Vertex Pharmaceuticals Incorporated · NASDAQ:VRTX

Vertex Pharmaceuticals — Q1 2025 Earnings Presentation

20 slides from Vertex Pharmaceuticals's earnings presentation, May 5, 2025

  1. Slide 1: First Quarter 2025 Financial Results

    FIRST QUARTER 2025 FINANCIAL First Quarter 2025 RESULTS Financial Results May 5, 2025 ©2025 Vertex Pharmaceuticals Incorporated ©2025 Vertex Pharmaceuticals Incorporated ©2025 Vertex Pharmaceuticals Incorporated

  2. Slide 2: Agenda

    Agenda Introduction Susie Lisa, CFA, Senior Vice President, Investor Relations CEO Perspective and Pipeline Update Reshma Kewalramani, M.D., Chief Executive Officer and President Commercial Update Stuart Arbuckle, Executive Vice President and Chief Operating Officer Duncan McKechnie, SVP, North Amer

  3. Slide 3: Safe harbor statement & non-GAAP financial measures

    Safe harbor statement & non-GAAP financial measures This presentation contains forward-looking statements that are subject to risks, uncertainties and other factors. All statements other than statements of historical fact are statements that could be deemed forward-looking statements, including all

  4. Slide 4: Vertex delivered a strong start to 2025

    Expand CF leadership • ALYFTREK: Approved in the U.S. and U.K. for patients with CF ages 6+; strong U.S. launch • VX-828 combo (next gen 3.0 CFTRm regimen): on track to initiate clinical trial in CF patients by EoY • VX-522 (mRNA): Implemented pause to MAD portion of Ph 1/2 study to assess a tolerab

  5. Slide 5: Expanding CF leadership: ALYFTREK approved in U.S. & U.K.

    Expanding CF leadership: ALYFTREK approved in U.S. & U.K. and Positive CHMP Opinion in EU Vertex CFTR modulators have the potential to transform the lives of nearly 95% of patients with CF Patients 1 month and older Patients 1 year and older Patients 6 years and older N.G 1.0 regimen, ages 2+ • Seri

  6. Slide 6: Vertex is committed to long-term leadership in pain

    Vertex is committed to long-term leadership in pain with a broad and deep pipeline FORMULATION RESEARCH PHASE 1 PHASE 2 PHASE 3 APPROVED JOURNAVX NaV1.8 inhibitor - Acute Oral Suzetrigine NaV1.8 inhibitor - DPN Oral Suzetrigine NaV1.8 inhibitor - LSR Oral VX-993 NaV1.8 inhibitor - Acute Oral VX-993

  7. Slide 7: Zimislecel: Pivotal trial will complete enrollment and dosing in Q2:25

    Zimislecel: Pivotal trial will complete enrollment and dosing in Q2:25, with global regulatory Total Daily Insulin submissions planned for 2026 EASD 2024 Data presented on 12 patients who completed Day 180 visit: Patient population • Initial launch targets ~60,000 severe T1D patients in U.S. and Eur

  8. Slide 8: Kidney: Broad pipeline of potentially transformative medicines

    Kidney: Broad pipeline of potentially transformative medicines in multiple serious renal diseases PATIENTS1 RESEARCH PHASE 1 PHASE 2 PHASE 3 APPROVED Povetacicept – IgAN2 ~300K Enrollment complete (>750K China) in IA cohort Moving to pivotal B cell mediated Povetacicept – pMN ~150K Development H2:25

  9. Slide 9: Povetacicept: IgAN - completed enrollment of interim analysis cohort

    Povetacicept: IgAN - completed enrollment of interim analysis cohort in global Phase 3 study; pMN - advancing to pivotal development Best-in-class potential RAINIER Phase 3 trial in IgAN Phase 2/3 trial in pMN Strong preclinical profile: • Reached agreement with FDA to • Dual antagonist of BAFF/APRI

  10. Slide 10: VX-407: First-in-class PC1 corrector for ADPKD

    VX-407: First-in-class PC1 corrector for ADPKD advancing to Phase 2 in H2 2025 Over time, kidney cysts lead to kidney function (eGFR) decline and • ~300,000 people in the U.S. & Europe diagnosed with kidney failure ADPKD • No treatments address the underlying cause of disease Normal Hyperfiltration

