Financial Data and Key Metrics Changes - In Q4 2025, total revenue reached $3.2 billion, a 10% increase compared to Q4 2024. For the full year 2025, total revenue was $12 billion, reflecting a 9% increase versus 2024 [32][33] - Non-GAAP net income for Q4 2025 was $1.3 billion, up 24% year-over-year, resulting in earnings per share of $5.03, a 26% increase compared to the prior year [37] - The company ended 2025 with $12.3 billion in cash, cash equivalents, and marketable securities, positioning it well for future investments [37] Business Line Data and Key Metrics Changes - Cystic fibrosis (CF) therapies generated a full year 2025 growth of 7% globally, with U.S. CF revenue growing 11% year-over-year [32][33] - CASGEVY achieved $54 million in revenue in Q4 and $116 million for the full year 2025, demonstrating continued momentum in patient initiations [34][35] - JOURNAVX delivered $27 million in sales in Q4 and $60 million for the full year, with substantial growth in quarterly prescriptions since its launch [34] Market Data and Key Metrics Changes - The CF population has seen a 3% annual increase over the last five years, contributing to revenue growth [22] - In Europe, reimbursement for ALYFTREK has been secured in key countries, including the UK, Germany, and Italy, expanding access to CFTR modulators [22][23] - CASGEVY's reimbursement agreements in the U.S. have reached approximately 90% access for both Medicaid and commercial patients [23] Company Strategy and Development Direction - The company aims to expand leadership in CF, accelerate adoption of CASGEVY, and grow JOURNAVX while advancing its renal franchise [6][29] - The renal pipeline is emerging as a key growth engine, with povetacicept positioned to address significant unmet needs in IgA nephropathy and membranous nephropathy [10][29] - The company is focused on commercial execution and innovation to drive sustained growth across multiple serious disease areas [6][29] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to deliver on significant opportunities and drive sustained growth through commercial execution and innovation [6][40] - The guidance for 2026 anticipates total company revenue in the range of $12.95 billion to $13.1 billion, representing 8%-9% growth versus the prior year [38] - The company expects combined non-GAAP operating expenses to be in the range of $5.65 billion to $5.75 billion as it continues to invest in its late-stage clinical pipeline [39] Other Important Information - The company has initiated a rolling BLA submission for povetacicept, with expectations for expedited regulatory review [11] - The company is committed to maintaining comprehensive patient support programs to facilitate access to its therapies [29] Q&A Session Summary Question: Concerns about hypogammaglobulinemia adverse events related to povetacicept - Management indicated that while BAFF/APRIL inhibitors may decrease IgG levels, data from the RUBY-3 study showed no serious adverse events or infections associated with low IgG levels, suggesting a favorable benefit-risk profile [42][44] Question: Guidance details for CF component and ALYFTREK - Management provided total revenue guidance of $12.95 billion to $13.1 billion, with a non-CF contribution of $500 million or more, but did not break down specifics for ALYFTREK versus other products [49][51] Question: Payer access and reimbursement for povetacicept - Management reported positive engagements with payers, having conducted 74 meetings covering over 210 million lives, indicating strong interest in the upcoming products [55][60] Question: Expected results on proteinuria for povetacicept - Management emphasized the importance of magnitude of proteinuria response, referencing a 56% reduction seen in the RUBY-3 study as a benchmark for expected outcomes [62][64] Question: Differentiation of povetacicept in generalized myasthenia gravis - Management highlighted the engineered profile of povetacicept, which offers better potency and pharmacokinetics compared to existing treatments, positioning it as a promising option in a crowded market [68][70]

