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Vertex Pharmaceuticals Reports First Quarter 2006 Financial Results

 -- Company on Track to Achieve Clinical, Research and Corporate Objectives
                                     --

    CAMBRIDGE, Mass., April 25 /PRNewswire-FirstCall/ -- Vertex
Pharmaceuticals Incorporated (Nasdaq: VRTX) today reported consolidated
financial results for the quarter ended March 31, 2006.
    "Vertex is achieving key clinical objectives that have the potential to
build significant value for shareholders," said Joshua Boger, Ph.D.,
Chairman, President and CEO of Vertex Pharmaceuticals. "We continue to be
on track to gain important clinical data in 2006 on key product candidates
that we are evaluating for the treatment of hepatitis C virus (HCV),
rheumatoid arthritis (RA) and cystic fibrosis (CF). With VX-950, we are
expanding our global Phase II program in HCV patients. We expect that this
program will position us to understand whether a sustained viral response
(SVR) can be achieved with shorter treatment duration than the current
standard of care. Based on the results from the Phase II VeRA study with
VX-702, we expect to begin in the second half of 2006 a major Phase II
study of VX-702 on a background of methotrexate in patients with RA. We
also are on track to begin, in the second quarter, the first Phase I
clinical study of VX-770, our novel potentiator compound for CF, with the
goal of initiating our first study in patients with CF in the second half
of the year."
    First Quarter Results
    The non-GAAP loss, before charges for stock-based compensation,
restructuring, and a cumulative benefit of adopting FAS 123(R), for the
quarter ended March 31, 2006 was $42.2 million, or $0.39 per share,
compared to a non-GAAP loss, before charges, of $41.8 million, or $0.53 per
share for the quarter ended March 31, 2005. The Company's first quarter
2006 non-GAAP loss reflected continued revenue growth, which offset
increased development investment as the Company continued to advance its
proprietary drug candidates.
    For the quarter ended March 31, 2006, the Company's net loss on a GAAP
basis was $50.1 million, or $0.47 per share. This included stock-based
compensation expense of approximately $8.1 million, a cumulative benefit
related to the adoption of FAS 123(R) of $1.0 million, and restructuring
expense of approximately $0.8 million. The net loss on a GAAP basis for the
quarter ended March 31, 2005 was $44.7 million, or $0.56 per share. The
2005 GAAP net loss includes stock-based compensation expense of
approximately $1.0 million, and restructuring expense of approximately $1.9
million.
    Total revenues for the quarter ended March 31, 2006 increased to $39.1
million from $28.6 million for the first quarter of 2005, reflecting an
increase in revenue from collaborative research and development agreements,
including approximately $8.8 million of milestone revenue from Merck & Co.
for the initiation of Phase II development of VX-680.
    Research and development expenses for the quarter ended March 31, 2006
were $75.2 million, including $6.4 million of stock-based compensation,
compared to $57.4 million, including $0.8 million of stock-based
compensation, for the first quarter of 2005. Our development investment
increased to prepare for and conduct later stage clinical trials of product
candidates in hepatitis C, rheumatoid arthritis and the first clinical
trials with VX-770 in CF, as well as an increase in the charge for
stock-based compensation.
    Sales, general and administrative (SG&A) expenses for the quarter ended
March 31, 2006 were $12.9 million, including $1.7 million of stock-based
compensation, compared to $9.6 million, including $0.2 million of
stock-based compensation, for the first quarter of 2005.
    Other income, net, for the quarter ended March 31, 2006 was $1.6
million, compared to other expense, net, of $2.3 million for the first
quarter in 2005. This improvement primarily resulted from the Company's
reduction of outstanding debt in 2005.
    At March 31, 2006, Vertex had approximately $378.8 million in cash,
cash equivalents and available for sale securities, $42.1 million in
principal amount of convertible debt due September 2007 and $118.0 million
in principal amount of convertible debt due February 2011.
    First Quarter Achievements and 2006 Objectives

