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Trevi Therapeutics, Inc. (TRVI)

Healthcare | Biotechnology | New Haven, United States | NasdaqGM
14.79 USD -0.61 (-3.953%) ⇩ (April 21, 2026, 11:03 a.m. EDT)

Short-term: ★★☆☆☆ | Long-term: ★★★☆☆ | Dividends: ☆☆☆☆☆
Hot Take | April 18, 2026, 10:43 p.m. EDT

Trevi Therapeutics is showing signs of a tactical bottoming pattern. The POC has confirmed a multi-day run-back that consolidated in the low $13s, supported by a massive cash infusion ($150M) that effectively creates a temporary price floor regardless of the negative forecasting model signals. While the macro forecast indicates a -9% trend, the options flow at deep strikes and the analyst 'strong buy' bias suggest this specific dip is being treated as a buying opportunity rather than a trend continuation.

Model Selection — Backtest MAE (log-scale, lower is better)
ModelMAE
AutoARIMA ✓0.078841
AutoETS0.083421
MSTL0.085695
AutoTheta0.096136

Forecast horizon: 45 days | Selected: AutoARIMA

Forecast Reliability
Score 42%
H-stat 19.11
Ljung-Box p 0.000
Jarque-Bera p 0.109
Excess Kurtosis -0.22
Attribute Value
Sector Healthcare
Debt to Equity Ratio 0.411
Market Cap 2,070,559,488
Forward P/E -26.18
Beta 1.00
Website https://www.trevitherapeutics.com

As of April 18, 2026, 10:43 p.m. EDT: Options activity shows significant Call buying in the $9.00 and $13.00 strikes for the April 17 expiration, establishing substantial Open Interest (OI) as the stock approaches current ATM levels. However, deep OI is clustered lower at $7.00 and $11.00. The femulti-year dates reveal a distinct 'flooring' strategy with massive Call OI at $10.00-$15.00 for 2027/2028, but notable Put activity at deep strikes ($3.00) suggests hedging against a severe decline or a target of sub-$5 price. IV skew remains low across most strikes, indicating a lack of immediate fear premium despite the short-term deadline pressure.


