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Insmed (INSM)
NASDAQ:INSM

Insmed (INSM) AI Stock Analysis

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INSM

Insmed

(NASDAQ:INSM)

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Neutral 43 (OpenAI - 4o)
Rating:43Neutral
Price Target:
$161.00
▼(-8.11% Downside)
Insmed's overall stock score is primarily impacted by its financial performance challenges, including profitability and cash flow issues. While there are positive developments in product launches and regulatory approvals, these are offset by technical weaknesses and valuation concerns.
Positive Factors
Revenue Growth
Consistent revenue growth indicates strong market demand for Insmed's products, enhancing its market position and long-term financial stability.
Regulatory Approval
The approval of BRINSUPRI in the EU opens new markets, potentially increasing revenue streams and strengthening Insmed's competitive edge in treating rare diseases.
Pipeline Development
The acquisition of INS1148 and its development plans enhance Insmed's pipeline, potentially leading to new treatments and revenue opportunities in respiratory diseases.
Negative Factors
Profitability Challenges
Significant operational losses indicate ongoing challenges in achieving profitability, which could affect Insmed's ability to reinvest in growth and innovation.
Cash Flow Issues
Negative operating cash flow suggests inefficiencies in cash generation, potentially limiting Insmed's financial flexibility and ability to fund future projects.
Program Discontinuation
The discontinuation of the CRSsNP program due to trial failure may hinder Insmed's pipeline progress and impact future revenue potential from this treatment area.

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 flagship product, ARIKAYCE. The company has established a pricing strategy that reflects the specialized nature of its therapies and the significant unmet medical needs they address. Additionally, Insmed engages in partnerships and collaborations with other pharmaceutical companies and research institutions to enhance its drug development pipeline, which can lead to milestone payments and royalties. The company also benefits from grants and funding aimed at supporting research and development in rare diseases, further contributing to its financial stability.

Insmed Earnings Call Summary

Earnings Call Date:Oct 30, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 19, 2026
Earnings Call Sentiment Neutral
The earnings call presented a mix of significant achievements, particularly the strong launch of BRINSUPRI and robust performance of ARIKAYCE. However, the company expressed caution about the early dynamics of the BRINSUPRI launch and uncertainties in market access, indicating a balanced outlook.
Q3-2025 Updates
Positive Updates
Successful Launch of BRINSUPRI
BRINSUPRI achieved $28 million in net sales within its first partial quarter of launch. Approximately 2,550 new patients started treatment, and about 1,700 physicians prescribed it.
ARIKAYCE Performance
ARIKAYCE posted its largest quarter of revenue ever, up 22% compared to the same quarter last year. The company raised its 2025 full-year global ARIKAYCE net revenue guidance to $420 million to $430 million.
Regulatory Progress for Brensocatib
CHMP issued a positive opinion recommending brensocatib for the treatment of non-cystic fibrosis bronchiectasis in the EU, with potential launch in early 2026.
Pipeline Developments
Insmed expects several clinical readouts and trial initiations in the next 18 months, including potential Phase III programs for TPIP in PAH and other indications.
Negative Updates
Challenges in Early BRINSUPRI Launch
The early days of the BRINSUPRI launch include inventory stocking and other factors, making it challenging to discern the underlying dynamics. The company remains cautious about early extrapolations.
Market Access and Reimbursement Uncertainties
Early coverage for BRINSUPRI is positive, but there is uncertainty about future criteria and potential slowdowns as criteria become firmly established.
Company Guidance
During the Insmed Third Quarter 2025 Financial Results call, guidance was provided on various metrics and future expectations. BRINSUPRI, approved by the FDA in August, achieved $28 million in net sales within its first partial quarter, with approximately 2,550 patients starting treatment and around 1,700 physicians having written prescriptions. The company anticipates a significant commercial opportunity, drawing comparisons to strong respiratory launches like DUPIXENT, aiming for high double-digit million in revenue over the first two full quarters. Insmed's ARIKAYCE also showed strong performance, prompting an increase in full-year revenue guidance to $420-430 million. The company holds approximately $1.7 billion in cash and remains focused on various pipeline developments, including the BiRCh study for brensocatib, the TPIP program, and gene therapy programs, projecting a busy 2026 and 2027 with potential Phase III trial initiations.

