Vertex Pharmaceuticals
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Vertex Pharmaceuticals (VRTX) investor relations material

Vertex Pharmaceuticals Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary12 Feb, 2026

Executive summary

  • Achieved 9% full-year 2025 revenue growth to $12.0B, with Q4 revenue up 10% to $3.2B, driven by CF therapies, ALYFTREK, CASGEVY, and JOURNAVX launches.

  • CASGEVY generated $116M and JOURNAVX $60M in their first year, with over 550,000 JOURNAVX prescriptions and strong payer adoption.

  • U.S. revenue grew 13% to $7.55B, ex-U.S. revenue rose 3% to $4.45B, reflecting global expansion and new access in multiple countries.

  • Advanced pipeline with pivotal programs for povetacicept in IgAN, ALYFTREK pediatric studies, and exclusive global license with WuXi Biologics.

  • 2026 focus includes expanding CF leadership, accelerating new product adoption, and advancing the renal franchise.

Financial highlights

  • FY 2025 total revenue: $12.0B (+9% YoY); Q4 revenue: $3.2B (+10% YoY).

  • FY 2025 non-GAAP net income: $4.7B; non-GAAP EPS: $18.40; Q4 non-GAAP net income: $1.3B, EPS: $5.03.

  • Ended 2025 with $12.3B in cash, cash equivalents, and marketable securities.

  • Repurchased 4.8M shares for ~$2B in 2025; shareholders’ equity rose to $18.7B.

  • Q4 2025 gross margin: 85.4%–85.7%.

Outlook and guidance

  • 2026 revenue guidance: $12.95B–$13.1B (8–9% growth), with $500M+ from non-CF products.

  • Q1 2026 revenue expected to grow ~7% YoY, with acceleration through the year.

  • Non-GAAP operating expenses for 2026 projected at $5.65B–$5.75B; tax rate 19.5–20.5%.

  • Continued investment in clinical development, commercial capabilities, and pipeline innovation.

Breakdown of 2026 non-CF revenue drivers
Impact of povetacicept IgAN interim data
Details on Zimislecel manufacturing analysis
JOURNAVX gross-to-net impact on 2026 revenue
Povetacicept gMG competitive advantage
AMKD Phase 3 results similarity to Phase 2
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Frequently asked questions

Vertex Pharmaceuticals Incorporated, a biotechnology company, engages in developing and commercializing therapies for treating cystic fibrosis. Its products include KALYDECO (ivacaftor), ORKAMBI (lumacaftor and ivacaftor), SYMDEKO/SYMKEVI (tezacaftor/ivacaftor and ivacaftor), VX-445, and VX-659, as well as other product candidates at various stages of research, development, and commercialization. The company has collaboration agreements with CRISPR Therapeutics AG; Moderna, Inc.; CRISPR Therapeutics AG; Editas Medicine, Inc.; Frontline BioVentures; Merck & Co., Inc.; Cystic Fibrosis Foundation Therapeutics, Incorporated; Bristol-Myers Squibb Company; Altimmune, Inc.; and Tesaro, Inc. Vertex Pharmaceuticals Incorporated was founded in 1989 and is headquartered in Boston, Massachusetts.

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