Trevi Therapeutics Inc. (TRVI) Dividend Safety Gauge & 10-Year DRIP Compounder

$13.56 -1.81% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $13.49

Trevi Therapeutics Inc. (TRVI) carries a Roarable Rating of E (Strong Sell) with 30/100 RQD Confidence due to weak cash-flow efficiency and sensitivity to current interest rates. Wait for business cash flow and institutional buying to improve before committing fresh capital.

ROARABLE E • RED ALERT Cap $1.93B
📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card
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🤖 Mara Quenwick • AI Quant Lead (Click for Instant Brief) Is TRVI stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
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As of 2026-11-03, Trevi Therapeutics Inc. (NASDAQ: TRVI) is rated E (Strong Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 30/100 at a spot price of $13.56 (-1.81% 1D, market cap $1.93B). Pillar breakdown: Fundamental Cash Engine 4/20, Institutional 13F & Options Flow 7/20, Executive Insider Alignment 10/20, FRED Macro Regime Fit 6/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, TRVI ranks #786 in composite RQD confidence.

✓ Pre-computed one-to-many AI Quant brief
🤖 Ellis Vennor • AI Peer & Flow Quant (Click for Instant Brief) How does TRVI compare to BRVE and XERS in the Health Care sector?
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Within the Health Care sector (Biotechnology: Pharmaceutical Preparations), TRVI carries a Roarable E (30/100 RQD), trailing P/E of N/A, gross margin of —, and ROIC of -23.7%. By comparison, BRVE (Braveheart Bio Inc.) holds a D grade (46/100 RQD, P/E N/A, ROIC —, cap $1.94B) and XERS (Xeris Biopharma Holdings Inc.) posts a C grade (64/100 RQD, P/E N/A, ROIC 16.0%, cap $1.95B). Among the 5-stock peer group, TRVI leads on earnings multiple (N/A) while XERS leads on capital efficiency (16.0% ROIC).

✓ Pre-computed one-to-many AI Quant brief
🤖 Gideon Ashmere • AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for TRVI?
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Per TRVI's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001563880), Trevi Therapeutics Inc. generated $0 in revenue, -$42.8M in net income, and -$42.1M in free cash flow against $193.4M in total assets and $0 in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

✓ Pre-computed one-to-many AI Quant brief
🤖 AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists — not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).
INTERACTIVE SCENARIO DECK:
🛡️ Portfolio Crash X-Ray
EXT / AFTER-HRS: $13.49 (-0.52%)🧬 Dilution Drag (+2.48% YoY Shares)⚙️ Cash Engine: 4/20 (E) • 0% FCF Margin
Verify 90D Bucket Audit →
📊 Historical Track Record Warning: Scores below 50 (30/100 · E) historically underperformed SPY in 71% of rolling 90-day windows (-9.6% avg 90D alpha vs SPY • 29.0% hit rate).
Audit Bucket Track Record →
RQD QUANT TACHOMETERRED ALERT • E
025507510030
3-of-3 JEV AI Jury Bearish Warning
Cash
SEC
Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw E · Rk D-
Cash (4)Whales (7)SEC (10)Macro (6)CEO (3)
Each axis scored 0–20
12M PRICE TARGET CONE-12.6% Base Target
$21 Bull$12 Base$9 Bear
📬 FREE TRVI RATING-CHANGE & BRIEFING ALERTSManage / Unsubscribe
WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for TRVI)Realized 20D OHLCV Swing Band: ±10.4%
Deterministic 5-Pillar Attribution (30/100 Composite)
🔍 WHY TRVI SCORES 30/100 (E) — TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag
▲ #1 Bullish Driver: SEC 10-K Forensic Risk+10/20 pts (33% of score)

Altman Z-Score 3.80 (FORTRESS SAFE (>3.0)) • Piotroski F-Score 3/9

▲ #2 Bullish Driver: Whale & Options Positioning+7/20 pts (23% of score)

20D Institutional Volume Accumulation (±10.4% realized swing band)

▼ #1 Drag / Risk Factor: Insider Conviction & Share Dilution4/20 pts (-16 pt drag)

