Comprehensive Stock Comparison

Compare Vertex Pharmaceuticals Incorporated (VRTX) vs Ascendis Pharma A/S (ASND) Stock

Analyze side-by-side fundamentals, valuation, growth, and profitability to decide which stock is the better buy.

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Quick Verdict

CategoryWinnerWhy
GrowthASND90.2% revenue growth vs VRTX's 8.9%
ValueVRTXLower P/E (25.7x vs 49.1x)
Quality / MarginsVRTX31.3% net margin vs ASND's -31.7%
Stability / SafetyASNDBeta 0.24 vs VRTX's 0.44
DividendsTieNeither pays a meaningful dividend
Momentum (1Y)ASND+49.1% vs VRTX's +3.6%
Efficiency (ROA)VRTX14.8% ROA vs ASND's -17.5%, ROIC 22.8% vs -69.1%
Bottom line: VRTX and ASND each win 3 categories — the better choice depends on your priorities. Ascendis Pharma A/S is the better choice for growth and revenue expansion and capital preservation and lower volatility. As direct sector peers, they can serve as alternatives in the same portfolio allocation.

Who Each Stock Is For

Income & stability

Growth exposure

Long-term compounding (10Y)

Sleep-well-at-night portfolio

Defensive / Recession hedge

Business Model

What each company does and how it makes money

VRTXVertex Pharmaceuticals Incorporated
Healthcare

Vertex Pharmaceuticals is a biotechnology company focused on developing and commercializing transformative medicines for serious diseases, with its flagship franchise targeting cystic fibrosis. It generates nearly all its revenue from CF therapies — primarily Trikafta/Kaftrio — while building a pipeline in pain, kidney disease, and type 1 diabetes. Its moat stems from deep scientific expertise in CFTR biology and a dominant, near-monopoly position in the CF treatment market.

ASNDAscendis Pharma A/S
Healthcare

Ascendis Pharma is a biopharmaceutical company developing innovative therapies using its proprietary TransCon technology platform. It generates revenue primarily from sales of its approved growth hormone therapy SKYTROFA and through strategic partnerships — with future revenue expected from its pipeline of endocrinology and oncology treatments. The company's key competitive advantage is its TransCon platform, which enables sustained release of therapeutics with improved pharmacokinetics and reduced dosing frequency.

Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

VRTXVertex Pharmaceuticals Incorporated
FY 2025
TRIKAFTA/KAFTRIO
86.2%$10.3B
ALYFTREK
7.0%$838M
Manufactured Product, Other
6.9%$820M
ASNDAscendis Pharma A/S

Segment breakdown not available.

Financial Metrics Comparison

Side-by-side fundamentals across 2 stocks. BestLagging

Financial Scorecard

VRTX 3ASND 2
Financial MetricsVRTX4/6 metrics
Valuation MetricsVRTX3/4 metrics
Profitability & EfficiencyVRTX4/6 metrics
Total ReturnsASND4/6 metrics
Risk & VolatilityASND2/2 metrics
Analyst Outlook0/0 metrics

VRTX leads in 3 of 6 categories (Financial Metrics, Valuation Metrics). ASND leads in 2 (Total Returns, Risk & Volatility).

Financial Metrics (TTM)

VRTX is the larger business by revenue, generating $11.7B annually — 16.3x ASND's $718M. VRTX is the more profitable business, keeping 31.3% of every revenue dollar as net income compared to ASND's -31.7%. On growth, ASND holds the edge at +41.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricVRTXVertex Pharmaceut…ASNDAscendis Pharma A…
RevenueTrailing 12 months$11.7B$718M
EBITDAEarnings before interest/tax$4.2B-$119M
Net IncomeAfter-tax profit$3.7B-$228M
Free Cash FlowCash after capex$3.3B$43M
Gross MarginGross profit ÷ Revenue+86.3%+86.3%
Operating MarginEBIT ÷ Revenue+34.1%-19.0%
Net MarginNet income ÷ Revenue+31.3%-31.7%
FCF MarginFCF ÷ Revenue+28.5%+6.0%
Rev. Growth (YoY)Latest quarter vs prior year+11.0%+41.0%
EPS Growth (YoY)Latest quarter vs prior year+4.7%+15.6%
VRTX leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

MetricVRTXVertex Pharmaceut…ASNDAscendis Pharma A…
Market CapShares × price$126.2B$14.3B
Enterprise ValueMkt cap + debt − cash$124.8B$14.6B
Trailing P/EPrice ÷ TTM EPS32.43x-54.69x
Forward P/EPrice ÷ next-FY EPS est.25.66x49.09x
PEG RatioP/E ÷ EPS growth rate3.91x
EV / EBITDAEnterprise value multiple26.63x
Price / SalesMarket cap ÷ Revenue10.52x17.57x
Price / BookPrice ÷ Book value/share6.87x
Price / FCFMarket cap ÷ FCF39.51x278.56x
VRTX leads this category, winning 3 of 4 comparable metrics.

