Vertex Provides Pipeline and Business Updates in Advance of Upcoming Investor Meetings
“2025 was a year of strong commercial execution and rapid R&D progress, setting up the company for continued growth and many important milestones in 2026,” said
Disease Areas with Approved Medicines
Cystic Fibrosis (CF)
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ALYFTREK®: ALYFTREK is now approved in the
U.S. , theUnited Kingdom (U.K. ), theEuropean Union (EU),Canada ,New Zealand ,Switzerland , andAustralia for people with CF 6 years and older who have at least one F508del mutation or another mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene that is responsive to ALYFTREK. Eligible patients in theU.S. ,England ,Ireland ,Germany ,Denmark ,Northern Ireland ,Norway , andWales currently have reimbursed access to ALYFTREK, andVertex is working to secure access for eligible patients in additional countries.Vertex plans to share data from the global study of ALYFTREK in children 2 to 5 years of age and submit to global regulators in 2026.Vertex expects to initiate a pivotal study of ALYFTREK in children 1 to 2 years of age in 2026. -
TRIKAFTA®: Following positive results from the study of TRIKAFTA in patients one year to less than two years of age, reported in
November 2025 ,Vertex expects to submit for approvals in this age group to global regulators, beginning in the first half of 2026. -
Next-generation CFTR modulators:
Vertex has advanced VX-828, the first of the next-generation 3.0 CFTR corrector class, into a study in people with CF.Vertex expects to complete enrollment and dosing in this study and share data in the second half of 2026.Vertex also advanced VX-581, another corrector in this class, into a Phase 1 study in healthy volunteers. -
VX-522:
Vertex is working to complete dosing in the multiple ascending dose (MAD) portion of the Phase 1/2 study of VX-522 and share data in the second half of 2026. VX-522 is a CFTR mRNA therapeutic thatVertex is developing in collaboration with Moderna for the approximately 5,000 people with CF who cannot benefit from CFTR modulators. -
Epidemiology and market opportunity update:
Vertex increased its estimates for the number of people with CF in all target markets from approximately 109,000 to approximately 112,000, which includes an increase from 94,000 to approximately 97,000 people with CF in the core markets ofU.S. ,Europe ,Australia , andCanada .
Severe Sickle Cell Disease (SCD) and Transfusion-Dependent Beta Thalassemia (TDT) – CASGEVY®
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CASGEVY is approved in the
U.S. , theU.K. , the EU, theKingdom of Saudi Arabia , theKingdom of Bahrain ,Qatar ,Canada ,Switzerland , theUnited Arab Emirates , andKuwait for patients 12 years and older with SCD or TDT. -
Vertex realized its goal for greater than$100 million of CASGEVY revenue in 2025, reflecting more than 60 patients receiving infusions of CASGEVY. -
At the
American Society of Hematology (ASH) annual meeting inDecember 2025 ,Vertex presented positive data from the pivotal studies of CASGEVY in children ages 5 to 11 years old with SCD or TDT.Vertex expects to begin submitting in the first half of 2026 for approvals from global regulators. TheU.S. Food and Drug Administration (FDA) awardedVertex a Commissioner’s National Priority Voucher for this pediatric submission, accelerating the timeline for review once the submission is complete. -
Taken together,
Vertex expects these advances will result in significant CASGEVY revenue growth in 2026 and beyond.
Acute Pain – JOURNAVX®
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JOURNAVX (suzetrigine) is approved in the
U.S. for the treatment of moderate-to-severe acute pain in adults. -
Since FDA approval on
January 30, 2025 , and pharmacy availability inMarch 2025 , more than 500,000 JOURNAVX prescriptions were written and filled in 2025 across both hospital and retail settings. -
Vertex secured commercial coverage for JOURNAVX with the remaining large national pharmacy benefit manager (PBM) and now has secured access for JOURNAVX with all three national PBMs. As ofJanuary 2026 , over 200 million individuals now have access to JOURNAVX across commercial and government payers, representing two-thirds ofU.S. covered lives – a significant achievement in the first year of product launch. -
Vertex plans to complete a regulatory submission inCanada for JOURNAVX for the treatment of moderate-to-severe acute pain in adults in the first half of 2026. -
With positive feedback on JOURNAVX’s efficacy and tolerability and strong progress with payers, hospital, and physician adoption,
Vertex expects the number of JOURNAVX prescriptions to more than triple in 2026 versus 2025.
