Vertex Pharmaceuticals Incorporated · VRTX · FY2026 Q1 · Calendar Q2 2026

Vertex Q1: Revenue Up 8%, Renal Pipeline Advances, Guidance Reaffirmed

Vertex is executing a deliberate shift from a single-franchise CF company to a multi-pillar biotech. Q1 2026 revenue of $2.99 billion (up 8% YoY) was driven by both the core CF franchise and new non-CF launches KASJEVY and GERNAVICS, which together contributed roughly a quarter of growth. The interim Phase III IgAN data for Povi — 52% proteinuria reduction with a strong safety profile — and the record 27-day BLA submission position the renal franchise as Vertex's emerging fourth commercial pillar. Label expansions for AlifTrack and TRIKAFTA now cover approximately 95% of the CF population, extending the durability of the core franchise. Management reaffirmed full-year guidance of $12.95–$13.10 billion, signaling confidence in the trajectory despite the VX-522 mRNA CF program discontinuation. The stock traded with a -2.1% abnormal return in the reaction window on 1.8x baseline volume…

Reported After market closeNASDAQHealthcare $121.57B market cap
100quality score

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.…

Earnings scorecard

Reported versus consensus
Reported EPS $4.47 Consensus $4
EPS surprise +5.4% Reported versus consensus
Reported revenue $2.99B Consensus $2.99B
Revenue surprise -0.2% Reported versus consensus

Earnings History

Estimate Beat Miss Match
VRTX EPS earnings history estimate and actual scatter chart 9 reported fiscal quarters and 3 future estimate-only quarters. Q1 '24 estimate $4.06 Q1 '24 actual $4.76, beat Q2 '24 estimate $-11.63 Q2 '24 actual $-12.83, miss Q3 '24 estimate $4.14 Q3 '24 actual $4.38, beat Q2 '25 estimate $4.29 Q2 '25 actual $4.52, beat Q3 '25 estimate $4.57 Q3 '25 actual $4.80, beat Q4 '25 estimate $5.11 Q4 '25 actual $5.03, miss Q1 '26 estimate $4.24 Q1 '26 actual $4.47, beat Q2 '26 estimate $4.74 Q2 '26 actual $4.73, match Q3 '26 estimate $4.80 Q4 '26 estimate $4.91 Q1 '27 estimate $4.70
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Analyst Consensus ?

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

Analyst 52W Price Targets

$515.44Current
$175Low
$474.33Average
$665High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Sep 12, 2026. Not an FN2 forecast.

Firm-level rating actions

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

FirmRatingPrior ratingActionDate
Truist Securities Buy BuyMaintainAug 5, 2026
Barclays Overweight OverweightMaintainAug 5, 2026
TD Cowen Buy BuyMaintainAug 4, 2026
Cantor Fitzgerald Overweight OverweightMaintainAug 4, 2026
Canaccord Genuity Hold HoldMaintainAug 4, 2026
UBS Buy BuyMaintainJul 13, 2026
RBC Capital Outperform OutperformMaintainJul 7, 2026
Baird Underperform UnderperformMaintainJul 7, 2026
Morgan Stanley Overweight OverweightMaintainMay 5, 2026
Bernstein Outperform OutperformMaintainMay 5, 2026
Maxim Group Buy HoldUpgradeMar 18, 2026
Oppenheimer Outperform OutperformMaintainMar 10, 2026
HC Wainwright & Co. Buy BuyMaintainMar 10, 2026
Citigroup Buy BuyMaintainMar 10, 2026
B of A Securities Buy BuyMaintainMar 10, 2026
HC Wainwright& Co. Buy BuyMaintainFeb 17, 2026
Stifel Hold HoldMaintainFeb 13, 2026
Scotiabank Sector Perform Sector PerformMaintainFeb 13, 2026
Evercore ISI Group Outperform OutperformMaintainJan 23, 2026
Wolfe Research Outperform Peer PerformUpgradeJan 6, 2026
Leerink Partners Outperform OutperformMaintainDec 29, 2025
Wells Fargo Overweight OverweightMaintainDec 10, 2025
JP Morgan Overweight OverweightMaintainOct 8, 2025
Guggenheim Buy BuyMaintainAug 6, 2025
BMO Capital Outperform OutperformMaintainAug 5, 2025
Needham Hold HoldMaintainMay 6, 2025
Piper Sandler Overweight OverweightMaintainJan 27, 2025
Jefferies Buy HoldUpgradeDec 9, 2024
Argus Research Buy BuyMaintainJun 17, 2024
Goldman Sachs Buy BuyMaintainJan 31, 2024
William Blair Outperform OutperformMaintainMay 30, 2023
SVB Leerink Outperform OutperformMaintainFeb 8, 2023
Cowen & Co. Outperform OutperformMaintainJun 13, 2022
Raymond James Perform Market PerformMaintainJul 1, 2021
Credit Suisse Outperform OutperformMaintainFeb 2, 2021
SunTrust Robinson Humphrey Buy BuyMaintainJun 24, 2020
JMP Securities Market Outperform Market OutperformMaintainApr 30, 2020
CFRA Buy BuyMaintainApr 30, 2020
Stifel Nicolaus Buy BuyMaintainJan 31, 2020
PiperJaffray Overweight OverweightMaintainJan 6, 2020
Bank of America Buy BuyMaintainNov 20, 2019
Piper Jaffray Overweight OverweightMaintainOct 31, 2019
H.C. Wainwright Buy NeutralUpgradeOct 26, 2018
Argus Buy HoldUpgradeMay 5, 2018
Deutsche Bank Buy BuyMaintainDec 13, 2017
DA Davidson Buy BuyMaintainSep 29, 2017
Janney Montgomery Scott Buy NeutralUpgradeJul 19, 2017
Janney Capital Buy NeutralUpgradeJul 19, 2017
Leerink Swann Outperform OutperformMaintainMar 8, 2016
BTIG Research Buy BuyMaintainJan 6, 2015
Summer Street Neutral BuyDowngradeOct 30, 2013
Wunderlich Buy BuyMaintainMay 17, 2013
Lazard Neutral BuyDowngradeJan 15, 2013
Brean Capital Buy HoldUpgradeMay 8, 2012
ISI Group Buy NeutralUpgradeMay 7, 2012
Bank oferica Buy BuyMaintainMar 14, 2012
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Named analyst price targets

