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TRVITrevi Therapeutics, Inc.
$17.95$2.5B
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Trevi Therapeutics, Inc. (TRVI) Financial Ratios

Latest Ratios: P/E Ratio -61.9x · EV/EBITDA N/A · ROE -30.2%. (2016–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

TRVI Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$2.5B$1.8B$416M$133M$125M$18M$44M$67M———
Enterprise Value$2.5B$1.8B$383M$102M$121M$-4334394$13M$10M———
P/E Ratio →-61.90——————————
P/S Ratio———————————
P/B Ratio14.219.914.181.611.161.051.601.23———
P/FCF———————————
P/OCF———————————

P/E links to full P/E history page with 30-year chart

TRVI EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue———————————
EV / EBITDA———————————
EV / EBIT———————————
EV / FCF———————————

TRVI Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin———————————
Operating Margin———————————
Net Profit Margin———————————

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE-30.2%-30.2%-52.6%-30.6%-46.8%-153.0%-80.1%-72.5%-128.1%-87.0%—
ROA-28.1%-28.1%-47.8%-27.4%-36.1%-79.3%-61.2%-64.7%-96.2%-84.0%-131.8%
ROIC-31.9%-31.9%-65.5%-32.7%-45.3%———-1115.2%——
ROCE-34.7%-34.7%-56.0%-35.1%-44.2%-96.5%-67.4%-73.4%-111.8%-528.0%—

TRVI Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity0.000.000.010.020.090.860.520.010.060.36—
Debt / EBITDA———————————
Net Debt / Equity—-0.10-0.33-0.38-0.03-1.30-1.13-1.04-0.93-1.13—
Net Debt / EBITDA———————————
Debt / FCF———————————
Interest Coverage——-11984.25-73.42-35.93-27.25-70.88—-117.79-2.46—

Net cash position: cash ($19M) exceeds total debt ($753000)

TRVI Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio19.6619.6610.4115.039.152.988.3311.457.023.110.41
Quick Ratio19.6619.6610.4115.039.152.988.3311.456.503.100.41
Cash Ratio19.3119.3110.2414.258.992.898.1011.026.413.090.41
Asset Turnover———————————
Inventory Turnover————————0.02——
Days Sales Outstanding———————————

TRVI Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield———————————
Payout Ratio———————————

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield———————————
FCF Yield———————————
Buyback Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%———
Total Shareholder Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%———
Shares Outstanding—$145M$101M$99M$65M$23M$18M$18M$9M$9M$16M

Key Metrics

Growth RegimeContracting
ProfitabilityNegative
Balance SheetVulnerable
Cash FlowBurning
Top Statement Risk

Imminent liquidity and dilution

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Valuation Reflects Binary Clinical Risk

As reported in financial statements, Trevi's P/B ratio of 14.37 suggests that the market is pricing the company based on speculative future clinical success rather than current book value, which is typical for pre-revenue biotechnology firms facing significant binary outcomes in their late-stage development programs.

The negative P/E ratio of -62.59 confirms the absence of current earnings, rendering traditional valuation multiples largely irrelevant for assessing the firm's intrinsic value. Investors should monitor the valuation gap relative to better-capitalized peers, as the current pricing appears to heavily discount the high probability of near-term dilutive financing.

Capital Efficiency Remains Deeply Negative

Based on Trevi's reported figures, the ROIC has consistently trended in negative territory, reaching -7.0% in 2026Q1, which underscores the firm's inability to generate returns on invested capital while it remains in a cash-burning, clinical-stage phase without any commercial revenue to offset development costs.

The persistent decay in ROIC over the last ten quarters reflects the high cost of clinical trial execution relative to the company's limited asset base. This trend suggests that capital is being consumed at an accelerating rate, with no immediate prospect for positive compounding until the Haduvio program achieves regulatory milestones.

Liquidity Buffer Under Severe Stress

According to recent SEC filings, Trevi's current ratio has fluctuated significantly, dropping from 24.75 in 2026Q1 to lower levels in previous periods, which indicates that the company's ability to meet short-term obligations is entirely dependent on its rapidly depleting cash reserves rather than operational cash generation.

The high current ratio is a misleading indicator of health, as it masks the underlying reality that the firm has no recurring revenue to sustain its operations. Under severe stress, the company's reliance on external capital markets for liquidity appears to be the primary risk factor for existing shareholders.

Misapplication of Traditional Liquidity Ratios

As evidenced by the company's financial data, the current ratio is the most commonly misapplied metric for Trevi, as it obscures the firm's lack of operational cash flow and the imminent risk of insolvency inherent in a pre-revenue biotechnology business model.

Analysts should instead focus on the cash runway, calculated as the ratio of cash reserves to quarterly burn rate, to better assess the firm's survival horizon. Relying on standard liquidity ratios like the current ratio provides a false sense of security that ignores the binary nature of the company's clinical development timeline.

Download Financial Ratios Data

Includes 30+ ratios · 10 years · Updated daily

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TRVI — Frequently Asked Questions

Quick answers to the most common questions about buying TRVI stock.

What is Trevi Therapeutics, Inc.'s P/E ratio?

Trevi Therapeutics, Inc.'s current P/E ratio is -61.9x. This places it at the 50th percentile of its historical range.

What is Trevi Therapeutics, Inc.'s ROE?

Trevi Therapeutics, Inc.'s return on equity (ROE) is -30.2%. The historical average is -75.7%.

Is TRVI stock overvalued?

Based on historical data, Trevi Therapeutics, Inc. is trading at a P/E of -61.9x. This is at the 50th percentile of its historical P/E range. Compare with industry peers and growth rates for a complete picture.