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Insmed (INSM)
NASDAQ:INSM
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Insmed (INSM) AI Stock Analysis

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INSM

Insmed

(NASDAQ:INSM)

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Neutral 53 (OpenAI - 4o)
Rating:53Neutral
Price Target:
$197.00
▲(3.90% Upside)
Insmed's stock score is primarily impacted by its financial performance challenges, including negative profitability and cash flow issues. While technical analysis shows strong momentum, valuation concerns due to a negative P/E ratio and lack of dividends weigh heavily. The positive sentiment from the earnings call is not factored into the overall score due to its exclusion from the weighted calculation.
Positive Factors
Regulatory Approval
The potential approval of BRINSUPRI in the EU as a first-in-class therapy for NCFB could significantly enhance Insmed's market position and revenue potential, providing a durable competitive advantage in treating non-cystic fibrosis bronchiectasis.
Strong Pipeline
A robust pipeline with over 30 preclinical programs indicates Insmed's commitment to innovation and long-term growth, potentially leading to new product launches and expanded market opportunities.
Financial Position
A solid cash reserve of $1.9 billion supports Insmed's R&D initiatives and strategic expansions, providing financial stability and flexibility to navigate market challenges and invest in growth opportunities.
Negative Factors
Net Losses
Persistent net losses and negative profit margins highlight ongoing operational inefficiencies, which could hinder Insmed's ability to achieve profitability and sustain long-term financial health.
Cash Flow Challenges
Negative cash flows indicate difficulties in generating sufficient cash from operations, potentially limiting Insmed's ability to fund new projects or respond to market opportunities without external financing.
Uncertainty in HS Study
Uncertainty in the HS study due to lack of reliable models could delay product development and impact Insmed's ability to expand its treatment portfolio in this indication, affecting future growth prospects.

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: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
35
Negative
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
40
Negative
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
30
Negative
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 Debt36.56M1.31B1.20B1.18B612.27M404.84M
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
Positive
Last Price189.60
Price Trends
50DMA
151.93
Positive
100DMA
129.34
Positive
200DMA
101.69
Positive
Market Momentum
MACD
8.24
Negative
RSI
75.97
Negative
STOCH
90.56
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 189.6 is above the 20-day moving average (MA) of 166.02, above the 50-day MA of 151.93, and above the 200-day MA of 101.69, indicating a bullish trend. The MACD of 8.24 indicates Negative momentum. The RSI at 75.97 is Negative, neither overbought nor oversold. The STOCH value of 90.56 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
$18.35B15.6830.39%18.09%3563.21%
$17.48B14.1726.08%23.25%64.46%
$21.54B15.9615.92%2.32%3.04%53.03%
$10.29B20.079.07%12.31%60.21%
$24.98B-1.81%7.51%30.53%
$40.44B-165.69%30.34%-11.26%
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
INSM
Insmed
189.60
121.51
178.45%
BMRN
BioMarin Pharmaceutical
53.57
-12.44
-18.85%
INCY
Incyte
93.48
17.73
23.41%
GMAB
Genmab
28.61
5.83
25.59%
BNTX
BioNTech SE
103.91
-5.06
-4.64%
RPRX
Royalty Pharma
37.54
11.08
41.87%

Insmed Corporate Events

Insmed’s Q3 2025 Earnings Highlight Growth and Expansion
Oct 31, 2025

Looking ahead, Insmed remains focused on expanding its commercial footprint and advancing its clinical programs. The company anticipates several key data readouts and regulatory submissions in 2026, positioning itself for continued growth and innovation in the biopharmaceutical industry.

Insmed’s CEDAR Study: A Potential Game-Changer for Hidradenitis Suppurativa Treatment
Oct 27, 2025

Insmed Incorporated is conducting a Phase 2b clinical trial, known as the CEDAR Study, to evaluate the efficacy and safety of Brensocatib in adults with moderate to severe Hidradenitis Suppurativa (HS). The study aims to assess the effects of Brensocatib compared to a placebo, which could provide significant insights into treating this chronic skin condition.

Insmed’s Phase 1 Study on TPIP Formulations: A Potential Game-Changer in Drug Delivery
Oct 27, 2025

Insmed Incorporated is conducting a Phase 1 clinical study titled ‘A Study to Assess the Relative Bioavailability After a Single Inhalation Administration of Treprostinil Palmitil Inhalation Powder (TPIP) Formulation 2 (F2) to TPIP Formulation 3 (F3) in Healthy Participants.’ The primary objective is to evaluate the relative bioavailability of treprostinil between two formulations, TPIP F2 and TPIP F3, at three different capsule strengths in healthy volunteers. This study is significant as it aims to optimize the delivery and efficacy of treprostinil, a drug used in treating pulmonary arterial hypertension.

Insmed’s New Phase 3 Study: A Potential Game Changer for PH-ILD Treatment?
Oct 27, 2025

Insmed Incorporated has announced a new clinical study titled A Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter, Parallel Group Study to Evaluate the Efficacy and Safety of Treprostinil Palmitil Inhalation Powder in Participants With Pulmonary Hypertension Associated With Interstitial Lung Disease. The study aims to assess the impact of a 24-week treatment with Treprostinil Palmitil Inhalation Powder (TPIP) on exercise capacity in adults suffering from Pulmonary Hypertension associated with Interstitial Lung Disease (PH-ILD).

Business Operations and StrategyProduct-Related Announcements
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.

The most recent analyst rating on (INSM) stock is a Buy with a $74.00 price target. To see the full list of analyst forecasts on Insmed stock, see the INSM Stock Forecast page.

Insmed’s Earnings Call Highlights Strong Portfolio and Growth
Aug 12, 2025

Insmed’s recent earnings call reflected a positive outlook, underscored by strong performance across its late-stage and early-stage portfolios. The company reported record ARIKAYCE revenue and successful capital raising efforts, despite some concerns regarding the launch of brensocatib and uncertainties in certain trials.

Insmed Reports Strong Growth and Strategic Advances
Aug 8, 2025

Insmed Incorporated is a global biopharmaceutical company focused on developing therapies for serious diseases, particularly in the pulmonary and inflammatory sectors, with a commitment to delivering first- and best-in-class treatments.

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: Oct 31, 2025