Financial Performance - BRINSUPRI™ (brensocatib) received FDA approval as the first treatment for non-cystic fibrosis bronchiectasis, with total revenue of $28.1 million in Q3 2025[1] - ARIKAYCE® (amikacin liposome inhalation suspension) generated total revenue of $114.3 million in Q3 2025, reflecting a 22% growth compared to Q3 2024[1] - The company raised its 2025 global ARIKAYCE revenue guidance to $420 million to $430 million, indicating a 15% to 18% year-over-year growth compared to 2024[15] - The company reported a net loss of $370.0 million, or $1.75 per share, in Q3 2025, compared to a net loss of $220.5 million, or $1.27 per share, in Q3 2024[11] - Total revenues for Q3 2025 were $142.3 million, a 52% increase from $93.4 million in Q3 2024[8] Expenses - Research and development (R&D) expenses increased to $186.4 million in Q3 2025, up from $150.8 million in Q3 2024, primarily due to increased compensation and clinical development costs[9] - Selling, general and administrative (SG&A) expenses rose to $186.4 million in Q3 2025, compared to $118.9 million in Q3 2024, driven by commercial readiness for BRINSUPRI[11] Assets and Liabilities - As of September 30, 2025, Insmed had cash, cash equivalents, and marketable securities totaling approximately $1.7 billion[15] - Total assets increased to $2,360,736, up from $2,025,231, representing a growth of approximately 16.5% year-over-year[19] - Current assets rose to $1,931,807, compared to $1,621,661, marking an increase of about 19.1%[19] - Total liabilities decreased to $1,415,165 from $1,739,852, reflecting a reduction of approximately 18.6%[19] - Shareholders' equity significantly improved to $945,571, up from $285,379, indicating an increase of about 231.5%[19] - Accounts payable and accrued liabilities increased to $409,835 from $285,209, which is an increase of approximately 43.7%[19] - The company reported a cash and cash equivalents balance of $334,764, down from $555,030, a decrease of about 39.6%[19] Product Development - Insmed anticipates topline data from the Phase 2b BiRCh study of brensocatib by early January 2026 and from the Phase 2b CEDAR study in the first half of 2026[1] - The company plans to initiate a Phase 3 study of TPIP for pulmonary hypertension associated with interstitial lung disease (PH-ILD) in Q4 2025[6] - The company is developing INS1201, a gene replacement therapy for Duchenne muscular dystrophy, which is currently in investigational stages[24] - The company is evaluating TPIP, a dry powder formulation for pulmonary arterial hypertension, which is still in the investigational phase[23] Safety and Efficacy - BRINSUPRI™ is indicated for the treatment of non-cystic fibrosis bronchiectasis in patients aged 12 and older, with safety monitoring for dermatologic reactions[41][42] - The most common adverse reactions in the ASPEN trial included upper respiratory tract infection (≥2%), headache, rash, dry skin, hyperkeratosis, and hypertension[45] - In the ASPEN trial, the incidence of ALT >3X upper limit of normal (ULN) was 0%, 1.2%, and 0.9% for placebo and BRINSUPRI 10 mg and 25 mg, respectively[46] - The incidence of skin cancers among patients treated with BRINSUPRI 10 mg and 25 mg was 0.5% and 1.9%, respectively, compared to 1.1% in placebo-treated patients[47] - The safety and effectiveness of BRINSUPRI have been established in pediatric patients aged 12 years and older, with common adverse reactions consistent with those in adults[51] Company Recognition and Risks - Insmed is advancing a diverse portfolio of approved and mid- to late-stage investigational medicines, focusing on pulmonary and inflammatory conditions[52] - The company has been recognized as one of the best employers in the biopharmaceutical industry, including five consecutive years as the No. 1 Science Top Employer[53] - Forward-looking statements involve substantial risks and uncertainties, including the failure to successfully commercialize ARIKAYCE and BRINSUPRI[54] - The company cautions that actual results may differ materially from those indicated by forward-looking statements due to various risks and uncertainties[56] - The company has a history of operating losses and the possibility that it may never achieve or maintain profitability[56] - The company may face challenges in obtaining regulatory approvals for its product candidates in the U.S., Europe, or Japan[55]
Insmed(INSM) - 2025 Q3 - Quarterly Results