Upside is calculated against the persisted current price $515.44. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Morgan StanleyTerence Flynn$665$547.65 +29.0%Sep 1, 2026
Goldman SachsAnalyst unavailable$653$544.52 +26.7%Sep 1, 2026
BernsteinJeffrey Walch$608$530.29 +18.0%Aug 11, 2026
Wolfe ResearchAndy Chen$562$522.78 +9.0%Aug 10, 2026
Truist FinancialAnalyst unavailable$565$488.56 +9.6%Aug 5, 2026
BarclaysAnalyst unavailable$617$478.7 +19.7%Aug 5, 2026
Cantor FitzgeraldAnalyst unavailable$595$470.72 +15.4%Aug 4, 2026
Canaccord GenuityAnalyst unavailable$442$470.72 -14.2%Aug 4, 2026
Stifel NicolausAnalyst unavailable$500$470.72 -3.0%Aug 4, 2026
UBSAnalyst unavailable$585$481.7 +13.5%Jul 13, 2026
Truist FinancialAnalyst unavailable$560$479.02 +8.6%Jul 13, 2026
RBC CapitalAnalyst unavailable$570$529.59 +10.6%Jul 7, 2026
Robert W. BairdAnalyst unavailable$350$529.59 -32.1%Jul 7, 2026
Truist FinancialDanielle Brill$542$435.93 +5.2%May 27, 2026
BarclaysAnalyst unavailable$615$424.36 +19.3%May 6, 2026
Morgan StanleyAnalyst unavailable$616$417.72 +19.5%May 5, 2026
RBC CapitalBrian Abrahams$543$429.85 +5.3%May 5, 2026
BernsteinAnalyst unavailable$572$429.85 +11.0%May 5, 2026
Canaccord GenuityAnalyst unavailable$436$429.85 -15.4%May 5, 2026
Canaccord GenuityAnalyst unavailable$437$423.24 -15.2%Apr 30, 2026
Morgan StanleyAnalyst unavailable$612$436.89 +18.7%Apr 10, 2026
Truist FinancialJoon Lee$525$499.14 +1.9%Mar 10, 2026
JefferiesAkash Tewari$580$496.5 +12.5%Mar 10, 2026
BMO CapitalEvan David Seigerman$600$487.57 +16.4%Mar 2, 2026
Canaccord GenuityAnalyst unavailable$441$491.47 -14.4%Feb 17, 2026
BarclaysEliana Merle$607$491.47 +17.8%Feb 17, 2026
H.C. WainwrightAndrew Fein$591$491.47 +14.7%Feb 17, 2026
Morgan StanleyTerence Flynn$570$497.42 +10.6%Feb 13, 2026
ScotiabankLouise Chen$558$493.98 +8.3%Feb 13, 2026
RBC CapitalAnalyst unavailable$541$496.02 +5.0%Feb 13, 2026
BernsteinAnalyst unavailable$577$497.21 +11.9%Feb 13, 2026
Cantor FitzgeraldAnalyst unavailable$590$495.11 +14.5%Feb 13, 2026
Stifel NicolausPaul Matteis$466$465.02 -9.6%Feb 13, 2026
H.C. WainwrightAndrew Fein$518$465.02 +0.5%Feb 13, 2026
BarclaysAnalyst unavailable$606$474.17 +17.6%Jan 27, 2026
UBSAnalyst unavailable$545$474.09 +5.7%Jan 26, 2026
Evercore ISICory Kasimov$530$469.11 +2.8%Jan 23, 2026
RBC CapitalBrian Abrahams$546$461.14 +5.9%Jan 22, 2026
UBSMichael Yee$535$468.38 +3.8%Jan 6, 2026
Leerink PartnersAnalyst unavailable$525$462.12 +1.9%Dec 29, 2025
Morgan StanleyAnalyst unavailable$564$461.48 +9.4%Dec 5, 2025
Morgan StanleyTerence Flynn$516$433.15 +0.1%Dec 3, 2025
RBC CapitalAnalyst unavailable$415$426.93 -19.5%Nov 4, 2025
Cantor FitzgeraldCarter Gould$485$427.3 -5.9%Nov 4, 2025
Stifel NicolausAnalyst unavailable$445$426 -13.7%Nov 4, 2025
BarclaysGena Wang$414$426 -19.7%Nov 4, 2025
Morgan StanleyAnalyst unavailable$438$413.93 -15.0%Oct 10, 2025
Leerink PartnersAnalyst unavailable$456$381.87 -11.5%Sep 25, 2025
Truist FinancialAnalyst unavailable$490$374.98 -4.9%Aug 5, 2025
Stifel NicolausAnalyst unavailable$455$374.98 -11.7%Aug 5, 2025
UBSEliana Merle$553$374.98 +7.3%Aug 5, 2025
BMO CapitalAnalyst unavailable$530$374.98 +2.8%Aug 5, 2025
