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Trevi Therapeutics, Inc. (TRVI) Financials

TRVI
FY2025 annual
Net Income -$42.8M +10.7% YoY
EPS (Diluted) -$0.32 +31.9% YoY
Free Cash Flow -$42.1M -10.0% YoY
Operating Cash Flow -$42.1M -10.0% YoY
Market Cap $1.8B as of Oct 12, 2026
Price / Sales n/m no revenue reported
Price / Earnings n/m net loss, so no earnings multiple, FY2025
Price / Book 5.7x on $321.5M equity, Q2 FY2026

A multiple compares the market's price with a filed figure; it says what the market pays, not how the business is doing. The market capitalization is the vendor's as of Oct 12, 2026; every other figure is from the SEC filings on this page. Not financial advice.

Source SEC Filings (10-K/10-Q) Latest period Q2 FY2026, ended Jun 30, 2026 Reported Currency USD FYE December

Newest figures come from the 10-Q for Q2 FY2026, filed Aug 6, 2026. Each column of the statement tables below links to the filing it was taken from, and every filing is listed on the TRVI SEC filings page.

This page shows Trevi Therapeutics, Inc. (TRVI) financial statements, including the income statement, balance sheet, cash flow statement, and key financial ratios. View 8 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

Rhea AI TRVI FY2025

Reported numbers show a development-stage company funded by capital inflows, with losses translating almost directly into cash use.

Across FY2024 and FY2025, operating cash flow tracked net loss closely; in FY2025, the two were -$42.1M and -$42.8M. Because free cash flow also stayed nearly identical to operating cash flow in both years, the losses are primarily cash costs rather than accounting charges being deferred or reversed.

The spending pattern is concentrated in development: FY2025 research and development was $33.5M versus $15.9M for selling and administrative costs, so the expense base is weighted toward advancing the program rather than corporate overhead. Operating losses remained substantial in FY2024 and FY2025 at $51.5M and $49.3M, respectively, despite lower research spending in the latter year.

The balance sheet is financed far more by equity-like capital than by obligations: FY2025 total assets of $193.4M stood against just $10.2M of liabilities. That structure aligns with FY2025 financing cash inflows of $121.0M and a reported liquidity comparison of 53.7 months of annual operating outflow, while the 19.7x current ratio and 0.1x debt-to-equity ratio indicate limited near-term and long-term creditor dependence.

[ NOT FINANCIAL ADVICE ]

Financial Health Signals

Financial health score not available

Trevi Therapeutics, Inc. does not currently provide enough eligible data for a peer-relative financial health score, so none is published. The signals and metrics below are current.

Piotroski F-Score Partial
3/6

Trevi Therapeutics, Inc. passes 3 of 6 computable financial strength tests (3 of the nine could not be computed from available data). 2 of 4 profitability signals pass, 1 of 2 leverage/liquidity signals pass.

Earnings Quality No Cash Backing
N/A

Trevi Therapeutics, Inc. reported a net loss of $42.8M while operations used $42.1M of cash. With neither figure positive, the ratio between the two carries no quality signal.

Key Financial Metrics

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Earnings & Revenue

EBITDA
-$20.5M
YoY-49.6%
QoQ-37.6%

Trevi Therapeutics, Inc.'s EBITDA was -$20.5M in Q2 2026, measuring earnings before interest, taxes, depreciation, and amortization. This represents a decrease of 49.6% from the same quarter a year earlier. Against the prior quarter it is down 37.6%.

Net Income
-$17.8M
YoY-44.7%
QoQ-34.9%

Trevi Therapeutics, Inc. reported -$17.8M in net income in Q2 2026. This represents a decrease of 44.7% from the same quarter a year earlier. Against the prior quarter it is down 34.9%.

EPS (Diluted)
-$0.11
YoY-22.2%
QoQ-22.2%

Trevi Therapeutics, Inc. earned -$0.11 per diluted share (EPS) in Q2 2026. This represents a decrease of 22.2% from the same quarter a year earlier. Against the prior quarter it is down 22.2%.

Revenue

Not reported for Q2 2026.