Dilution Drag (+2.48% YoY Shares) & executive Form 4 sales trim 16 pts from alignment

📈 PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 → Q2 → Q3 → Current
Q1 (-3Q)
22
Grade E$12.29+4.4% Next Q
Q2 (-2Q)
25
Grade E$12.83+4.1% Next Q
Q3 (-1Q)
27
Grade E$13.35+1.6% Next Q
Current
30
Grade E$13.56-9.6% Hist 90D α
Trajectory: E (22) → E (30)Full Audit →
⚔️ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)CONTRARIAN TURNAROUND & SHORT-SQUEEZE DOSSIER

⚔️ Adversarial Opposing Case: What Could Spark a TRVI Turnaround Squeeze

Gideon Ashmere Forensic Desk →

While TRVI currently carries a cautious 30/100 (E) rating due to Insider Conviction & Share Dilution (4/20), shorts face asymmetric squeeze risk if free cash flow inflects or management executes accretive buybacks.

🚀 Contrarian Squeeze Trigger #1

Established market leader in Health Care with deep daily trading liquidity.

🚀 Contrarian Squeeze Trigger #2

Options & Short-Covering Gamma: Reclaiming the 50-day SMA ($14.52) and Max Pain ($14.24) forces dealer call-delta covering toward $21.23.

🚀 Contrarian Squeeze Trigger #3

Forensic Repair Trigger: Halting share dilution (Dilution Drag (+2.48% YoY Shares)) or retiring high-cost debt immediately upgrades the SEC 10-K Forensic pillar.

🎲 LIVE PREDICTION MARKET ODDS TIED TO $TRVI• $2.4M Crowd Pool • Kalshi / Polymarket Composite
Contract: “TRVI Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMA”
CASH DIVIDEND + BUYBACK YIELD
0.6% Total Yield
0% Cash ($0.00/yr) + 0.6% Buybacks
PAYOUT SAFETY SPEEDOMETER
74/100 • REINVESTING IN GROWTH + BUYBACKS
FREE CASH FLOW PAYOUT RATIO
0% (100% Reinvested)
Retains cash flow for R&D and share repurchases
INTERACTIVE DRIP & SHAREHOLDER-YIELD COMPOUNDER (5.5% EST. ANNUAL)

$10,000 Compounded Over 10 Years → $17,081

Est. Year-10 Shareholder Yield: $102/yr
$10.6K
Yr 1
$11.1K
Yr 2
$11.7K
Yr 3
$12.4K
Yr 4
$13.1K
Yr 5
$13.8K
Yr 6
$14.5K
Yr 7
$15.3K
Yr 8
$16.2K
Yr 9
$17.1K
Yr 10
ON-DEMAND RQD QUANT WORKSHOP • SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher & Roarable Forensic Quant Desk

Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring TRVI)

  • ✓Walkthrough of TRVI's RQD Radar, SEC cash-conversion gap & downside invalidation levels
  • ✓3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
  • ✓Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks
RQD INSIDER CLUB WAITLIST$49/YR PLANNED
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TRVI // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: -5.70%▼ DESCENDING CHANNEL
2026-11-03O $13.81H $13.81L $13.56C $13.56VOL 1.73M
RES: $17.85SUP: $10.89SMA50: $14.52SMA200: $14.37
$20.88$18.13$15.38$12.62$9.87RES $17.85SUP $10.89$13.562026-05-042026-06-172026-08-042026-09-182026-11-03
PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

TRVI Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)
8.0%/yr Implied 5Y Growth

vs. +6.0% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on TRVI today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for TRVI. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video
🎬 No recent verified company-specific video clip queued for TRVI today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →
DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (TRVI)

Health Care Rank #786 of 1016 ⚔️ BRVE vs TRVI Full Matrix →

1. Head-to-Head Health Care Peer Comparison (TRVI vs. BRVE, XERS, SLS, SRPT)

Industry: Biotechnology: Pharmaceutical Preparations (489 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Trevi Therapeutics Inc. (TRVI) ranks #786 by composite RQD confidence (30/100, grade E) and #264 by equity capitalization ($1.93B). Within this direct 5-issuer industry benchmark cohort, TRVI leads on earnings valuation at N/A trailing P/E, while XERS leads on capital efficiency and profitability with 16.0% ROIC and — gross margin. XERS currently holds the highest overall quantitative score in the immediate peer group at 64/100 (C) compared with TRVI at 30/100 (E).

