Vertex Provides Pipeline and Business Updates in Advance of Upcoming Investor Meetings
“2024 marked another year of excellent progress for
Disease Areas with Approved Medicines
Cystic Fibrosis (CF)
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ALYFTREK (vanzacaftor/tezacaftor/deutivacaftor) approved in the
U.S. : OnDecember 20, 2024 ,Vertex secured FDA approval for ALYFTREK, the once-daily next-in-class combination CFTR modulator for the treatment of people with CF 6 years and older who have at least one F508del mutation or another mutation in the CFTR gene that is responsive to ALYFTREK, which includes a total of 303 mutations. Global regulatory submissions for ALYFTREK, including in theU.K. andEurope , are currently under review. -
TRIKAFTA: Also on
December 20, 2024 ,Vertex received FDA approval for the expanded use of TRIKAFTA in patients with 94 additional non-F508del CFTR mutations. With this approval, approximately 300 people in theU.S. are newly eligible for a medicine that treats the underlying cause of their disease. TRIKAFTA is now approved for patients with a total of 272 CFTR mutations. -
VX-522: The multiple ascending dose (MAD) portion of the Phase 1/2 study of VX-522 is underway, with data expected in the first half of 2025. VX-522 is a CFTR mRNA therapeutic that
Vertex is developing in collaboration with Moderna for the more than 5,000 people with CF who cannot benefit from CFTR modulators. -
Epidemiology and market opportunity update:
Vertex increased its estimates for the number of people with cystic fibrosis in theU.S. ,Europe ,Australia , andCanada from approximately 92,000 to approximately 94,000. Additionally,Vertex continues to secure formal reimbursement for eligible patients in multiple countries that collectively comprise approximately 15,000 additional patients, of whom approximately 10,000 are eligible for treatment with CFTR modulators.Vertex previously served many of these markets through named patient sales.
Sickle Cell Disease (SCD) and Transfusion-Dependent Beta Thalassemia (TDT) – CASGEVY
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As of the end of 2024,
Vertex has activated more than 50 authorized treatment centers (ATCs) globally and more than 50 patients have initiated cell collection. -
On
December 31, 2024 ,Vertex received regulatory approval for CASGEVY in theUnited Arab Emirates (UAE ) for the treatment of both SCD and TDT. -
In the
U.S. ,Vertex recently negotiated a first-of-its-kind, voluntary agreement with theCenters for Medicare & Medicaid Services (CMS), which will provide a single outcomes-based arrangement for CASGEVY, available to all state Medicaid programs to ensure broad and equitable access for patients.
Pipeline Disease Areas
Acute Pain
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Suzetrigine: The FDA has assigned a PDUFA target action date of
January 30, 2025 , for suzetrigine for the treatment of moderate-to-severe acute pain. Suzetrigine was granted Priority Review by the FDA. -
The Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act became effective on
January 1 st, 2025. The NOPAIN Act mandates that Medicare provide a separate add-on payment in the hospital outpatient or surgical center setting for FDA-approved non-opioid treatments for pain.Vertex expects suzetrigine in acute pain to be included on the list of treatments that qualify for add-on payment under this act, following potential suzetrigine FDA approval. - Seven states have recently enacted legislation into law for the retail setting, specifying that opioids are not preferred over non-opioid therapies for the treatment of pain.
Peripheral Neuropathic Pain (PNP)
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Suzetrigine:
Vertex continues to enroll and dose patients with diabetic peripheral neuropathy (DPN) in a Phase 3 pivotal trial of suzetrigine. -
Following the
December 2024 release of Phase 2 results with suzetrigine in painful lumbosacral radiculopathy (LSR), a form of peripheral neuropathic pain,Vertex plans to advance suzetrigine into pivotal development for painful LSR, pending discussions with regulators on the study design and regulatory package.
IgA Nephropathy (IgAN) and other B Cell-Mediated Diseases
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The global Phase 3 RAINIER study of povetacicept is enrolling and dosing patients with IgAN in the
U.S. ,Europe andAsia .Vertex expects to complete enrollment in the interim analysis cohort in 2025 for potential accelerated approval in theU.S. , once this cohort reaches 36 weeks of treatment. -
Vertex has entered into an exclusive collaboration and license agreement with Zai Lab for the development and commercialization of povetacicept in mainlandChina ,Hong Kong ,Macau ,Taiwan , andSingapore . Zai Lab will help advance clinical trials and make regulatory submissions in the licensed territory, and they will also be responsible for all commercialization activities in the licensed territory upon potential approval of povetacicept.
APOL1-Mediated Kidney Disease (AMKD) – Inaxaplin (VX-147)
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Vertex continues to enroll and dose patients with primary AMKD in the Phase 3 portion of the AMPLITUDE global Phase 2/3 pivotal clinical trial of inaxaplin, in which a 45 mg once-daily dose of inaxaplin is compared to placebo, on top of standard of care.Vertex expects to complete enrollment in the interim analysis cohort in 2025 for potential accelerated approval in theU.S. , once this cohort reaches 48 weeks of treatment. -
Vertex plans to initiate AMPLIFIED, a Phase 2b open-label study of inaxaplin in patients with AMKD and diabetes or other co-morbidities currently not eligible for the AMPLITUDE Phase 2/3 pivotal trial, expanding the estimated potentially eligible population from 150,000 to 250,000 patients.
Type 1 Diabetes (T1D)
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Zimislecel (VX-880): Following successful end of Phase 2 meetings with the FDA, the
European Medicines Agency (EMA), and theU.K. Medicines and Healthcare products Regulatory Agency (MHRA),Vertex initiated the Phase 3 portion of the Phase 1/2/3 study of zimislecel in patients with T1D with severe hypoglycemic events and impaired awareness of hypoglycemia.Vertex expects to complete enrollment and dosing of the pivotal study in 2025. -
Epidemiology update:
Vertex estimates that a total of 125,000 patients have severe T1D, out of the estimated 3.8M people with T1D in North American andEurope .Vertex expects the initial zimislecel indication will address approximately 60,000 patients and is working to serve all 125,000 patients with severe diabetes over time. -
Consistent with its commitment to serial innovation and bringing transformative therapies to all patients who can benefit,
Vertex is developing additional therapies for T1D that use the same cells that are used in zimislecel. This includes VX-264, currently in a Phase 1/2 study, in which the cells are encapsulated in an immunoprotective device.Vertex plans to share Part B full-dose data from the VX-264 Phase 1/2 study in 2025.Vertex is also pursuing alternative approaches to immunosuppression that could be used with zimislecel, as well as a hypoimmune program utilizing gene-edited stem-cell derived islets.
Myotonic Dystrophy Type 1 (DM1) – VX-670
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Vertex has completed the single ascending dose (SAD) portion of the global Phase 1/2 clinical trial for VX-670 in people with DM1 and initiated the MAD portion of the Phase 1/2 study, which will assess both safety and efficacy.
Autosomal Dominant Polycystic Kidney Disease (ADPKD) – VX-407
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Vertex is enrolling and dosing a Phase 1 study of healthy volunteers with VX-407.Vertex expects to advance VX-407 into a Phase 2 proof of concept study in people with ADPKD in 2025.
J.P. Morgan Healthcare Conference Presentation and Webcast
A live webcast of management's remarks will be available through the
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