tiprankstipranks
Trending News
More News >
Trevi Therapeutics Inc (TRVI)
NASDAQ:TRVI
US Market
Advertisement

Trevi Therapeutics (TRVI) AI Stock Analysis

Compare
508 Followers

Top Page

TRVI

Trevi Therapeutics

(NASDAQ:TRVI)

Rating:55Neutral
Price Target:
Trevi Therapeutics shows promise with significant clinical progress and a strong cash position, essential for sustaining operations in a pre-revenue phase. However, ongoing financial losses and valuation risks temper the outlook. The stock's technical indicators suggest strong momentum, but investors should be cautious due to potential volatility and financial risks inherent in early-stage biotechnology companies.
Positive Factors
Efficacy and Market Opportunity
Haduvio met the primary endpoint with statistically-significant reductions in 24-hour cough frequency across all dose groups, indicating strong efficacy.
Strategic Focus
TRVI's strategic focus on IPF-CC comes front-and-center as the key value driver, with potential for specialty pricing and concentrated operational investments for commercialization.
Valuation
The stock is considered undervalued, with the IPF-CC opportunity alone being seen as a $1 billion plus opportunity for TRVI.
Negative Factors
Funding Concerns
There is a perceived overhang regarding the need for significant funding to finance Phase 3 trials, despite having a runway into the fourth quarter of 2026.
Funding Requirements
The need for significant funding to support Phase 3 trials is a concern despite the extended cash runway.
Market Misunderstanding
The Street is misunderstanding Haduvio risk-benefit profile.

Trevi Therapeutics (TRVI) vs. SPDR S&P 500 ETF (SPY)

Trevi Therapeutics Business Overview & Revenue Model

Company DescriptionTrevi Therapeutics (TRVI) is a clinical-stage biopharmaceutical company focused on the development and commercialization of novel therapies for the treatment of serious neurological conditions. The company's lead product candidate, Haduvio, is being developed for the treatment of chronic pruritus (itch), and chronic cough in adults with idiopathic pulmonary fibrosis (IPF). Trevi Therapeutics operates within the biotechnology and pharmaceutical sectors, aiming to address unmet medical needs in these niche markets.
How the Company Makes MoneyTrevi Therapeutics primarily makes money through the development and potential commercialization of its lead product candidate, Haduvio. Revenue is anticipated to be generated from product sales once Haduvio receives regulatory approval and is launched in the market. The company may also explore partnerships and licensing agreements with larger pharmaceutical companies to enhance its distribution capabilities and reach. Additionally, Trevi might earn revenue from milestone payments or royalties associated with such partnerships. However, as a clinical-stage company, Trevi Therapeutics currently does not have any products on the market and relies on funding from investors to support its research and development activities.

Trevi Therapeutics Earnings Call Summary

Earnings Call Date:May 08, 2025
(Q1-2025)
|
% Change Since: 18.79%|
Next Earnings Date:Aug 07, 2025
Earnings Call Sentiment Positive
The earnings call highlighted significant clinical achievements with successful trial outcomes and a strong financial position. However, these positives were offset by a continued net loss and increased expenses. The positive aspects slightly outweigh the negatives, suggesting a cautiously optimistic outlook.
Q1-2025 Updates
Positive Updates
Successful Phase 2a RIVER Trial
The Phase 2a RIVER trial in RCC patients met its primary endpoint with a statistically significant reduction in 24-hour objective cough frequency, achieving a P value of less than 0.0001 and a 57% placebo-adjusted reduction in cough from baseline.
Completion of Phase 2b CORAL Trial Enrollment
Trevi completed enrollment of the Phase 2b CORAL trial for IPF chronic cough patients, with approximately 160 patients enrolled across 10 countries and 60 sites.
Strong Financial Position
Trevi reported cash and investments totaling $103.3 million as of March 31, 2025, providing runway into the fourth quarter of 2026.
Positive FDA Interaction
The FDA provided clear guidance on a technical matter through a Type C request, indicating a positive and timely response from the regulatory body.
Negative Updates
Continued Net Loss
Trevi reported a net loss of $10.4 million for the first quarter of 2025, compared to a net loss of $10.9 million in the same quarter of 2024.
Increased G&A Expenses
General and administrative expenses increased to $3.7 million during the first quarter of 2025 compared to $3.1 million in the same period of 2024, primarily due to an increase in personnel-related expenses.
Company Guidance
During the Trevi Therapeutics First Quarter 2025 earnings call, CEO Jennifer Good provided detailed guidance on the company's ongoing clinical trials, including updates on the Phase 2a RIVER trial for refractory chronic cough (RCC) and the Phase 2b CORAL trial for idiopathic pulmonary fibrosis (IPF) chronic cough. The RIVER trial demonstrated a statistically significant reduction in 24-hour objective cough frequency with a P value of less than 0.0001 and a 57% placebo-adjusted reduction in cough from baseline. Trevi also completed enrollment in the CORAL trial, which includes approximately 160 patients across 60 sites in 10 countries, with data expected this quarter. Financially, Trevi reported a net loss of $10.4 million for the first quarter of 2025, with R&D expenses at $7.8 million and G&A expenses at $3.7 million. The company holds $103.3 million in cash and investments, providing a financial runway into the fourth quarter of 2026. Additionally, Trevi has received clear guidance from the FDA on a technical matter related to their program, which is crucial for their ongoing development efforts.

