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Vertex Pharmaceuticals

Rare disease drugmaker · based in Boston, United States · founded 1989 · ticker VRTX · vrtx.com

Vertex Pharmaceuticals works on 12 rare diseases we track, including Acromegaly, Congenital Adrenal Hyperplasia and 10 more. It has 19 active clinical trials, and 8 are looking for volunteers now. It also has 7 FDA-approved rare disease drugs.

The FDA is due to decide on Povetacicept for IgA nephropathy by November 30, 2026.

Email me the day the FDA decidesAll upcoming rare disease FDA decisions

Vertex Pharmaceuticals is the company that took cystic fibrosis from a disease that often killed patients before they reached adulthood and turned it into a chronic illness most patients will live decades longer with. Founded in 1989 and headquartered in Boston, Vertex trades on the NASDAQ under the ticker VRTX.

Vertex Pharmaceuticals pipeline

Each row lists the diseases Vertex Pharmaceuticals is studying at that stage, from the ones closest to approval down to the earliest work.

At the FDA
Waiting on an FDA decision.

Povetacicept for IgA nephropathy, with a decision due by November 30, 2026.

Phase 3
Large studies, usually the last step before a company asks the FDA for approval.

Thalassemia 2 trials recruiting · Membranous Nephropathy recruiting · Cystic Fibrosis 4 trials · Sickle Cell Disease

Phase 2
Mid-size studies that check whether a drug works and at what dose.
Phase 1
First studies in people, mostly checking safety.

Cystic Fibrosis 3 trials recruiting · Polycystic Kidney Disease 2 trials recruiting · Narcolepsy Type 1 recruiting

Other studies
Studies with no phase listed, such as registries and natural history studies.

Vertex Pharmaceuticals clinical trials

These are Vertex Pharmaceuticals trials for the rare diseases we track, from ClinicalTrials.gov. Statuses there can lag behind company news, so confirm with the study team before you plan around one.

8 trials looking for volunteers now

Looking for volunteersPhase 2/3Recently updatedNCT07204275

Evaluation of Efficacy, Safety, and Tolerability of Povetacicept in Participants With Primary Membranous Nephropathy (pMN)

Tests Povetacicept, Tacrolimus

For Primary Membranous Nephropathy

The purpose of this study is to evaluate the efficacy, safety, and tolerability of povetacicept in participants with primary membranous nephropathy (pMN).

Ages 18 Years - 75 Years117 locations
View full study
Looking for volunteersPhase 1Recently updatedNCT07868926

Absorption, Distribution, Metabolism, and Excretion of 14C-VX-407 After a Single Oral Dose

Tests 14C-VX-407

For Autosomal Dominant Polycystic Kidney Disease (ADPKD)

The purpose of the study is to evaluate the pharmacokinetics, safety and tolerability of VX-407 following a single oral dose.

Ages 19 Years - 55 Years1 location
View full study
Looking for volunteersPhase 1Recently updatedNCT07283770

Evaluation of VX-581 in Healthy Participants and in Participants With Cystic Fibrosis

Tests VX-581, Placebo, D-IVA, TEZ, ELX/TEZ/IVA, VX-581, IVA

For Cystic Fibrosis

The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics of single dose of VX-581 and multiple ascending doses of VX-581 alone and in combination with tezacaftor (TEZ)/deutivacaftor (D-IVA) or D-IVA in healthy participants. The study will also evaluate the safety, tolerability, and pharmacokinetics of VX-581 administered in combination with D-IVA with or without TEZ in participants with cystic fibrosis (CF).

Ages 18 Years - 55 Years1 location
View full study
Looking for volunteersRecently updatedNCT07700225

Establishing Biomarkers and Clinical Endpoints in Myotonic Dystrophy Type 1 (END-DM1) Extension

For DM1, Myotonic Dystrophy, Myotonic Dystrophy 1, Myotonic Dystrophy Type 1 and Myotonic Dystrophy Type-1

Myotonic Dystrophy type 1 (DM1) is an autosomal dominant multisystemic disorder that causes progressive disability and shortened life expectancy. It is characterized by progressive weakness and myotonia, which preferentially affects the craniofacial, hand, and distal leg muscles. Many patients also experience difficulties with cognition, cardiac arrhythmias, respiratory failure, or cataracts. Currently there is no treatment to slow progression or reverse the symptoms.

Ages 18 Years - 70 Years1 location
View full study
Looking for volunteersPhase 1Recently updatedNCT07792408

Effects of VX-407 on the Pharmacokinetics of Combined Oral Contraceptives

Tests VX-407, LNG/EE, NGM/EE, NET/EE, DRSP/EE

For Autosomal Dominant Polycystic Kidney Disease (ADPKD)

The purpose of the study is to evaluate the pharmacokinetic effects and safety and tolerability of VX-407 when coadministered with oral contraceptives.

