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Trevi Therapeutics Financials

TRVI
Source SEC Filings (10-K/10-Q) Updated Dec 31, 2025 Currency USD FYE December

This page shows Trevi Therapeutics (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).

Financial Health Signals

Piotroski F-Score Weak
3/9

Trevi Therapeutics passes 3 of 9 financial strength tests. 2 of 4 profitability signals pass, 1 of 3 leverage/liquidity signals pass.

Earnings Quality Low Quality
0.98x

For every $1 of reported earnings, Trevi Therapeutics generates $0.98 in operating cash flow (-$42.1M OCF vs -$42.8M net income). This low ratio suggests earnings are primarily driven by accounting accruals rather than cash generation, which may not be sustainable.

Key Financial Metrics

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Earnings & Revenue

Revenue
N/A
EBITDA
-$49.2M
YoY+4.3%

Trevi Therapeutics's EBITDA was -$49.2M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 4.3% from the prior year.

Net Income
-$42.8M
YoY+10.8%

Trevi Therapeutics reported -$42.8M in net income in fiscal year 2025. This represents an increase of 10.8% from the prior year.

EPS (Diluted)
$-0.32
YoY+31.9%

Trevi Therapeutics earned $-0.32 per diluted share (EPS) in fiscal year 2025. This represents an increase of 31.9% from the prior year.

Cash & Balance Sheet

Free Cash Flow
-$42.1M
YoY-10.0%

Trevi Therapeutics generated -$42.1M in free cash flow in fiscal year 2025, representing cash available after capex. This represents a decrease of 10.0% from the prior year.

Cash & Debt
$18.9M
YoY-44.5%
5Y CAGR-15.9%

Trevi Therapeutics held $18.9M in cash against $0 in long-term debt as of fiscal year 2025.

Dividends Per Share
N/A
Shares Outstanding
128M
YoY+37.1%
5Y CAGR+47.2%

Trevi Therapeutics had 128M shares outstanding in fiscal year 2025. This represents an increase of 37.1% from the prior year.

Margins & Returns

Gross Margin
N/A
Operating Margin
N/A
Net Margin
N/A
Return on Equity
-23.3%
YoY+24.8pp
5Y CAGR+96.7pp

Trevi Therapeutics's ROE was -23.3% in fiscal year 2025, measuring profit generated per dollar of shareholder equity. This is up 24.8 percentage points from the prior year.

Capital Allocation

R&D Spending
$33.5M
YoY-15.0%
5Y CAGR+8.4%

Trevi Therapeutics invested $33.5M in research and development in fiscal year 2025. This represents a decrease of 15.0% from the prior year.

Share Buybacks
N/A
Capital Expenditures
$12K
YoY-65.7%
5Y CAGR-17.8%

Trevi Therapeutics invested $12K in capex in fiscal year 2025, funding long-term assets and infrastructure. This represents a decrease of 65.7% from the prior year.

TRVI Income Statement

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Revenue N/A N/A N/A N/A N/A N/A N/A N/A
Cost of Revenue N/A N/A N/A N/A N/A N/A N/A N/A
Gross Profit N/A N/A N/A N/A N/A N/A N/A N/A
R&D Expenses N/A $10.1M+7.4% $9.4M+20.2% $7.8M N/A $11.2M+12.0% $10.0M+13.8% $8.8M
SG&A Expenses N/A $3.8M-11.6% $4.3M+18.4% $3.7M N/A $2.9M-12.4% $3.3M+5.4% $3.1M
Operating Income N/A -$13.9M-1.4% -$13.7M-19.6% -$11.5M N/A -$14.1M-6.0% -$13.3M-11.6% -$11.9M
Interest Expense N/A $0 $0 N/A N/A $1K0.0% $1K0.0% $1K
Income Tax N/A -$15K+28.6% -$21K-90.9% -$11K N/A -$31K-287.5% -$8K0.0% -$8K
Net Income N/A -$11.8M+4.1% -$12.3M-19.0% -$10.3M N/A -$13.2M-7.2% -$12.4M-13.3% -$10.9M
EPS (Diluted) N/A $-0.08+11.1% $-0.090.0% $-0.09 N/A $-0.13-8.3% $-0.12-9.1% $-0.11