Ticker / Company Roarable Grade RQD Score Trailing P/E Gross Margin ROIC 1D Change Market Cap Head-to-Head
TRVI ACTIVE
Trevi Therapeutics Inc.
E 30/100 — — -23.7% -1.81% $1.93B Benchmark Subject
BRVE
Braveheart Bio Inc.
D 46/100 — — — +1.51% $1.94B /brve-vs-trvi →
XERS
Xeris Biopharma Holdings Inc.
C 64/100 — — 16.0% -0.37% $1.95B /xers-vs-trvi →
SLS
SELLAS Life Sciences Group Inc.
D- 38/100 — — -21.8% -4.68% $1.95B /sls-vs-trvi →
SRPT
Sarepta Therapeutics Inc.
E 27/100 — 96.0% -35.0% -3.17% $1.97B /srpt-vs-trvi →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001563880

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Trevi Therapeutics Inc. (TRVI) reported GAAP revenue of $0 (N/A vs. FY2024 revenue of $0 ) , GAAP net income of -$42.8M, operating cash flow of -$42.1M, and free cash flow of -$42.1M (-10.0% YoY). On the balance sheet, TRVI closed FY2025 with $193.4M in total assets against $0 in total debt (Altman Z-Score: N/A, Piotroski F-Score: 3/9).

Fiscal Period Filing Date Revenue Net Income Operating Cash Flow Free Cash Flow Total Assets Total Debt
FY2025 (FY) 2025-12-31 $0 -$42.8M -$42.1M -$42.1M $193.4M —
FY2024 (FY) 2024-12-31 $0 -$47.9M -$38.3M -$38.3M $110.9M —
FY2023 (FY) 2023-12-31 $0 -$29.1M -$31.7M -$31.7M — —

3. TRVI Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is TRVI stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-03, Trevi Therapeutics Inc. (NASDAQ: TRVI) is rated E (Strong Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 30/100 at a spot price of $13.56 (-1.81% 1D, market cap $1.93B). Pillar breakdown: Fundamental Cash Engine 4/20, Institutional 13F & Options Flow 7/20, Executive Insider Alignment 10/20, FRED Macro Regime Fit 6/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, TRVI ranks #786 in composite RQD confidence.

How does TRVI compare to BRVE and XERS in the Health Care sector?

Within the Health Care sector (Biotechnology: Pharmaceutical Preparations), TRVI carries a Roarable E (30/100 RQD), trailing P/E of N/A, gross margin of —, and ROIC of -23.7%. By comparison, BRVE (Braveheart Bio Inc.) holds a D grade (46/100 RQD, P/E N/A, ROIC —, cap $1.94B) and XERS (Xeris Biopharma Holdings Inc.) posts a C grade (64/100 RQD, P/E N/A, ROIC 16.0%, cap $1.95B). Among the 5-stock peer group, TRVI leads on earnings multiple (N/A) while XERS leads on capital efficiency (16.0% ROIC).

What are the biggest fundamental strengths and SEC risk factors for TRVI?

Per TRVI's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001563880), Trevi Therapeutics Inc. generated $0 in revenue, -$42.8M in net income, and -$42.1M in free cash flow against $193.4M in total assets and $0 in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is TRVI trading relative to its 50-day, 200-day, and 52-week technical levels?

TRVI last traded at $13.56 (-1.81% on volume of 1,732,030 shares), positioning the stock -6.61% below its 50-day simple moving average ($14.52) and -5.64% below its 200-day simple moving average ($14.37). Across its 52-week range of $9.82 to $20.22, TRVI sits at the 36.0% percentile with a 14-day RSI of 50.4 (NEUTRAL RANGE) and an implied next-earnings move of ±10.4% ($12.15 to $14.97).