    Clinical Objectives
    * Continue to advance proprietary Vertex compounds:
      VX-950
      -- In January, Vertex announced preliminary results from a small Phase
         Ib clinical study of VX-950 dosed in combination with pegylated
         interferon.  In this study, patients receiving a combination of VX-
         950 dosed with peg-IFN achieved a median 5.5-log10 reduction in HCV
         RNA at 14 days.
      -- In February, Vertex announced preliminary results from a 12-patient,
         28-day Phase II study of VX-950 in combination with pegylated
         interferon and ribavirin.  In this study, 12 of 12 patients had
         plasma HCV RNA levels below the limits of detection of a highly
         sensitive assay (10 IU/mL; Roche TaqMan(R)) at 28 days of dosing.
      -- Vertex is on track to move forward with its global Phase II clinical
         program for VX-950.  Key objectives of the program will be to
         evaluate the optimal SVR rate that can be achieved with VX-950
         therapy in combination with the standard of care, to evaluate the
         optimal treatment duration for VX-950, and to evaluate the role of
         ribavirin in VX-950-based therapy.  Beginning in the second quarter,
         Vertex plans to conduct Phase II studies in the U.S. and Europe that
         will dose more than 500 genotype 1 HCV patients with VX-950.  In
         these studies, Vertex expects to evaluate 12-week combination
         regimens of VX-950 in treatment-naive patients, including regimens
         involving various durations of pegylated interferon and ribavirin
         follow-on therapy as well as regimens involving no additional
         therapy.  As part of this broad Phase II program, Vertex plans to
         conduct a major study in HCV patients who have failed prior
         interferon-based treatment.
      -- Vertex researchers are presenting data on VX-950 at two major medical
         conferences.  Three abstracts have been accepted for presentation at
         the 41st Annual Meeting of the European Association for the Study of
         the Liver (EASL) being held this week.  One abstract has been
         accepted as a late-breaker presentation at the Digestive Disease Week
         (DDW(R)) conference being held in May.

      VX-702
      -- In March, Vertex announced that VX-702 met its primary objectives in
         the 12-week Phase II VeRA clinical study involving 315 patients.  A
         preliminary analysis indicated that VX-702 was well-tolerated through
         12 weeks of dosing, and demonstrated statistically significant
         effects on signs and symptoms of rheumatoid arthritis.
      -- Vertex expects to initiate in the second half of 2006 a three or six-
         month Phase II clinical study of VX-702 on a background of
         methotrexate in patients with rheumatoid arthritis.

      VX-770
      -- Vertex is on track to begin clinical development of VX-770 in the
         U.S. in the second quarter under an open investigational new drug
         (IND) filing.  In March, Vertex and Cystic Fibrosis Foundation
         Therapeutics, Inc. (CFFT) announced that they entered into a new
         collaboration to accelerate development of VX-770.  As part of the
         agreement, CFFT is scheduled to pay Vertex approximately $13.3
         million in developmental support through 2007.

      * Continue to advance collaborator-led compounds:
      VX-680
      -- In April, Vertex and Merck & Co. announced the initiation of a Phase
         II clinical development program for VX-680.  Merck is now enrolling
         patients with advanced colorectal cancer in a Phase II extension of a
         previous Phase I clinical study.  Vertex expects Merck to begin a
         Phase II clinical study of VX-680 in patients with advanced lung
         cancer in 2006.  VX-680 is an investigational drug candidate
         targeting Aurora kinase.
      -- In April, Vertex researchers presented a poster at the 97th Annual
         Meeting for the American Association for Cancer Research (AACR) in
         Washington, DC, supporting the clinical investigation of VX-680 in
         patients with treatment-resistant forms of chronic myelogenous
         leukemia (CML).  In addition, clinical researchers plan to present
         the first clinical data for VX-680 in patients with solid tumors in
         an oral presentation at the 2006 American Society of Clinical
         Oncology (ASCO) Annual Meeting in June in Atlanta.

      Brecanavir (VX-385)
      -- Brecanavir is a novel HIV protease inhibitor currently being
         evaluated in a Phase IIb study as part of a collaboration with
         GlaxoSmithKline (GSK).  Vertex expects data from the Phase IIb study
         of brecanavir to become available this year, and also expects GSK to
         initiate Phase III clinical development of brecanavir in 2006.

      VX-409
      -- VX-409 is a novel, subtype-selective ion channel modulator being
         developed for the treatment of pain in collaboration with GSK.
         Vertex expects GSK to conduct preclinical development of VX-409 in
         preparation for Phase I development in early 2007.

