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Insmed (INSM)
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Insmed (INSM) AI Stock Analysis

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INSM

Insmed

(NASDAQ:INSM)

Rating:63Neutral
Price Target:
$135.00
▼(-6.96% Downside)
Insmed's overall stock score is driven by strong technical momentum and positive corporate events, including FDA approval and promising clinical trial results. However, significant financial challenges and valuation concerns weigh heavily on the score. The earnings call provided a positive outlook, but the company's financial health remains a critical risk factor.
Positive Factors
Clinical Trial Success
INSM's Phase 2 PAH TPIP trial exceeded expectations, demonstrating significant improvements in PVR reduction and 6MWD.
FDA Approval
Brensocatib was recently granted FDA approval for the treatment of non-cystic fibrosis bronchiectasis, paving the way for Insmed to embark on its largest launch yet.
Market Potential
Investors are expected to pay closer attention to TPIP due to its potential for peak sales significantly exceeding the $2 billion suggested for PAH and PH-ILD.
Negative Factors
Clinical Picture Clarity
Several questions limit insight into Insmed’s upside, with the full clinical picture remaining unclear.
Market Entry Timeline
There is a belief that Insmed will not have the freedom to launch TPIP before 2034, which could impact its market entry timeline.

Insmed (INSM) vs. SPDR S&P 500 ETF (SPY)

Insmed Business Overview & Revenue Model

Company DescriptionInsmed Incorporated, a biopharmaceutical company, develops and commercializes therapies for patients with serious and rare diseases. The company offers ARIKAYCE for the treatment of Mycobacterium avium complex lung disease as part of a combination antibacterial drug regimen for adult patients. It is also developing Brensocatib, an oral reversible inhibitor of dipeptidyl peptidase 1 for the treatment of patients with bronchiectasis and other neutrophil-mediated diseases; and Treprostinil Palmitil Inhalation Powder, an inhaled formulation of a treprostinil prodrug treprostinil palmitil for the treatment of pulmonary arterial hypertension and other rare pulmonary disorders. Insmed Incorporated was founded in 1988 and is headquartered in Bridgewater, New Jersey.
How the Company Makes MoneyInsmed generates revenue primarily through the sales of its pharmaceutical products, particularly those that have received regulatory approval. The company focuses on developing specialty drugs that address unmet medical needs, allowing it to position itself in niche markets with high profit margins. Additionally, Insmed may engage in collaborations and partnerships with other pharmaceutical companies or research institutions, which can provide upfront payments, milestone payments based on development progress, and royalties on future sales. These collaborative efforts can significantly enhance its revenue streams, while also expanding its research and development capabilities.

