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Vertex Pharmaceuticals (NASDAQ:VRTX | VRTX Price Prediction) reports Q2 2026 results tonight at around 4:05 PM ET, with the call scheduled for 4:30 PM ET. The report lands as investors weigh a busy M&A stretch against slower revenue momentum in the core cystic fibrosis franchise.
Diversification Meets Execution Risk
Q1 2026 set an uneven tone. Vertex delivered EPS of $4.47 versus $4.31 consensus but revenue of $2.9869B missed by 0.36%, even as operating income jumped 80.62% YoY. CEO Reshma Kewalramani highlighted that “CASGEVY and JOURNAVX delivered more than 25% of our growth this quarter.”
Today, shares trade at about $473.52, up 5.24% YTD but down 4.2% over the past month. The $10 billion Crinetics acquisition and the $28 million upfront AbCellera T-cell engager deal reshaped the pipeline narrative in the final week before this earnings report.
Consensus Estimates
| Metric |
Q2 2026 Est. |
YoY Change |
FY 2026 Est. |
| Revenue |
~$3.19B |
+7.6% |
$12.95B-$13.10B |
| EPS (Non-GAAP) |
$4.30 |
-4.9% |
n/a |
The $4.30 EPS consensus sits below the $4.52 in EPS Vertex reported in Q2 2025, signaling that analysts have baked in elevated opex from the JOURNAVX launch and the nephrology build. Revenue expectations of roughly 7.6% YoY growth reflect a step down from FY2025’s 8.9% pace.
Nephrology, Non-Opioid Pain, and Guidance
Tonight, I’ll be watching povetacicept commentary first. The rolling BLA for IgA nephropathy is complete, and management is using a Priority Review Voucher for a six-month expedited review. Timing color on the FDA decision moves the nephrology franchise story.
JOURNAVX prescription cadence is another area for key focus. Vertex disclosed more than 1 million prescriptions filled since the March 2025 launch, with Medicare Part D coverage adding roughly 10 million lives effective May 1. The Q2 number sets the baseline for the $500M+ non-CF revenue target.
I’ll also track CASGEVY infusion volumes, ALYFTREK ex-US uptake following new reimbursement in Scotland, Spain, Sweden, Switzerland, New Zealand, Israel, and Finland. Insider activity has skewed toward selling across 16 recent transactions, a contrarian datapoint against an analyst base with 27 buy versus 2 sell ratings.
Earnings History
| Quarter |
EPS Surprise |
Day-Of Move |
1-Week Move |
30-Day Move |
| Q1 2026 |
+3.81% |
-1.28% |
+5.64% |
+5.3% |
| Q4 2025 |
-2.33% |
+5.69% |
-2.13% |
-8.11% |
| Q3 2025 |
+4.87% |
-1.02% |
+1.79% |
+8.02% |
| Q2 2025 |
+6.33% |
-20.6% |
+3.41% |
+5.64% |
On average, shares moved roughly +0.94% one week after earnings across the past five quarters.
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