Cambridge biotech tracker · Boston

Vertex Pharmaceuticals

Listed on Nasdaq as VRTX, filed under SEC industry code 2834 (pharmaceutical preparations). Fiscal year ends in December. Numbers below are from the company’s own SEC filings through Q3 '26.

Cash & investments
$9.82B
Q3 '26 · Sep 30, 2026
Burn per quarter
None
avg. operating cash flow, 4 qtrs
Runway
Self-funding
Self-funding
Net loss
+$654M
Q3 '26 · net income
R&D expense
$1.32B
48% of opex
Raised, last 4 qtrs
+$3.25B
net financing cash flow
FDA decision
Nov 2026
FDA decision · self-funding

Cash & investments

Quarter-end balance

Cash & investments$0$10B$20BQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26$9.82B$13.6B

Operating cash flow

Per quarter; below zero is burn

Operating cash flow$0$1B$2BQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26$643M$1.43B

R&D expense

Per quarter

R&D expense$0$1B$2BQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26$1.32B

Two views of the runway

Compare across the cluster

The outside view

Self-funding

Cash at Q3 '26 divided by the average burn of the last four quarters.

Management’s own date

12+ months

The latest filing states only the going concern minimum, that cash covers at least twelve months from issuance. No sharper date was filed.

Cash against the calendar

What the runway has to reach.

Next FDA decisionFDA decision

Nov 30, 2026

FDA target action date (PDUFA)

Disclosed in the 10-Q filed Nov 3, 2026

Does the cash reach it?

Self-funding

Runway
Self-funding
Time to the date
3 weeks

It is about 3 weeks out. Operating cash flow is positive on average, so the date is not a financing deadline.

FDA decision dates disclosed in filings

  • Nov 30, 2026PDUFA target action date10-Q filed Nov 3, 2026

    “…in IgAN. The biologics license application for accelerated approval of povetacicept for adults with IgAN is under priority review by the FDA, with an assigned PDUFA target action date of November 30, 2026. If approved, povetacicept will become the first commercialized therapy in our emerging nephrology franchise. Povetacicept is under re…”

Pulled from the company’s own filing text. An approval decision is a financing event as much as a clinical one, since the commercial build-out has to be funded months before any revenue from it arrives.

Pipeline

24 active trials, through phase 4.

Phase 3 · 16Phase 1 · 6Phase 2 · 4Phase 1/2 · 2Phase 2/3 · 2Phase 4 · 1

Study
Evaluation of Pain Treatment After Total Knee ArthroplastyNCT07538570 · PainPhase 4Jan 2027est.· not a catalyst
An Efficacy, Safety, and Tolerability Study of VX-880 in Participants With Type 1 Diabetes With a Kidney TransplantNCT06832410 · Type 1 Diabetes, Kidney TransplantPhase 3Sep 2026est.
A Study Evaluating the Long-term Safety and Efficacy of VX-121 Combination TherapyNCT05444257 · Cystic FibrosisPhase 3Oct 2026est.· not a catalyst
Evaluation of the Long-term Safety and Effectiveness of Suzetrigine (SUZ) in Participants With Painful Diabetic Peripheral Neuropathy (DPN)NCT06696443 · Diabetic Peripheral Neuropathic PainPhase 3Jan 2027est.· not a catalyst
Study to Evaluate Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) Long-term Safety and Efficacy in Subjects Without F508delNCT05331183 · Cystic FibrosisPhase 3Apr 2027est.· not a catalyst
Evaluation of Efficacy and Safety of Suzetrigine (SUZ) for Pain Associated With Diabetic Peripheral NeuropathyNCT07231419 · Diabetic Peripheral Neuropathic PainPhase 3Apr 2027est.
Evaluation of Efficacy and Safety of Suzetrigine for Pain Associated With Diabetic Peripheral NeuropathyNCT06628908 · Diabetic Peripheral Neuropathic PainPhase 3May 2027est.
Evaluation of Safety and Efficacy of CTX001 in Pediatric Participants With Severe Sickle Cell Disease (SCD)NCT05329649 · Sickle Cell Disease, Hydroxyurea FailurePhase 3Jun 2027est.
Evaluation of Efficacy and Safety of a Single Dose of CTX001 in Participants With Transfusion-Dependent β-Thalassemia and Severe Sickle Cell DiseaseNCT05477563 · Beta-Thalassemia, ThalassemiaPhase 3Jun 2027est.
Evaluation of Long-term Safety and Efficacy of ELX/TEZ/IVA in Cystic Fibrosis Participants 12 Months of Age and OlderNCT06460506 · Cystic FibrosisPhase 3Sep 2027est.· not a catalyst
Evaluation of Safety and Efficacy of CTX001 in Pediatric Participants With Transfusion-Dependent β-Thalassemia (TDT)NCT05356195 · Beta-Thalassemia, ThalassemiaPhase 3Nov 2027est.
A Phase 3b Study of Participant Experience on Povetacicept Administered Via Autoinjector as Compared to Sibeprenlimab Administered Via Prefilled SyringeNCT07890909 · Immunoglobulin A NephropathyPhase 3Dec 2027est.
A Safety, Tolerability, and Efficacy Study of VX-880 and VX-017 in Participants With Type 1 DiabetesNCT04786262 · Diabetes Mellitus, Type 1, Impaired Hypoglycemic AwarenessPhase 3Dec 2027est.
Evaluation of Long-Term Safety and Efficacy of Vanzacaftor/Tezacaftor/Deutivacaftor in Cystic Fibrosis Participants 1 Year of Age and OlderNCT05844449 · Cystic FibrosisPhase 3Jul 2029est.· not a catalyst
A Phase 3 Open-Label Study of Long-term Treatment With Povetacicept in Adults With Immunoglobulin A NephropathyNCT07807995 · Immunoglobulin A NephropathyPhase 3Dec 2029est.
Evaluation of VX-121/Tezacaftor/Deutivacaftor in Cystic Fibrosis (CF) Participants 1 Through 11 Years of AgeNCT05422222 · Cystic FibrosisPhase 3Jun 2030est.
A Long-term Follow-up Study in Participants Who Received CTX001NCT04208529 · Beta-Thalassemia, ThalassemiaPhase 3Sep 2039est.· not a catalyst
Phase 2/3 Adaptive Study of VX-147 in Adult and Pediatric Participants With APOL1-Mediated Proteinuric Kidney DiseaseNCT05312879 · Proteinuric Kidney DiseasePhase 2/3Jun 2028est.
Evaluation of Efficacy, Safety, and Tolerability of Povetacicept in Participants With Primary Membranous Nephropathy (pMN)NCT07204275 · Primary Membranous NephropathyPhase 2/3Dec 2028est.
Evaluation of Efficacy and Safety of VX-993 for Pain Associated With Diabetic Peripheral NeuropathyNCT06619860 · Diabetic Peripheral Neuropathic PainPhase 2Mar 2027est.
Phase 2a Study of VX-407 in Participants With ADPKD Who Have a Subset of PKD1 Gene Variants (AGLOW)NCT07161037 · Autosomal Dominant Polycystic Kidney Disease (ADPKD)Phase 2Jul 2027est.
A Study of Long-term Safety and Efficacy of VX-670 in Participants With Myotonic Dystrophy Type INCT06926621 · Myotonic Dystrophy Type 1 (DM1)Phase 2Jan 2029est.· not a catalyst
A Phase 2 Study to Evaluate Povetacicept in Adults With Generalized Myasthenia GravisNCT07501702 · Myasthenia Gravis, GeneralizedPhase 2Mar 2029est.
A Phase 1/2 Study of VX-670 in Adult Participants With Myotonic Dystrophy 1 (DM1)NCT06185764 · Myotonic Dystrophy Type 1 (DM1)Phase 1/2Feb 2027est.