Profitability & Efficiency

MetricVRTXVertex Pharmaceut…ASNDAscendis Pharma A…
ROE (TTM)Return on equity+21.2%
ROA (TTM)Return on assets+14.8%-17.5%
ROICReturn on invested capital+22.8%-69.1%
ROCEReturn on capital employed+23.0%-51.9%
Piotroski ScoreFundamental quality 0–955
Debt / EquityFinancial leverage0.20x
Net DebtTotal debt minus cash$3.7B$256M
Cash & Equiv.Liquid assets$5.1B$616M
Total DebtShort + long-term debt$3.7B$871M
Interest CoverageEBIT ÷ Interest expense348.55x-0.62x
VRTX leads this category, winning 4 of 6 comparable metrics.

Total Returns (with DRIP)

A $10,000 investment in VRTX five years ago would be worth $23,616 today (with dividends reinvested), compared to $14,939 for ASND. Over the past 12 months, ASND leads with a +49.1% total return vs VRTX's +3.6%. The 3-year compound annual growth rate (CAGR) favors ASND at 28.1% vs VRTX's 19.6% — a key indicator of consistent wealth creation.

MetricVRTXVertex Pharmaceut…ASNDAscendis Pharma A…
YTD ReturnYear-to-date+9.9%+9.5%
1-Year ReturnPast 12 months+3.6%+49.1%
3-Year ReturnCumulative with dividends+71.1%+110.2%
5-Year ReturnCumulative with dividends+136.2%+49.4%
10-Year ReturnCumulative with dividends+481.2%+1245.8%
CAGR (3Y)Annualised 3-year return+19.6%+28.1%
ASND leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

ASND is the less volatile stock with a 0.24 beta — it tends to amplify market swings less than VRTX's 0.44 beta. A beta below 1.0 means the stock typically moves less than the S&P 500.

MetricVRTXVertex Pharmaceut…ASNDAscendis Pharma A…
Beta (5Y)Sensitivity to S&P 5000.44x0.24x
52-Week HighHighest price in past year$519.68$242.00
52-Week LowLowest price in past year$362.50$124.06
% of 52W HighCurrent price vs 52-week peak+95.6%+96.5%
RSI (14)Momentum oscillator 0–10054.654.8
Avg Volume (50D)Average daily shares traded1.2M573K
ASND leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Wall Street rates VRTX as "Buy" and ASND as "Buy". Consensus price targets imply 22.7% upside for ASND (target: $287) vs 9.7% for VRTX (target: $545).

MetricVRTXVertex Pharmaceut…ASNDAscendis Pharma A…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$545.08$286.50
# AnalystsCovering analysts5524
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap+1.6%+0.1%
Insufficient data to determine a leader in this category.

Historical Charts

Charts are rendered on first load. Hover for details.

Chart 1Total Return — 5 Years (Rebased to 100)

StockMar 20Feb 26Change
Vertex Pharmaceutic… (VRTX)100203.2+103.2%
Ascendis Pharma A/S (ASND)100165.23+65.2%

Vertex Pharmaceutic… (VRTX) returned +136% over 5 years vs Ascendis Pharma A/S (ASND)'s +49%. A $10,000 investment in VRTX 5 years ago would be worth $23,616 today (including dividends reinvested).

Chart 2Revenue Growth — 10 Years

Stock20162025Change
Vertex Pharmaceutic… (VRTX)$1.7B$12.0B+605.1%
Ascendis Pharma A/S (ASND)$5M$692M+14917.6%

Vertex Pharmaceuticals Incorporated's revenue grew from $1.7B (2016) to $12.0B (2025) — a 24.2% CAGR. Ascendis Pharma A/S's revenue grew from $5M (2016) to $692M (2025) — a 74.5% CAGR.

