Insmed Reports Second-Quarter 2025 Financial Results and Provides Business Update
—ARIKAYCE® (amikacin liposome inhalation suspension) Total Revenue of
—NDA for Brensocatib in Patients with Bronchiectasis Remains on Track, with a PDUFA Target Action Date of
—TPIP Program Advancing with Phase 3 Studies Planned to Begin for PH-ILD in the Second Half of 2025 and for PAH in Early 2026—
—Topline Data Anticipated for Phase 2b BiRCh Study of Brensocatib in Patients with CRSsNP by the End of 2025—
—Company Reiterates 2025
"The second quarter of 2025 heralded another important milestone for patients and
Recent Progress and Anticipated Milestones by Program:
ARIKAYCE
- ARIKAYCE global revenue grew 19% in the second quarter of 2025 compared to the second quarter of 2024, reflecting year-over-year growth across all geographic regions.
- The Company anticipates the topline readout of the Phase 3 ENCORE trial in the first half of 2026 in patients with newly diagnosed or recurrent Mycobacterium avium complex (MAC) lung disease who have not started antibiotics.
- Assuming successful results from the ENCORE trial, the Company plans to submit a supplementary new drug application (sNDA) to the
U.S. Food and Drug Administration (FDA) for ARIKAYCE in all patients with MAC lung disease in theU.S. in the second half of 2026.
Brensocatib
- In
February 2025 , the FDA accepted the Company's New Drug Application (NDA) for brensocatib for patients with bronchiectasis, granting the application Priority Review designation with a Prescription Drug User Fee Act (PDUFA) target action date ofAugust 12, 2025 . If approved,Insmed expects to immediately launch brensocatib in theU.S. - Regulatory submissions for brensocatib in
Europe and theUnited Kingdom (UK ) have been accepted, with submission inJapan planned for the second half of 2025.Insmed anticipates commercial launches for each territory in 2026, pending approval. -
Insmed expects topline data from the Phase 2b BiRCh study of brensocatib in patients with chronic rhinosinusitis without nasal polyps (CRSsNP) by the end of 2025. - The Company continues to enroll patients in the Phase 2b CEDAR study of brensocatib in patients with hidradenitis suppurativa (HS). The Company anticipates the interim futility analysis from the first 100 patients to complete Week 16 of the trial in the first quarter of 2026.
TPIP
-
Insmed reported positive topline data from the Phase 2b study of treprostinil palmitil inhalation powder (TPIP) in pulmonary arterial hypertension (PAH) inJune 2025 . The study met its primary endpoint, with TPIP demonstrating statistically significant placebo-adjusted reductions in pulmonary vascular resistance (PVR). The study also met all secondary efficacy endpoints, including placebo-adjusted improvement in six-minute walk distance (6MWD) and reduction from baseline in N-terminal pro b-type natriuretic peptide (NT-proBNP) concentration. - The Company anticipates initiating a Phase 3 study of TPIP in patients with pulmonary hypertension associated with interstitial lung disease (PH-ILD) in the second half of 2025.
- The Company plans to initiate a Phase 3 study of TPIP in patients with PAH in early 2026.
Gene Therapy
-
Insmed dosed the first patient in the Phase 1 ASCEND clinical study of INS1201, an intrathecally-delivered gene therapy for patients with Duchenne muscular dystrophy (DMD), inJuly 2025 . - The Company's next two gene therapy candidates, which target amyotrophic lateral sclerosis (ALS) and Stargardt disease, are currently advancing toward the clinic. Investigational New Drug (IND) filings are anticipated in the second half of 2025 for ALS and the first half of 2026 for Stargardt disease.
Pre-Clinical Programs
-
Insmed's research efforts include more than 30 identified pre-clinical programs in development, all of which have the potential to become first-in-class or best-in-class therapies for the indications being pursued. - The Company anticipates submitting an average of one to two INDs per year from its pre-clinical research programs.
-
Insmed continues to anticipate that the totality of its pre-clinical research programs will comprise less than 20% of overall expenditures.
