Strong Revenue Growth
Q4 2025 total revenue of $3.2B, up 10% year-over-year; full year 2025 revenue of $12.0B, up 9% versus 2024.
Robust Profitability and Margins
Q4 2025 non-GAAP net income of $1.3B, up 24% YoY, delivering $5.30 EPS (up 26% YoY). Q4 gross margin of 85.7% and full year non-GAAP net income of $4.7B ($18.40 EPS).
Strong Balance Sheet and Capital Return
Ended 2025 with $12.3B in cash, equivalents, and marketable securities; repurchased ~4.8M shares for ~$2.0B during 2025.
Cystic Fibrosis Franchise Growth and New Therapy Data (AlifTrek/ElefTrek)
CF remains a foundation with ~77,000 patients on therapy and 7% full-year CF revenue growth. ElefTrek (AlifTrek) Phase 3 in 2–5 year-olds showed a mean sweat chloride reduction of 9.6 mmol from TRIKAFTA baseline and 65% of patients achieved sweat chloride <30 mmol (versus 37.5% at baseline). On track for global submissions in 2–5 year-olds in H1 2026 and ongoing enrollment in 1–2 year-old study.
CF Next-Generation Pipeline Progress
NextGen 3.0 correctors advancing: VX-828 proof-of-concept on track to complete enrollment/dosing in 2026; VX-581 in Phase 1; VX-1522 (for patients without CFTR protein) Phase 1/2 readout expected H2 2026.
Emerging Renal Franchise Advancement (Povatacept / Povi)
Povatacept (dual BAFF/APRIL inhibitor) has delivered substantial proteinuria reductions and GFR stabilization through Phase 2; granted FDA Breakthrough Therapy designation, rolling review, and Priority Review Voucher use; rolling BLA submission initiated Dec 2025 and on track to complete BLA submission in H1 2026 if Phase 3 interim is supportive.
Additional Renal Program Milestones
OLYMPUS Phase 2/3 in membranous nephropathy on track to complete Phase 2 and advance to Phase 3 this summer; AMPLITUDE (enaxaplin for APOL1-mediated kidney disease) interim cohort enrolled with full-trial enrollment expected H2 2026 and interim results late 2026/early 2027; VX-407 ADPKD Phase 2 POC enrollment expected to complete in 2026.
KASJEVY Launch Momentum (Cell & Gene Therapy)
KASJEVY revenue of $54M in Q4 and $116M for full year 2025; Q4 included 111 new patient initiations, 37 first cell collections, and 30 infusions. ~90% access for Medicaid and commercial patients in the U.S.; meaningful reimbursement wins in Europe (including Italy covering ~1,500–5,000 patients depending on wording in transcript).
Genavix (Acute Pain) Successful Initial Launch
Genavix achieved >550,000 prescriptions in 2025 (~50/50 hospital vs retail), more than 35,000 prescribers, >200M lives covered by PBMs, 21 states with unrestricted Medicaid access, incorporation into >950 hospitals and >100 IDNs; company estimates ~420,000 Americans benefited as a non-opioid option in 2025.
2026 Guidance and Diversification
2026 revenue guidance $12.95B–$13.10B (8%–9% growth) with an expected contribution of $500M+ from non-CF products; combined non-GAAP operating expense guidance $5.65B–$5.75B and non-GAAP tax rate guidance 19.5%–20.5%.