ABAB Pedia

Vertex Pharmaceuticals

Vertex Pharmaceuticals Incorporated is a Boston-based biotechnology company known for cystic fibrosis medicines and for Casgevy, a gene-edited therapy developed with CRISPR Therapeutics.

Contents18 sections
Key facts

Founding

Joshua S. Boger left Merck in 1989 to start Vertex and long served as its president, CEO and chairman. It was first based in Cambridge, Massachusetts.⁠[1]

IPO and Early Products

It held an IPO at $9 per share in 1991. Its first product, the HIV protease inhibitor Agenerase, launched in May 1999. In 2001 it used nearly $600 million in stock to buy San Diego-based Aurora Biosciences.⁠[1]

Matthew Emmens as CEO

In 2009, Matthew Emmens succeeded founder Josh Boger as chief executive. In December 2011, Emmens planned to step down early the next year after about three years in the job, with Jeffrey Leiden as his successor. The company had already agreed to move its headquarters to facilities yet to be built on Boston’s Fan Pier.⁠[2]

Incivek and the Move to Boston

Incivek (telaprevir), an HCV protease inhibitor for adults with genotype 1 HCV infection, was approved in the United States and Canada in 2011. Its revenues declined after peaking in the fourth quarter of 2011, and the company reduced its promotion and support for the drug in 2013. The 2013 Form 10-K listed the principal executive offices at 50 Northern Avenue, Boston.⁠[3]

Kalydeco Approved

On January 31, 2012, Vertex announced FDA approval of Kalydeco (ivacaftor), described as the first medicine to treat the underlying cause of cystic fibrosis, for people ages 6 and older with at least one copy of the G551D mutation, about 1,200 people or 4% of those with CF in the United States. It was discovered in a collaboration with Cystic Fibrosis Foundation Therapeutics.⁠[4]

Added to the S&P 500

Orkambi Approved

In July 2015, the FDA approved Orkambi for people with CF ages 12 and older who have two copies of the F508del mutation, about 8,500 people or nearly one-third of the U.S. CF population. It was developed with clinical, scientific and funding support from the Cystic Fibrosis Foundation.⁠[6]

Orkambi Pricing Dispute in England

In 2016, NICE ruled that Orkambi should not be available on the NHS because its cost was not justified by its benefits; Vertex had priced it at £104,000 per patient per year. After a three-year dispute, NHS England announced on October 24, 2019 a deal giving patients access to Orkambi, Symkevi and Kalydeco within 30 days, with Vertex providing all its data to NICE for an appraisal.⁠[7]

CEO Succession Announced

On July 25, 2019, Vertex announced that chief medical officer Reshma Kewalramani would succeed Jeffrey Leiden, CEO since 2012, on April 1, 2020, with Leiden to serve as chairman through March 2023. A 12-year AmgenAmgenAmgen Inc. is an American company that discovers, develops, manufactures and delivers innovative medicines. Incorporated in California in 1980, it has its principal executive offices in Thousand Oaks, and its common stock trades on The Nasdaq Global Select Market.Open the full entry veteran who joined Vertex in 2017, she was set to become the first female CEO of a top biotech.⁠[8]

Trikafta Approved

On October 21, 2019, Vertex announced FDA approval of the triple-combination Trikafta (elexacaftor/tezacaftor/ivacaftor and ivacaftor) for people with CF ages 12 and older who have at least one F508del mutation. The company said it had the potential to treat up to 90% of all people with CF in the future.⁠[9]

Kewalramani Becomes CEO

Kewalramani became CEO in 2020. A graduate of Boston University’s combined undergraduate and medical program, she worked early on as a transplant nephrologist before joining Amgen, and joined Vertex in 2017 as chief medical officer. As of May 2026, she was the company’s CEO and president.⁠[10]

Casgevy Authorized in the U.K.