Financial Data and Key Metrics Changes - In Q4 2025, total revenue reached $3.2 billion, a 10% increase compared to Q4 2024, while full-year revenue was $12 billion, reflecting a 9% growth versus 2024 [32][33] - Non-GAAP net income for Q4 2025 was $1.3 billion, up 24% year-over-year, resulting in earnings per share of $5.03, a 26% increase compared to the prior year [37] - The company ended 2025 with $12.3 billion in cash, cash equivalents, and marketable securities, positioning it well for future investments [37] Business Line Data and Key Metrics Changes - Cystic fibrosis (CF) therapies generated full-year 2025 growth of 7% globally, with U.S. CF revenue growing 11% year-over-year [32][33] - CASGEVY achieved $54 million in revenue in Q4 and $116 million for the full year 2025, indicating strong patient initiations and first cell collections [34] - JOURNAVX delivered $27 million in sales in Q4 and $60 million for the full year, with significant growth in quarterly prescriptions since its launch [34][35] Market Data and Key Metrics Changes - The CF population has seen a 3% annual increase over the last five years, contributing to revenue growth [20] - In Europe, reimbursement for ALYFTREK has been secured in key countries, enhancing market access [21] - The company has engaged with payers covering over 210 million lives regarding the renal pipeline, indicating strong interest and education on IgAN [60] Company Strategy and Development Direction - The company aims to expand leadership in CF, accelerate adoption of CASGEVY, and grow JOURNAVX while advancing its renal franchise [6][29] - The renal pipeline is expected to rival the scale of the CF business, with a focus on patient-centric approaches and securing reimbursement [29][30] - The company is committed to serial innovation and comprehensive patient support programs to enhance access to its therapies [29][30] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to deliver sustained growth through commercial execution and innovation [6] - The guidance for 2026 anticipates total revenue in the range of $12.95 billion to $13.1 billion, representing 8%-9% growth versus the prior year [38] - The company expects combined non-GAAP operating expenses to be in the range of $5.65 billion to $5.75 billion as it continues to invest in its late-stage clinical pipeline [39] Other Important Information - The company has initiated a rolling BLA submission for povetacicept in IgAN, with breakthrough therapy designation granted by the FDA [11][12] - The company plans to double the size of its field force for JOURNAVX in Q2 2026 to drive prescription growth [26] Q&A Session Summary Question: Concerns about hypogammaglobulinemia adverse events related to pove - Management indicated that while low IgG levels are expected, data from the RUBY-3 study showed no serious adverse events or infections associated with low IgG levels, suggesting a favorable benefit-risk profile [43][44] Question: Guidance details for CF component and ALYFTREK performance - Management provided total revenue guidance of $12.95 billion to $13.1 billion, with a non-CF contribution of $500 million or more, while noting strong international launch contributions for ALYFTREK [49][51][52] Question: Payer access and reimbursement for pove - Management reported positive engagements with payers, indicating strong interest in the product and ongoing discussions to ensure access [59][60] Question: Expected results on proteinuria for pove - Management emphasized the importance of proteinuria response magnitude, referencing RUBY-3 results as a benchmark for expected outcomes in the RAINIER trial [62][64] Question: Rationale for studying pove in generalized myasthenia gravis - Management highlighted the significant patient population and limitations of current treatments, positioning pove as a potentially superior option due to its mechanism of action [70][72]

Financial Data and Key Metrics Changes - In Q4 2025, total revenue reached $3.2 billion, a 10% increase compared to Q4 2024. For the full year 2025, total revenue was $12 billion, reflecting a 9% increase versus 2024 [33] - Full year 2025 growth in cystic fibrosis (CF) therapies was 7% globally, with U.S. CF revenue growing 11% year-over-year [34] Business Line Data and Key Metrics Changes - CASGEVY generated $54 million in revenue in Q4 and $116 million for the full year 2025, with continued momentum in patient initiations and first cell collections [34] - JOURNAVX delivered $27 million in sales in Q4 and $60 million for the full year, showing substantial growth in quarterly prescriptions since its launch [34] Market Data and Key Metrics Changes - Internationally, CF revenue grew 2% year-over-year, driven by the penetration of KAFTRIO and contributions from ALYFTREK, partially offset by a $200 million decline in Russia sales [34] - The company secured reimbursement for ALYFTREK in key European countries, enhancing access for patients [21] Company Strategy and Development Direction - The company aims to expand leadership in CF, accelerate adoption of CASGEVY, and grow JOURNAVX while advancing its renal franchise, starting with povetacicept in IgAN [5] - The renal pipeline is expected to become a key growth engine, potentially rivaling the scale of the CF business [29] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to deliver sustained growth through commercial execution and innovation across multiple serious disease areas [5] - The guidance for 2026 anticipates total company revenue in the range of $12.95 billion to $13.1 billion, representing 8%-9% growth versus the prior year [39] Other Important Information - The company ended 2025 with $12.3 billion in cash, cash equivalents, and marketable securities, positioning it well for future investments [38] - The fourth quarter gross margin was 85.7%, reflecting the product mix and investments in manufacturing optimization [35] Q&A Session Summary Question: Concerns about hypogammaglobulinemia adverse events related to povetacicept - Management indicated that while BAFF/APRIL inhibitors may decrease IgG levels, data from the RUBY-3 study showed no serious adverse events or infections associated with low IgG levels, suggesting a favorable benefit-risk profile [44][45] Question: Guidance details for CF component relative to ALYFTREK and TRIKAFTA - Management provided total revenue guidance of $12.95 billion to $13.1 billion, with a non-CF contribution of $500 million or more, but did not break down specifics for ALYFTREK versus other products [52] Question: Payer access and reimbursement for povetacicept - Management reported positive engagement with payers, having conducted 74 engagements covering over 210 million lives, indicating strong interest in the upcoming products [62] Question: Expected results on proteinuria for povetacicept - Management highlighted that a significant reduction in proteinuria, similar to the RUBY-3 study results, would be clinically meaningful and important for long-term outcomes [66] Question: Mix between retail and hospital settings for JOURNAVX - Management noted that the prescription mix concluded at about 50/50 between retail and hospital settings in 2025, with expectations for a shift towards retail in the future [83]