Programs in
Peripheral Neuropathic Pain (PNP)
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Vertex expects to complete enrollment in both Phase 3 studies of suzetrigine in diabetic peripheral neuropathy (DPN), a form of peripheral neuropathic pain (PNP), by the end of 2026. -
Vertex also continues to enroll and dose patients in a Phase 2 study of VX-993 in DPN. -
Epidemiology and market opportunity update:
Vertex increased its estimates for the number of people with DPN in theU.S. from approximately 2 million to approximately 2.5 million, which reflects the agingU.S. population and increased prevalence of chronic pain in older age groups.
IgA Nephropathy (IgAN), Primary Membranous Nephropathy (pMN) and other B Cell-Mediated Diseases – povetacicept
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In the fourth quarter of 2025,
Vertex initiated the rolling biologics license application (BLA) filing forU.S. accelerated approval of povetacicept in IgAN with submission of the first module.Vertex remains on track to complete the submission in the first half of 2026.Vertex is using a priority review voucher to expedite the review of the povetacicept BLA from ten months to six months, and the FDA has granted Breakthrough Therapy Designation for povetacicept in IgAN. The RAINIER Phase 3 study completed full enrollment in November. -
Vertex continues to enroll and dose patients in the Phase 2/3 OLYMPUS pivotal study of povetacicept in patients with pMN. The FDA has grantedFast Track designation for povetacicept in pMN, and the EMA has granted Priority Medicines (PRIME) designation. -
Epidemiology and market opportunity update:
Vertex increased its estimates for the number of people with IgAN in theU.S. andEurope from approximately 300,000 to approximately 330,000 and estimates the global diagnosed population exceeds 1.5 million. For pMN,Vertex estimates the disease impacts approximately 150,000 people in theU.S. andEurope and more than 600,000 globally.
APOL1-Mediated Kidney Disease (AMKD) – inaxaplin
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In September,
Vertex completed enrollment in the interim analysis cohort of the AMPLITUDE Phase 2/3 trial of inaxaplin in patients with primary AMKD and will conduct the pre-planned interim analysis once this cohort reaches 48 weeks of treatment.Vertex expects to share data from the interim analysis in late 2026 or early 2027. The AMPLITUDE study is on track to complete full enrollment in the second half of 2026.
Type 1 Diabetes (T1D)
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Vertex has completed enrollment in the Phase 1/2/3 study of zimislecel in people with T1D and has temporarily postponed completion of dosing in the study, pending an ongoing internal manufacturing analysis. -
Zimislecel has been granted Regenerative Medicine Advanced Therapy (RMAT) and
Fast Track designations from theU.S. Food and Drug Administration , PRIME designation from the EMA, Breakthrough Medicine designation from theKingdom of Saudi Arabia , and has secured an Innovation Passport under theInnovative Licensing and Access Pathway (ILAP) from theU.K. Medicines and Healthcare products Regulatory Agency (MHRA).
Programs in
Autosomal Dominant Polycystic Kidney Disease (ADPKD) – VX-407
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Vertex is enrolling and dosing patients with ADPKD in the AGLOW Phase 2 proof- of-concept study. AGLOW is a 24-patient single-arm study that will evaluate the effect of VX-407 on height-adjusted total kidney volume (htTKV).
Myotonic Dystrophy Type 1 (DM1) – VX-670
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Vertex continues to enroll and dose the MAD portion of the GALILEO global Phase 1/2 clinical trial of VX-670 in people with DM1; the study is assessing both safety and efficacy.Vertex is on track to complete enrollment and dosing in the trial in mid-2026.
Generalized Myasthenia Gravis (gMG) – povetacicept
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Vertex expects to initiate a Phase 2 study of povetacicept for the treatment of generalized myasthenia gravis, another B cell-mediated disease, in the first half of 2026. -
Epidemiology and market opportunity update:
Vertex estimates that the number of people with gMG is approximately 175,000 in theU.S. andEurope and more than 300,000 globally.
Additional Earlier Stage R&D Programs
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Consistent with its overall strategy,
Vertex takes a portfolio approach to all of its programs, with additional assets or approaches in CF, SCD, TDT, pain, AMKD, T1D, DM1, and ADPKD in earlier stages of development. Additionally,Vertex is working on preclinical molecules with the potential to expand its leadership in existing disease areas, including assets targeting improved immunosuppression for zimislecel, gentler conditioning for CASGEVY, and inhibition of NaV1.7 in pain.
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