Analyst Conference Summary |
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Biotechnology
|
Vertex Pharmaceuticals
|
Revenue $ millions |
Q1 2018 |
Q4 2017 |
Q1 2017 |
y/y % change |
Orkambi | 354 |
365 |
295 |
20% |
Kalydeco | 250 |
256 |
186 |
34% |
Symdeko | 34 |
0 |
0 |
na |
product subtotal | 638 |
621 |
481 |
33% |
royalties | 1 |
1 |
2 |
na |
collaboration | 2 |
29 |
233 |
-99% |
total | 641 |
652 |
715 |
-10% |
The EU granted approval of Orkambi (lumacaftor/ivacaftor) for children 6 to 11 with CF the two copies of the F508del mutation on January 10, 2018.
Symdeko (tezacaftor/ivacaftor, was VX661) for CF ages 12 and up received FDA approval on February 12, with EU approval expected later this year.
Results from Phase 3 Orkambi trial in children aged 2 to 5 were positive, so regulatory submissions made and PDUFA date is August 7, 2018.
Great data from both triple VX-659 & VX-445 triple combination (with tezacaftor/ivacaftor) regimen Phase 3 trials are now underway. Could cover 90% of the CF population. Positive Phase 2 data was reported today.
CTX001 for B-Thalassemia will start a Phase 1/2 trial in 2018.
VX-150 Phase 2 data reported "significant relief of acute pain." A Phase 2 study in neuropathic pain should have data in early 2019.
See also the Vertex Pharmaceuticals Pipeline page.
Cash and equivalents balance ended at $2.5 billion, up sequentially from $2.09 billion. No debt.
Cost of revenue was $71.6 million. Research and development expense was $310.6 million. Sales, general and administrative expenses were $129.8 million. Total costs and expenses were $511.9 million, leaving operating income of $128.9 million. Interest & other income $117.8 million. Income tax benefit $12.7 million. Income attributable to noncontrolling interest $17.0 million.
Q&A:
Reason not going ahead with 561? Was used in place of ivacaftor in two studies. Safety was similar to ivacaftor, efficacy improved. FDA is looking at 561 as a new entity, and we had not generated that data. We decided to move forward with 445 and Kalydeco, which the FDA has a lot of comfort with it. But we do want to continue to develop 561, we are going to discuss it with the FDA.
Symdeko reimbursement? We will build on the Orkambi successes, while we continue in some countries where Orkambi is still in process. Next step is EU approval. CF progresses rapidly, so we want to get Symdeko to patients rapidly.
Is it worth to develop more correctors to gain a small number of additional patients? We want molecules that are significantly better, which could be efficacy, dosing, etc.
Timeline for releasing triple combo data? We will let you know when we have the data.
Cases of rash in trials? 659 and 445 proof of concept trials treated 200 patients. Rash incidence was low, not serious, and disappeared after interuption or discontinuation. Very similar in incidence and quality to Orkambi and Kalydeco.
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Disclaimer: My analyst call summaries may include both our condensations of statements made by company representatives and my own analysis. They are not covered by any warranty. I cannot guarantee anything said by company representatives is true. I try not to make errors, but it is possible. Before making or terminating an investment you should always verify any factual basis of your decision.
Copyright 2018 William P. Meyers