H.C. WainwrightAnalyst unavailable$478$374.98 -7.3%Aug 5, 2025
Morgan StanleyAnalyst unavailable$439$374.98 -14.8%Aug 5, 2025
RBC CapitalBrian Abrahams$420$441.99 -18.5%Jun 17, 2025
ScotiabankGreg Harrison$442$450.03 -14.2%May 6, 2025
Cantor FitzgeraldAnalyst unavailable$535$490.47 +3.8%Apr 22, 2025
BMO CapitalEvan Seigerman$545$461.68 +5.7%Jan 31, 2025
Wells FargoMohit Bansal$460$441.52 -10.8%Jan 30, 2025
Morgan StanleyTerence Flynn$456$409.56 -11.5%Jan 10, 2025
RBC CapitalBrian Abrahams$400$469.22 -22.4%Dec 19, 2024
JefferiesMichael Yee$550$462.1 +6.7%Dec 9, 2024
OppenheimerHartaj Singh$540$499.1 +4.8%Nov 5, 2024
RBC CapitalBrian Abrahams$451$499.88 -12.5%Nov 5, 2024
Canaccord GenuityWhitney Ijem$361$478.09 -30.0%Oct 22, 2024
BMO CapitalEvan David Seigerman$566$485.74 +9.8%Oct 21, 2024
Goldman SachsSalveen Richter$598$483 +16.0%Oct 21, 2024
Bank of America SecuritiesGeoff Meacham$541$482.12 +5.0%Oct 14, 2024
RBC CapitalBrian Abrahams$437$458.94 -15.2%Oct 9, 2024
Truist FinancialJoon Lee$550$494.46 +6.7%Aug 5, 2024
OppenheimerHartaj Singh$550$477.86 +6.7%Aug 5, 2024
Wolfe ResearchAndy Chen$576$476.91 +11.7%Aug 5, 2024
H.C. WainwrightAndrew Fein$600$505.78 +16.4%Aug 2, 2024
Argus ResearchJasper Hellweg$550$474.61 +6.7%Jun 17, 2024
RBC CapitalBrian Abrahams$421$483.28 -18.3%Jun 11, 2024
BMO CapitalEvan David Seigerman$500$443.05 -3.0%May 31, 2024
Raymond JamesChristopher Raymond$456$413.42 -11.5%May 7, 2024
RBC CapitalBrian Abrahams$424$402.5 -17.7%May 7, 2024
H.C. WainwrightAndrew Fein$462$397.58 -10.4%Apr 11, 2024
Evercore ISILiisa Bayko$438$397.58 -15.0%Apr 11, 2024
Morgan StanleyAnalyst unavailable$285$297.18 -44.7%Feb 8, 2023
H.C. WainwrightAnalyst unavailable$326$308.54 -36.8%Feb 8, 2023
Leerink PartnersAnalyst unavailable$365$308.54 -29.2%Feb 8, 2023
Argus ResearchAnalyst unavailable$340$310.86 -34.0%Nov 17, 2022
Morgan StanleyAnalyst unavailable$253$290.68 -50.9%Aug 8, 2022
H.C. WainwrightAnalyst unavailable$300$279.54 -41.8%Aug 5, 2022
Cantor FitzgeraldOlivia Brayer$365$290.01 -29.2%Jul 12, 2022
Stifel NicolausPaul Matteis$240$295.46 -53.4%Jul 11, 2022
Argus ResearchJasper Hellweg$280$287.32 -45.7%Jul 2, 2022
Cowen & Co.Analyst unavailable$310$248.96 -39.9%Jun 13, 2022
Morgan StanleyMatthew Harrison$250$261.96 -51.5%May 3, 2022
Piper SandlerAnalyst unavailable$249$279.02 -51.7%Apr 22, 2022
OppenheimerHartaj Singh$350$272.39 -32.1%Apr 6, 2022
Robert W. BairdBrian Skorney$240$251.88 -53.4%Mar 22, 2022
BMO CapitalEvan Seigerman$274$251.88 -46.8%Mar 22, 2022
JefferiesMichael Yee$275$228.22 -46.6%Jan 27, 2022
Wolfe ResearchAndrew Galler$282$228.22 -45.3%Jan 27, 2022
J.P. MorganCory Kasimov$288$228.22 -44.1%Jan 27, 2022
Morgan StanleyMatthew Harrison$208$228.22 -59.6%Jan 27, 2022
Cowen & Co.Phil Nadeau$300$229.68 -41.8%Jan 24, 2022
Leerink PartnersGeoff Porges$175$204.45 -66.0%Dec 2, 2021
GuggenheimDebjit Chattopadhyay$286$205 -44.5%Dec 1, 2021
Bank of America SecuritiesGeoff Meacham$275$181.4 -46.6%Nov 2, 2021
Cantor FitzgeraldAlethia Young$281$193.02 -45.5%Jun 11, 2021
BarclaysGena Wang$285$193.02 -44.7%Jun 11, 2021
UBSColin Bristow$279$212.68 -45.9%May 12, 2021
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Market reaction

