Vertex(VRTX) - 2023 Q3 - Quarterly Report

Financial Performance - In Q3 2023, the company's net product revenues increased to $2.5 billion, up from $2.3 billion in Q3 2022, primarily driven by the performance of TRIKAFTA in the U.S. and strong uptake in ex-U.S. markets[109] - Product revenues for Q3 2023 reached $2,483.5 million, a 6% increase from $2,334.3 million in Q3 2022, driven primarily by strong uptake of TRIKAFTA/KAFTRIO[142] - Net income for the nine months ended September 30, 2023, was $2,650.8 million, reflecting a 6% increase compared to $2,503.1 million for the same period in 2022[142] - U.S. product revenues for Q3 2023 were $1,554.2 million, a 7% increase from $1,455.6 million in Q3 2022[144] - Ex-U.S. product revenues for Q3 2023 were $929.3 million, a 6% increase from $878.7 million in Q3 2022[144] Research and Development - The total R&D, AIPR&D, and SG&A expenses rose to $1.1 billion in Q3 2023, compared to $920.8 million in Q3 2022, due to the progression of several product candidates in clinical development[109] - Research and development expenses for Q3 2023 totaled $810.0 million, a 26% increase from $645.0 million in Q3 2022[147] - Total research and development expenses incurred since January 2021 amount to approximately $8.6 billion, reflecting significant investment in product discovery and development[148] - The company continues to invest in research and development to balance risks and enhance its pipeline for future years[126] - The company expects to complete pivotal clinical trials for vanzacaftor/tezacaftor/deutivacaftor by the end of 2023 and share results in early 2024[119] - The company is advancing VX-548 for acute pain, with expectations to complete the pivotal program by late 2023 and share results in early 2024[119] - Inaxaplin for APOL1-mediated kidney disease has received Breakthrough Therapy designation from the FDA and is currently in a pivotal Phase 2/3 clinical trial[124] - The company is developing VX-880 as a potential treatment for type 1 diabetes, with proof-of-concept achieved in 2022 and enrollment completed in Part C of the clinical trial[124] - The company is pursuing multiple NaV1.8 and NaV1.7 inhibitors for pain relief, with ongoing clinical trials expected to yield results in late 2023[119] Cash and Liquidity - As of September 30, 2023, total cash, cash equivalents, and marketable securities increased to $13.6 billion from $10.9 billion as of December 31, 2022, mainly due to net product revenues and operating cash flows[109] - Cash, cash equivalents, and marketable securities totaled $13.6 billion as of September 30, 2023, a 25% increase from $10.9 billion as of December 31, 2022[163] - Total working capital was $11.1 billion as of September 30, 2023, reflecting an increase of $603.7 million from $10.5 billion as of December 31, 2022[164] - Net cash provided by operating activities was $3.3 billion for the nine months ended September 30, 2023, compared to $3.1 billion for the same period in 2022[166] - Cash used in investing activities was $2.3 billion for the nine months ended September 30, 2023, compared to $496.7 million for the same period in 2022[167] - Cash used in financing activities was $442.4 million for the nine months ended September 30, 2023, compared to $107.9 million for the same period in 2022[169] - The company expects cash flows from product sales, along with current cash and marketable securities, to be sufficient to fund operations for at least the next twelve months[171] - The company has a revolving credit facility allowing borrowing up to $500 million, with the potential to increase this capacity to $1 billion, which was undrawn as of September 30, 2023[172] Future Obligations and Capital Management - Significant future capital requirements include operating expenses for research and development, manufacturing, commercialization, and obligations related to leases and royalties[174] - The company has $2.7 billion remaining authorization under its Share Repurchase Program as of September 30, 2023[175] - The company may raise additional capital through various financing methods, including public offerings and collaborative agreements[173] - Future obligations may include milestone and royalty payments contingent on the success of development and regulatory targets[174] - The company is committed to managing its capital structure and will consider all financing opportunities to strengthen its long-term liquidity profile[173] - The adequacy of available funds to meet future operating and capital requirements will depend on various factors, including future product sales and business development activities[171] Regulatory Updates - The FDA has assigned action dates of December 8, 2023, for SCD and March 30, 2024, for TDT regarding the regulatory submissions for exa-cel, which are currently under review[108] - The company made an upfront payment of $225.1 million to Entrada as part of a strategic collaboration and licensing agreement in February 2023[135] - In March 2023, the company entered into a license agreement with CRISPR, making a $100.0 million upfront payment and a subsequent $70.0 million payment for a research milestone[136] Operating Costs - Total operating costs and expenses for Q3 2023 were $1,445.4 million, a 20% increase from $1,207.6 million in Q3 2022[145] - Selling, general and administrative expenses increased by 7% to $263.8 million for the three months ended September 30, 2023, and by 13% to $767.5 million for the nine months ended September 30, 2023[155] - Acquired in-process research and development expenses for the nine months ended September 30, 2023, were $509.3 million, a significant increase of 448% from $92.9 million in the same period of 2022[137] - Acquired in-process research and development expenses rose by 78% to $51.7 million for the three months ended September 30, 2023, and by 448% to $509.3 million for the nine months ended September 30, 2023[154]