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Crinetics stock nearly doubled early Tuesday after Vertex Pharmaceuticals pledged $10 billion to buy the endocrinology-focused biotech company.

The smaller company sells Palsonify, a treatment for acromegaly, and is working on a treatment for congenital adrenal hyperplasia, or CAH, called atumelnant. The Crinetics Pharmaceuticals' ( CRNX) drugs are daily pills and would add an estimated $5 billion in peak sales to Vertex Pharmaceuticals' ( VRTX) top line, the companies said in a news release.

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The deal values Crinetics stock at $85 a share. In early trades, Crinetics stock skyrocketed almost 99% to 83.53. Vertex stock dipped more than 2% to 517.26. Shares closed Monday in a buy zone after topping a cup-base entry at 507.92 on July 2.

William Blair analyst Myles Minter says the deal is at the higher end of the premium scale for biotechs. Including the cash acquired, Vertex will pay $8.8 billion for Crinetics.

"Investors will debate this (stock was down 1.8% after hours), but we view this as reasonable if the peak sales number can be achieved," he said in a report. Crinetics is now in its third quarter of the Palsonify launch. "With a strong initial launch, Vertex sees blockbuster peak sales potential for the product."

Endocrinology Pipeline

Palsonify gained Food and Drug Administration approval in September to treat acromegaly, a slow-progressing disease that causes excess growth hormone in adulthood. This leads to enlargement of the face, jaw, hands and feet. In most cases, it's caused by a noncancerous tumor on the pituitary gland. The company estimates there are about 20,000 diagnosed patients in the U.S. with acromegaly.

Crinetics' drug works by lowering insulin-like growth factor to alleviate symptoms, including joint pain, headaches and nausea.

The company is also testing out a daily pill to treat CAH, a group of inherited disorders that affect the adrenal glands. This leads to the overproduction of male sex hormones known as androgens. Typically, patients treated their CAH with high steroids known as glucocorticoids. But those carry a host of side effects.

Neurocrine Biosciences ( NBIX) won approval for its drug Crenessity. Crinetics is hoping to follow suit.

"Vertex sees a multibillion dollar opportunity in CAH alone for the product," William Blair's Minter said. "This includes global markets, but it is the first time we have heard of a multibillion sales potential for a CAH product. It is also bullish for Neurocrine's Crenessity, in our view, currently annualizing $613.2 million after (about) 18 months of launch."

Crinetics notes that atumelnant has also shown promise in Cushing's syndrome, a rare hormonal disorder in which too much cortisol exists in the body. This causes rapid weight gain, a hump between the shoulders, bruising, muscle weakness and high blood pressure, among other symptoms.

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'Strategic Fit For Vertex'

Vertex Chief Executive Reshma Kewalramani called Crinetics "an excellent strategic fit for Vertex."

"Its focus on serious diseases in specialty markets with significant unmet need, well-understood causal human biology, and potentially best-in-class medicines ... could deliver transformative benefit to patients," she said in a statement.

Oppenheimer analyst Leland Gershell says there aren't any major obstacles to the deal closing as expected this quarter. The endocrine focus diversifies Vertex's dominance in cystic fibrosis beyond its hematology, kidney and type 1 diabetes verticals.

Kewalramani, Vertex's CEO, says the company will build on its expertise in rare genetic diseases to continue building up Palsonify. Vertex partners with Crispr Therapeutics ( CRSP) on its gene-editing approach to two blood diseases.

Crinetics stock has spent all of 2026 consolidating with a buy point at 57.99, MarketSurge shows. Shares broke out Tuesday morning. The relative strength line also hit a new high.

Follow Allison Gatlin on X/Twitter at @AGatlin_IBD.

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