Corporate Updates
- In
April 2025 , the Company issued a notice of redemption for all$569.5 million aggregate principal amount of its remaining outstanding 0.75% Convertible Senior Notes due 2028 (2028 Convertible Notes). In connection with the conversions of the 2028 Convertible Notes,Insmed issued 17,756,196 shares of its common stock during the redemption period. - In
May 2025 ,Insmed presented eleven abstracts from across its portfolio at theAmerican Thoracic Society (ATS) 2025International Conference . - In
June 2025 ,Insmed completed a public offering of 8,984,375 shares of common stock, including 1,171,875 shares issued pursuant to the exercise in full of the underwriters' option to purchase additional shares. The Company's estimated net proceeds from the sale of the shares, after deducting underwriting discounts and estimated offering expenses, were$823.1 million .
Second-Quarter 2025 Financial Results
The following table summarizes second-quarter and year-to-date 2025 and 2024 revenues and revenue growth for ARIKAYCE across all commercial regions:
|
Three Months Ended |
|
|
Six Months Ended |
|
||
(in millions) |
2025 |
2024 |
Growth |
|
2025 |
2024 |
Growth |
U.S. |
|
|
7.7 % |
|
|
|
10.7 % |
Japan |
30.7 |
21.1 |
45.3 % |
|
52.8 |
36.0 |
46.5 % |
Europe & Rest of World |
8.1 |
5.4 |
48.3 % |
|
14.5 |
9.7 |
49.8 % |
Total Revenues |
|
|
18.9 % |
|
|
|
20.7 % |
- Cost of product revenues (excluding amortization of intangibles) was
$28.1 million for the second quarter of 2025, compared to$21.0 million for the second quarter of 2024. The increase in cost of product revenues primarily reflects growth in ARIKAYCE sales. - Research and development (R&D) expenses were
$177.2 million for the second quarter of 2025, compared to$146.7 million for the second quarter of 2024. The increase in R&D expenses was primarily related to increases in manufacturing expenses and in compensation and benefit-related expenses and stock-based compensation costs due to an increase in headcount. - Selling, general and administrative (SG&A) expenses for the second quarter of 2025 were
$154.8 million , compared to$106.6 million for the second quarter of 2024. The increase in SG&A expenses was primarily related to increases in compensation and benefit-related expenses and stock-based compensation costs due to an increase in headcount, as well as an increase in professional fees and other external expenses, both driven by commercial readiness activities for brensocatib. - For the second quarter of 2025,
Insmed reported a net loss of$321.7 million , or$1.70 per share, compared to a net loss of$300.6 million , or$1.94 per share, for the second quarter of 2024.
Balance Sheet, Financial Guidance, and Planned Investments
- As of
June 30, 2025 ,Insmed had cash, cash equivalents, and marketable securities totaling approximately$1.9 billion . -
Insmed continues to anticipate full-year 2025 global ARIKAYCE revenues in the range of$405 million to$425 million , representing a range of 11% to 17% year-over-year growth compared to 2024. - The Company plans to continue to invest in the following key activities in 2025:
(i) commercialization and expansion of ARIKAYCE globally;
(ii) commercial launch of brensocatib in the
(iii) advancement of clinical trial programs for brensocatib, including the ongoing Phase 2b BiRCh study in patients with CRSsNP and the Phase 2b CEDAR study in patients with HS;
(iv) advancement of the Phase 3 ENCORE study for ARIKAYCE, which is intended to satisfy the post-marketing requirement for full approval of its current indication and potentially support label expansion to include all patients with a MAC lung disease;
(v) advancement of clinical development programs for TPIP, including the initiation of a Phase 3 study in patients with PH-ILD and preparations for a Phase 3 study in patients with PAH;
(vi) advancement of the Phase 1 ASCEND study for INS1201 in DMD; and
(vii) continued development of its pre-clinical research programs.
