Vertex Pharmaceuticals Incorporated · VRTX · FY2025 Q4 · Calendar Q1 2026

Vertex maintains 2026 outlook as renal pipeline advances

The supplied analysis supports a constructive but conditional view: established cystic fibrosis products and expanding non-CF launches provide a current growth base, while the renal pipeline offers additional potential. The thesis depends on regulatory execution, payer access, and the safety and efficacy profile of Povatacept and related programs.

Reported After market closeNASDAQHealthcare $133.69B market cap
100quality score

Earnings scorecard

Reported versus consensus
Reported EPS $5.03 Consensus $5.11
EPS surprise -1.6% Reported versus consensus
Reported revenue $3.19B Consensus $3.18B
Revenue surprise +0.2% Reported versus consensus

Market reaction

event-close to next-session close
Stock move +5.7% Event window
SPY move +0.1% Same window
Abnormal move +5.6% Stock minus SPY
Volume 1.9× Versus trailing sessions
Subsequent drift -5.2% Up to 20 sessions
VRTXSPY benchmark

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What changed

Compared with the prior-quarter analysis, the supplied current analysis shifts the focus from broad launch momentum to execution of the renal pipeline and 2026 commercialization. Povatacept received additional expedited-development designations and moved toward a rolling BLA, while Genavix field-force expansion and renal commercial preparation became more prominent. Guidance was maintained.

Guidance delta

Maintained. The supplied analysis says 2026 revenue guidance targets $12.95-$13.10 billion, with $5.65-$5.75 billion of non-GAAP operating expenses.

Key takeaways

  • Management described 2025 revenue of $12.0 billion, up 9% year over year, with Q4 revenue up 10%.
  • The cystic fibrosis franchise remained the main growth engine, while AlifTrex/ElefTrex expansion and new-age-group filings were highlighted.
  • Povatacept advanced toward a rolling BLA, while enaxaplin studies and other renal programs remained important pipeline milestones.
  • Non-CF products, including KASJEVY and Genavix, were expected to contribute more than $500 million to 2026 revenue.

Management priorities

  • Expand AlifTrex/ElefTrex across geographies and age groups.
  • Advance Povatacept and enaxaplin through regulatory and clinical milestones.
  • Build renal commercial and patient-support capabilities ahead of potential launches.
  • Expand Genavix commercial coverage and continue investment in research and development.

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Earnings History

Estimate Beat Miss Match
VRTX REVENUE earnings history estimate and actual scatter chart 9 reported fiscal quarters and 3 future estimate-only quarters. Q4 '23 estimate $3B Q4 '23 actual $3B, beat Q1 '24 estimate $3B Q1 '24 actual $3B, beat Q2 '24 estimate $3B Q2 '24 actual $3B, miss Q3 '24 estimate $3B Q3 '24 actual $3B, beat Q2 '25 estimate $3B Q2 '25 actual $3B, beat Q3 '25 estimate $3B Q3 '25 actual $3B, beat Q4 '25 estimate $3B Q4 '25 actual $3B, beat Q1 '26 estimate $3B Q1 '26 actual $3B, miss Q2 '26 estimate $3B Q2 '26 actual $3B, beat Q3 '26 estimate $3B Q4 '26 estimate $3B Q1 '27 estimate $3B
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Analyst Consensus ?

ConsensusBuy56 ratings
Bullish4885.7%
Neutral712.5%
Bearish11.8%

Analyst 52W Price Targets

$527.24Current
$175Low
$476.87Average
$665High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Sep 30, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
UBS Buy BuyMaintainSep 28, 2026
Truist Securities Buy BuyMaintainAug 5, 2026
Barclays Overweight OverweightMaintainAug 5, 2026
TD Cowen Buy BuyMaintainAug 4, 2026
Cantor Fitzgerald Overweight OverweightMaintainAug 4, 2026
Show 51 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $527.24. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
UBSAnalyst unavailable$615$528.04 +16.6%Sep 28, 2026
JefferiesAkash Tewari$640$514.99 +21.4%Sep 23, 2026
H.C. WainwrightAndrew Fein$641$519.67 +21.6%Sep 22, 2026
Morgan StanleyTerence Flynn$665$547.65 +26.1%Sep 1, 2026
Goldman SachsAnalyst unavailable$653$544.52 +23.9%Sep 1, 2026
See 104 more

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Company context

Snapshot as of publication

Vertex Pharmaceuticals Incorporated is a leading biotechnology firm primarily focused on the discovery, advancement, and marketing of innovative treatments, particularly for cystic fibrosis (CF). The company offers a range of approved medications for CF patients, including SYMDEKO/SYMKEVI, ORKAMBI, and KALYDECO, which target specific mutations within the cystic fibrosis transmembrane conductance regulator gene. Additionally, they provide TRIKAFTA for individuals with CF aged six years and older who possess at least one F508del mutation. Beyond its established CF therapies, Vertex maintains a robust and diverse clinical pipeline.…

Historical context

All VRTX earnings

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Latest beats and misses

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Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2026-07-26T00:36:15.940040+00:00
  3. Polygon adjusted daily market bars · 2026-09-30T13:46:07.576767+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-09-30T13:46:07.573887+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-09-30. For educational purposes only; not investment advice.