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Analyst

Phil Nadeau

TD Cowen · covers Healthcare

Period: Reporting periods mapped to calendar 2024 Q4 – 2026 Q2 (7 quarters; questions recorded in 5).

Limited coverage. Only 8 questions of coverage. Treat these numbers as directional — sample too small for reliable averages.
Questions
8on tracked calls
Challenge rate
38%3 of 8 questionsLimited sample
Companies
2questioned at least once
Reporting periods
5with questions

These figures cover the whole profile: every tracked question, all reporting periods.

How to read these numbers

Challenge rate is the share of questions that pushed back, pressed for specifics or questioned management’s assumptions. It describes how questions were asked on the calls tracked here; it does not measure whether any view turned out to be right.

Rounding. Rates are rounded to whole percentages, so a small share can show as 0% even when some questions were challenging. The count beside each rate is exact; “none of N questions” means no question was challenging.

No questions recorded. “—” means there is nothing to calculate: no questions were recorded for that period on the calls tracked here. It does not mean there was no activity.

Fewer than 3 questions. A company-level rate is withheld when fewer than 3 questions were recorded for that company; the questions are still counted everywhere else.

Small samples. Profiles with fewer than 10 questions are marked Limited sample.

Reporting periods. Questions are grouped by the calendar quarter each company’s fiscal reporting period maps to, not by the date of the call. Periods without a calendar mapping are listed separately under their fiscal label.

Questions asked

Grouped by company, most questions first. Open a company to read its questions, newest reporting period first.

Showing 8 of 8 questions from 2 companies

VRTXVertex Pharmaceuticals5 questions · 4 reporting periods · 1 of 5 challenging
VRTX company page →

Calendar 2026 Q2

Is there a level of sweat chloride reduction that would get your attention

ChallengingCompetitive DynamicsInnovation & R&DTranscript · FY2026 Q2 →
Show response

Reshma: the bar is getting more patients below 30 mmol sweat chloride, where ALYFTREK already reaches ~2/3; exact reduction matters less.

Calendar 2025 Q4

could you give us some sense of the breakdown between KESJEVRI and Genomics in that number

Revenue GrowthProduct LaunchTranscript · FY2025 Q4 →
Show response

Charlie declined to break down CASGEVY vs JOURNAVX within the $500M+ non-CF guide but cited visibility from 300+ patient initiations and 150+ cell collections for CASGEVY, plus expected tripling of JOURNAVX prescriptions with better revenue conversion from expanded access.

Calendar 2025 Q3

Can you give us a sense of where it currently is and where it could be in 2026

MarginProduct LaunchTranscript · FY2025 Q3 →
Show response

Charlie acknowledged elevated gross-to-net driven by active patient support program but declined to provide 2026 guidance until payer mix and contracting are finalized.

Calendar 2024 Q4

can you give us some sense of will the prescription data that we see from third-party sources be accurate

Show response

Stuart noted retail prescription data is robust but hospital data is volume-based. Vertex will provide prescription and covered lives updates throughout 2025.

on ALYFTREK, there is a dispute going on between you and Royalty Pharma as to exactly what Royalty is owed

Regulation PolicyMarginTranscript · FY2024 Q4 →
Show response

Reshma dismissed the dispute framing, stating the contractual agreement clearly spells out responsibilities and she sees no room for interpretation.

BIIBBiogen3 questions · 3 reporting periods · 2 of 3 challenging
BIIB company page →

Calendar 2025 Q4

When do you think the growth products could overtake the legacy franchises

ChallengingRevenue GrowthM&ATranscript · FY2025 Q4 →
Show response

Chris noted full-year TECFIDERA erosion and TYSABRI biosimilar as headwinds. Growth inflection tied to Phase 3 readouts and launches: litifilimab SLE and felzartamab AMR potentially launching 2028. AMR could take off quickly given identified patient base and no existing treatment. BD target around $5-6B for post-Phase 3 companies but discipline on valuation.

Calendar 2025 Q2

Could you remind us whether there's a similar interim in AHEAD 3-45 and maybe more broadly discuss the differences in design between AHEAD 3-45 and TRAILBLAZER-ALZ 3

Innovation & R&DCompetitive DynamicsTranscript · FY2025 Q2 →
Show response

Priya detailed key design differences: AHEAD used amyloid PET screening with CDR 0 (no cognitive decline) vs competitor's mixed criteria including CDR 0.5 and 1. Different endpoints (preclinical AD composite vs CDR). Readout 2028 with optionality reserved for interim.

Calendar 2024 Q4

In Q4, revenue was up 30%, but the revenue recognized was only up $1 million. Can you talk about the dynamics behind that?

ChallengingRevenue GrowthProduct LaunchTranscript · FY2024 Q4 →
Show response

Chris pivoted to 2025 outlook rather than directly addressing the recognized vs in-market revenue gap. Noted steady quarterly progress expected with potential acceleration from subcutaneous formulation.

Challenge rate by company

Every company this analyst questioned, most questions first. A company-level rate is shown from 3 questions; below that it is withheld.

CompanyQuestionsChallenge rate
VRTX Vertex Pharmaceuticals520%1 of 5 questions
BIIB Biogen367%2 of 3 questions
  • VRTX
    Vertex Pharmaceuticals · 5 questions
    20%1 of 5 questions
  • BIIB
    Biogen · 3 questions
    67%2 of 3 questions

Activity by reporting period

Questions recorded for each calendar quarter that companies’ reporting periods map to (not the call date), with the challenge rate for that period. Periods inside the range with no questions are shown as “No questions recorded”.

Questions by calendar reporting period
Calendar periodQuestionsChallenge rateCompanies
2024 Q4333%1 of 3 questions2
2025 Q1No questions recorded——
2025 Q210%none of 1 question1
2025 Q310%none of 1 question1
2025 Q4250%1 of 2 questions2
2026 Q1No questions recorded——
2026 Q21100%1 of 1 question1
  1. 2024 Q43 questions · challenge rate 33% (1 of 3 questions) · 2 companies
  2. 2025 Q1No questions recorded
  3. 2025 Q21 question · challenge rate 0% (none of 1 question) · 1 company
  4. 2025 Q31 question · challenge rate 0% (none of 1 question) · 1 company
  5. 2025 Q42 questions · challenge rate 50% (1 of 2 questions) · 2 companies
  6. 2026 Q1No questions recorded
  7. 2026 Q21 question · challenge rate 100% (1 of 1 question) · 1 company

Topics

Topics tagged on this analyst’s questions.

  • Product Launch4
  • Revenue Growth3
  • Competitive Dynamics2
  • Innovation & R&D2
  • Margin2
  • M&A1
  • Regulation Policy1