Vertex Casgevy Sales Jump 219% to $54M in Q4, Hits $116M for 2025

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Vertex Pharmaceuticals recorded $54M in Casgevy sales in Q4, a 219% increase from $16.9M in Q3, driving full-year 2025 revenues of $116M. Patient initiations and first cell collections tripled year over year, underpinning the therapy’s growth and collaboration profit-sharing expected to bolster Vertex’s pipeline returns.

1. Casgevy Q4 Sales Surge

Vertex recorded $54M in Q4 Casgevy sales, up from $16.9M in Q3, driven by a threefold increase in patient initiations and first cell collections compared with the prior quarter.

2. Full-Year Casgevy Performance

The therapy generated $116M in full-year 2025 revenues, reflecting accelerated commercialization and improved reimbursement access across major markets.

3. Collaboration and Future Outlook

Under a 60:40 profit-and-cost-sharing agreement with its partner, rising Casgevy revenues are poised to enhance Vertex’s pipeline returns, with label-expansion regulatory submissions planned in the first half of 2026.

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