    Corporate Objectives
    * Maintain strong revenue and capital structure to support investment
in proprietary products
    * Sign new collaborations, focused on later-stage development assets
    * Continue to generate strong HIV product royalties, and achieve
milestones from existing collaborations
    Full Year 2006 Financial Guidance
    This section contains forward-looking guidance about the financial
outlook for Vertex Pharmaceuticals. Vertex today reiterated its financial
guidance for the full year of 2006. The Company expects a non-GAAP loss,
excluding restructuring charges and stock-based compensation expense, in
the range of $165 to $185 million. The Company expects that the full year
2006 GAAP loss will be in the range of $205 to $225 million. The 2006 GAAP
loss includes an estimate of stock-based compensation expense of
approximately $34 million, and restructuring expense of approximately $6
million as a result of imputed interest charges relating to the
restructuring accrual.
    Non-GAAP Financial Measures
    In this press release, Vertex's financial results are provided both in
accordance with generally accepted accounting principles (GAAP) in the
United States and using certain non-GAAP financial measures. In particular,
Vertex provides its first quarter 2006 loss, and guidance for a full year
2006 loss, excluding certain charges and gains and stock-based compensation
expense, all of which are non-GAAP financial measures. These results are
provided as a complement to results provided in accordance with GAAP
because management believes these non-GAAP financial measures help indicate
underlying trends in the Company's business and are important in comparing
current results with prior period results. Management also uses these
non-GAAP financial measures to establish budgets and operational goals that
are communicated internally and externally, and to manage the Company's
business and to evaluate its performance.
    About Vertex
    Vertex Pharmaceuticals Incorporated is a global biotechnology company
committed to the discovery and development of breakthrough small molecule
drugs for serious diseases. The Company's strategy is to commercialize its
products both independently and in collaboration with major pharmaceutical
companies. Vertex's product pipeline is principally focused on viral
diseases, inflammation, autoimmune diseases and cancer. Vertex co-promotes
the HIV protease inhibitor, Lexiva, with GlaxoSmithKline.
    Lexiva is a registered trademark of the GlaxoSmithKline group of
companies.
    This press release contains forward-looking statements, including
statements that Vertex (i) is on track to gain important clinical data in
2006 on proprietary product candidates being evaluated for the treatment of
hepatitis C virus (HCV), rheumatoid arthritis (RA), and cystic fibrosis
(CF); (ii) plans to expand its global Phase II program for VX-950,
beginning in the second quarter, as set forth above, and during the initial
phase of the program it expects to dose more than 500 treatment-naive,
genotype 1 HCV patients; (iii) as part of its expanded phase II program,
expects to begin in the second half of 2006 a major Phase II study of
VX-950 in patients who have failed prior therapies; (iv) expects to begin
in the second half of 2006 a major Phase II study of VX-702 on a background
of methotrexate in patients with rheumatoid arthritis; (v) is on track to
begin a Phase I clinical study in the second quarter of VX-770, a novel
potentiator for CF, and will initiate a first study in patients in the
second half of the year; (vi) expects that Merck will initiate a Phase II
clinical study of VX-680 in patients with advanced lung cancer in 2006;
(vii) expects that data from the Phase IIb study of brecanavir will become
available this year, and that GSK will initiate Phase III clinical
development of brecanavir in 2006; (viii) expects that GSK will conduct
preclinical development of VX-409 in preparation for Phase I development in
early 2007; (ix) expects to sign new collaborations, focused on later-stage
development assets; (x) expects to achieve its financial guidance for 2006
as set forth above. While management makes its best efforts to be accurate
in making forward-looking statements, those statements are subject to risks
and uncertainties that could cause Vertex's actual results to vary
materially. Those risks and uncertainties include, among other things, the
risk that any one or more of Vertex's internal drug development programs,
including its proposed Phase II studies of VX-950 and VX-702, and its
proposed Phase I study of VX-770, or its development programs with
collaborators, will not proceed as planned for technical, scientific or
commercial reasons, or due to FDA disagreement study designs (including the
proposed design of VX-950, VX-702 and VX-770 studies), patient enrollment
issues or judgments based on new information from non-clinical or clinical
studies or from other sources, that one or more of the Company's
assumptions underlying its revenue expectations -- including clinical and
scientific progress that could lead to milestone payments under existing
collaboration agreements or other payments under new collaborations -- or
its expense expectations -- including estimates of the variables that go
into determining stock-based compensation costs -- will not be realized,
that Vertex will be unable to realize one or more of its financial
objectives for 2006 due to unexpected and costly program delays (including
delays due to regulatory action or lack of action) or any number of other
financial, technical or collaboration considerations, that unexpected costs
associated with one or more of the Company's programs will necessitate a
reduction in its investment in other programs or a change in the Company's
financial projections, that future competitive or other market factors may
adversely impact the commercial potential for the Company's product
candidates in HCV and inflammation and other areas, that due to scientific,
medical or technical developments, the Company's drug discovery efforts
will not ultimately result in commercial products or assets that can
generate collaboration revenue, that Vertex will be unable to enter into
new collaborative relationships to support its research and development
programs on acceptable terms, or at all, that the key estimates and
assumptions underlying the Company's forward-looking statements will turn
out to be incorrect or not reflective of changing scientific knowledge or
business conditions in the future, and other risks listed under Risk
Factors in Vertex's Annual Report on Form 10-K filed with the Securities
and Exchange Commission on March 16, 2006. We disclaim any intention or
obligation to update or revise any forward-looking statements, whether as a
result of new information, future events, or otherwise, unless required by
law.
                      Vertex Pharmaceuticals Incorporated
                          2006 First Quarter Results
                  Consolidated Statement of Operations Data
                   (In thousands, except per share amounts)
                                 (Unaudited)

