Insmed (NasdaqGS:INSM) FY Conference December 02, 2025 11:15 AM ET Company ParticipantsSara Bonstein - CFOGavin Clark-Gartner - Managing DirectorGavin Clark-GartnerAll right. Let's go ahead and get started. Thanks for joining us, everyone. Next up, we have Insmed's CFO, Sara Bonstein. Sara, over to you for an overview of the company, where things stand today on the back of a huge 2025, another exciting 2026. After that, we'll get into it.Sara BonsteinGreat. Great. Thank you so much, Gavin, for having us. Th ...

Core Insights - Stanley Druckenmiller, a renowned investor, has a significant focus on biotech stocks, which make up 30% of his portfolio despite the popularity of AI stocks in the market [2][3]. Biotech Sector Overview - The biotech sector is challenging for retail investors due to its speculative nature and the need for scientific knowledge [2]. - Druckenmiller's private investment firm, Duquesne Family Office, has three major biotech holdings: Natera, Insmed, and Teva Pharmaceutical [3]. Natera - Natera represents 13% of Duquesne's portfolio, with over 3.2 million shares valued at approximately $517 million [4]. - The company utilizes AI to enhance disease detection, focusing on women's health, oncology, and organ health [5]. - Natera's stock has increased by 48% in 2023, with a 35% revenue growth year-over-year for the first nine months of 2025 [6]. - The company raised its annual revenue guidance for 2025 by $160 million, although it faces increased losses due to R&D and administrative expenses [6]. Insmed - Insmed accounts for 8.6% of the portfolio, with over 2.4 million shares valued at around $349 million [7]. - The company is focused on developing drugs for chronic diseases, with two drugs currently commercialized [8]. - Insmed's stock has surged nearly 200% year-to-date, driven by a 21% revenue growth from its drug Arikayce and the FDA approval of Brinsupri [9]. Teva Pharmaceutical - Teva Pharmaceutical comprises 8.3% of the portfolio, with approximately 16.6 million shares valued at about $335.2 million [10]. - The company manufactures a variety of drugs and has seen its stock rise over 17% this year [11]. - Teva reported a 3% year-over-year revenue growth to nearly $4.5 billion in the third quarter and has a strong pipeline of drugs nearing commercialization [12]. - The stock is trading at 1.7 times forward revenue and 9.5 times forward earnings, indicating a reasonable valuation [13].

Core Insights - Insmed Inc. (NASDAQ: INSM) has reached an all-time high stock price, driven by a positive business outlook despite an increase in net loss [1][4] Financial Performance - The stock price peaked at $194.70 during intra-day trading, closing at $194.22, reflecting a 16.33% increase [2] - Insmed's revenue from Arikayce, its primary treatment for MAC bacteria infection, is projected to grow by 15-18% to between $420 million and $430 million, an increase from previous estimates of $405 million to $425 million [2] - In Q3, Arikayce revenues rose by 22% to $114.3 million from $93.4 million year-over-year, contributing to a total revenue increase of 52% to $142.3 million [3] - The company’s new treatment, Brinspuri, generated $28.1 million in revenue during the same quarter [3] Losses - Insmed reported a 68% increase in net loss for Q3, amounting to $370 million compared to $220 million in the same period last year [4] - The cumulative net loss for the first nine months of the year reached $948 million, a 40% increase from $678 million in the previous year [4]

Core Insights - Insmed reported a Q3 2025 loss of $1.75 per share, wider than the Zacks Consensus Estimate of a loss of $1.32, compared to a loss of $1.27 per share in the same quarter last year [1][9] - Quarterly revenues increased by 52% year over year to over $142.3 million, surpassing the Zacks Consensus Estimate of approximately $115 million, driven by sales of its two marketed products [1][9] Financial Performance - Sales of Arikayce rose 22% year over year to $114.3 million, with domestic sales increasing by 11% to $74 million and ex-U.S. sales surging by 52% to $40.3 million [3] - Brinsupri generated $28.1 million in its first quarter of sales, contributing to strong investor optimism following its commercial launch [4][9] - Research and development expenses increased by 24% year over year to $186.4 million, attributed to a rise in employee headcount and clinical expenses [7] - Selling, general and administrative expenses rose by 57% to $186.4 million, driven by higher professional service costs and increased compensation for a larger workforce [8] Market Position and Guidance - Insmed's stock has increased by 181% year to date, compared to the industry's 11% growth [6] - The company raised its sales guidance for Arikayce to between $420 million and $430 million for the full year, indicating nearly 17% year-over-year growth at the midpoint [11] Pipeline Developments - Insmed has completed patient enrollment in the phase III ENCORE study for Arikayce, with top-line data expected in the first half of 2026 [12] - The EMA recommended approval for Brinsupri to treat NCFB in patients aged 12 and older, with a final decision expected before year-end [13] - Insmed is evaluating Brinsupri in the phase IIb BiRCh study for chronic rhinosinusitis and in the phase II CEDAR study for hidradenitis suppurativa, with data readouts expected in early 2026 [14] - The company plans to initiate two late-stage studies on its investigational treprostinil palmitil inhalation powder (TPIP) next year for pulmonary arterial hypertension and pulmonary hypertension associated with interstitial lung disease [15] - Insmed has completed dosing in the early-stage ASCEND study for its gene therapy INS2101 for Duchenne muscular dystrophy and received FDA clearance for clinical studies on INS1202 for ALS patients [16]

