Trevi Therapeutics (TRVI) | Financial Analysis & Statements
Trevi Therapeutics Inc. Mid-cap Healthcare
TL;DR: Financial Overview - Revenue, Profits & Key Metrics
Latest Quarterly: Dec 2025Income Metrics
Revenue
0
Operating Income
-10.2M
Net Income
-8.3M
EPS (Diluted)
$-0.06
Balance Sheet Metrics
Total Assets
193.4M
Total Liabilities
10.2M
Shareholders Equity
183.2M
Debt to Equity
0.06
Cash Flow Metrics
Operating Cash Flow
-6.7M
Free Cash Flow
-7.6M
Revenue & Profitability Trend
Trevi Therapeutics Income Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Revenue | 0 | 0 | 0 | 0 | 0 |
| Cost of Goods Sold | - | - | - | - | - |
| Gross Profit | - | - | - | - | - |
| Gross Margin % | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| Operating Expenses | |||||
| Research & Development | 33.5M | 39.4M | 23.7M | 19.8M | 23.0M |
| Selling, General & Administrative | 15.8M | 12.1M | 10.2M | 10.1M | 9.5M |
| Other Operating Expenses | - | - | - | - | - |
| Total Operating Expenses | 49.3M | 51.5M | 33.9M | 29.9M | 32.5M |
| Operating Income | -49.3M | -51.5M | -33.9M | -29.9M | -32.5M |
| Operating Margin % | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| Non-Operating Items | |||||
| Interest Income | 6.5M | 3.6M | 4.7M | 1.7M | 10.0K |
| Interest Expense | 0 | 4.0K | 391.0K | 1.2M | 1.2M |
| Other Non-Operating Income | -31.0K | -15.0K | 469.0K | 142.0K | -293.0K |
| Pre-tax Income | -42.8M | -47.9M | -29.1M | -29.2M | -34.0M |
| Income Tax | -64.0K | -30.0K | -32.0K | -36.0K | -21.0K |
| Effective Tax Rate % | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| Net Income | -42.8M | -47.9M | -29.1M | -29.2M | -33.9M |
| Net Margin % | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| Key Metrics | |||||
| EBITDA | -42.7M | -47.8M | -28.6M | -27.8M | -32.8M |
| EPS (Basic) | - | $-0.47 | $-0.29 | $-0.45 | $-1.49 |
| EPS (Diluted) | - | $-0.47 | $-0.29 | $-0.45 | $-1.49 |
| Basic Shares Outstanding | - | 101971873 | 99033373 | 64541911 | 22841481 |
| Diluted Shares Outstanding | - | 101971873 | 99033373 | 64541911 | 22841481 |
Income Statement Trend
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Trevi Therapeutics Balance Sheet From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Assets | |||||
| Current Assets | |||||
| Cash & Equivalents | 18.9M | 34.1M | 32.4M | 12.6M | 36.8M |
| Short-term Investments | 169.3M | 73.5M | 50.6M | 107.9M | 0 |
| Accounts Receivable | - | - | - | - | - |
| Inventory | - | - | - | - | - |
| Other Current Assets | 2.1M | 867.0K | 955.0K | 1.3M | 241.0K |
| Total Current Assets | 191.7M | 109.4M | 87.5M | 122.6M | 38.0M |
| Non-Current Assets | |||||
| Property, Plant & Equipment | 677.0K | 1.1M | 1.3M | 24.0K | 131.0K |
| Goodwill | - | - | - | - | - |
| Intangible Assets | - | - | - | - | - |
| Long-term Investments | - | - | - | - | - |
| Other Non-Current Assets | 928.0K | 243.0K | 297.0K | 205.0K | 334.0K |
| Total Non-Current Assets | 1.8M | 1.5M | 1.9M | 399.0K | 518.0K |
| Total Assets | 193.4M | 110.9M | 89.4M | 123.0M | 38.5M |
| Liabilities | |||||
| Current Liabilities | |||||
| Accounts Payable | 3.9M | 3.4M | 1.8M | 2.9M | 2.8M |