Conference Call
Insmed will host a conference call beginning today,
A replay of the conference call will be accessible approximately 1 hour after its completion through
|
|
|||||||
|
Consolidated Statements of Net Loss |
|||||||
|
(in thousands, except per share data) |
|||||||
|
(unaudited) |
|||||||
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
Six Months Ended |
||||
|
|
2025 |
|
2024 |
|
2025 |
|
2024 |
|
|
|
|
|
|
|
||
|
Product revenues, net |
$ 107,415 |
|
$ 90,340 |
|
$ 200,238 |
|
$ 165,840 |
|
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
Cost of product revenues (excluding amortization of intangible assets) |
28,075 |
|
20,964 |
|
49,353 |
|
38,421 |
|
Research and development |
177,190 |
|
146,748 |
|
329,767 |
|
267,831 |
|
Selling, general and administrative |
154,763 |
|
106,569 |
|
302,308 |
|
199,671 |
|
Amortization of intangible assets |
1,263 |
|
1,263 |
|
2,526 |
|
2,526 |
|
Change in fair value of deferred and contingent consideration liabilities |
59,000 |
|
103,700 |
|
77,300 |
|
91,800 |
|
Total operating expenses |
420,291 |
|
379,244 |
|
761,254 |
|
600,249 |
|
|
|
|
|
|
|
|
|
|
Operating loss |
(312,876) |
|
(288,904) |
|
(561,016) |
|
(434,409) |
|
|
|
|
|
|
|
|
|
|
Investment income |
13,225 |
|
10,285 |
|
27,131 |
|
19,068 |
|
Interest expense |
(21,245) |
|
(21,267) |
|
(42,814) |
|
(42,309) |
|
Change in fair value of interest rate swap |
- |
|
384 |
|
- |
|
2,746 |
|
Other income (expense), net |
453 |
|
(269) |
|
585 |
|
(1,369) |
|
Loss before income taxes |
(320,443) |
|
(299,771) |
|
(576,114) |
|
(456,273) |
|
|
|
|
|
|
|
|
|
|
Provision for income taxes |
1,243 |
|
838 |
|
2,155 |
|
1,427 |
|
|
|
|
|
|
|
|
|
|
Net loss |
$ (321,686) |
|
$ (300,609) |
|
$ (578,269) |
|
$ (457,700) |
|
|
|
|
|
|
|
|
|
|
Basic and diluted net loss per share |
$ (1.70) |
|
$ (1.94) |
|
$ (3.12) |
|
$ (3.02) |
|
|
|
|
|
|
|
|
|
|
Weighted average basic and diluted common shares outstanding |
189,302 |
|
154,702 |
|
185,104 |
|
151,579 |
|
||||
Consolidated Balance Sheets |
||||
(in thousands, except par value and share data) |
||||
|
|
|
|
|
|
|
As of |
|
As of |
|
|
|
|
|
|
|
(unaudited) |
|
|
Assets |
|
|
|
|
Current assets: |
|
|
|
|
Cash and cash equivalents |
|
$ 1,284,324 |
|
$ 555,030 |
Marketable securities |
|
572,441 |
|
878,796 |
Accounts receivable |
|
55,033 |
|
52,012 |
Inventory |
|
107,605 |
|
98,578 |
Prepaid expenses and other current assets |
|
62,177 |
|
37,245 |
Total current assets |
|
2,081,580 |
|
1,621,661 |
|
|
|
|
|
Fixed assets, net |
|
89,995 |
|
80,052 |
Finance lease right-of-use assets |
|
16,917 |
|
18,273 |
Operating lease right-of-use assets |
|
10,315 |
|
17,257 |
Intangibles, net |
|
56,126 |
|
58,652 |
|
|
136,110 |
|
136,110 |
Other assets |
|
88,814 |
|
93,226 |
Total assets |
|
$ 2,479,857 |
|
$ 2,025,231 |
|
|
|
|
|
Liabilities and shareholders' equity |
|
|
|
|
Current liabilities: |
|
|
|
|
Accounts payable and accrued liabilities |
|
$ 305,019 |
|
$ 285,209 |
Finance lease liabilities |
|
3,149 |
|
2,961 |
Operating lease liabilities |
|
3,513 |
|
9,358 |
Total current liabilities |
|
311,681 |
|
297,528 |
|
|
|
|
|
Debt, long-term |
|
538,508 |
|
1,103,382 |
Royalty financing agreement |
|
163,534 |
|
161,067 |
Contingent consideration |
|
180,500 |
|
144,200 |
Finance lease liabilities, long-term |
|
22,439 |
|
24,064 |
Operating lease liabilities, long-term |
