21% | 5q | -13.1%-$1.4M |
| PEREGRINE CAPITAL MANAGEMENT LLC | $8.3M | 444,310 | 0.27% | 4q | -16.2%-$1.6M |
| KVP Capital Advisors, LP | $7.7M | 414,000 | 5.67% | 3q | HELD |
| Ensign Peak Advisors, Inc | $7.4M | 396,173 | 0.01% | 2q | -14.8%-$1.3M |
| Octagon Capital Advisors LP | $5.9M | 315,000 | 0.53% | 6q | -78.8%-$21.8M |
| Invesco Ltd. | $5.8M | 311,749 | 0.00% | 13q | -11.7%-$769.0K |
| Opaleye Management Inc. | $5.8M | 310,000 | 0.52% | 15q | -10.2%-$654.6K |
| Bank of New York Mellon Corp | $5.7M | 306,681 | 0.00% | 16q | +17.9%+$867.6K |
| D. E. Shaw & Co., Inc. | $5.3M | 281,996 | 0.00% | 3q | +55.5%+$1.9M |
| UBS Group AG | $5.0M | 270,498 | 0.00% | 18q | -39.4%-$3.3M |
| Informed Momentum Co LLC | $4.9M | 264,631 | 0.44% | new | NEW |
| FIFTH THIRD BANCORP | $4.9M | 260,644 | 0.01% | 2q | +103.1%+$2.5M |
| Rock Springs Capital Management LP | $4.8M | 260,000 | 0.24% | new | NEW |
| Trexquant Investment LP | $4.5M | 242,537 | 0.03% | new | NEW |
| Walleye Capital LLC | $4.5M | 241,987 | 0.02% | new | NEW |
| F/m Investments LLC | $4.4M | 234,208 | 0.22% | 3q | +1.1%+$48.6K |
| JANE STREET GROUP, LLC | $3.8M CALL | options only | 0.00% | 6q | OPTIONS |
| Integral Health Asset Management, LLC | $3.7M | 200,000 | 0.15% | new | NEW |
| Swiss National Bank | $3.6M | 192,300 | 0.00% | 4q | +14.3%+$449.5K |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC | $3.4M | 183,225 | 0.00% | 4q | +18.8%+$541.9K |
| PANAGORA ASSET MANAGEMENT INC | $3.4M | 182,235 | 0.01% | 8q | -70.9%-$8.3M |
| CITADEL ADVISORS LLC | $3.0M CALL+PUT | options only | 0.00% | 8q | OPTIONS |
| SEVEN GRAND MANAGERS, LLC | $2.8M | 150,000 | 0.11% | new | NEW |
| SIMPLEX TRADING, LLC | $2.8M incl. $977.3K options CALL+PUT | 97,557 | 0.00% | 4q | +381.1%+$2.2M |
| RHUMBLINE ADVISERS | $2.5M | 132,463 | 0.00% | 13q | +21.5%+$436.4K |
| TRUST CO OF TOLEDO NA /OH/ | $2.3M | 124,002 | 0.19% | 14q | -5.7%-$139.9K |
| Harvest Investment Services, LLC | $2.1M | 115,104 | 0.33% | new | NEW |
| WELLS FARGO & COMPANY/MN | $2.1M | 114,707 | 0.00% | 15q | +201.4%+$1.4M |
| DEUTSCHE BANK AG\ | $2.1M | 114,487 | 0.00% | 10q | +35.1%+$554.5K |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM | $2.0M | 108,004 | 0.00% | 13q | +29.5%+$459.0K |
| WINTON GROUP Ltd | $2.0M | 106,852 | 0.06% | new | NEW |
| Qube Research & Technologies Ltd | $1.9M | 102,226 | 0.00% | new | NEW |
| LMR Partners LLP | $1.9M | 100,000 | 0.01% | 6q | HELD |
| OPPENHEIMER & CO INC | $1.9M | 99,771 | 0.02% | 10q | HELD |
| VOYA INVESTMENT MANAGEMENT LLC | $1.7M | 93,562 | 0.00% | 10q | +110.9%+$917.7K |
| Russell Investments Group, Ltd. | $1.7M | 90,926 | 0.00% | 6q | +33.5%+$425.3K |
| WEXFORD CAPITAL LP | $1.7M | 90,752 | 0.22% | 3q | HELD |
| Erste Asset Management GmbH | $1.7M | 90,000 | 0.01% | 3q | HELD |
| PRICE T ROWE ASSOCIATES INC /MD/ | $1.6M | 88,057 | 0.00% | 10q | +36.1%+$435.7K |
| STATE OF WISCONSIN INVESTMENT BOARD | $1.5M | 82,753 | 0.00% | 7q | -38.6%-$969.4K |
| Campbell & CO Investment Adviser LLC | $1.5M | 81,874 | 0.08% | 5q | +104.5%+$780.1K |
| J. Goldman & Co LP | $1.5M | 80,998 | 0.04% | 17q | -65.8%-$2.9M |
| Legal & General Group Plc | $1.5M | 79,220 | 0.00% | 13q | +24.1%+$287.2K |
| PFS Partners, LLC | $1.5M | 79,000 | 0.60% | 13q | HELD |
| CITIGROUP INC | $1.4M | 77,474 | 0.00% | 13q | -22.5%-$419.2K |
| Schonfeld Strategic Advisors LLC | $1.4M | 75,970 | 0.01% | new | NEW |
| Checkpoint Capital L.P. | $1.4M | 75,000 | 0.36% | 2q | +50.0%+$466.2K |
Five percent filings
Anyone crossing 5% of a company must say so within days - far sooner than the next quarterly holdings report. A 13D declares an intent to influence the company; a 13G is the passive version. See all activist filings →
| Filed | Form | Filer | % of class |
|---|---|---|---|
| 2026-10-27 | 13G/A | BlackRock, Inc. | 6.9% |
What the insiders did
Open market purchases and sales reported on Form 4 in the last 180 days. Grants, option exercises and shares surrendered to cover tax are left out: they are compensation rather than a decision to buy or sell. Where a broker filled one order in tranches the lines are summed, because it was one decision.