Ages 18 Years - 50 Years1 location
View full study
Looking for volunteersPhase 1Recently updatedNCT07437105

Dose Escalation Study Evaluating the Safety and Pharmacokinetics of VX-272 in Healthy Participants

Tests VX-272, Placebo, Tezacaftor, Deutivacaftor

For Cystic Fibrosis

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of single and multiple ascending doses of VX-272 in combination with deutivacaftor (D-IVA) with or without tezacaftor (TEZ) in healthy subjects.

Ages 18 Years - 55 Years1 location
View full study
Looking for volunteersPhase 1Updated a few months agoNCT07584434

A Phase 1, First-in-human Study of VX-433

Tests VX-433, Placebo, Midazolam, Bupropion

For Narcolepsy Type 1 (NT1)

The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics (PK) of VX-433 following single and multiple ascending doses, as well as to assess the effect of VX-433 on the PK of midazolam, bupropion, and hydroxybupropion.

Ages 18 Years - 55 Years1 location
View full study
Looking for volunteersPhase 3No updates in a whileNCT05477563

Evaluation of Efficacy and Safety of a Single Dose of CTX001 in Participants With Transfusion-Dependent β-Thalassemia and Severe Sickle Cell Disease

Tests CTX001

For Beta-Thalassemia, Thalassemia, Hematologic Diseases, Genetic Diseases, Inborn and Hemoglobinopathies

This is a single-dose, open-label study in participants with transfusion-dependent β-thalassemia (TDT) or severe sickle cell disease (SCD). The study will evaluate the safety and efficacy of autologous CRISPR-Cas9 modified CD34+ human hematopoietic stem and progenitor cells (hHSPCs) using CTX001.

Ages 12 Years - 35 Years6 locations
View full study
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FDA-approved drugs from Vertex Pharmaceuticals

From the openFDA database. Tap a drug for side effects, dosing and help paying.

Alyftrek vanzacaftor, tezacaftor, and deutivacaftor

For Cystic Fibrosis. Approved Dec 20, 2024. Taken by mouth.

Journavx suzetrigine

Approved Jan 30, 2025. Taken by mouth.

Kalydeco ivacaftor

For Cystic Fibrosis. Approved Jan 31, 2012. Taken by mouth.

Orkambi lumacaftor and ivacaftor

For Cystic Fibrosis. Approved Jul 2, 2015. Taken by mouth.

Symdeko tezacaftor and ivacaftor

For Cystic Fibrosis. Approved Feb 12, 2018.

Trikafta elexacaftor, tezacaftor, and ivacaftor

For Cystic Fibrosis. Approved Oct 21, 2019.

Casgevy exagamglogene autotemcel

For Sickle Cell Disease and Thalassemia. Taken by intravenous route.

More about Vertex Pharmaceuticals

The company spent more than 20 years on the underlying CFTR-modulator chemistry before its first approved cystic fibrosis drug, and the resulting franchise is the foundation of everything else it does today.

The current cornerstone CF drug is Trikafta, a triple combination of CFTR modulators that addresses the most common CFTR mutation, which is present in roughly 90% of CF patients. Trikafta has dramatically improved lung function, weight gain, and survival outlook for the patients eligible for it.

In December 2024, the FDA approved Alyftrek, the next-generation CF therapy combining vanzacaftor, tezacaftor, and deutivacaftor in a once-daily pill that further extends the patient population covered. Cystic fibrosis is caused by inherited mutations in the CFTR chloride channel, which lead to thick mucus buildup in the lungs and digestive tract. The Vertex modulator program has been one of the more transformative arcs in modern medicine.

Beyond CF, Vertex co-developed Casgevy (exagamglogene autotemcel) with CRISPR Therapeutics, which became the first CRISPR-based gene-editing therapy approved by the FDA. Casgevy treats sickle cell disease and transfusion-dependent beta thalassemia by editing patient cells outside the body to reactivate fetal hemoglobin, which restores healthy red blood cell function. On July 1, 2026 the FDA extended Casgevy to people aged 2 and older.

Keep reading about Vertex Pharmaceuticals

It had been approved from age 12. Casgevy represented a watershed moment for the field of gene editing as a clinical reality.

In 2025, Vertex broadened beyond rare genetics with the FDA approval of Journavx (suzetrigine) in January, the first novel non-opioid acute pain medicine in over two decades.

In 2024 Vertex also acquired Alpine Immune Sciences for $4.9 billion, gaining povetacicept, a dual BAFF/APRIL antagonist that met its primary endpoint at a planned Week 36 interim analysis of the Phase 3 RAINIER trial for IgA nephropathy, with a 49.8% placebo-adjusted reduction in urine protein-to-creatinine ratio.

Vertex completed its rolling BLA submission for povetacicept in March 2026, and the FDA accepted it for accelerated approval review with a decision date of November 30, 2026. The pipeline also includes inaxaplin (VX-147) for APOL1-mediated kidney disease, which mostly affects people of African ancestry, in the Phase 2/3 AMPLITUDE trial, and stem-cell-derived islet cell therapies for type 1 diabetes.

