Core Insights - Vertex Pharmaceuticals is presenting updates on its kidney programs at the American Society of Nephrology Kidney Week 2025 [1][2] - The company has three kidney programs in pivotal development and one in a proof-of-concept study [2] Company Overview - The presentation is led by Susie Lisa, Senior Vice President of Investor Relations, and includes an overview from CEO Dr. Reshma Kewalramani [1] - The company expresses gratitude for the participation of three physician thought leaders who will discuss recent data on kidney disease treatments [2] Research and Development - The RUBY-3 data in IgAN will be recapped by Dr. James A. Tumlin, a prominent figure in nephrology [3] - The RAINIER Phase III study of IgAN has recently completed full enrollment in record time, indicating strong progress in clinical trials [2]

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Core Insights - Vertex Pharmaceuticals announced updated data for povetacicept (pove) in IgA nephropathy (IgAN) and primary membranous nephropathy (pMN) from the RUBY-3 trial at the ASN Kidney Week 2025 [1] Group 1: Drug Information - Pove is an investigational recombinant fusion protein therapeutic [1] - Pove acts as a dual inhibitor of the BAFF (B cell activating factor) and APRIL (a proliferation inducing ligand) cytokines [1]

Key Takeaways Alyftrek sales jumped to $247M, beating estimates and showing strong global launch momentum.Journavx brought in $19.6M, meeting targets as prescriptions and payer coverage expand steadily.Casgevy sales fell 44% sequentially to $16.9M, though patient access and reimbursement are improving.Vertex Pharmaceuticals Incorporated’s (VRTX) third-quarter 2025 results were strong as it beat estimates for both earnings and sales.The company’s total revenues of $3.08 billion rose 11% year over year, drive ...

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Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ________________________________________________________ FORM 10-Q ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 2025 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO Commission file number 000-19319 ____________________________________________ Vertex Ph ...

Key Takeaways Vertex's Q3 EPS of $4.80 beat estimates, rising 10% year over year on $3.08B in revenues.Trikafta and Alyftrek fueled growth, while Casgevy sales fell 44% sequentially to $16.9M.VRTX tightened its total revenue guidance for 2025 from $11.85-$12 billion to $11.9 to $12.0 billion.Vertex Pharmaceuticals (VRTX) reported adjusted earnings of $4.80 per share for the third quarter of 2025, surpassing the Zacks Consensus Estimate of $4.55. Earnings rose around 10% year over year.Total revenues of $3.0 ...

Core Insights - Vertex Pharmaceuticals reported mixed third-quarter results, with total sales of $3.08 billion, surpassing expectations of $3.06 billion, and adjusted earnings of $4.80 per share, exceeding the forecast of $4.58 per share [5][8] - The sales performance was primarily driven by the older cystic fibrosis treatment, Trikafta, and the newer triplet therapy, Alyftrek, which together generated $2.9 billion in sales, slightly above the projected $2.86 billion [2][8] - However, there were notable shortfalls in other product revenues, particularly for the pain drug Journavx and the gene-editing treatment Casgevy, which raised concerns about the overall growth trajectory of Vertex's product portfolio [5][7] Financial Performance - Vertex's adjusted earnings rose by 10% year-over-year, while sales increased by 11% [5] - Revenue from Journavx was $20 million, below the expected $23 million, despite 300,000 prescriptions being filled since its launch [5][6] - Casgevy's revenue was significantly lower than anticipated at $17 million, compared to the expected $43 million, indicating a potential slowdown in uptake [7][8] Market Position and Outlook - Vertex's stock price experienced a slight decline, closing at $422.60, and is currently positioned between its 50-day and 200-day moving averages, which may hinder breakout potential [4] - The company raised its sales outlook for the year to a range of $11.9 billion to $12 billion, although this is below analyst projections of $12 billion [8] - The increase in insurance coverage for Journavx to 170 million people from 150 million in the previous quarter is a positive sign, but the overall sales performance remains a concern [6]

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Financial Data and Key Metrics Changes - Vertex Pharmaceuticals reported Q3 2025 revenue of $3,080,000,000, reflecting an 11% year-over-year increase, with a 15% growth in the CF segment driven by ongoing patient demand and favorable net pricing [5][40] - Non-GAAP net income for Q3 2025 was $1,240,000,000, up from $1,140,000,000 in Q3 2024, resulting in non-GAAP earnings per share of $4.80, a 10% increase compared to $4.38 in the previous year [42][43] - The company ended the quarter with $12,000,000,000 in cash and investments after repurchasing over 2,700,000 shares [43] Business Line Data and Key Metrics Changes - The CF franchise experienced strong double-digit growth, with the launch of ElefTrex contributing significantly to revenue, generating close to $505,000,000 in sales since its launch [24][56] - KASJEVY revenue for Q3 2025 was $17,000,000, while GERNAVIX contributed $20,000,000, indicating a growing revenue base from new product launches [41] - The renal medicine portfolio is expanding, with multiple programs in pivotal development, including VX407 for ADPKD and povitacicept for IGAN [13][20] Market Data and Key Metrics Changes - The company is seeing increased uptake of ElefTrex in both the U.S. and Europe, with nearly ten times as many newly eligible patients in Europe compared to the U.S. [26][28] - KASJEVY is gaining traction globally, with significant progress in securing access and reimbursement in various regions, including Italy [29][30] - GERNAVIX is being adopted across a wide range of pain settings, with over 300,000 prescriptions filled as of mid-October [37] Company Strategy and Development Direction - Vertex is diversifying its revenue base by expanding its product offerings and geographic reach, particularly in CF and renal diseases [5][12] - The company aims to achieve its long-standing goals in CF by developing medicines that treat a broader range of mutations and patient populations [6][10] - The renal medicine portfolio is positioned as a significant growth driver, with plans to commercialize PoV in IGAN and other serious kidney diseases [38][39] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ongoing growth of the CF franchise and the potential of new products like ElefTrex and GERNAVIX to drive future revenue [5][22] - The company anticipates continued growth from its CF medicines and expects to achieve over $100,000,000 in KASJEVY revenue for the year [45][46] - Management highlighted the importance of securing broad payer coverage and expanding access to new therapies as key priorities moving forward [32][66] Other Important Information - Vertex has seven commercialized medicines and five programs in Phase III development, indicating a robust pipeline [22] - The company is actively working on securing reimbursement and expanding access for GERNAVIX, with ongoing negotiations with payers [33][66] - Vertex has received breakthrough therapy designation for povitacicept, allowing for a rolling review of its BLA submission [18][82] Q&A Session Summary Question: Status update on ElefTrex and patient switching - Management reported that the majority of newly eligible patients in the U.S. have started on ElefTrex, with strong uptake in countries with access [55][56] Question: Differentiation of PoV data set - Management emphasized the importance of the dual mechanism of action of PoV and its potential to address unmet needs in IGAN [57][59] Question: Current priorities for capital allocation - The company reiterated its focus on reinvesting in the business for innovation and growth, with share buybacks as a secondary priority [72][73] Question: Competitive profile of PoV - Management highlighted the advantages of PoV's auto-injector and monthly dosing, which are expected to improve patient adherence and satisfaction [76][78] Question: Update on the No Pain Act - Management noted that the final list for the No Pain Act has been delayed due to a government shutdown, but they continue to advocate for GERNAVIX's inclusion [85] Question: Coverage details for GERNAVIX - Of the 170,000,000 lives with access to GERNAVIX, 113,000,000 have unrestricted access, with ongoing progress in securing coverage with major PBMs [94]