| Short-term Debt | 307.0K | 285.0K | 306.0K | 7.0M | 6.0M |
| Current Portion of Long-term Debt | - | - | - | - | - |
| Other Current Liabilities | - | - | - | - | 114.0K |
| Total Current Liabilities | 9.7M | 10.5M | 5.8M | 13.4M | 12.7M |
| Non-Current Liabilities | |||||
| Long-term Debt | 446.0K | 747.0K | 1.0M | 2.2M | 8.7M |
| Deferred Tax Liabilities | - | - | - | - | - |
| Other Non-Current Liabilities | - | - | - | 3.0K | - |
| Total Non-Current Liabilities | 446.0K | 747.0K | 1.0M | 2.2M | 8.7M |
| Total Liabilities | 10.2M | 11.3M | 6.9M | 15.6M | 21.4M |
| Equity | |||||
| Common Stock | 128.0K | 94.0K | 68.0K | 60.0K | 29.0K |
| Retained Earnings | -329.8M | -287.0M | -239.1M | -210.1M | -180.9M |
| Treasury Stock | - | - | - | - | - |
| Other Equity | - | - | - | - | - |
| Total Shareholders Equity | 183.2M | 99.6M | 82.5M | 107.5M | 17.1M |
| Key Metrics | |||||
| Total Debt | 753.0K | 1.0M | 1.3M | 9.2M | 14.6M |
| Working Capital | 181.9M | 98.9M | 81.7M | 109.2M | 25.2M |
Balance Sheet Composition
Trevi Therapeutics Cash Flow Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Operating Activities | |||||
| Net Income | -42.8M | -47.9M | -29.1M | -29.2M | -33.9M |
| Depreciation & Amortization | 144.0K | 147.0K | 123.0K | 43.0K | 50.0K |
| Stock-Based Compensation | 5.2M | 3.6M | 2.2M | 2.3M | 2.5M |
| Working Capital Changes | -598.0K | 1.6M | -1.0M | 9.0K | 831.0K |
| Operating Cash Flow | -37.6M | -42.1M | -27.2M | -26.3M | -29.5M |
| Investing Activities | |||||
| Capital Expenditures | -12.0K | -35.0K | -137.0K | -159.0K | 0 |
| Acquisitions | - | - | - | - | - |
| Investment Purchases | -170.7M | -98.5M | -9.9M | -126.2M | 0 |
| Investment Sales | 76.6M | 77.0M | 69.5M | 19.0M | 0 |
| Investing Cash Flow | -94.1M | -21.5M | 59.4M | -107.4M | 0 |
| Financing Activities | |||||
| Share Repurchases | - | - | - | - | - |
| Dividends Paid | - | - | - | - | - |
| Debt Issuance | - | - | - | - | 0 |
| Debt Repayment | -11.0K | -126.0K | -9.5M | -5.8M | 0 |
| Financing Cash Flow | 108.1M | 61.0M | -8.1M | 99.3M | 20.7M |
| Free Cash Flow | -42.1M | -38.3M | -31.8M | -28.3M | -28.9M |
| Net Change in Cash | -23.6M | -2.6M | 24.2M | -34.3M | -8.8M |
Cash Flow Trend
Trevi Therapeutics Key Financial Ratios
Valuation Ratios
Forward P/E
-25.50
Price to Book
10.09
PEG Ratio
-25.50
Profitability Ratios
Profit Margin
0.00%
Operating Margin
0.00%
Return on Equity
-30.23%
Return on Assets
-20.26%
Financial Health
Current Ratio
19.66
Debt to Equity
0.41
Beta
1.00
Per Share Data
EPS (TTM)
$-0.32
Book Value per Share
$1.43
Peer Financial Comparison
| Company | Market Cap | P/E Ratio | P/B Ratio | ROE | Profit Margin | Debt/Equity |
|---|---|---|---|---|---|---|
| TRVI | 2.0B | - | 10.09 | -30.23% | 0.00% | 0.41 |
| Vertex | 109.4B | 28.40 | 5.92 | 22.54% | 32.94% | 10.91 |
| Regeneron | 81.0B | 18.00 | 2.45 | 14.86% | 31.41% | 9.51 |
| Praxis Precision | 9.6B | - | 9.46 | -45.83% | 0.00% | 0.01 |
| Axsome Therapeutics | 9.5B | -50.54 | 105.31 | -252.12% | -28.69% | 247.03 |
| Bio-Techne | 9.1B | 117.16 | 4.55 | 3.80% | 6.41% | 20.07 |
Financial data is updated regularly. All figures are in the company's reporting currency.