FIRST QUARTER 2025 FINANCIAL RESULTS Fourth Quarter and Full Year 2025 Financial Results ©2026 Vertex Pharmaceuticals Incorporated ©2026 Vertex Pharmaceuticals Incorporated ©2025 Vertex Pharmaceuticals Incorporated Presentation intended for the investment community Agenda Introduction Susie Lisa, CFA, Senior Vice President, Investor Relations CEO Perspective and Pipeline Update February 12, 2026 Reshma Kewalramani, M.D., Chief Executive Officer and President Commercial Update Duncan McKechnie, Executive Vic ...

Company Overview - Vertex Pharmaceuticals Incorporated (VRTX) has a market cap of $116.9 billion and focuses on developing innovative therapies, particularly for cystic fibrosis with products like TRIKAFTA/KAFTRIO, ALYFTREK, and KALYDECO [1] - The company is also advancing treatments for serious diseases such as sickle cell disease, beta thalassemia, diabetes, kidney disease, and acute pain through a robust research pipeline and strategic collaborations [1] Financial Performance - Analysts expect VRTX to report an adjusted EPS of $4.41 for fiscal Q4 2025, representing a 24.6% increase from $3.54 in the same quarter last year [2] - For fiscal 2025, the projected adjusted EPS is $16.10, a significant recovery from a loss of $1.35 per share in fiscal 2024 [3] - In Q3 2025, Vertex reported total revenue of $3.08 billion, an 11% year-over-year increase, driven by growth in its cystic fibrosis franchise and contributions from new products CASGEVY and JOURNAVX [5] - The company has refined its full-year 2025 revenue guidance to between $11.9 billion and $12 billion, supported by expanding global launches and rising U.S. demand [5] Stock Performance - Over the past 52 weeks, shares of Vertex Pharmaceuticals have increased by 11.8%, which is below the S&P 500 Index's gain of 19.7% but slightly above the State Street Health Care Select Sector SPDR ETF's return of 11.3% [4] - The consensus rating for VRTX stock is "Moderate Buy," with 20 out of 32 analysts recommending a "Strong Buy," one a "Moderate Buy," 10 a "Hold," and one a "Strong Sell" [6] - The average analyst price target for Vertex Pharmaceuticals is $495.76, indicating a potential upside of 7.6% from current levels [6]

Financial Performance & Growth - The company projects total revenue of $11.9-12 billion in 2026[37] - Approximately $1.9 billion was deployed through Q3 2025 for share repurchases, buying back around 4.5 million shares[37] - The company exceeded its goal with CASGEVY revenue reaching $100 million in FY 2025[18] Cystic Fibrosis (CF) Portfolio - The company's CF medicines have the potential to treat approximately 95% of people with CF[16] - CF population average annual growth rate is approximately 3% from 2020-2025[17] - The company's CF portfolio has patent protection through approximately 2040[13] Emerging Renal Franchise - The company completed engagement with over 60 payers representing approximately 190 million covered lives in 2025[30] - Povetacicept in IgAN targets a patient population of approximately 330,000 in the US and Europe, and over 1.5 million globally[31] - Inaxaplin targets approximately 250,000 patients with APOL1-mediated kidney disease (AMKD)[11] Pain Management - The company is targeting over 3x prescription growth for JOURNAVX compared to 2025[22] - JOURNAVX is part of multimodal therapy for acute pain following aesthetic and reconstructive procedures, 90.9% of patients were rescue opioid-free through end of treatment[24]