Interventional studies where this company is the lead sponsor, from ClinicalTrials.gov. Primary completion is when the last patient is measured on the primary endpoint, which is when the data exists rather than when it is announced. Extension, rollover and healthy-volunteer studies are listed but marked as non-catalysts, because they finish long after the result that mattered. Sponsors revise these dates as enrollment moves, so an estimate is a plan rather than a promise.

The controller’s read

What the filings say.

Generated from the numbers above using the same questions I ask when I open a client’s books: how long the cash lasts, what is driving the gap between loss and burn, and where the accounting judgment sits.

Get this read on your company

Self-funding on an operating basis

Operating cash flow was positive on average over the last four quarters, so runway is not the constraint. Cash and investments stood at $9.82B at Q3 '26.

Cash position down $1.40B since Q4 '24

Net financing inflows of $3.25B over the last four quarters, from equity, debt, or ATM sales, partly offset operating burn. The balance is the number the board watches; the trend is the number the auditors watch.

R&D is 48% of operating expenses

$1.32B of R&D against $2.73B of total operating expenses in Q3 '26, with G&A at $844M. For a clinical-stage company, the accounting questions live inside that R&D line: CRO and CMC accruals, milestone recognition, and what gets capitalized versus expensed under ASC 730.

Revenue of $3.44B in Q3 '26

Collaboration and license revenue under ASC 606 and ASC 808 is the single most judgment-heavy area in biotech accounting: performance obligations, variable consideration on milestones, and the split between revenue and cost-sharing.

$3.50B of long-term debt or convertible notes

Debt in a pre-revenue biotech usually comes with liquidity covenants and, for convertibles, embedded features that need ASC 815 and ASC 470 analysis each quarter.

Retained earnings of $16.3B

Cumulative profits exceed cumulative losses, which puts this company in a different accounting conversation from most of the neighborhood.

Quarterly detail, eight quarters
QuarterCash & inv.Op. cash flowNet incomeR&DG&ARevenueStock compFinancing
Q4 '24 · Dec 31, 24$11.2B$585M$913M$999M$378M$2.91B$168M−$391M
Q1 '25 · Mar 31, 25$11.4B$819M$646M$980M$396M$2.77B$166M−$680M
Q2 '25 · Jun 30, 25$12.0B$1.07B$1.03B$978M$425M$2.96B$167M−$349M
Q3 '25 · Sep 30, 25$12.0B$1.24B$1.08B$978M$445M$3.08B$195M−$1.15B
Q4 '25 · Dec 31, 25$12.3B$498M$1.19B$974M$487M$3.19B$158M−$77.2M
Q1 '26 · Mar 31, 26$13.0B$1.43B$1.03B$962M$494M$2.99B$166M−$539M
Q2 '26 · Jun 30, 26$13.6B$1.13B$1.10B$994M$582M$3.33B$170M−$427M
Q3 '26 · Sep 30, 26$9.82B$643M$654M$1.32B$844M$3.44B$174M$4.30B

Source: SEC EDGAR XBRL company facts, latest filed value for each period. Fourth quarters are derived from annual less nine-month figures; quarterly cash flows are derived from year-to-date amounts. Not investment advice. If a figure disagrees with the filing, the filing is right.