TRVI Balance Sheet

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Total Assets $193.4M-3.0% $199.4M-4.3% $208.3M+94.7% $107.0M-3.5% $110.9M+60.9% $68.9M-6.6% $73.8M-6.0% $78.6M
Current Assets $191.7M-3.3% $198.3M-4.3% $207.2M+96.2% $105.6M-3.5% $109.4M+62.5% $67.3M-6.6% $72.1M-6.0% $76.8M
Cash & Equivalents $18.9M-66.7% $56.9M-51.4% $117.1M+504.2% $19.4M-43.2% $34.1M+112.4% $16.1M+23.8% $13.0M-6.1% $13.8M
Inventory N/A N/A N/A N/A N/A N/A N/A N/A
Accounts Receivable N/A N/A N/A N/A N/A N/A N/A N/A
Goodwill N/A N/A N/A N/A N/A N/A N/A N/A
Total Liabilities $10.2M+6.6% $9.6M-2.8% $9.8M+30.5% $7.5M-33.0% $11.3M+13.3% $9.9M+30.2% $7.6M+22.7% $6.2M
Current Liabilities $9.7M+7.8% $9.0M-2.2% $9.2M+34.6% $6.9M-34.7% $10.5M+15.2% $9.1M+35.1% $6.8M+28.0% $5.3M
Long-Term Debt N/A N/A N/A N/A N/A N/A N/A N/A
Total Equity $183.2M-3.4% $189.8M-4.4% $198.5M+99.6% $99.5M-0.2% $99.6M+69.0% $59.0M-10.9% $66.2M-8.5% $72.3M
Retained Earnings -$329.8M-2.6% -$321.5M-3.8% -$309.7M-4.1% -$297.4M-3.6% -$287.0M-4.1% -$275.6M-5.0% -$262.4M-4.9% -$250.0M

TRVI Cash Flow Statement

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Operating Cash Flow -$7.6M+29.9% -$10.9M-7.7% -$10.1M+25.1% -$13.5M-41.1% -$9.6M+0.1% -$9.6M-10.1% -$8.7M+17.0% -$10.5M
Capital Expenditures $0-100.0% $12K N/A N/A $7K $0 N/A N/A
Free Cash Flow -$7.6M+29.9% -$10.9M N/A N/A -$9.6M0.0% -$9.6M N/A N/A
Investing Cash Flow -$30.6M+39.9% -$50.9M-1851.6% -$2.6M+73.8% -$10.0M+58.3% -$23.9M-411.4% $7.7M+177.0% $2.8M+134.2% -$8.1M
Financing Cash Flow $284K-82.6% $1.6M-98.5% $110.4M+1168.2% $8.7M-83.1% $51.5M+933.9% $5.0M-1.8% $5.1M+18196.4% -$28K
Dividends Paid N/A N/A N/A N/A N/A N/A N/A N/A
Share Buybacks N/A N/A N/A N/A N/A N/A N/A N/A

TRVI Financial Ratios

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Gross Margin N/A N/A N/A N/A N/A N/A N/A N/A
Operating Margin N/A N/A N/A N/A N/A N/A N/A N/A
Net Margin N/A N/A N/A N/A N/A N/A N/A N/A
Return on Equity N/A -6.2%-0.0pp -6.2%+4.2pp -10.4% N/A -22.5%-3.8pp -18.7%-3.6pp -15.1%
Return on Assets N/A -5.9%-0.0pp -5.9%+3.8pp -9.7% N/A -19.2%-2.5pp -16.7%-2.8pp -13.9%
Current Ratio 19.66-2.3 21.93-0.5 22.42+7.0 15.38+5.0 10.41+3.0 7.38-3.3 10.68-3.9 14.55
Debt-to-Equity 0.060.0 0.050.0 0.05-0.0 0.08-0.0 0.11-0.1 0.17+0.1 0.12+0.0 0.09
FCF Margin N/A N/A N/A N/A N/A N/A N/A N/A

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Frequently Asked Questions

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

Trevi Therapeutics (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.

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

Trevi Therapeutics (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 (TRVI) generated -$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 (TRVI) generated -$42.1M in operating cash flow during fiscal year 2025, representing cash generated from core business activities.

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

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

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

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

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

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

Based on fiscal year 2025 data, Trevi Therapeutics (TRVI) had $18.9M in cash against an annual operating cash burn of $42.1M. This gives an estimated cash runway of approximately 5 months at the current burn rate. Cash runway measures how long a company can continue operating before running out of cash, assuming no additional funding.

Trevi Therapeutics (TRVI) has a Piotroski F-Score of 3 out of 9, indicating weak financial health. 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 7–9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Trevi Therapeutics (TRVI) has an earnings quality ratio of 0.98x, considered low quality (accrual-driven). 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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