Insmed Earnings Call Summary

Earnings Call Date:Aug 07, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Oct 23, 2025
Earnings Call Sentiment Positive
Insmed's earnings call highlighted significant clinical and financial achievements, including successful late-stage clinical trials, a strong financial position, and impressive revenue growth. The company is well-prepared for the U.S. launch of brensocatib and has shown promising results from TPIP trials. However, challenges remain in the HS study and potential delays in BiRCh study data release. Overall, the positive developments outweigh the challenges.
Q2-2025 Updates
Positive Updates
Successful Clinical Trials for Late-Stage Assets
Insmed's late-stage assets, ARIKAYCE, brensocatib, and TPIP, have shown positive Phase II or Phase III clinical data, marking a significant achievement for the company.
Strong Financial Position
Insmed reported a solid financial position with approximately $1.9 billion in cash, cash equivalents, and marketable securities, following an equity offering that resulted in $823 million in net proceeds.
Record Revenue Growth for ARIKAYCE
ARIKAYCE recorded double-digit year-over-year revenue growth globally, with notable performances in the U.S., Japan (45% growth), and Europe (48% growth).
Preparedness for Brensocatib U.S. Launch
The company is well-prepared for the anticipated U.S. launch of brensocatib, with a fully built-out sales force ready 10 months ahead of time and extensive payer engagement.
Positive Data from TPIP Trials
TPIP showed promising results in Phase IIb trials for pulmonary arterial hypertension, with a 35% placebo-adjusted reduction in PVR and a significant improvement in 6-minute walk distance.
Strong Pipeline and Research Progress
Insmed is advancing more than 30 preclinical programs across multiple research sites, with significant progress in gene therapy and protein de-immunization platforms.
Negative Updates
Challenges in Hidradenitis Suppurativa (HS) Study
The CEDAR study for brensocatib in HS is progressing, but the disease presents greater uncertainty compared to other indications due to lack of reliable animal models.
Potential Delays in BiRCh Study Data
While data from the Phase II BiRCh study in CRS without nasal polyps is expected by the end of the year, exact timing is still uncertain due to data cleaning processes.
Company Guidance
During the Insmed Second Quarter 2025 Financial Results Conference Call, the company provided robust guidance for the remainder of the year and beyond. Insmed expects to achieve full-year 2025 sales guidance for ARIKAYCE, driven by consistent year-over-year growth in the U.S., Europe, and Japan, and they anticipate potential expansion into new patient populations pending the successful Phase III ENCORE study. The launch of brensocatib in the U.S. is imminent, with European, U.K., and Japanese launches anticipated in 2026. The company is also advancing TPIP into Phase III trials for PH-ILD in 2025 and PAH in early 2026. Insmed's early-stage portfolio is active, with over 30 preclinical programs, and the company aims to produce 1-2 new INDs annually, underpinned by a solid financial position, with $1.9 billion in cash and marketable securities. This financial strength supports ongoing initiatives, including the U.S. launch of brensocatib and upcoming clinical milestones, which have the potential to significantly increase the company's impact on patients with serious diseases.

Insmed Financial Statement Overview

Summary
Insmed's financial performance is weak, with persistent net losses, negative cash flows, and operational inefficiencies. Despite positive revenue growth, the company struggles with profitability and cash generation, and the balance sheet shows ongoing financial risks.
Income Statement
35
Negative
Insmed's income statement reveals a challenging financial position with consistent net losses and negative profit margins. Despite a positive revenue growth rate of 4.48% in the TTM, the company struggles with high EBIT and EBITDA margins, indicating operational inefficiencies. The gross profit margin remains strong at over 75%, but the net profit margin is significantly negative at -259.82%, highlighting substantial net losses.
Balance Sheet
40
Negative
The balance sheet shows a mixed picture with a moderate debt-to-equity ratio of 0.59 in the TTM, suggesting manageable leverage compared to previous years. However, the return on equity is negative, indicating that the company is not generating profits from its equity base. The equity ratio is not explicitly calculated, but the overall equity position appears weak given the historical negative equity figures.
Cash Flow
30
Negative
Cash flow analysis indicates ongoing challenges with negative operating and free cash flows. Although there is a slight improvement in free cash flow growth at 10.05% in the TTM, the operating cash flow to net income ratio remains negative, reflecting cash flow difficulties. The free cash flow to net income ratio is slightly above 1, suggesting that free cash flow is marginally better than net income, but still negative.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue398.11M363.71M305.21M245.36M188.46M164.41M
Gross Profit300.17M277.96M239.63M190.23M144.31M124.54M
EBITDA-934.78M-814.14M-660.18M-429.44M-375.09M-250.37M
Net Income-1.03B-913.77M-749.57M-481.53M-434.65M-294.09M
Balance Sheet
Total Assets2.48B2.03B1.33B1.66B1.24B796.15M
Cash, Cash Equivalents and Short-Term Investments1.86B1.43B780.45M1.15B716.78M532.76M
Total Debt575.51M1.15B1.20B1.18B612.27M404.84M
Total Liabilities1.23B1.74B1.66B1.57B833.04M520.27M
Stockholders Equity1.25B285.38M-331.92M87.95M410.47M275.88M
Cash Flow
Free Cash Flow-868.57M-705.80M-549.53M-410.32M-370.59M-226.17M
Operating Cash Flow-844.55M-683.88M-536.25M-400.44M-363.30M-219.35M
Investing Cash Flow-563.47M-583.17M-223.60M-34.58M-64.28M-6.82M
Financing Cash Flow1.44B1.34B168.44M793.27M612.55M271.00M