Chart 3Net Margin Trend — 10 Years

Stock20162025Change
Vertex Pharmaceutic… (VRTX)-6.6%32.9%+600.4%
Ascendis Pharma A/S (ASND)-14.9%-31.7%-112.9%

Vertex Pharmaceuticals Incorporated's net margin went from -7% (2016) to 33% (2025). Ascendis Pharma A/S's net margin went from -15% (2016) to -32% (2025).

Chart 4P/E Ratio History — 8 Years

Stock20172025Change
Vertex Pharmaceutic… (VRTX)144.129.6-79.5%

Vertex Pharmaceuticals Incorporated has traded in a 21x–144x P/E range over 8 years; current trailing P/E is ~32x.

Chart 5EPS Growth — 10 Years

Stock20162025Change
Vertex Pharmaceutic… (VRTX)-0.4615.32+3430.4%
Ascendis Pharma A/S (ASND)-2.58-3.62-40.3%

Vertex Pharmaceuticals Incorporated's EPS grew from $-0.46 (2016) to $15.32 (2025). Ascendis Pharma A/S's EPS grew from $-2.58 (2016) to $-3.62 (2025).

Chart 6Free Cash Flow — 5 Years

2021
$2B
$-442M
2022
$4B
$-510M
2023
$3B
$-470M
2024
$-790M
$-308M
2025
$3B
$44M
Vertex Pharmaceutic… (VRTX)Ascendis Pharma A/S (ASND)

Vertex Pharmaceuticals Incorporated generated $3B FCF in 2025 (+33% vs 2021). Ascendis Pharma A/S generated $44M FCF in 2025 (+110% vs 2021).

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VRTX vs ASND: Frequently Asked Questions

9 questions · data-driven answers · updated daily

01

Is VRTX or ASND a better buy right now?

Vertex Pharmaceuticals Incorporated (VRTX) offers the better valuation at 32.4x trailing P/E (25.7x forward), making it the more compelling value choice. Analysts rate Vertex Pharmaceuticals Incorporated (VRTX) a "Buy" — based on 55 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — VRTX or ASND?

On forward P/E, Vertex Pharmaceuticals Incorporated is actually cheaper at 25.7x.

03

Which is the better long-term investment — VRTX or ASND?

Over the past 5 years, Vertex Pharmaceuticals Incorporated (VRTX) delivered a total return of +136.2%, compared to +49.4% for Ascendis Pharma A/S (ASND). A $10,000 investment in VRTX five years ago would be worth approximately $24K today (assuming dividends reinvested). Over 10 years, the gap is even starker: ASND returned +1246% versus VRTX's +481.2%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — VRTX or ASND?

By beta (market sensitivity over 5 years), Ascendis Pharma A/S (ASND) is the lower-risk stock at 0.24β versus Vertex Pharmaceuticals Incorporated's 0.44β — meaning VRTX is approximately 87% more volatile than ASND relative to the S&P 500.

05

Which has better profit margins — VRTX or ASND?

Vertex Pharmaceuticals Incorporated (VRTX) is the more profitable company, earning 32.9% net margin versus -31.7% for Ascendis Pharma A/S — meaning it keeps 32.9% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: VRTX leads at 39.1% versus -18.9% for ASND. At the gross margin level — before operating expenses — VRTX leads at 86.2%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

06

Is VRTX or ASND more undervalued right now?

On forward earnings alone, Vertex Pharmaceuticals Incorporated (VRTX) trades at 25.7x forward P/E versus 49.1x for Ascendis Pharma A/S — 23.4x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for ASND: 22.7% to $286.50.

07

Which pays a better dividend — VRTX or ASND?

None of the stocks in this comparison currently pay a material dividend. All are effectively zero-yield and should be held for capital appreciation rather than income.

08

Is VRTX or ASND better for a retirement portfolio?

For long-horizon retirement investors, Ascendis Pharma A/S (ASND) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.24), +1246% 10Y return). Both have compounded well over 10 years (ASND: +1246%, VRTX: +481.2%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

09

What are the main differences between VRTX and ASND?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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VRTX

Quality Mega-Cap Compounder

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Net Margin > 18%
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ASND

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 20%
  • Gross Margin > 51%
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Revenue Growth>
%
(VRTX: 11.0% · ASND: 41.0%)