Vertex Provides Pipeline and Business Updates in Advance of Upcoming Investor Meetings
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Insights
Vertex Pharmaceuticals' update on its drug pipeline and regulatory milestones is a significant indicator of the company's future revenue streams and growth potential. The approval of CASGEVY for sickle cell disease and transfusion-dependent beta thalassemia, along with its positive CHMP opinion in Europe, opens new markets and expands the company's portfolio beyond cystic fibrosis treatments. The upward revision in the number of patients living with cystic fibrosis and sickle cell disease suggests a larger addressable market, potentially increasing the company's total addressable market (TAM).
The strategic agreement with Synergie Medication Collective indicates Vertex's commitment to broadening access to its therapies, which could lead to an uptick in sales volume. The progress in the company's acute pain and peripheral neuropathic pain programs, with completed and anticipated studies, could diversify revenue sources and reduce dependency on its cystic fibrosis franchise. The initiation of Phase 3 studies for inaxaplin and the advancement of VX-880 in type 1 diabetes treatment denote the company's transition from a development phase to a more commercial stage for these products.
Overall, the updates suggest robust pipeline progress and potential for long-term growth, which is likely to be viewed favorably by investors. However, the successful commercialization of these products will be critical to justify the current valuation and future investments.
The advancements in Vertex's cystic fibrosis treatments, including the next-in-class triple combination CFTR modulator therapy, highlight the company's ongoing innovation in this therapeutic area. The CFTR modulators represent a cornerstone in cystic fibrosis treatment, aiming to correct the function of the defective protein caused by the CF gene. The collaboration with Moderna on VX-522, a CFTR mRNA therapeutic, is particularly noteworthy as it targets the subset of patients who do not produce any CFTR protein, a group that has been challenging to treat.
The expansion into gene editing with CASGEVY for SCD and TDT is a transformative step for Vertex, leveraging new technology to address genetic diseases at their source. The regulatory progress of CASGEVY underscores the potential for gene editing therapies to become a significant part of the treatment landscape for these conditions. The updates on the company's pain management portfolio, including VX-548 and VX-993, suggest an expansion into a new therapeutic area with a high unmet need, which could have a substantial impact on patients' quality of life.
Furthermore, the development of VX-880, a stem cell-derived islet cell therapy for type 1 diabetes, represents a pioneering approach to treating a chronic disease that affects millions worldwide. The reported efficacy and safety data are promising, although the study's pause for review necessitates close monitoring of the outcomes.
Vertex Pharmaceuticals' strategic focus on expanding its treatment portfolio into new disease areas such as sickle cell disease and beta thalassemia, while also advancing its core cystic fibrosis program, is reflective of a broader industry trend towards personalized and targeted therapies. The increase in the estimated patient populations for cystic fibrosis and sickle cell disease indicates a growing market potential for Vertex's therapies. Additionally, the company's efforts to establish authorized treatment centers for CASGEVY could enhance its market penetration and patient access.
The pharmaceutical industry is witnessing a surge in precision medicine and Vertex's pipeline updates, particularly in the area of gene editing and stem cell therapies, align with this trend. The progress on VX-548 for acute and peripheral neuropathic pain also taps into a significant market with a high prevalence of pain disorders. The potential introduction of a new class of painkillers could disrupt the current market dynamics, which are dominated by opioids and nonsteroidal anti-inflammatory drugs (NSAIDs), provided the clinical outcomes demonstrate clear benefits in terms of efficacy and safety.
Vertex's strategic initiatives and pipeline developments are poised to shape the competitive landscape in multiple therapeutic areas. The company's proactive engagement with regulatory bodies and its focus on addressing unmet medical needs are critical factors that could influence its market positioning and investor sentiment.
“2023 was marked by continued strong performance in the cystic fibrosis business and acceleration of our development stage pipeline, propelling the company into 2024 with tremendous momentum," said Reshma Kewalramani, M.D., Chief Executive Officer and President of Vertex. “We continue to reach more patients than ever before with our CF medicines; we’ve launched CASGEVY™ in the
Disease Areas with Approved Medicines
Cystic Fibrosis
- Next-in-class triple combination: Completed three pivotal studies evaluating the next-in-class, triple combination CFTR modulator therapy vanzacaftor/tezacaftor/deutivacaftor compared to TRIKAFTA® in patients with CF ages 6 years of age and older (ages 12+ in SKYLINE 102 and 103 studies; ages 6-11 in the RIDGELINE study). Vertex expects to share the results of all three studies in early 2024.
