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Trevi Therapeutics Inc (TRVI)

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Upturn Advisory Summary
12/19/2025: TRVI (5-star) is a STRONG-BUY. BUY since 14 days. Simulated Profits (-2.55%). Updated daily EoD!
1 Year Target Price $21.3
1 Year Target Price $21.3
| 7 | Strong Buy |
| 1 | Buy |
| 0 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit 164.59% | Avg. Invested days 33 | Today’s Advisory Regular Buy |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 1.67B USD | Price to earnings Ratio - | 1Y Target Price 21.3 |
Price to earnings Ratio - | 1Y Target Price 21.3 | ||
Volume (30-day avg) 8 | Beta 0.83 | 52 Weeks Range 3.47 - 14.39 | Updated Date 12/20/2025 |
52 Weeks Range 3.47 - 14.39 | Updated Date 12/20/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -0.37 |
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin - | Operating Margin (TTM) - |
Management Effectiveness
Return on Assets (TTM) -23.93% | Return on Equity (TTM) -36.87% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 1474170043 | Price to Sales(TTM) - |
Enterprise Value 1474170043 | Price to Sales(TTM) - | ||
Enterprise Value to Revenue - | Enterprise Value to EBITDA -4.92 | Shares Outstanding 128230134 | Shares Floating 95230109 |
Shares Outstanding 128230134 | Shares Floating 95230109 | ||
Percent Insiders 0.68 | Percent Institutions 102.98 |
Upturn AI SWOT
Trevi Therapeutics Inc