Insmed Financial Statement Overview

Summary
Insmed shows revenue growth and improved debt management, but faces significant challenges in profitability and cash flow. High operating expenses and negative net profit margins indicate operational inefficiencies.
Income Statement
Insmed shows a consistent revenue growth trend with a 12.29% increase in TTM, but profitability remains a challenge. The company has a negative net profit margin of -264.83% and an EBIT margin of -167.30%, indicating significant operational losses. Despite a strong gross profit margin of 76.26%, high operating expenses are impacting overall profitability.
Balance Sheet
The balance sheet reflects a significant improvement in debt management, with a reduced debt-to-equity ratio of 0.04 in TTM compared to previous years. However, the return on equity remains negative at -183.55%, highlighting ongoing challenges in generating shareholder value. The equity ratio of 40.05% indicates a moderate level of financial stability.
Cash Flow
Cash flow analysis reveals a slight improvement in free cash flow growth at 4.33% in TTM, but the company still faces negative operating cash flow of -$883.40 million. The operating cash flow to net income ratio is -2.12, suggesting inefficiencies in converting income into cash. The free cash flow to net income ratio of 1.03 indicates that free cash flow is slightly better aligned with net income.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue447.02M363.71M305.21M245.36M188.46M164.41M
Gross Profit312.79M277.96M239.63M190.23M144.31M124.54M
EBITDA-1.09B-818.79M-660.18M-447.37M-383.65M-250.37M
Net Income-1.18B-913.77M-749.57M-481.53M-434.65M-294.09M
Balance Sheet
Total Assets2.36B2.03B1.33B1.66B1.24B796.15M
Cash, Cash Equivalents and Short-Term Investments1.68B1.43B780.45M1.15B716.78M532.76M
Total Debt745.08M1.31B1.20B1.18B612.27M404.84M
Total Liabilities1.42B1.74B1.66B1.57B833.04M520.27M
Stockholders Equity945.57M285.38M-331.92M87.95M410.47M275.88M
Cash Flow
Free Cash Flow-906.14M-705.80M-549.53M-410.32M-370.59M-226.17M
Operating Cash Flow-883.40M-683.88M-536.25M-400.44M-363.30M-219.35M
Investing Cash Flow-322.23M-583.17M-223.60M-34.58M-64.28M-6.82M
Financing Cash Flow1.08B1.34B168.44M793.27M612.55M271.00M

Insmed Technical Analysis

Technical Analysis Sentiment
Negative
Last Price175.20
Price Trends
50DMA
189.06
Negative
100DMA
167.45
Positive
200DMA
126.19
Positive
Market Momentum
MACD
-5.04
Positive
RSI
39.85
Neutral
STOCH
72.42
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For INSM, the sentiment is Negative. The current price of 175.2 is below the 20-day moving average (MA) of 184.94, below the 50-day MA of 189.06, and above the 200-day MA of 126.19, indicating a neutral trend. The MACD of -5.04 indicates Positive momentum. The RSI at 39.85 is Neutral, neither overbought nor oversold. The STOCH value of 72.42 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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
81
Outperform
$19.98B17.0830.39%18.09%3563.21%
80
Outperform
$22.89B22.6711.51%2.23%3.72%-31.46%
76
Outperform
$11.31B22.069.07%12.31%60.21%
76
Outperform
$19.43B13.3928.20%24.98%127.06%
53
Neutral
$23.29B-36.81-2.94%7.04%-25.24%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
43
Neutral
$37.37B-165.69%30.34%-11.26%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
INSM
Insmed
175.20
109.09
165.01%
BMRN
BioMarin Pharmaceutical
58.87
-9.03
-13.30%
INCY
Incyte
101.79
28.60
39.08%
GMAB
Genmab
31.80
9.62
43.37%
BNTX
BioNTech SE
96.85
-30.03
-23.67%
RPRX
Royalty Pharma
39.65
14.25
56.10%

Insmed Corporate Events

Business Operations and StrategyProduct-Related Announcements
Insmed Halts CRSsNP Program After Phase 2b Failure
Negative
Dec 17, 2025

On December 17, 2025, Insmed announced the Phase 2b BiRCh study of brensocatib for chronic rhinosinusitis without nasal polyps (CRSsNP) did not meet primary or secondary efficacy endpoints, prompting the discontinuation of the CRSsNP program. The study, conducted at 104 global sites with 288 participants, showed no significant improvement in outcomes compared to the placebo, but brensocatib was well tolerated without new safety concerns. Additionally, Insmed acquired INS1148, a Phase 2-ready investigational monoclonal antibody targeting respiratory, immunological, and inflammatory diseases, marking a strategic move that could enhance its pipeline for high unmet medical needs.

The most recent analyst rating on (INSM) stock is a Buy with a $256.00 price target. To see the full list of analyst forecasts on Insmed stock, see the INSM Stock Forecast page.

Product-Related Announcements
Insmed’s BRINSUPRI Approved by European Commission
Positive
Nov 18, 2025

On November 18, 2025, Insmed announced that the European Commission approved BRINSUPRI (brensocatib 25 mg tablets) for treating non-cystic fibrosis bronchiectasis (NCFB) in patients aged 12 and older with two or more exacerbations in the past year. This approval marks a significant milestone as BRINSUPRI becomes the first and only approved treatment for NCFB in the EU, potentially reshaping the treatment landscape for this debilitating disease. The decision was based on data from the Phase 3 ASPEN and Phase 2 WILLOW studies, which demonstrated a reduction in exacerbations and a slower decline in lung function. Insmed plans to engage with EU authorities to secure access for eligible patients starting in early 2026.

The most recent analyst rating on (INSM) stock is a Buy with a $214.00 price target. To see the full list of analyst forecasts on Insmed stock, see the INSM Stock Forecast page.

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: Dec 19, 2025