Insmed Technical Analysis

Technical Analysis Sentiment
Positive
Last Price145.10
Price Trends
50DMA
113.95
Positive
100DMA
95.15
Positive
200DMA
84.82
Positive
Market Momentum
MACD
8.93
Negative
RSI
79.86
Negative
STOCH
83.37
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For INSM, the sentiment is Positive. The current price of 145.1 is above the 20-day moving average (MA) of 130.69, above the 50-day MA of 113.95, and above the 200-day MA of 84.82, indicating a bullish trend. The MACD of 8.93 indicates Negative momentum. The RSI at 79.86 is Negative, neither overbought nor oversold. The STOCH value of 83.37 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for INSM.

Insmed Risk Analysis

Insmed disclosed 52 risk factors in its most recent earnings report. Insmed reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Insmed Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
82
Outperform
$16.85B13.6426.08%23.25%64.46%
80
Outperform
$16.68B19.7024.30%18.87%1088.27%
76
Outperform
$10.90B16.8111.62%17.38%153.58%
72
Outperform
$21.52B15.9615.92%2.41%3.04%53.03%
63
Neutral
$30.13B-160.54%21.15%-5.65%
55
Neutral
$24.88B-1.81%7.51%30.53%
51
Neutral
$7.92B-0.43-41.67%2.21%22.29%-1.85%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
INSM
Insmed
145.10
73.28
102.03%
BMRN
BioMarin Pharmaceutical
57.77
-26.56
-31.50%
INCY
Incyte
86.64
24.38
39.16%
GMAB
Genmab
27.54
0.08
0.29%
BNTX
BioNTech SE
112.46
11.93
11.87%
RPRX
Royalty Pharma
36.07
8.73
31.93%

Insmed Corporate Events

Product-Related AnnouncementsBusiness Operations and Strategy
Insmed Gains FDA Approval for BRINSUPRI
Positive
Aug 12, 2025

On August 12, 2025, Insmed announced that the FDA approved BRINSUPRI, the first and only treatment for non-cystic fibrosis bronchiectasis (NCFB) in patients 12 years and older. This approval marks a significant advancement for the approximately 500,000 U.S. patients diagnosed with NCFB, offering a new standard of care by targeting neutrophilic inflammation, a root cause of the disease. The approval is based on positive results from the Phase 3 ASPEN and Phase 2 WILLOW studies, which demonstrated reductions in exacerbations and improvements in lung function. The approval is expected to have a substantial impact on Insmed’s operations and industry positioning, as it addresses a previously unmet need in the treatment of NCFB.

Private Placements and Financing
Insmed Announces $650 Million Public Stock Offering
Neutral
Jun 13, 2025

On June 11, 2025, Insmed announced the commencement and pricing of a public offering of its common stock, aiming to raise $650 million, with an option for underwriters to purchase additional shares. The offering, managed by Goldman Sachs and Leerink Partners, is expected to generate approximately $716.3 million in net proceeds, potentially impacting Insmed’s financial position and market operations.

Product-Related AnnouncementsBusiness Operations and Strategy
Insmed Announces Positive Phase 2b Study Results
Positive
Jun 10, 2025

On June 10, 2025, Insmed announced positive topline results from its Phase 2b study of treprostinil palmitil inhalation powder (TPIP) in patients with pulmonary arterial hypertension. The study, which met its primary and all secondary efficacy endpoints, demonstrated a 35% placebo-adjusted reduction in pulmonary vascular resistance and significant improvements in other key metrics. These results underscore TPIP’s potential as a highly effective, once-daily prostanoid therapy. Following these findings, Insmed plans to engage with the FDA to design a Phase 3 trial and aims to initiate further studies in late 2025 and early 2026. The announcement marks a significant advancement in PAH treatment, potentially impacting the company’s market positioning and offering new hope for patients.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 20, 2025