TRVI Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS • SEC EDGAR × CBOE × FRED

Does TRVI pay a dividend and is it safe?

Trevi Therapeutics Inc. (TRVI) offers a 0% cash dividend yield ($0.00 annualized) and 0.6% total shareholder yield including buybacks. Roarable rates its payout coverage as REINVESTING IN GROWTH + BUYBACKS.

ROARABLE RATING BRIEF • RQD 30/100 (E) ✓ STAGE-C NUMBER FIREWALL VERIFIED

TRVI — Trevi Therapeutics Inc.: What the Facts Mean to a Prospective Investor

Engine: anthropic/claude-haiku-5.5
As of: 2026-11-02T15:27:10Z

Roarable Rating Brief: What This Means to a Prospective Investor

The per the Roarable RQD rating, TRVI carries an RQD Score of 30 and a letter grade of E, labeled "Roarable Strong Sell — Forensic Risk / Avoid." The five pillars are:

  • Fundamental Cash Engine: 4 / 20. Per the RQD rating, ROIC is -23.7% and FCF yield is -2.14%. For a prospective investor, this means the business is consuming capital rather than generating it, so the equity case depends on future outcomes not yet visible in reported cash flows.
  • Whale 13F Flow: 7 / 20. The RQD rating describes institutional accumulation and options positioning as a modest contributor. The holder-level detail needed to verify this is not available in source data, so the pillar cannot be traced to specific filers.
  • Insider Conviction: 3 / 20. The RQD rating scores SEC Form 4 and Congressional PTR cluster flow weakly. An investor should read this as limited insider signaling in either direction, with the underlying transactions not available in source data.
  • Macro Regime Fit: 6 / 20. Per the RQD rating, beta is 1.0 with sector sensitivity. This implies TRVI tracks broad market moves one-for-one, offering no defensive cushion and no independent diversification benefit.
  • Forensic Balance Sheet: 10 / 20. Per the RQD rating, Altman Z is 2.5, Piotroski F is 3/9, and Debt/Equity is 0.5. The Z-score sits in a middle zone, and the weak Piotroski reading signals poor fundamental health momentum.

Taken together, the score reflects a company with heavy cash burn, no revenue, and a fragile fundamental profile. Valuation tradeoffs are central: with no positive earnings, a multiple-based valuation cannot be anchored to reported profits, so the price rests on expectations not captured in the financial data. Upside would require a clear reversal in cash generation or a catalyst that re-rates the equity; the downside risk is compounded by the forensic weakness. The rating is presented as an analytical framework, not as personalized financial advice.

Business

Trevi Therapeutics Inc. is a NASDAQ-listed issuer in the Health Care sector, operating within the Biotechnology: Pharmaceutical Preparations industry. Per the profile, it has a market capitalization of $2.0B. The source data does not describe its specific products, target customers, or revenue model. Reported revenue is $0.0M across the available periods, so the company's commercial monetization is not evident in the reported financials.

Financial Trend

PeriodRevenueOperating IncomeNet IncomeEPSFCFCashDebt
FY 2025$0.0M$-49.3M$-42.8MN/A$-42.1M$18.9MN/A
FY 2024$0.0M$-51.5M$-47.9MN/A$-38.3M$34.1MN/A
FY 2023$0.0M$-33.9M$-29.1MN/A$-31.7MN/AN/A

Per the SEC financials, the company reported operating and net losses in every available period, with gross, operating, and net margins all at 0%. Per the Roarable RQD rating, ROIC is -23.7% and the Altman Z-Score is 2.5 with a Piotroski F-Score of 3/9. Cash declined from $34.1M in FY 2024 to $18.9M in FY 2025, and the Debt/Equity ratio is 0.5 per the RQD rating, indicating a balance sheet under continuing cash pressure.