Officers and directors
| Date | Insider | Role | Side | Shares | Value |
|---|---|---|---|---|---|
| 2026-09-15 | Heffernan Michael Thomas | Director | Sold | 39,473 | $595.8K ×4 |
Quarter by quarter
Coverage begins with the quarter ending 2018-12-31. Earlier filings exist only as occasional late amendments, too sparse to describe a market, so they are not shown.
| Quarter | Holders | Value | Shares | New | Added | Trimmed | Options |
|---|---|---|---|---|---|---|---|
| Q3 2026 | 31 | $58.9M | 4,115,096 | 3 | 14 | 3 | 0.0% |
| Q2 2026 | 223 | $2.8B | 150,572,920 | 41 | 85 | 55 | 1.0% |
| Q1 2026 | 198 | $1.6B | 134,915,714 | 33 | 60 | 59 | 1.0% |
| Q4 2025 | 185 | $1.6B | 130,341,496 | 29 | 74 | 48 | 0.8% |
| Q3 2025 | 167 | $1.2B | 129,382,777 | 36 | 63 | 39 | 2.1% |
| Q2 2025 | 158 | $643.2M | 115,477,311 | 40 | 62 | 32 | 1.8% |
| Q1 2025 | 141 | $567.4M | 88,150,165 | 44 | 53 | 32 | 2.3% |
| Q4 2024 | 109 | $331.5M | 79,496,969 | 24 | 47 | 23 | 0.6% |
| Q3 2024 | 92 | $194.9M | 58,220,405 | 17 | 27 | 18 | 0.2% |
| Q2 2024 | 77 | $175.1M | 58,738,019 | 5 | 34 | 15 | 0.0% |
| Q1 2024 | 79 | $178.5M | 51,723,419 | 21 | 14 | 27 | 0.0% |
| Q4 2023 | 63 | $70.2M | 52,411,694 | 10 | 27 | 11 | 0.0% |
| Q3 2023 | 55 | $106.1M | 48,682,678 | 5 | 11 | 17 | 0.0% |
| Q2 2023 | 53 | $116.7M | 48,822,080 | 22 | 16 | 8 | 0.0% |
| Q1 2023 | 35 | $80.5M | 43,462,507 | 3 | 11 | 6 | 0.1% |
| Q4 2022 | 36 | $83.4M | 43,185,947 | 8 | 8 | 9 | 0.0% |
| Q3 2022 | 38 | $4.8B | 3,092,743,809 | 10 | 14 | 9 | 0.0% |
| Q2 2022 | 31 | $8.6B | 3,075,723,309 | 13 | 11 | 5 | 0.0% |
| Q1 2022 | 21 | $15.8M | 7,162,095 | 9 | 4 | 4 | 0.0% |
| Q4 2021 | 16 | $10.3M | 13,170,032 | 3 | 6 | 1 | 0.0% |
| Q3 2021 | 15 | $17.4M | 12,448,249 | 1 | 3 | 3 | 0.0% |
| Q2 2021 | 15 | $28.1M | 12,478,497 | 1 | 4 | 3 | 0.0% |
| Q1 2021 | 17 | $35.6M | 13,128,768 | 3 | 4 | 2 | 0.0% |
| Q4 2020 | 17 | $31.8M | 13,022,414 | 4 | 3 | 2 | 0.0% |
| Q3 2020 | 14 | $53.5M | 13,263,696 | 4 | 1 | 3 | 0.0% |
| Q2 2020 | 12 | $88.0M | 13,374,829 | 2 | 4 | 3 | 0.0% |
| Q1 2020 | 18 | $45.9M | 13,965,829 | 4 | 1 | 4 | 0.0% |
| Q4 2019 | 16 | $53.3M | 14,220,805 | 1 | 2 | 2 | 0.0% |
| Q3 2019 | 18 | $92.0M | 20,440,001 | 3 | 3 | 5 | 0.0% |
| Q2 2019 | 18 | $106.3M | 14,171,891 | 18 | 0 | 0 | 0.0% |