- VX-522: Completed dosing in the single ascending dose (SAD) portion of the Phase 1/2 study of VX-522 in patients with CF and initiated the multiple ascending dose (MAD) portion of the study. VX-522 is a CFTR mRNA therapeutic that Vertex is developing in collaboration with Moderna for the >5,000 patients with CF who do not make any CFTR protein and cannot benefit from CFTR modulators.
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Epidemiology update: Vertex revised its estimates for the number of patients living with cystic fibrosis from ~88,000 to ~92,000 in the
U.S. ,Europe ,Australia , andCanada .
Sickle Cell Disease (SCD) and Transfusion-Dependent Beta Thalassemia (TDT) – CASGEVY
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Received regulatory approvals for CASGEVY in the fourth quarter of 2023 in the
U.S. for sickle cell disease, and inGreat Britain andBahrain for the treatment of both SCD and TDT; also received positive CHMP opinion for CASGEVY for both SCD and TDT from the European Medicines Agency (EMA). -
The FDA has assigned a Prescription Drug User Fee Act (PDUFA) action date of March 30, 2024, for CASGEVY in TDT. Additional regulatory submissions for CASGEVY are currently under review in
Switzerland and theKingdom of Saudi Arabia , with submission inCanada planned for the first half of 2024. - Completed enrollment in two global Phase 3 studies of CASGEVY in patients 5 to 11 years of age with SCD or TDT.
- Signed an agreement with Synergie Medication Collective, a medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies covering approximately 100 million people, to provide access to CASGEVY.
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Activated 9 authorized treatment centers (ATCs) in the
U.S. and 3 inEurope , with an ultimate goal of activating approximately 50 ATCs in theU.S. and 25 inEurope . -
Epidemiology update: Vertex revised its estimates for the number of patients living with severe sickle cell disease, from ~25,000 patients to ~30,000 patients in the
U.S. andEurope , with additional patients inBahrain and theKingdom of Saudi Arabia . Vertex’s updated estimate for patients with transfusion-dependent beta thalassemia is revised from ~7,000 to ~5,000 patients in theU.S. andEurope , with additional patients inBahrain and theKingdom of Saudi Arabia .
Pipeline Disease Areas
Acute Pain
- VX-548: Completed three Phase 3 studies of VX-548 for the treatment of moderate to severe acute pain, including two randomized placebo-controlled studies: one following abdominoplasty and one following bunionectomy surgery, as well as a third single-arm safety and effectiveness study, which enrolled both surgical and non-surgical patients with moderate to severe acute pain. Vertex expects to share the results of all three studies in early 2024.
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VX-993:
- Completed a Phase 1 study of an oral formulation of VX-993, a next-generation NaV1.8 inhibitor, and anticipates initiating a Phase 2 study for the treatment of moderate to severe acute pain in 2024.
- Vertex also anticipates initiating a Phase 1 study of an intravenous formulation of VX-993 for the treatment of moderate to severe acute pain in 2024.
Peripheral Neuropathic Pain (PNP)
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VX-548:
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Following the December 2023 release of positive Phase 2 results with VX-548 in diabetic peripheral neuropathy, which represents ~
20% of peripheral neuropathic pain patients, Vertex plans to meet with regulators in the first quarter of 2024 and anticipates advancing VX-548 into pivotal development. -
Initiated a Phase 2 study of VX-548 in lumbosacral radiculopathy, another type of peripheral neuropathic pain and the largest patient segment (over
40% ) within the PNP category.
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Following the December 2023 release of positive Phase 2 results with VX-548 in diabetic peripheral neuropathy, which represents ~
- VX-993: Vertex also anticipates initiating a Phase 2 study with an oral formulation of VX-993 for the treatment of PNP in 2024.
APOL1-Mediated Kidney Disease (AMKD) – Inaxaplin (VX-147)
- Completed enrollment in the Phase 2B dose-ranging portion of the study of inaxaplin for the treatment of patients with AMKD.
- Vertex expects to select the inaxaplin dose for the Phase 3 portion of the Phase 2/3 pivotal trial and begin Phase 3 in the first quarter of 2024.