Cash & Balance Sheet

Free Cash Flow
-$17.6M
QoQ-4.5%

Trevi Therapeutics, Inc. recorded an outflow of $17.6M in free cash flow in Q2 2026, representing a cash shortfall after capex. Against the prior quarter it is down 4.5%.

Cash & Debt
$54.3M
YoY-53.6%
QoQ+179.7%
5Y CAGR+8.3%

Trevi Therapeutics, Inc. held $54.3M in cash as of Q2 2026; long-term debt is not reported for that period.

Shares Outstanding
142M
YoY+17.0%
QoQ+0.3%
5Y CAGR+45.8%

Trevi Therapeutics, Inc. had 142M shares outstanding in Q2 2026. This represents an increase of 17.0% from the same quarter a year earlier. Against the prior quarter it is up 0.3%.

Dividends Per Share

Not reported for Q2 2026.

Margins & Returns

Return on Equity
-5.5%
YoY+0.7pp
QoQ+2.1pp

Trevi Therapeutics, Inc.'s ROE was -5.5% in Q2 2026, measuring profit generated per dollar of shareholder equity. This is up 0.7 percentage points from the same quarter a year earlier. Against the prior quarter it is up 2.1 percentage points.

Gross Margin

Not reported for Q2 2026.

Operating Margin

Not reported for Q2 2026.

Net Margin

Not reported for Q2 2026.

Capital Allocation

R&D Spending
$15.2M
YoY+61.4%
QoQ+52.4%

Trevi Therapeutics, Inc. invested $15.2M in research and development in Q2 2026. This represents an increase of 61.4% from the same quarter a year earlier. Against the prior quarter it is up 52.4%.

Capital Expenditures
$124K
QoQ+21.6%

Trevi Therapeutics, Inc. invested $124K in capex in Q2 2026, funding long-term assets and infrastructure. Against the prior quarter it is up 21.6%.

Share Buybacks

Not reported for Q2 2026.

TRVI Income Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

TRVI quarterly income statement
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
R&D Expenses$15.2M+61.4%$9.9M+27.3%N/A$10.1M-10.1%$9.4M-6.3%$7.8M-11.3%N/A$11.2M+77.5%
SG&A Expenses$5.4M+23.6%$5.0M+35.9%N/A$3.8M+33.8%$4.3M+32.6%$3.7M+18.0%N/A$2.9M+5.2%
Operating Income-$20.5M-49.5%-$14.9M-30.0%N/A-$13.9M+1.2%-$13.7M-3.3%-$11.5M+3.7%N/A-$14.1M-55.7%
EBITDA-$20.5M-49.6%-$14.9M-30.1%N/A-$13.9M+1.2%-$13.7M-3.3%-$11.4M+3.7%N/A-$14.1M-55.9%
Interest ExpenseN/AN/AN/A$0-100.0%$0-100.0%N/AN/A$1K-66.7%
Income Tax-$19K+9.5%-$20K-81.8%N/A-$15K+51.6%-$21K-162.5%-$11K-37.5%N/A-$31K-138.5%
Net Income-$17.8M-44.7%-$13.2M-27.6%N/A-$11.8M+10.9%-$12.3M+0.4%-$10.3M+5.2%N/A-$13.2M-72.0%
EPS (Basic)-$0.11-22.2%-$0.090.0%-$0.06+45.5%-$0.08+38.5%-$0.09+25.0%-$0.09+18.2%-$0.11-37.5%-$0.13-62.5%
EPS (Diluted)-$0.11-22.2%-$0.090.0%-$0.06+45.5%-$0.08+38.5%-$0.09+25.0%-$0.09+18.2%-$0.11-37.5%-$0.13-62.5%
Diluted Shares (Avg)157M+20.1%146M+23.8%N/A145M+43.3%130M+29.0%118M+18.2%N/A101M+2.0%

Not reported in any period shown, so not listed: Revenue, Cost of Revenue, Gross Profit.