Core Insights - Argenx and Insmed reported strong third-quarter earnings, exceeding analyst expectations, which positively impacted their stock prices [1][2][3]. Company Performance - Argenx reported an adjusted profit of $5.18 per share on sales of $1.13 billion, significantly surpassing analyst projections of $4.49 per share and $1.07 billion in sales. Year-over-year, earnings increased by 273% and sales rose by 97% [2]. - Insmed reported a loss of $1.75 per share on sales of $142.3 million, which was worse than the expected loss of $1.28 per share and sales of $115.4 million. In the same period last year, Insmed lost $1.27 per share with sales of $93.4 million [3]. Sales Guidance - Insmed raised its guidance for Arikayce sales to a range of $420 million to $430 million, up from the previous estimate of $405 million to $425 million. Analysts had predicted $423.5 million in sales for Arikayce this year [4]. Stock Market Reaction - In premarket trading, Argenx shares rose by 1.5% to $834.23, while Insmed shares surged by 11.1% to $185.50. Argenx ranks No. 49 on the IBD 50 list of elite growth stocks with a strong IBD Digital Composite Rating of 98 [5]. - Insmed's stock has more than doubled this year, driven by enthusiasm for its experimental drug, treprostinil palmitil inhalation powder (TPIP), which has the potential to compete with existing treatments for high blood pressure in the lungs [6].

Core Insights - The article highlights stocks reaching new 52-week highs, indicating market recognition of strong fundamentals and potential catalysts for growth [1][2]. Company Summaries Cogent Biosciences Inc. (COGT) - Cogent Biosciences plans to file its first New Drug Application for Bezuclastinib by the end of 2025, targeting non-advanced systemic mastocytosis [3]. - A phase III trial comparing Bezuclastinib with Sutent is ongoing, with results expected in the second half of 2025 [4]. - The stock reached a 52-week high of $16.99, up from $7.25 when last featured [5]. Assembly Biosciences Inc. (ASMB) - Assembly Biosciences is advancing four key development programs, with ABI-5366 expected to enter phase 2 studies in mid-2026 [6]. - Interim data for ABI-1179 is anticipated this fall, while ABI-6250 is in a phase 1a trial [7]. - The stock hit a 52-week high of $28, up from $14.53 when last featured [8]. Compass Therapeutics Inc. (CMPX) - Compass Therapeutics is conducting a phase 2/3 study of Tovecimig for advanced biliary tract cancer, with analyses of secondary endpoints expected in Q1 2026 [9][10]. - The stock reached a 52-week high of $4.39, up from $2.91 when last featured [11]. NewAmsterdam Pharma Company N.V. (NAMS) - NewAmsterdam Pharma is developing Obicetrapib as a cholesterol-lowering therapy, with positive data from the BROADWAY trial [12][13]. - The company has completed two additional phase III trials and submitted marketing applications to the EMA [16]. - The stock reached a 52-week high of $39.76, up from $21.56 when last featured [17]. Mineralys Therapeutics Inc. (MLYS) - Mineralys is developing Lorundrostat for uncontrolled hypertension, with a pivotal phase III trial achieving its primary endpoint [19]. - A phase II trial for overweight participants with OSA is ongoing, with topline results expected in 1H 2026 [20]. - The stock hit a 52-week high of $43.88, up from $10.34 when last featured [20]. Kymera Therapeutics Inc. (KYMR) - Kymera is set to report data from its phase I trial of KT-621 this quarter, with phase 2b studies planned for late 2025 and early 2026 [21][22]. - The stock reached a 52-week high of $60, up from $40 when last featured [22]. Insmed Inc. (INSM) - Insmed has two approved drugs and is conducting a phase 3 trial of Arikayce, with topline results expected in 1H 2026 [24][25]. - The stock hit a high of $166.54, up from $76.54 when last featured [26]. Adaptive Biotechnologies Corp. (ADPT) - Adaptive Biotechnologies expects MRD revenue between $190 million and $200 million for 2025, up from $145.5 million in 2024 [28][29]. - The stock reached a 52-week high of $15.94, up from $9.80 when last featured [29]. BridgeBio Pharma Inc. (BBIO) - BridgeBio has upcoming topline results from the FORTIFY and CALIBRATE studies expected in Fall 2025 [30]. - The stock reached a 3-year high of $56.24, up from $25.10 when last featured [31]. Tarsus Pharmaceuticals Inc. (TARS) - Tarsus reported strong sales for Xdemvy, with Q2 2025 sales of $102.7 million, compared to $40.8 million in Q2 2024 [32]. - The stock hit an all-time high of $70.15, up from $25.01 when last featured [34]. Palvella Therapeutics Inc. (PVLA) - Palvella's QTORIN is under development for various skin diseases, with a phase 2 trial expected to report data in mid-December 2025 [35][36]. - The stock reached a 52-week high of $76.76, up from $25 when last featured [36]. Merus N.V. (MRUS) - Merus agreed to be acquired by Genmab for $97 per share, with the deal expected to close in early Q1 2026 [37]. - The stock was at $39.71 when last featured [39]. Nephros Inc. (NEPH) - Nephros reported net revenue of $4.4 million for Q2 2025, marking its third consecutive quarter of profitability [40][41]. - The stock hit a 52-week high of $5.98, up from $2.93 when last featured [42].