|
7,899 |
|
9,112 |
Other long-term liabilities |
|
5,561 |
|
499 |
Total liabilities |
|
1,230,122 |
|
1,739,852 |
|
|
|
|
|
Shareholders' equity: |
|
|
|
|
Common stock, |
|
|
|
|
shares, 211,110,658 and 179,382,635 issued and outstanding |
|
2,111 |
|
1,794 |
Additional paid-in capital |
|
6,184,078 |
|
4,645,791 |
Accumulated deficit |
|
(4,938,186) |
|
(4,359,917) |
Accumulated other comprehensive gain (loss) |
|
1,732 |
|
(2,289) |
Total shareholders' equity |
|
1,249,735 |
|
285,379 |
Total liabilities and shareholders' equity |
|
$ 2,479,857 |
|
$ 2,025,231 |
About ARIKAYCE
ARIKAYCE® is approved in
About PARI Pharma and the Lamira ® Nebulizer System
ARIKAYCE is delivered by a novel inhalation device, the Lamira® Nebulizer System, developed by PARI. Lamira® is a quiet, portable nebulizer that enables efficient aerosolization of ARIKAYCE via a vibrating, perforated membrane. Based on PARI's 100-year history working with aerosols, PARI is dedicated to advancing inhalation therapies by developing innovative delivery platforms to improve patient care.
About Brensocatib
Brensocatib is a small molecule, oral, reversible inhibitor of dipeptidyl peptidase 1 (DPP1) being developed by
About TPIP
Treprostinil palmitil inhalation powder (TPIP) is a dry powder formulation of treprostinil palmitil, a treprostinil prodrug consisting of treprostinil linked by an ester bond to a 16-carbon chain. Developed entirely in
About INS1201
INS1201 is an investigational micro-dystrophin adeno-associated virus gene replacement therapy that
IMPORTANT SAFETY INFORMATION AND BOXED WARNING FOR ARIKAYCE IN THE
WARNING: RISK OF INCREASED RESPIRATORY ADVERSE REACTIONS |
ARIKAYCE has been associated with an increased risk of respiratory adverse reactions, including hypersensitivity pneumonitis, hemoptysis, bronchospasm, and exacerbation of underlying pulmonary disease that have led to hospitalizations in some cases. |
Hypersensitivity Pneumonitis has been reported with the use of ARIKAYCE in the clinical trials. Hypersensitivity pneumonitis (reported as allergic alveolitis, pneumonitis, interstitial lung disease, allergic reaction to ARIKAYCE) was reported at a higher frequency in patients treated with ARIKAYCE plus background regimen (3.1%) compared to patients treated with a background regimen alone (0%). Most patients with hypersensitivity pneumonitis discontinued treatment with ARIKAYCE and received treatment with corticosteroids. If hypersensitivity pneumonitis occurs, discontinue ARIKAYCE and manage patients as medically appropriate.
Hemoptysis has been reported with the use of ARIKAYCE in the clinical trials. Hemoptysis was reported at a higher frequency in patients treated with ARIKAYCE plus background regimen (17.9%) compared to patients treated with a background regimen alone (12.5%). If hemoptysis occurs, manage patients as medically appropriate.
Bronchospasm has been reported with the use of ARIKAYCE in the clinical trials. Bronchospasm (reported as asthma, bronchial hyperreactivity, bronchospasm, dyspnea, dyspnea exertional, prolonged expiration, throat tightness, wheezing) was reported at a higher frequency in patients treated with ARIKAYCE plus background regimen (28.7%) compared to patients treated with a background regimen alone (10.7%). If bronchospasm occurs during the use of ARIKAYCE, treat patients as medically appropriate.