                                                        Three Months Ended
                                                            March 31,
                                                       2006           2005

    Revenues:
     Royalties                                        $9,179         $6,153
     Collaborative and other R&D revenues             29,908         22,453
      Total revenues                                 $39,087        $28,606

    Costs and expenses:
     Royalty payments                                 $2,995         $2,030
     Research and development (includes stock-based
      compensation expense under FAS 123(R):
      2006-$6,406, 2005- $837)                        75,202         57,435
     Sales, general & administrative
      (includes stock-based compensation expense
      under FAS 123(R): 2006-$1,719, 2005- $194)      12,879          9,627
     Restructuring expense                               767          1,914
      Total costs and expenses                       $91,843        $71,006

    Loss from operations                            $(52,756)      $(42,400)

     Other income (expense), net                       1,623         (2,320)
    Loss from continuing operations before
     cumulative effect of change in
     accounting principle                           $(51,133)      $(44,720)

    Cumulative effect of a change in accounting
     principle - FAS 123(R)                           $1,046           ----

    Net loss                                        $(50,087)      $(44,720)

    Basic and diluted loss per common share
     before cumulative effect of change
     in accounting principle                          $(0.48)        $(0.56)

    Cumulative effect of change in
     accounting principle - basic and diluted          $0.01           ----

    Basic and diluted net loss per common share      $(0.47)        $(0.56)

    Basic and diluted weighted average number of
     common shares outstanding                       107,440         79,428


    Non-GAAP Loss Reconciliation (1)
                                                     Three Months Ended
                                                          March 31,
                                                      2006           2005
    GAAP Net Loss                                   $(50,087)      $(44,720)
    Pro Forma Adjustments:
     Stock-based compensation expense
      included in R&D (Note 2):                       $6,406           $837
     Stock-based compensation expense
      included in SG&A (Note 2):                       1,719            194

      Total stock-based compensation expense          $8,125         $1,031

     Restructuring expense (Note 4)                     $767         $1,914

     Cumulative effect of change in
      accounting principle - FAS 123(R) (Note 3)     $(1,046)          ----

     Non-GAAP Loss                                  $(42,241)      $(41,775)

     Basic and diluted Non-GAAP loss per share        $(0.39)        $(0.53)


    Note 1: Financial results are provided both in accordance with generally
            accepted accounting principles (GAAP) in the United States and
            using certain non-GAAP financial measures.  These results are
            provided as a complement to the results in accordance with GAAP
            because management believes these non-GAAP measures help indicate
            underlying trends in the Company's business, and uses these non-
            GAAP financial measures to establish budgets and operational
            goals that are communicated internally and externally, to manage
            the Company's business and to evaluate its performance.