Type 1 Diabetes (T1D)
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VX-880: Completed enrollment in Parts A, B, and C of the Phase 1/2 study of VX-880, an allogeneic, stem cell-derived, fully differentiated, insulin-producing islet cell therapy, used in conjunction with standard immunosuppression, in patients with T1D and impaired awareness of hypoglycemia and recurrent hypoglycemic events.
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Efficacy:
- As of the last data cut, all 14 patients dosed with VX-880 demonstrated islet cell engraftment and production of endogenous insulin.
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All Part A and B patients, except for one patient who withdrew consent from the study, demonstrated glycemic control to target ADA recommended levels with HbA1C <
7% and no longer required exogenous insulin. Part C patients have trajectories similar to Part A and B patients.
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Safety:
- The safety profile of VX-880 to date is consistent with immunosuppressives, the perioperative period and past medical history.
- Two patient deaths, both unrelated to VX-880, have occurred. Vertex has placed the study on a protocol-specified pause, pending review of the totality of the data by the independent data monitoring committee and global regulators.
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Efficacy:
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VX-264: The clinical trial for VX-264, which encapsulates the same VX-880 cells in a device that is designed to eliminate the need for immunosuppressants, is a multi-part, Phase 1/2 study.
- Part A has initiated, enrolled and dosed multiple patients.
- The study remains ongoing in multiple centers and countries as Vertex prepares for Part B initiation.
Myotonic Dystrophy Type 1 (DM1) – VX-670
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Received clearances from Health Canada and Medicines and Healthcare Products Regulatory Agency (MHRA –
UK ) for Clinical Trial Applications (CTA) for VX-670 for patients with DM1. Vertex initiated the Phase 1/2 clinical trial in patients with DM1 inCanada and will initiate the study in theUK near-term. -
Vertex also submitted an Investigational New Drug (IND) application to the FDA for VX-670. The FDA requested additional information, which resulted in a clinical hold. Vertex is working to address FDA comments and initiate the study in the
U.S. -
VX-670 is an oligonucleotide that targets the underlying cause of DM1, linked to a cyclic peptide that promotes effective delivery into cells. DM1 is the most prevalent muscular dystrophy in adults with ~110,000 people living with the disease in the
U.S. andEurope .
Autosomal Dominant Polycystic Kidney Disease (ADPKD) – VX-407
- Completed IND-enabling studies of VX-407 for the treatment of ADPKD and anticipates beginning a Phase 1 clinical trial in healthy volunteers this year.
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VX-407 is a first-in-class small molecule corrector that targets the underlying cause of ADPKD in a subset of patients with responsive PKD1 mutations, estimated at ~25,000 (or ~
10% ) of the overall ~250,000 ADPKD patient population. ADPKD is the most commonly inherited kidney disease.
J.P. Morgan Healthcare Conference Presentation and Webcast
Dr. Kewalramani will present at the 42nd Annual J.P. Morgan Healthcare Conference on Monday, January 8, 2024 at 11:15 a.m. ET/8:15 a.m. PT.
A live webcast of management's remarks will be available through the Vertex website, www.vrtx.com, in the "Investors" section under the "News and Events" page. A replay of the conference webcast will be archived on the company's website.
About Vertex
Vertex is a global biotechnology company that invests in scientific innovation to create transformative medicines for people with serious diseases. The company has approved medicines that treat the underlying causes of multiple chronic, life-shortening genetic diseases — cystic fibrosis, sickle cell disease and transfusion-dependent beta thalassemia — and continues to advance clinical and research programs in these diseases. Vertex also has a robust clinical pipeline of investigational therapies across a range of modalities in other serious diseases where it has deep insight into causal human biology, including APOL1-mediated kidney disease, acute and neuropathic pain, type 1 diabetes and alpha-1 antitrypsin deficiency.
Vertex was founded in 1989 and has its global headquarters in
Special Note Regarding Forward-Looking Statements
This press release contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, statements by Reshma Kewalramani, M.D., in this press release, and statements about our expectations for our CF program, including plans to share results of our vanzacaftor/tezacaftor/deutivacaftor studies in early 2024, our expectations for CASGEVY™, including plans for additional regulatory submissions, and plans to activate approximately 50 ATCs in the
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