Exacerbations of underlying pulmonary disease has been reported with the use of ARIKAYCE in the clinical trials. Exacerbations of underlying pulmonary disease (reported as chronic obstructive pulmonary disease (COPD), infective exacerbation of COPD, infective exacerbation of bronchiectasis) have been reported at a higher frequency in patients treated with ARIKAYCE plus background regimen (14.8%) compared to patients treated with background regimen alone (9.8%). If exacerbations of underlying pulmonary disease occur during the use of ARIKAYCE, treat patients as medically appropriate.
Anaphylaxis and Hypersensitivity Reactions: Serious and potentially life-threatening hypersensitivity reactions, including anaphylaxis, have been reported in patients taking ARIKAYCE. Signs and symptoms include acute onset of skin and mucosal tissue hypersensitivity reactions (hives, itching, flushing, swollen lips/tongue/uvula), respiratory difficulty (shortness of breath, wheezing, stridor, cough), gastrointestinal symptoms (nausea, vomiting, diarrhea, crampy abdominal pain), and cardiovascular signs and symptoms of anaphylaxis (tachycardia, low blood pressure, syncope, incontinence, dizziness). Before therapy with ARIKAYCE is instituted, evaluate for previous hypersensitivity reactions to aminoglycosides. If anaphylaxis or a hypersensitivity reaction occurs, discontinue ARIKAYCE and institute appropriate supportive measures.
Ototoxicity has been reported with the use of ARIKAYCE in the clinical trials. Ototoxicity (including deafness, dizziness, presyncope, tinnitus, and vertigo) were reported with a higher frequency in patients treated with ARIKAYCE plus background regimen (17%) compared to patients treated with background regimen alone (9.8%). This was primarily driven by tinnitus (7.6% in ARIKAYCE plus background regimen vs 0.9% in the background regimen alone arm) and dizziness (6.3% in ARIKAYCE plus background regimen vs 2.7% in the background regimen alone arm). Closely monitor patients with known or suspected auditory or vestibular dysfunction during treatment with ARIKAYCE. If ototoxicity occurs, manage patients as medically appropriate, including potentially discontinuing ARIKAYCE.
Nephrotoxicity was observed during the clinical trials of ARIKAYCE in patients with MAC lung disease but not at a higher frequency than background regimen alone. Nephrotoxicity has been associated with the aminoglycosides. Close monitoring of patients with known or suspected renal dysfunction may be needed when prescribing ARIKAYCE.
Neuromuscular Blockade: Patients with neuromuscular disorders were not enrolled in ARIKAYCE clinical trials. Patients with known or suspected neuromuscular disorders, such as myasthenia gravis, should be closely monitored since aminoglycosides may aggravate muscle weakness by blocking the release of acetylcholine at neuromuscular junctions.
Embryo-Fetal Toxicity: Aminoglycosides can cause fetal harm when administered to a pregnant woman. Aminoglycosides, including ARIKAYCE, may be associated with total, irreversible, bilateral congenital deafness in pediatric patients exposed in utero. Patients who use ARIKAYCE during pregnancy, or become pregnant while taking ARIKAYCE should be apprised of the potential hazard to the fetus.
Contraindications: ARIKAYCE is contraindicated in patients with known hypersensitivity to any aminoglycoside.
Most Common Adverse Reactions: The most common adverse reactions in Trial 1 at an incidence ≥5% for patients using ARIKAYCE plus background regimen compared to patients treated with background regimen alone were dysphonia (47% vs 1%), cough (39% vs 17%), bronchospasm (29% vs 11%), hemoptysis (18% vs 13%), ototoxicity (17% vs 10%), upper airway irritation (17% vs 2%), musculoskeletal pain (17% vs 8%), fatigue and asthenia (16% vs 10%), exacerbation of underlying pulmonary disease (15% vs 10%), diarrhea (13% vs 5%), nausea (12% vs 4%), pneumonia (10% vs 8%), headache (10% vs 5%), pyrexia (7% vs 5%), vomiting (7% vs 4%), rash (6% vs 2%), decreased weight (6% vs 1%), change in sputum (5% vs 1%), and chest discomfort (5% vs 3%).