Vertex said on November 2, 2026 that it will focus on VX-017, a newer islet cell therapy it says could reach more patients than zimislecel, and that it expects VX-017 to enter pivotal development in 2027. On September 1, 2026, Vertex completed its approximately $10 billion acquisition of Crinetics Pharmaceuticals, adding the marketed oral acromegaly drug Palsonify (paltusotine) and moving Vertex into rare endocrine disease.

The deal also brought in atumelnant, in Phase 3 for congenital adrenal hyperplasia.

Where Vertex Pharmaceuticals trials take place

The trials above run at 620 study sites in 30 countries. Tap a country to see its states, cities and hospitals.

United States
212▼
United Kingdom
54▼
Germany
46▼
France
38▼
China
34▼
Spain
30▼
Italy
28▼
Canada
28▼
Australia
23▼
Netherlands
18▼
Belgium
16▼
Poland
11▼

Rare diseases Vertex Pharmaceuticals works on

Each disease page lists every open trial, not only Vertex Pharmaceuticals's, plus approved treatments.

Acromegaly

Acromegaly is a rare hormonal disorder caused by excessive growth hormone production, typically from a pituitary adenoma, resulting in abnormal growth of hands, feet, and facial features.

How common: About 50 to 70 people per million, according to NORD, with 3 to 11 new cases per million people each year

Congenital Adrenal Hyperplasia

Congenital adrenal hyperplasia comprises rare autosomal recessive disorders of cortisol synthesis.

How common: Classic form about 1 in 15,000 newborns (MedlinePlus Genetics); the milder non-classic form is more common

Cystic Fibrosis

Cystic fibrosis is an autosomal recessive genetic disorder affecting the CFTR protein, which normally regulates chloride transport.

How common: Nearly 40,000 children and adults in the U.S.; 1 in 2,500 to 3,500 births among Caucasians

Focal Segmental Glomerulosclerosis

Focal Segmental Glomerulosclerosis (FSGS) is a kidney disease characterized by scarring of some glomeruli, the tiny filtering units that remove waste from the blood.

How common: Approximately 7% of all kidney biopsies in the United States show FSGS; incidence is 0.2-1.7 cases per 100,000 person-years

IgA Nephropathy

IgA nephropathy is the most common primary glomerulonephritis worldwide, caused by abnormal IgA1 antibodies depositing in the kidney's mesangium, activating complement pathways and triggering...

How common: About 2 new cases per 100,000 people each year in the U.S., and an estimated 199,000 to 208,000 Americans were living with IgA nephropathy in 2021 (Otsuka-funded study, Clinical Nephrology, 2025)

Membranous Nephropathy

Membranous nephropathy is a rare autoimmune kidney disease where the body's own antibodies attack proteins in the kidney's filtering units (glomeruli).

How common: About 12 new cases per million people each year in the U.S.; roughly 40,000-50,000 Americans living with the disease

Myasthenia Gravis

Myasthenia gravis is a chronic autoimmune neuromuscular disorder causing muscle weakness and rapid fatigue.

How common: 1 in 5,000 people

Myotonic Dystrophy

Myotonic Dystrophy (DM) is the most common muscular dystrophy in adults, characterized by progressive muscle weakness and myotonia—the inability of muscles to relax after contraction.

How common: Approximately 1 in 3,000 to 1 in 8,000 people globally; higher prevalence in some populations

Narcolepsy Type 1

Narcolepsy type 1 is a chronic neurologic disorder caused by loss of hypocretin-producing neurons, resulting in severe daytime somnolence and cataplexy.

How common: 1 in 2,000 to 3,000 people; often undiagnosed

Polycystic Kidney Disease

Polycystic Kidney Disease is a genetic disorder characterized by the growth of thousands of cysts in the kidneys, gradually replacing normal kidney tissue and leading to kidney failure.

How common: Autosomal dominant PKD affects about 1 in 400 to 1,000 people worldwide and the recessive form about 1 in 20,000 children; about 500,000 people in the United States have PKD (NIDDK)

Sickle Cell Disease

Sickle cell disease is an inherited blood disorder where hemoglobin polymerizes under low oxygen, causing red blood cells to become rigid, sickle-shaped, and prone to hemolysis and vaso-occlusion.

How common: About 100,000 Americans with SCD; about 1 in 365 Black or African American births and 1 in 16,300 Hispanic American births

Thalassemia

Thalassemia is an inherited blood disorder where reduced or absent production of one type of hemoglobin chain causes anemia, from mild or none in carriers to severe in the major forms, where it can...

How common: About 1 in 100,000 people have symptoms of beta thalassemia, according to NORD, most often people with Mediterranean, Middle Eastern, African or Asian roots

Where to get support

Patient groups can explain a diagnosis, point you to specialists and tell you about trials before they open. Vertex Pharmaceuticals's own site is vrtx.com, and our help paying for treatment page lists drugmaker programs and charity funds.

Questions about Vertex Pharmaceuticals