TRVI Balance Sheet

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

TRVI quarterly balance sheet
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Total Assets$330.5M+58.6%$179.6M+67.8%$193.4M+74.4%$199.4M+189.3%$208.3M+182.3%$107.0M+36.2%$110.9M+24.0%$68.9M-28.1%
Current Assets$325.7M+57.2%$176.1M+66.7%$191.7M+75.1%$198.3M+194.5%$207.2M+187.3%$105.6M+37.6%$109.4M+25.0%$67.3M-28.3%
Cash & Equivalents$54.3M-53.6%$19.4M+0.2%$18.9M-44.5%$56.9M+254.3%$117.1M+803.0%$19.4M+40.3%$34.1M+5.2%$16.1M-38.2%
Short-Term Investments$264.6M+204.7%$152.4M+81.6%$169.3M+130.3%$138.1M+179.2%$86.8M+53.6%$83.9M+42.2%$73.5M+45.4%$49.4M-21.4%
Long-Term Investments$0$0$0$0$0$0$0$0
Total Liabilities$9.0M-8.5%$7.5M-0.9%$10.2M-9.4%$9.6M-3.7%$9.8M+28.9%$7.5M+21.2%$11.3M+64.2%$9.9M+58.1%
Current Liabilities$8.7M-5.5%$7.1M+3.6%$9.7M-7.2%$9.0M-0.9%$9.2M+36.9%$6.9M+30.1%$10.5M+80.4%$9.1M+76.4%
Non-Current Liabilities$276K-54.4%$364K-46.5%$446K-40.3%$527K-35.4%$605K-31.6%$681K-28.2%$747K-27.6%$816K-26.7%
Total Equity$321.5M+62.0%$172.1M+73.1%$183.2M+83.9%$189.8M+221.8%$198.5M+200.0%$99.5M+37.5%$99.6M+20.7%$59.0M-34.2%
Retained Earnings-$360.8M-16.5%-$343.0M-15.3%-$329.8M-14.9%-$321.5M-16.6%-$309.7M-18.0%-$297.4M-18.9%-$287.0M-20.0%-$275.6M-19.2%

Not reported in any period shown, so not listed: Inventory, Accounts Receivable, Goodwill, Long-Term Debt.

TRVI Cash Flow Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

TRVI quarterly cash flow statement
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Operating Cash Flow-$17.4M-72.5%-$16.7M-23.8%-$7.6M+20.1%-$10.9M-13.9%-$10.1M-16.3%-$13.5M-28.8%-$9.6M-50.2%-$9.6M-31.3%
Depreciation & Amortization$34K-10.5%$34K-8.1%$31K-18.4%$38K+5.6%$38K0.0%$37K+5.7%$38K+8.6%$36K+2.9%
Stock-Based Compensation$3.3M+136.4%$2.2M+81.4%N/A$1.2M+51.2%$1.4M+22.8%$1.2M+67.1%N/A$822K+55.1%
Capital Expenditures$124K$102K$0-100.0%$12KN/AN/A$7K-68.2%$0-100.0%
Free Cash Flow-$17.6M-$16.8M-$7.6M+20.2%-$10.9M-14.0%N/AN/A-$9.6M-49.8%-$9.6M-31.0%
Investing Cash Flow-$112.0M-4192.6%$17.0M+270.5%-$30.6M-28.2%-$50.9M-764.4%-$2.6M-194.3%-$10.0M-23.0%-$23.9M-285.8%$7.7M-57.4%
Financing Cash Flow$164.4M+48.9%$222K-97.4%$284K-99.4%$1.6M-67.3%$110.4M+2078.7%$8.7M+31189.3%$51.5M+95409.3%$5.0M+229.7%

Not reported in any period shown, so not listed: Dividends Paid, Share Buybacks.

TRVI Financial Ratios

Margins and returns are percentages; the remaining ratios are unitless multiples. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

TRVI quarterly financial ratios
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Return on Equity-5.5%+0.7pp-7.7%+2.7ppN/A-6.2%+16.2pp-6.2%+12.5pp-10.4%+4.7ppN/A-22.5%-13.9pp
Return on Assets-5.4%+0.5pp-7.3%+2.3ppN/A-5.9%+13.3pp-5.9%+10.8pp-9.7%+4.2ppN/A-19.2%-11.2pp
Current Ratio37.28+14.9x24.75+9.4x19.66+9.2x21.93+14.6x22.42+11.7x15.38+0.8x10.41-4.6x7.38-10.8x
Debt-to-Equity0.030.0x0.040.0x0.06-0.1x0.05-0.1x0.05-0.1x0.080.0x0.110.0x0.17+0.1x

Not reported in any period shown, so not listed: Gross Margin, Operating Margin, Net Margin, Asset Turnover, FCF Margin.