Info Dump

Attribute Value
52 Week Change 1.5370677
Address1 195 Church Street
Address2 16th Floor
All Time High 16.12
All Time Low 0.46
Ask 18.89
Ask Size 2
Audit Risk 6
Average Analyst Rating 1.2 - Strong Buy
Average Daily Volume10 Day 1,978,740
Average Daily Volume3 Month 1,492,501
Average Volume 1,492,501
Average Volume10Days 1,978,740
Beta 0.996
Bid 11.05
Bid Size 2
Board Risk 7
Book Value 1.428
City New Haven
Compensation As Of Epoch Date 1,735,603,200
Compensation Risk 5
Country United States
Crypto Tradeable 0
Currency USD
Current Price 14.79
Current Ratio 19.659
Custom Price Alert Confidence HIGH
Date Short Interest 1,774,915,200
Day High 15.52
Day Low 14.71
Debt To Equity 0.411
Display Name Trevi Therapeutics
Earnings Call Timestamp End 1,773,779,400
Earnings Call Timestamp Start 1,773,779,400
Earnings Timestamp 1,773,777,600
Earnings Timestamp End 1,778,184,000
Earnings Timestamp Start 1,778,184,000
Ebitda -49,184,000
Ebitda Margins 0.0
Enterprise To Ebitda -36.39
Enterprise Value 1,789,810,944
Eps Current Year -0.43
Eps Forward -0.565
Eps Trailing Twelve Months -0.32
Esg Populated 0
Exchange NGM
Exchange Data Delayed By 0
Exchange Timezone Name America/New_York
Exchange Timezone Short Name EDT
Fifty Day Average 11.918
Fifty Day Average Change 2.8719997
Fifty Day Average Change Percent 0.24098
Fifty Two Week Change Percent 153.70677
Fifty Two Week High 16.12
Fifty Two Week High Change -1.3300009
Fifty Two Week High Change Percent -0.082506254
Fifty Two Week Low 5.38
Fifty Two Week Low Change 9.41
Fifty Two Week Low Change Percent 1.7490705
Fifty Two Week Range 5.38 - 16.12
Financial Currency USD
First Trade Date Milliseconds 1,557,235,800,000
Float Shares 105,981,675
Forward Eps -0.565
Forward P E -26.17699
Free Cashflow -27,859,000
Full Exchange Name NasdaqGM
Full Time Employees 34
Gmt Off Set Milliseconds -14,400,000
Governance Epoch Date 1,775,001,600
Gross Margins 0.0
Has Pre Post Market Data 1
Held Percent Insiders 0.00627
Held Percent Institutions 0.95819
Implied Shares Outstanding 139,997,271
Industry Biotechnology
Industry Disp Biotechnology
Industry Key biotechnology
Is Earnings Date Estimate 1
Language en-US
Last Fiscal Year End 1,767,139,200
Long Business Summary Trevi Therapeutics, Inc., a clinical-stage biopharmaceutical company, develops and commercializes investigational therapy for the treatment of chronic cough in patients with idiopathic pulmonary fibrosis (IPF) and non-IPF interstitial lung disease, and refractory chronic cough. The company develops Haduvio, an oral extended-release formulation of nalbuphine, which is in phase 2b Cough Reduction in IPF with nalbuphine ER clinical trial for treatment of chronic cough in patients with IPF, and phase 2a clinical trial in patients with refractory chronic cough. Trevi Therapeutics, Inc. has a license agreement with Keenova Therapeutics plc to develop and commercialize products incorporating nalbuphine hydrochloride in various formulations. Trevi Therapeutics, Inc. was incorporated in 2011 and is headquartered in New Haven, Connecticut.
Long Name Trevi Therapeutics, Inc.
Market us_market
Market Cap 2,070,559,488
Market State REGULAR
Max Age 86,400
Message Board Id finmb_225357348
Most Recent Quarter 1,767,139,200
Net Income To Common -42,759,000
Next Fiscal Year End 1,798,675,200
Non Diluted Market Cap 2,155,257,987
Number Of Analyst Opinions 11
Open 15.43
Operating Cashflow -42,089,000
Operating Margins 0.0
Overall Risk 6
Payout Ratio 0.0
Phone 203 304 2499
Previous Close 15.4
Price Eps Current Year -34.395348
Price Hint 2
Price To Book 10.357143
Profit Margins 0.0
Quick Ratio 19.412
Quote Source Name Nasdaq Real Time Price
Quote Type EQUITY
Recommendation Key strong_buy
Recommendation Mean 1.18182
Region US
Regular Market Change -0.60999966
Regular Market Change Percent -3.9533355
Regular Market Day High 15.52
Regular Market Day Low 14.71
Regular Market Day Range 14.71 - 15.52
Regular Market Open 15.43
Regular Market Previous Close 15.4
Regular Market Price 14.79
Regular Market Time 1,776,783,801
Regular Market Volume 416,983
Return On Assets -0.2026
Return On Equity -0.3023
Sand P52 Week Change 0.34445214
Sector Healthcare
Sector Disp Healthcare
Sector Key healthcare
Share Holder Rights Risk 8
Shares Outstanding 139,997,271
Shares Percent Shares Out 0.1191
Shares Short 15,295,203
Shares Short Previous Month Date 1,772,150,400
Shares Short Prior Month 16,813,915
Short Name Trevi Therapeutics, Inc.
Short Percent Of Float 0.1369
Short Ratio 11.12
Source Interval 15
State CT
Symbol TRVI
Target High Price 27.0
Target Low Price 16.0
Target Mean Price 21.54545
Target Median Price 21.0
Total Cash 188,260,000
Total Cash Per Share 1.466
Total Debt 753,000
Tradeable 0
Trailing Annual Dividend Rate 0.0
Trailing Annual Dividend Yield 0.0
Trailing Eps -0.32
Trailing Peg Ratio None
Triggerable 1
Two Hundred Day Average 10.333025
Two Hundred Day Average Change 4.456975
Two Hundred Day Average Change Percent 0.43133304
Type Disp Equity
Volume 416,983
Website https://www.trevitherapeutics.com
Zip 6,510