We initiate coverage of Vertex Pharmaceuticals with a BUY rating and $550 PT (based on 35.5x P/E). Vertex is a global biotechnology company focused on creating transformative medicines for patients with cystic fibrosis and other life shortening diseases. The company currently has four cysticfibrosis (CF) therapies on the market, among them the blockbuster drug TRIKAFTA, which has a near-monopoly in the cystic fibrosis transmembrane receptor (CFTR) segment of the market. Vertex holds over 3,500 granted patents protecting its intellectual property in key geographies. The majority of the company's research centers are located in the U.S. and Germany.
Our rating is based on our view that Vertex has room to grow, with significant potential near- and medium-term upside, as its non-opioid pain drug Suzetrigine (VX-548) and its triple combination CF treatment are under regulatory review by the Food and Drug Administration (FDA), and other drug candidates for a variety of disease indications are progressing through clinical trials. At the 2023 price-to-earnings (P/E) ratio of 34.2x, Vertex trades at a premium to its competitor group median P/E of 17.0x, reflecting its market leadership in the cystic fibrosis space and its industry-wide reputation as a well-managed, research-based company. Key risks include clinical trials, regulatory, IP challenges, competition, and supply chain.
We believe that given Vertex’s financial strength (with cash and short-term investments of $10.17 billion, current ratio of 3.5x, and last-twelve-months (LTM) interest coverage of 102.1x, as of March 31, 2024), deep pipeline, two drugs under FDA regulatory review, and two drug candidates in Phase 3 development for neuropathic pain and APOL1-mediated kidney disease, there is room for organic growth as drugs in the pipeline reach the market in 2025 and beyond. The foregoing is coupled with the company's ability to execute opportune acquisitions of innovative firms developing products or technologies capable of advancing Vertex’s strategic goals.
Vertex is well-positioned to capitalize on its strong gross margin of 87% and net margin of 40%, as additional pipeline products come to market.
Transformative Benefits Prove Durable in Sickle-Cell Diseaseand Transfusion-Dependent Beta Thalassemia; Reiterate BUY Rating
Vertex provided a program update on CASGEVYTM, the first and to date only approved CRISPR/Cas9 gene-edited therapy, at the American Society of Hematology (ASH) Annual Meeting this week, revealing data from long-term follow-up of patients who participated in clinical trials.
Transformative benefits of CASGEVY proved durable in both sickle cell disease (SCD) and transfusion-dependent beta thalassemia (TDT).• CASGEVY’s safety profile is consistent with busulfan conditioning and autologous hematopoietic stem cell transplant.
Efforts to secure regulatory clearance in additional countries, improve patient access, and broaden reimbursement coverage are ongoing.
On November 4, 2024, Vertex reported consolidated financial results for the third quarter ended September 30,2024, and updated its full year 2024 guidance. Product revenue of $2,771.9 million exceeded Kingswood Capital estimates of$2,690.0 million by 3%. GAAP EPS of $4.01 reflected stronger than anticipated operating results and higher interest income, outperforming our $3.79 EPS estimate.
We raise our FY 2024 earnings estimate from $(1.78) to $(1.57) to account for the stronger than anticipated third quarter results and a slight increase in our fourth quarter 2024 revenue projections. FY 2024 earnings are affected by Vertex’s second quarter EPS of $(13.92), due to its $5.0 billion acquisition of Alpine Immune Sciences.
Vertex continues to progress multiple product development programs toward commercialization, expecting two new product launches in early 2025 and advancing three additional programs into Phase 3 testing during the third quarter of 2024.
Sustained execution has helped Vertex achieve strong operating margins and cash position, allowing continued, significant investments in its pipeline and commercial capabilities.