Core Insights - Vertex Pharmaceuticals experienced steady double-digit revenue growth in Q3, driven by the expansion of its cystic fibrosis franchise and new product launches in acute pain and genetic therapies [1] - Despite revenue growth, the market reacted negatively due to margin compression and operational investments impacting overall sentiment [1] Financial Performance - Revenue reached $3.08 billion, exceeding analyst estimates of $3.06 billion, reflecting an 11% year-on-year growth [6] - Adjusted EPS was reported at $4.80, beating analyst expectations of $4.58 by 4.9% [6] - Adjusted EBITDA stood at $1.44 billion, surpassing estimates of $1.37 billion, with a margin of 46.8% [6] - The company slightly raised its full-year revenue guidance to $11.95 billion from $11.93 billion [6] - Operating margin decreased to 38.6% from 40.3% in the same quarter last year [6] - Market capitalization is currently at $103.9 billion [6] Analyst Insights - Analysts raised questions regarding the adoption of ALYFTREK, with management indicating that most newly eligible U.S. patients have begun using the therapy [6] - Inquiry into the long-term effects of proteinuria reductions with povetacicept was addressed, with expectations of correlation to stabilized eGFR [6] - Capital allocation priorities were discussed, with a focus on reinvestment in R&D and commercialization [6] - The importance of monthly auto-injector dosing for povetacicept was highlighted as a differentiator in the renal market [6] - The rationale behind the FDA's breakthrough therapy designation for povetacicept was explained, citing unmet needs and strong data [6]

Financial Performance - Q3 2025 total revenues reached $3.08 billion, representing an 11% year-over-year growth[5,45] - TRIKAFTA/KAFTRIO contributed $2.65 billion in Q3 2025[45] - ALYFTREK generated $247 million in revenue during Q3 2025[45] - CASGEVY revenues were $17 million in Q3 2025 and are expected to exceed $100 million for the full year 2025[45,32] - JOURNAVX revenues were $20 million in Q3 2025[45] - Non-GAAP operating income was $1.38 billion with a 45% margin in Q3 2025[45] - Non-GAAP net income was $1.24 billion, or $4.80 per diluted share in Q3 2025[45] - The company refined its 2025 revenue guidance to $11.9-12.0 billion and non-GAAP OpEx to $5.0-5.1 billion, while lowering the tax rate guidance to 17%-18%[8] Pipeline and Approvals - ALYFTREK is now approved in the U S, U K, European Union, Canada, New Zealand, and Switzerland for patients aged 6 and older[9,26] - TRIKAFTA pivotal study in 12 to <24-month-old children completed, showing a mean sweat chloride reduction of more than 70 mmol/L from baseline through week 24[8]

Group 1 - Vertex is entering a new phase of revenue and commercialization diversification with three ongoing commercial launches: ALYFTREK for cystic fibrosis, CASGEVY for sickle cell disease and beta-thalassemia, and JOURNAVX for acute pain [3] - The company has four ongoing Phase III programs and plans to start a fifth soon, focusing on diabetic peripheral neuropathy in the pain franchise and three in the kidney space [4]

Core Viewpoint - Vertex Pharmaceuticals Inc reported better-than-expected earnings for the second quarter, with revenue of $2.97 billion exceeding estimates of $2.90 billion and adjusted EPS of $4.52 surpassing estimates of $4.29 [1][2] Financial Performance - The company's revenue for the second quarter was $2.97 billion, compared to estimates of $2.90 billion [1] - Adjusted EPS was reported at $4.52, exceeding the expected $4.29 [1] Product Performance - Vertex's three product launches—ALYFTREK, JOURNAVX, and CASGEVY—contributed to strong revenue growth [2] - The company is advancing its clinical programs alongside product launches [2] Clinical Study Results - Vertex announced topline results from a Phase 2 study of VX-993 for treating acute pain after bunionectomy surgery, which did not show statistically significant improvement on the primary endpoint [3] - The lack of significant results from the clinical study appears to have pressured the company's shares [3] Stock Performance and Analyst Ratings - Following the earnings announcement, Vertex Pharmaceuticals shares fell 18.8% to $383.40 [3] - Analysts adjusted their price targets for Vertex Pharmaceuticals, with several maintaining their ratings but lowering targets significantly [4][9] - Price target adjustments include: - HC Wainwright & Co. from $550 to $478 [9] - Morgan Stanley from $460 to $439 [9] - Stifel from $494 to $455 [9] - Cantor Fitzgerald from $535 to $485 [9] - BMO Capital from $557 to $530 [9] - UBS from $582 to $553 [9] - RBC Capital from $430 to $405 [9] - Scotiabank from $442 to $438 [9] - Truist Securities from $520 to $490 [9]