  11. Slide 11: Clinical portfolio is broad, diverse, and rapidly advancing

    Clinical portfolio is broad, diverse, and rapidly advancing On track to meet goal of 5 launches over 5 years (by 2028) Select, Next Wave Phase 1 Phase (1)/2 Pivotal Approved Research-stage Programs in Healthy Volunteers in Patients Development Improved conditioning Follow-on Suzetrigine Zimislecel C

  12. Slide 12: ALYFTREK: Approved for ages 6+ in U.S. and U.K.

    ALYFTREK: Approved for ages 6+ in U.S. and U.K; Uptake across all eligible patient groups in U.S. Reimbursement discussions underway in UK Potential approvals in EU and other geographies in 2025 ALYFTREK: A highly efficacious, once-daily CFTR modulator delivering equivalent improvement in lung funct

  13. Slide 13: CASGEVY: Launch gathering momentum in all regions

    CASGEVY: Launch gathering momentum in all regions Now approved in U.S., UK, EU, Kingdom of Saudi Arabia, Bahrain, Canada, Switzerland, and United Arab Emirates >65 ATCs activated and ~90 patients have had first cell collections* 8 CASGEVY infusions in Q1 2025 U.S. Payer Highlights Commercial – conti

  14. Slide 14: JOURNAVX: FDA approved Jan 30, 2025

    JOURNAVX: FDA approved Wide availability, strong early uptake Jan 30, 2025 • Retail pharmacy stocking: JOURNAVX was broadly available at ~33,000 Strong early launch retail locations by mid-March signals • >20,000 prescriptions filled through April 18th Rapid progress with payers • ~94 million covere

  15. Slide 15: Q1 2025 financial highlights

    Q1 2025 financial highlights ($ in millions except where noted or per share data and percentages) Q1:24 FY:24 Q1:25 Total revenue $2.69B $11.02B $2.77B TRIKAFTA/KAFTRIO 2.48B 10.24B 2.54B ALYFTREK - - 54 Other product revenue* 207 782 171 Combined non-GAAP, Acquired IPR&D and SG&A expenses 1.02B 8.8

  16. Slide 16: Updated full year 2025 financial guidance

    Updated full year 2025 financial guidance Current Previous Commentary FY 2025 Guidance FY 2025 Guidance Includes expectations for continued growth in CF, including the launch of ALYFTREK; continued Total Revenue $11.85 - $12.0B $11.75 - $12.0B uptake of CASGEVY; and a contribution from the launch of

  17. Slide 17: Multiple catalysts throughout 2025

    Multiple catalysts throughout 2025 ANTICIPATED KEY MILESTONES ALYFTREK (CF) Drive U.S. launch, secure reimbursement in U.K. and secure regulatory approvals in EU and other geographies VX-522 (CF) Temporary pause implemented to assess a tolerability issue Next-generation 3.0 (CF) VX-828 (next-generat

  18. Slide 18: First Quarter 2025 Financial Results

    FIRST QUARTER 2025 FINANCIAL First Quarter 2025 RESULTS Financial Results May 5, 2025 ©2025 Vertex Pharmaceuticals Incorporated ©2025 Vertex Pharmaceuticals Incorporated ©2025 Vertex Pharmaceuticals Incorporated

  19. Slide 19: Appendix A: GAAP to non-GAAP Financial Information

    Appendix A GAAP to non-GAAP Financial Information ($ in millions except as noted, per share data and percentages) Q1:24 FY:24 Q1:25 Combined R&D, Acquired IPR&D and SG&A GAAP 1.21B 9.72B 1.40B Non-GAAP 1.02B 8.82B 1.23B Operating income GAAP 1.14B (233) 630 Non-GAAP 1.34B 696 1.18B Operating Margin

  20. Slide 20: Vertex targeted disease area epidemiology estimates

    Vertex targeted disease area epidemiology estimates DISEASE STATE ASSET APPROACH/MODALITY PATIENT OPPORTUNITY 5 approved, incl. Cystic fibrosis Small molecules ~109,000 ALYFTREK COMMERCIALIZED Sickle cell disease + TDT CASGEVY Cell and gene therapy ~60,000 severe Small molecule NaV1.8 Acute Pain JOU

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