Similar Companies

Newest fiscal year on record for each company. The health score is the peer-relative Financial Health Score for that year; a dash means no score is published for it.

Company Fiscal year Revenue Net income Net margin Market cap Health score
Trevi Therapeutics, Inc. TRVI FY2025 N/A -$42.8M N/A $1.8B —
Tourmaline Bio, Inc. TRML FY2024 N/A -$73.2M N/A $1.2B —
Dianthus Therapeutics, Inc. DNTH FY2025 $2.0M -$162.3M N/A $4.6B 55/100
Structure Therapeutics Inc. GPCR FY2025 N/A -$141.2M N/A $1.8B —
Enliven Therapeutics, Inc. ELVN FY2025 N/A -$103.7M N/A $3.0B —
LENZ Therapeutics, Inc. LENZ FY2025 $19.1M -$82.1M N/A $114.5M 56/100

Frequently Asked Questions

Is Trevi Therapeutics, Inc. profitable?

No, Trevi Therapeutics, Inc. (TRVI) reported a net income of -$42.8M in fiscal year 2025.

What is Trevi Therapeutics, Inc.'s earnings per share (EPS)?

Trevi Therapeutics, Inc. (TRVI) reported diluted earnings per share of -$0.32 for fiscal year 2025. This represents a 31.9% change compared to the previous fiscal year. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

What is Trevi Therapeutics, Inc.'s EBITDA?

Trevi Therapeutics, Inc. (TRVI) had EBITDA of -$49.2M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

Trevi Therapeutics, Inc. (TRVI) has a return on equity of -23.3% for fiscal year 2025, measuring how efficiently the company generates profit from shareholder equity.

Trevi Therapeutics, Inc. (TRVI) recorded an outflow of $42.1M in free cash flow during fiscal year 2025. This represents a -10.0% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.

Trevi Therapeutics, Inc. (TRVI) recorded an outflow of $42.1M in operating cash flow during fiscal year 2025, representing cash used by core business activities.

Trevi Therapeutics, Inc. (TRVI) had $193.4M in total assets as of fiscal year 2025, including both current and long-term assets.

Trevi Therapeutics, Inc. (TRVI) invested $12K in capital expenditures during fiscal year 2025, funding long-term assets and infrastructure.

Trevi Therapeutics, Inc. (TRVI) invested $33.5M in research and development during fiscal year 2025.

Trevi Therapeutics, Inc. (TRVI) had 128M shares outstanding as of fiscal year 2025.

Trevi Therapeutics, Inc. (TRVI) had a current ratio of 19.66 as of fiscal year 2025, which is generally considered healthy.

Trevi Therapeutics, Inc. (TRVI) had a debt-to-equity ratio of 0.06 as of fiscal year 2025, measuring the company's financial leverage by comparing total debt to shareholder equity.

Trevi Therapeutics, Inc. (TRVI) had a return on assets of -22.1% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.

Trevi Therapeutics, Inc. (TRVI) has no price-to-earnings ratio at the moment: net loss, so no earnings multiple (FY2025). The market capitalization is $1.8B as of Oct 12, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.

Trevi Therapeutics, Inc. (TRVI) has no price-to-sales ratio at the moment: no revenue reported. The market capitalization is $1.8B as of Oct 12, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.

At the end of fiscal year 2025, Trevi Therapeutics, Inc. (TRVI) held $188.3M in cash, cash equivalents and investments, and reported an operating cash outflow of $42.1M over that year. Dividing the one by the other, the reported balance equals about 54 months of the outflow reported that year. This is arithmetic over figures already filed, not a projection: it assumes nothing about future spending, financing or operations.

Trevi Therapeutics, Inc. (TRVI) has a Piotroski F-Score of 3 out of 6 computable signals; 3 of the nine could not be computed from available data, so the full-scale strength rating is not shown. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Trevi Therapeutics, Inc. (TRVI) reported a net loss of $42.8M while operations used $42.1M of cash. With neither figure positive, the ratio between the two carries no quality signal. This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.

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