Company Overview
History and Background
Trevi Therapeutics, Inc. is a clinical-stage biopharmaceutical company focused on developing treatments for conditions associated with a specific physiological mechanism. Founded in 2010, its primary focus has been on the development of Haduvineu00ae (oral anhydrotetracycline) for the treatment of pruritus (itching) in patients with chronic liver disease (CLD) and kidney disease, as well as for other conditions. Significant milestones include clinical trial initiations and progressions for its lead candidate.
Core Business Areas
- Central Nervous System (CNS) and Other Disorders: Trevi Therapeutics' core business revolves around the development of Haduvineu00ae as a therapeutic agent. The company has been investigating its potential for various indications, with a particular emphasis on pruritus associated with chronic liver disease (CLD) and chronic kidney disease (CKD). Haduvineu00ae is a broad-spectrum oral antibiotic with anti-inflammatory and neuroprotective properties, believed to target the underlying mechanisms contributing to pruritus and other symptoms.
Leadership and Structure
Trevi Therapeutics, Inc. is led by a management team with experience in drug development and the biopharmaceutical industry. The company operates as a publicly traded entity on the Nasdaq stock exchange. Specific details on the entire organizational structure and all executive leadership can be found in their official filings.
Top Products and Market Share
Key Offerings
- Product Name 1: Haduvineu00ae (oral anhydrotetracycline). Description: Haduvineu00ae is an investigational drug in late-stage clinical development for the treatment of pruritus in patients with chronic liver disease (CLD) and chronic kidney disease (CKD). It is also being explored for other indications. Market Share Data: As an investigational drug, Haduvineu00ae does not currently have established market share. The company aims to capture a significant portion of the unmet medical need in pruritus associated with CLD and CKD upon potential approval. Competitors: Competitors in the pruritus treatment space include various symptomatic treatments, such as antihistamines, topical corticosteroids, and other investigational therapies targeting different mechanisms. Specific drug competitors for CLD-associated pruritus include Ocaliva (obeticholic acid), though it is approved for Primary Biliary Cholangitis, which can be associated with pruritus.
Market Dynamics
Industry Overview
The biopharmaceutical industry, particularly the segment focused on rare diseases and unmet medical needs, is characterized by high R&D costs, stringent regulatory pathways, and significant market potential for novel therapies. The pruritus market, especially in chronic conditions like CLD and CKD, represents a significant unmet need with limited effective treatment options.
Positioning
Trevi Therapeutics is positioned as a clinical-stage biopharmaceutical company focused on addressing pruritus associated with chronic liver and kidney diseases. Its key differentiator is the potential for Haduvineu00ae to address the underlying mechanisms of pruritus, rather than just symptomatic relief. The company's success hinges on the successful completion of clinical trials and subsequent regulatory approval.
Total Addressable Market (TAM)
The Total Addressable Market (TAM) for pruritus associated with chronic liver disease and chronic kidney disease is substantial, considering the prevalence of these conditions globally. While precise TAM figures vary depending on the definition and geographic scope, it is estimated to be in the billions of dollars. Trevi Therapeutics is positioning itself to capture a significant share of this market with its lead candidate, Haduvineu00ae, if it receives regulatory approval and demonstrates efficacy and safety.
Upturn SWOT Analysis
Strengths
- Focus on an unmet medical need (pruritus in CLD/CKD).
- Haduvineu00ae has shown potential in clinical trials.
- Experienced management team in drug development.
- Potential for broad applicability of Haduvineu00ae.
Weaknesses
- Clinical-stage company, no approved products.
- Reliance on successful clinical trial outcomes.
- Significant cash burn due to R&D expenses.
- Limited market awareness and brand recognition.
Opportunities
- Successful regulatory approval of Haduvineu00ae.
- Expansion into other pruritus-related indications.
- Potential partnerships or acquisition by larger pharmaceutical companies.
- Growing awareness of the impact of chronic pruritus on quality of life.
Threats
- Failure to demonstrate efficacy or safety in clinical trials.
- Regulatory hurdles and delays.
- Competition from other investigational or approved therapies.
- Funding challenges for continued R&D.
Competitors and Market Share
Key Competitors
- No direct, publicly traded competitor currently holds a dominant market share in the same specific niche of treating pruritus solely for CLD/CKD with a tetracycline-derivative. However, companies developing symptomatic treatments for pruritus or treatments for the underlying CLD/CKD conditions that lead to pruritus are indirect competitors.
- Companies developing treatments for pruritus in other dermatological or systemic conditions.
Competitive Landscape
Trevi Therapeutics' competitive advantage lies in its focused approach to addressing the underlying mechanisms of pruritus in CLD and CKD patients with Haduvineu00ae. Its disadvantage is its clinical-stage status and the inherent risks associated with drug development, including the possibility of clinical trial failure or regulatory rejection, compared to established companies with approved therapies.
Growth Trajectory and Initiatives
Historical Growth: Trevi Therapeutics' historical growth has been characterized by its progression through preclinical and early-stage clinical development for its lead drug candidate, Haduvineu00ae. This growth is measured by advancements in clinical trial phases and the expansion of its scientific and operational capabilities rather than revenue growth.
Future Projections: Future projections for Trevi Therapeutics are contingent on the successful outcomes of its ongoing and future clinical trials, regulatory approvals, and eventual commercialization of Haduvineu00ae. Analyst estimates, if available, would focus on potential peak sales if the drug is approved and market penetration.
Recent Initiatives: Recent initiatives for Trevi Therapeutics have likely involved advancing Haduvineu00ae through its clinical development pipeline, including patient recruitment for ongoing trials, data analysis from completed studies, and strategic planning for potential regulatory submissions. The company may also be exploring new indications or partnerships.
Summary
Trevi Therapeutics is a clinical-stage biopharmaceutical company with a focused approach to treating pruritus in chronic liver and kidney diseases. Its lead drug candidate, Haduvineu00ae, shows promise but faces significant clinical and regulatory risks. The company's financial health depends heavily on continued access to capital for R&D. Key to its future success will be the successful demonstration of efficacy and safety in ongoing clinical trials and securing regulatory approval, while navigating a competitive landscape of symptomatic treatments.
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Sources and Disclaimers
Data Sources:
- Company SEC Filings (10-K, 10-Q)
- Financial News Outlets (e.g., Reuters, Bloomberg)
- Biopharmaceutical Industry Analysis Reports
- Company Investor Relations Materials
Disclaimers:
This JSON output is based on publicly available information and is intended for informational purposes only. It does not constitute investment advice. Financial data and market share figures are estimates and subject to change. Users should conduct their own due diligence and consult with a qualified financial advisor before making any investment decisions.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Trevi Therapeutics Inc
Exchange NASDAQ | Headquaters New Haven, CT, United States | ||
IPO Launch date 2019-05-07 | Co-Founder, CEO, President, Interim Principal Financial Officer & Director Ms. Jennifer L. Good | ||
Sector Healthcare | Industry Biotechnology | Full time employees 34 | |
Full time employees 34 | |||
Trevi Therapeutics, Inc., a clinical-stage biopharmaceutical company, focuses on the development and commercialization of 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 is developing 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; phase 2 clinical trial in patients with pruritus; and phase 2b/3 clinical trial in patients with prurigo nodularis. Trevi Therapeutics, Inc. has a license agreement with Endo Pharmaceuticals Inc. to develop and commercialize products incorporating nalbuphine hydrochloride in various formulations. The company was incorporated in 2011 and is headquartered in New Haven, Connecticut.

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