The U.K. MHRA granted conditional marketing authorization to Casgevy for sickle cell disease and transfusion-dependent beta thalassemia, the world’s first authorization of a CRISPR-based gene-editing therapy and the first product of a collaboration Vertex and CRISPR Therapeutics began in 2015.⁠[11]

FDA Approves Casgevy

On December 8, 2023, the FDA approved Casgevy for sickle cell disease in patients 12 years and older, alongside bluebird bio’s gene therapy Lyfgenia. Kewalramani said Casgevy was “the first CRISPR-based gene-editing therapy to be approved in the US.”⁠[12]

Alpine Immune Sciences Acquisition

On April 10, 2024, Vertex announced an agreement to acquire Alpine Immune Sciences for $65 per share in cash, valued at about $4.9 billion, gaining povetacicept, a dual BAFF/APRIL inhibitor for IgA nephropathy.⁠[13]

Vertex’s 2025 Form 10-K states that it acquired Alpine in 2024 for approximately $5.0 billion.⁠[14]

Journavx Approved

On January 30, 2025, Vertex announced FDA approval of Journavx (suzetrigine) for moderate-to-severe acute pain in adults. It is a non-opioid pain signal inhibitor that selectively targets NaV1.8 channels, which the company called the first new class of acute pain medication approved in over 20 years.⁠[15]

Fiscal 2025: Results

Total 2025 revenue was $12.0 billion, up 9%, and GAAP net income was $3,953.2 million. Trikafta/Kaftrio contributed $10,312.7 million; Alyftrek, approved in the U.S., EU and U.K. for people 6 and older, $837.8 million; Casgevy $116 million; and Journavx $59.6 million.⁠[16]

As of December 31, 2025, the company had approximately 6,400 employees, about 5,200 of them in the United States.⁠[14]

Second Quarter 2026: Results and Pending Review

Second-quarter 2026 total revenue rose 12% to $3,333.9 million and GAAP net income was $1,099.8 million; Alyftrek revenue was $573.6 million, Casgevy $76.4 million and Journavx $49.6 million. The FDA accepted the povetacicept application for accelerated approval with a PDUFA target action date of November 30, 2026; it had not been approved.⁠[17]

Sources

  1. Vertex Pharmaceuticals Incorporated (opens in a new window)
  2. Change in the pipeline (opens in a new window)
  3. VERTEX PHARMACEUTICALS INC / MA - Form 10-K - FY2013 (opens in a new window)
  4. FDA Approves KALYDECO™ (ivacaftor), the First Medicine to Treat the Underlying Cause of Cystic Fibrosis (opens in a new window)
  5. Vertex, Ametek Set to Join the S&P 500; Advanced Micro Devices, SAIC to Join S&P MidCap 400; Capstead to Join S&P SmallCap 600 (opens in a new window)
  6. CF Foundation Celebrates FDA Approval of Orkambi as Important Advance for the CF Community (opens in a new window)
  7. NHS England strikes deal with Orkambi manufacturer (opens in a new window)
  8. Vertex CEO to step down, setting stage for first female chief among top biotechs (opens in a new window)
  9. FDA Approves TRIKAFTA™ (elexacaftor/tezacaftor/ivacaftor and ivacaftor) to Treat the Underlying Cause of Cystic Fibrosis in People Ages 12 and Older Who Have at Least One F508del Mutation (opens in a new window)
  10. What Drives Vertex CEO and President Reshma Kewalramani (opens in a new window)
  11. Vertex and CRISPR Therapeutics Announce Authorization of the First CRISPR/Cas9 Gene-Edited Therapy, CASGEVY™ (exagamglogene autotemcel), by the United Kingdom MHRA, for the Treatment of Sickle Cell Disease and Transfusion-Dependent Beta Thalassemia (opens in a new window)
  12. FDA Approves Two Landmark Cell-Based Gene Therapies for Sickle Cell Disease (opens in a new window)
  13. ALPINE IMMUNE SCIENCES, INC. - Form SC TO-C - FY2024 (opens in a new window)
  14. VERTEX PHARMACEUTICALS INC / MA - Form 10-K - FY2025 (opens in a new window)
  15. FDA Approves Vertex Pharmaceuticals’ First-in-Class Non-Opioid Journavx for Moderate-to-Severe Acute Pain (opens in a new window)
  16. Vertex Reports Fourth Quarter and Full Year 2025 Financial Results (opens in a new window)
  17. Vertex Reports Second Quarter 2026 Financial Results (opens in a new window)