Core Viewpoint - William Blair initiated coverage on Insmed Incorporated, emphasizing the potential for significant valuation increase due to the clinical and commercial execution of its drugs, particularly Brinsupri [1] Group 1: Product Approval and Market Potential - The FDA approved Insmed's Brinsupri as an oral, once-daily treatment for non-cystic fibrosis bronchiectasis in adults and children aged 12 and older [2] - Brinsupri is the first and only FDA-approved treatment for non-cystic fibrosis bronchiectasis, a chronic lung condition that leads to persistent mucus production and difficulty breathing [3] Group 2: Clinical Trial Results - The Phase 2b study of treprostinil palmitil inhalation powder (TPIP) for pulmonary arterial hypertension met its primary endpoint, showing a placebo-adjusted reduction in pulmonary vascular resistance of 35% [4] Group 3: Financial Projections and Valuation - Insmed's peak sales potential could approach $15 billion by 2035, supported by upcoming trial readouts for Brinsupri, Arikayce, and TPIP [4] - The strong initial launch of Brinsupri is expected to command a valuation of roughly five times the five-year sales forecasts, with an estimated revenue of $7.7 billion by 2031 [6] - Insmed's stock is currently up 1.84% at $129.55, reflecting investor confidence in its market opportunities [6] Group 4: Strategic Outlook - William Blair sees Insmed evolving into a leading large-cap biotech, with strong value in its sizable market opportunities and de-risked clinical programs [5]

Core Viewpoint - Insmed reported a wider-than-expected loss in Q1 2025, with total revenues showing a year-over-year increase driven by its sole marketed drug, Arikayce [1][4][5]. Financial Performance - Insmed's Q1 2025 loss was $1.42 per share, compared to the Zacks Consensus Estimate of a loss of $1.36 and a loss of $1.06 per share in the same quarter last year [1]. - Total quarterly revenues reached $92.8 million, reflecting a 23% increase year over year, aligning with the Zacks Consensus Estimate [1]. - The company's stock declined by 4% following the earnings miss, and year-to-date, the stock has lost 9%, while the industry has seen a 5% decline [2]. Revenue Breakdown - All revenues in the reported quarter were generated from Arikayce, which is approved for treating refractory mycobacterium avium complex lung disease [4]. - Sales of Arikayce increased by 14% to $64.3 million in the U.S., 48% to $22.1 million in Japan, and 52% to $6.5 million in Europe and the rest of the world [5]. Expense Analysis - Research and development expenses rose by 26% year over year to $152.6 million, while selling, general, and administrative expenses increased by 58% to $147.5 million [6]. - The increase in expenses is attributed to a rise in employee headcount, leading to higher compensation and benefit-related expenses, as well as stock-based compensation costs [6]. Cash Position - As of March 31, 2025, Insmed had cash, cash equivalents, and marketable securities totaling approximately $1.2 billion, down from $1.4 billion as of December 31, 2024 [7]. Guidance and Future Outlook - Insmed maintained its sales guidance for Arikayce for the full year, expecting product sales to be between $405 million and $425 million, indicating a 14% year-over-year growth at the midpoint [9]. - The company is progressing with its pipeline, including a confirmatory phase III study for Arikayce and regulatory filings for brensocatib [10][11].