event-close to next-session close
Stock move -1.3% Event window
SPY move +0.8% Same window
Abnormal move -2.1% Stock minus SPY
Volume 1.8× Versus trailing sessions
Subsequent drift +0.9% Up to 20 sessions
VRTXSPY benchmark

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Transcript intelligence

What changed

Q1 2026 revenue rose 8% year-over-year to $2.99 billion, essentially in line with consensus. EPS of $4.47 beat estimates of $4.24 by 5.4%. New launches KASJEVY and GERNAVICS together accounted for approximately 25% of quarterly growth. Povi's interim Phase III data in IgA nephropathy demonstrated a 52% reduction in proteinuria with a strong safety profile, and Vertex submitted a BLA for the indication in 27 days — the fastest submission in company history. KASJEVY secured its first reimbursement agreement in Germany. The VX-522 mRNA CF program was discontinued due to lung inflammation caused by the lipid nanoparticle delivery system. Label expansions for AlifTrack and TRIKAFTA now cover roughly 95% of CF genotypes, adding approximately 800 newly eligible U.S. patients.

Guidance delta

Full-year 2026 revenue guidance of $12.95–$13.10 billion (8–9% growth) was reaffirmed, as was the expectation for non-CF revenue exceeding $500 million and non-GAAP operating expenses of $5.65–$5.75 billion. Guidance sentiment was maintained with no upward or downward revision.

Key takeaways

  • Q1 revenue of $2.99B rose 8% YoY, with new launches KASJEVY and GERNAVICS driving roughly 25% of growth
  • Povi interim Phase III IgAN data showed 52% proteinuria reduction with strong safety, supporting near-term launch
  • CF label expansions for AlifTrack and TRIKAFTA now cover ~95% of eligible patients, adding ~800 newly eligible U.S. patients
  • BLA for Povi in IgAN submitted in 27 days, the fastest in Vertex history
  • VX-522 mRNA CF program discontinued due to delivery-related lung inflammation
  • KASJEVY secured its first reimbursement agreement in Germany

Management priorities

  • Submit AlifTrack for approval in 2–5-year-old patients and TRIKAFTA for 1–2-year-old patients
  • Complete Phase III interim analysis presentation for Povi IgAN and prepare for product launch pending approval
  • Advance Povi Phase III in primary membranous nephropathy and Phase II in myasthenia gravis
  • Deliver Phase III results for enaxaplin AMPLITUDE in early 2027 and analyze AMPLIFIED data later this year
  • Resume dosing in the zamylosel trial after manufacturing analysis and provide updated timelines
  • Continue development of next-gen CFTR programs (VX-828, VX-581, VX-2272) through Phase I/II studies in H2 2026

Related earnings events

Healthcare

Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2026-07-26T00:37:12.209961+00:00
  3. Polygon adjusted daily market bars · 2026-07-29T00:14:37.730999+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-07-29T00:14:37.728258+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 . For educational purposes only; not investment advice.