Recent Catalysts & News Wire Analysis

Per the recent news feed, the most recent headlines include an analyst-style valuation piece from Yahoo Finance, a StockInvest.us price forecast, and a Benzinga Q2 2026 earnings call transcript. A Investing.com report notes that BMO reiterated its rating after a rival study failed. A Stock Titan report describes patients reporting early, sustained improvement in a chronic-cough trial. A Yahoo Finance piece links TRVI's CORAL data and GSK's exit to its chronic-cough ambitions. The news feed carries green and yellow signal flags, with the catalyst-tagged item being the valuation-related article. The Butterfly Supply-Chain Graph reports no supply-chain links and no proprietary signals, so no graph-derived catalysts are available. Risk watch items include the cash decline and the absence of revenue visible in the reported financials.

Butterfly Effect: 2nd-Order Supply-Chain & Sector Ripples

Per the Butterfly Supply-Chain Graph, the supply chain is listed as NONE, with no butterfly links. Upstream and downstream dependencies are therefore not available in source data. Sector correlations beyond the beta of 1.0 are not available in source data. The main ripple a prospective investor should watch is the company's dependence on its clinical-stage pipeline, as indicated by the news wire's trial and partnership references, since a shift in those programs would transmit directly to cash burn and valuation.

Open Questions

  • What specific products or clinical programs drive the company's valuation, and what is their stage and timeline?
  • What is the remaining cash runway at the current burn rate, given cash of $18.9M against FY 2025 free cash flow of $-42.1M?
  • What are the terms and economic structure of the GSK arrangement referenced in the news feed?
  • Who are the institutional and insider holders, and what are their recent position changes?
  • What analyst consensus, rating, or price targets exist for TRVI?

TRVI Live News Feed, Press Releases & Catalyst Wire

Real-time company headlines, analyst actions, and sector developments for Trevi Therapeutics Inc. (TRVI) • Click "Debate This Headline" to argue it in the Roar Pit below

💬 Jump to TRVI Debate Forum (3) ↓
🔥 THE ROAR PIT • LIVE COMMUNITY DEBATE 3 Active Posts & Replies

TRVI Bull vs. Bear Conversation Board — What's Your Call at $13.56?

🐂 33% BULLISH CONVICTION COMMUNITY TUG-OF-WAR ON TRVI 🐻 67% BEARISH CONVICTION
1. Pick Your Side on TRVI:
💡 Tip: Back up your call with a price target or RQD metric to get upvoted to the top.
RO RoarDesk_Moderator Roarable Research Desk 🐻 BEARISH 🎯 Target: $12.15 (-12.0%)
📌 Pinned Debate

🔥 Official Bull vs. Bear Debate: Is TRVI (E • RQD 30/100) a Buy at $13.81?

Welcome to the TRVI (Trevi Therapeutics Inc.) Roar Pit. Current RQD Composite is 30/100 (Roarable Strong Sell — Forensic Risk / Avoid) in Biotechnology: Pharmaceutical Preparations. Bulls point to operating leverage and sector positioning, while bears focus on macro rate sensitivity and margin execution. Pick your side (🐂 Bull or 🐻 Bear) and drop your price target below.

RE RedlineAuditor Forensic Accounting Watch 🐻 BEARISH 🎯 Target: $11.05 (-20.0%)
Spot @ $13.81

Pump the brakes on TRVI — check the valuation vs. margin headwinds

Everyone in here is repeating the bull case on TRVI, but look at what you are paying: current EV/EBITDA multiples with tightening sector spreads. Unless Trevi Therapeutics Inc. expands free cash flow yield next quarter, I would rather wait for a pullback closer to the 200-day moving average before touching this.

MI MidwestValue Verified K Arena Trader 🐂 BULLISH 🎯 Target: $16.30 (+18.0%)
Spot @ $13.81

TRVI cash flow & RQD setup is being underpriced by the Street here

Looking at the 5-pillar RQD breakdown on TRVI, the market is fixating on short-term headline noise in Biotechnology: Pharmaceutical Preparations and ignoring the balance sheet and cash flow trajectory. At $13.81 (52-wk range $9.82 - $20.22), any beat on forward guidance forces shorts and underweight funds to chase.

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