Trevi Therapeutics Financial Statement Overview

Summary
Trevi Therapeutics is in a typical growth stage for a biotech company, with no revenue and reliance on external financing for operations. While the strong cash position and low debt levels are positives, the ongoing operating losses and negative cash flow highlight the financial risks associated with pre-revenue biotech firms. Continued access to capital will be crucial for its long-term viability.
Income Statement
10
Very Negative
The company has consistently reported zero revenue over the past years, which is typical for early-stage biotechnology firms focusing on R&D. However, this leads to negative net income and operating losses, reflected in the negative EBIT and EBITDA. The lack of revenue growth and persistent losses are significant weaknesses.
Balance Sheet
50
Neutral
Trevi Therapeutics maintains a strong cash position relative to its debt, indicating good liquidity. The debt-to-equity ratio is low, suggesting limited reliance on debt financing. However, the equity ratio has been declining, indicating increasing liabilities relative to assets, which could be a risk if unaddressed.
Cash Flow
30
Negative
The company has negative free cash flow, primarily due to its operating losses, which is common in the biotechnology industry during the development phase. Despite this, cash flow from financing remains positive, suggesting reliance on external funding to sustain operations. This presents a risk if future financing becomes less accessible.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue0.000.000.000.000.00
Gross Profit0.00-123.00K-43.00K-50.00K-47.00K
EBITDA-51.52M-33.80M-29.86M-32.43M-32.44M
Net Income-47.91M-29.07M-29.15M-33.94M-32.76M
Balance Sheet
Total Assets110.90M89.40M123.02M38.48M47.13M
Cash, Cash Equivalents and Short-Term Investments107.62M82.97M12.59M36.83M45.00M
Total Debt1.03M1.34M9.18M14.63M14.21M
Total Liabilities11.26M6.86M15.56M21.40M19.85M
Stockholders Equity99.64M82.55M107.46M17.07M27.28M
Cash Flow
Free Cash Flow-38.29M-31.85M-28.33M-28.95M-29.03M
Operating Cash Flow-38.26M-31.71M-28.18M-28.95M-29.00M
Investing Cash Flow-21.53M59.43M-107.37M0.00-32.00K
Financing Cash Flow61.48M-7.91M111.31M20.77M16.72M

Trevi Therapeutics Technical Analysis

Technical Analysis Sentiment
Positive
Last Price7.84
Price Trends
50DMA
6.34
Positive
100DMA
6.23
Positive
200DMA
4.90
Positive
Market Momentum
MACD
0.36
Negative
RSI
74.04
Negative
STOCH
85.16
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TRVI, the sentiment is Positive. The current price of 7.84 is above the 20-day moving average (MA) of 6.46, above the 50-day MA of 6.34, and above the 200-day MA of 4.90, indicating a bullish trend. The MACD of 0.36 indicates Negative momentum. The RSI at 74.04 is Negative, neither overbought nor oversold. The STOCH value of 85.16 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for TRVI.

Trevi Therapeutics Risk Analysis

Trevi Therapeutics disclosed 74 risk factors in its most recent earnings report. Trevi Therapeutics reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Trevi Therapeutics Peers Comparison

Overall Rating
UnderperformOutperform
Sector (65)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
65
Neutral
¥355.44B11.10-2.99%2.49%11.76%-10.16%
60
Neutral
$694.60M-6.33%23.92%-27.69%
55
Neutral
$940.05M-55.12%-60.26%
55
Neutral
$792.98M-343.83%387.20%21.00%
51
Neutral
$360.64M-23.46%54.55%36.41%
51
Neutral
$710.74M-28.73%189.31%51.03%
40
Underperform
$362.00M-60.45%6.99%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TRVI
Trevi Therapeutics
7.84
4.59
141.23%
PRTA
Prothena
6.70
-17.73
-72.57%
RCKT
Rocket Pharmaceuticals
3.21
-22.12
-87.33%
ANAB
AnaptysBio
26.99
-10.07
-27.17%
DNTH
Dianthus Therapeutics
21.79
-7.18
-24.78%
PHAR
Pharming Group
10.19
2.20
27.53%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Mar 22, 2025