    Note 2: For the three months ended March 31, 2006, the Company incurred
            $8.1 million in stock compensation expense of which $6.4 million
            is included in research and development expenses and $1.7 million
            is included in sales, general and administrative expenses.  Stock
            compensation expense includes costs associated with restricted
            stock, stock option awards and employee stock purchase shares,
            which were recorded in connection with provisions of FAS 123(R),
            "Accounting for Stock-Based Compensation". FAS 123(R) requires
            companies to record stock-based payments in the financial
            statements using a fair value method.  The Company adopted FAS
            123(R) on a modified prospective basis beginning January 1, 2006.
            For the three months ended March 31, 2005 the Company recorded
            $1.0 million of stock compensation expense relating to restricted
            stock awards.

    Note 3: FAS 123(R) requires companies to recognize expense only for shares
            the Company expects to vest, this results in the Company
            estimating forfeitures on grant date.  For the three months ended
            March 31, 2006 the Company recorded a $1.0 million benefit for
            the cumulative effect of the change in recording forfeitures as
            they occur to estimating forfeitures on grant date.

    Note 4: For the three months ended March 31, 2006 and 2005, the Company
            incurred restructuring expense charges. The charge for the three
            months ending March 31, 2006 and 2005 was $0.8 million and $1.9
            million, respectively, and is primarily the result of the imputed
            interest charge related to the restructuring liability.  This
            expense and related liability has been estimated in accordance
            with FASB 146 "Accounting for Costs Associated with Exit or
            Disposal Activities" and is reviewed quarterly for changes in
            circumstances.



                     Vertex Pharmaceuticals Incorporated
                          2006 First Quarter Results

                  Condensed Consolidated Balance Sheet Data
                                (In thousands)
                                 (Unaudited)

                                                    March 31,  December 31,
                                                      2006           2005


    Assets
    Cash, cash equivalents and available
     for sale securities                            $378,773       $407,510
    Other current assets                              30,589         23,898
    Property, plant and equipment, net                55,869         54,533
    Restricted cash                                   41,482         41,482
    Other noncurrent assets                           17,945         21,575
     Total assets                                   $524,658       $548,998


    Liabilities and Equity
    Other current liabilities                        $45,479        $54,443
    Accrued restructuring expense                     41,719         42,982
    Deferred revenue                                  24,451         32,300
    Collaborator development loan (due 2008)          19,997         19,997
    Convertible notes (due 2007)                      42,102         42,102
    Convertible notes (due 2011)                     117,998        117,998
    Stockholders' Equity                             232,912        239,176
     Total liabilities and equity                   $524,658       $548,998
    Common shares outstanding                        109,873        108,153


    Conference Call and Webcast: First Quarter 2006 Financial Results:
    Vertex Pharmaceuticals will host a conference call today, April 25,
2006 at 5:00 p.m. EDT to review financial results and recent developments.
This call will be broadcast via the Internet at http://www.vrtx.com in the
investor center. Alternatively, to listen to the call on the telephone,
dial (800) 374-0296 (U.S. and Canada) or (706) 634-2224 (International).
Alternatively, Vertex is providing a podcast MP3 file available for
download on the Vertex website, http://www.vrtx.com.
    The call will be available for replay via telephone commencing April
25, 2006 at 8:00 p.m. EDT running through 5:00 p.m. EDT on May 2, 2006. The
replay phone number for the U.S. and Canada is (800) 642-1687. The
international replay number is (706) 645-9291 and the conference ID number
is 7661044. Following the live webcast, an archived version will be
available on Vertex's website until 5:00 p.m. ET on May 9, 2006.
    Vertex's press releases are available at http://www.vrtx.com.

    Vertex Contacts:
     Lynne H. Brum, Vice President, Strategic Communications, (617) 444-6614
     Michael Partridge, Director, Corporate Communications, (617) 444-6108
     Lora Pike, Manager, Investor Relations, (617) 444-6755


SOURCE Vertex Pharmaceuticals Incorporated




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    CONTACT:
    Lynne H. Brum, Vice President, Strategic
    Communications, +1-617-444-6614, or Michael Partridge, Director,
    Corporate Communications, +1-617-444-6108, or Lora Pike, Manager,
    Investor Relations, +1-617-444-6755 all of Vertex