Drug Interactions: Avoid concomitant use of ARIKAYCE with medications associated with neurotoxicity, nephrotoxicity, and ototoxicity. Some diuretics can enhance aminoglycoside toxicity by altering aminoglycoside concentrations in serum and tissue. Avoid concomitant use of ARIKAYCE with ethacrynic acid, furosemide, urea, or intravenous mannitol.
Overdosage: Adverse reactions specifically associated with overdose of ARIKAYCE have not been identified. Acute toxicity should be treated with immediate withdrawal of ARIKAYCE, and baseline tests of renal function should be undertaken. Hemodialysis may be helpful in removing amikacin from the body. In all cases of suspected overdosage, physicians should contact the
LIMITED POPULATION: ARIKAYCE® is indicated in adults, who have limited or no alternative treatment options, for the treatment of Mycobacterium avium complex (MAC) lung disease as part of a combination antibacterial drug regimen in patients who do not achieve negative sputum cultures after a minimum of 6 consecutive months of a multidrug background regimen therapy. As only limited clinical safety and effectiveness data for ARIKAYCE are currently available, reserve ARIKAYCE for use in adults who have limited or no alternative treatment options. This drug is indicated for use in a limited and specific population of patients.
This indication is approved under accelerated approval based on achieving sputum culture conversion (defined as 3 consecutive negative monthly sputum cultures) by Month 6. Clinical benefit has not yet been established. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.
Limitation of Use :
ARIKAYCE has only been studied in patients with refractory MAC lung disease defined as patients who did not achieve negative sputum cultures after a minimum of 6 consecutive months of a multidrug background regimen therapy. The use of ARIKAYCE is not recommended for patients with non-refractory MAC lung disease.
Patients are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1‑800‑FDA‑1088. You can also call the Company at 1-844-4-
Please see Full Prescribing Information.
About
Headquartered in
Forward-looking Statements
This press release contains forward-looking statements that involve substantial risks and uncertainties. "Forward-looking statements," as that term is defined in the Private Securities Litigation Reform Act of 1995, are statements that are not historical facts and involve a number of risks and uncertainties. Words herein such as "may," "will," "should," "could," "would," "expects," "plans," "anticipates," "believes," "estimates," "projects," "predicts," "intends," "potential," "continues," and similar expressions (as well as other words or expressions referencing future events, conditions or circumstances) may identify forward-looking statements.
The forward-looking statements in this press release are based upon the Company's current expectations and beliefs, and involve known and unknown risks, uncertainties and other factors, which may cause the Company's actual results, performance and achievements and the timing of certain events to differ materially from the results, performance, achievements or timings discussed, projected, anticipated or indicated in any forward-looking statements. Such risks, uncertainties and other factors include, among others, the following: failure to continue to successfully commercialize ARIKAYCE, our only approved product, in the
The Company may not actually achieve the results, plans, intentions or expectations indicated by the Company's forward-looking statements because, by their nature, forward-looking statements involve risks and uncertainties because they relate to events and depend on circumstances that may or may not occur in the future. For additional information about the risks and uncertainties that may affect the Company's business, please see the factors discussed in Item 1A, "Risk Factors," in the Company's Annual Report on Form 10-K for the year ended
The Company cautions readers not to place undue reliance on any such forward-looking statements, which speak only as of the date of this press release. The Company disclaims any obligation, except as specifically required by law and the rules of the
Contact:
Investors:
Vice President, Investor Relations
(646) 812-4030
investor.relations@insmed.com
Media:
Vice President, Corporate Communications
(862) 842-6819
media@insmed.com
View original content to download multimedia:https://www.prnewswire.com/news-releases/insmed-reports-second-quarter-2025-financial-results-and-provides-business-update-302523543.html
SOURCE