Insmed Incorporated (Nasdaq: INSM) reports $425.5M Q2 sales, lifts 2026 BRINSUPRI view
Insmed Incorporated reported second-quarter 2026 total revenues of $425.5 million, up from $107.4 million a year earlier. Growth was led by BRINSUPRI, which generated $309.2 million and grew 49% over the first quarter of 2026, and ARIKAYCE, which delivered $116.3 million, up 8% versus the 2025 quarter.
Operating loss for the quarter was $1.5 million, and net loss narrowed to $13.2 million (or $0.06 per share) compared with $321.7 million (or $1.70 per share) a year earlier. At June 30, 2026, cash, cash equivalents and marketable securities totaled approximately $1.2 billion, with shareholders’ equity of $757.5 million.
Insmed raised its 2026 BRINSUPRI revenue guidance to $1.25 billion–$1.40 billion and reiterated ARIKAYCE guidance of $450 million–$470 million. The company now estimates combined peak revenue of more than $14 billion for BRINSUPRI, TPIP and ARIKAYCE, and states it expects to reach cash flow positivity in 2027 without raising additional capital while advancing multiple late-stage and early-stage programs.
Positive
- Total product revenue rose to $425.5 million in Q2 2026 from $107.4 million in Q2 2025, driven by BRINSUPRI at $309.2 million and ARIKAYCE at $116.3 million, with BRINSUPRI growing 49% sequentially.
- Net loss narrowed sharply to $13.2 million in Q2 2026 from $321.7 million a year earlier, and management states it expects to achieve cash flow positivity in 2027 without raising additional capital.
Negative
- None.
Filing Explained
The more than $14 billion figure is a conditional peak-revenue estimate, not reported current revenue.
As a Form 8-K, this report discloses the second-quarter results event through furnished Exhibits 99.1 and 99.2; those exhibits are not deemed filed or incorporated by reference except by specific reference. At
The more than
8-K Event Classification
Key Figures
Key Terms
royalty financing agreement financial
contingent consideration financial
gross-to-net financial
open-label extension medical
non-cystic fibrosis bronchiectasis medical
pulmonary arterial hypertension medical
Earnings Snapshot
For 2026, Insmed guides BRINSUPRI revenue to $1.25–$1.40 billion and reiterates ARIKAYCE revenue guidance of $450–$470 million, with gross-to-net ranges in the mid-20%s to high-20%s for BRINSUPRI and low-20%s to mid-20%s for ARIKAYCE.
AI-generated analysis. How Rhea-AI works. Not financial advice.
FAQ
What were Insmed (INSM) total revenues in the second quarter of 2026?
How did Insmed (INSM) BRINSUPRI perform in Q2 2026?
What 2026 revenue guidance did Insmed (INSM) provide for BRINSUPRI and ARIKAYCE?
Was Insmed (INSM) profitable in the second quarter of 2026?
What is Insmed (INSM)'s cash position as of June 30, 2026?
What peak revenue does Insmed (INSM) expect from its lead programs?
How did ARIKAYCE perform for Insmed (INSM) in Q2 2026?
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(State or other jurisdiction of incorporation)
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(Commission File Number)
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(IRS Employer Identification No.)
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(Zip Code)
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(Address of principal executive offices)
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
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Title of each class
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Trading Symbol(s)
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Name of each exchange on which registered
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| ITEM 2.02 |
Results of Operations and Financial Condition.
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| ITEM 9.01 |
Financial Statements and Exhibits.
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Exhibit
No.
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Description
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99.1
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Press release issued by Insmed Incorporated on August 6, 2026.
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99.2
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Insmed Incorporated August 6, 2026 Presentation.
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104
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Cover Page Interactive Data File (embedded within the Inline XBRL document).
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Dated: August 6, 2026
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INSMED INCORPORATED
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By:
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/s/ Michael A. Smith
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Name:
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Michael A. Smith
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Title:
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Chief Legal Officer and Secretary
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BRINSUPRI
| • |
BRINSUPRI global revenue grew 49% in the second quarter of 2026 compared to the first quarter of 2026, driven by strong growth in the U.S. market.
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| • |
Insmed continues to anticipate a regulatory decision for brensocatib for the treatment of non-cystic fibrosis bronchiectasis (NCFB) in Japan in the second half of 2026.
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| • |
In June 2026, the European Multi-centre Bronchiectasis Audit and Research Collaboration (EMBARC) announced a collaboration with Insmed to conduct a landmark three-year open-label interventional study
evaluating the disease modification potential of 25 mg brensocatib in bronchiectasis.
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| • |
Insmed continues to evaluate the potential effect of evolving U.S. policies which will then impact the timing for future potential international commercial launches.
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ARIKAYCE global revenue grew 8% in the second quarter of 2026 compared to the second quarter of 2025, primarily driven by strong growth in international markets.
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In July 2026, Insmed submitted a supplemental new drug application (sNDA) to the U.S. Food and Drug Administration (FDA) for ARIKAYCE in newly diagnosed patients with MAC lung disease. Similarly,
Insmed plans to review the Phase 3b ENCORE data with the Pharmaceuticals and Medical Devices Agency (PMDA) in the second half of 2026 to support potential label expansion in Japan.
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Insmed continues to enroll patients in the PALM-ILD trial, a Phase 3 study of treprostinil palmitil inhalation powder (TPIP) in patients with pulmonary hypertension associated with interstitial lung
disease (PH-ILD).
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Insmed is actively enrolling patients in the PALM-PAH trial, a Phase 3 study of TPIP in patients with pulmonary arterial hypertension (PAH).
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In July 2026, Insmed reported positive 12-month data from the ongoing open-label extension (OLE) study of TPIP in patients with PAH.
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Insmed continues to anticipate initiating a Phase 3 study of TPIP in patients with progressive pulmonary fibrosis (PPF) in the second half of 2026 and a Phase 3 study in patients with idiopathic
pulmonary fibrosis (IPF) in the first half of 2027.
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Insmed continues to advance a Phase 2 development program for INS1148, initially targeting PPF and IPF, and is exploring other diseases where inhibition of the inflammatory functions of Stem Cell
Factor 248 (SCF248) may be beneficial.
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In July 2026, the Investigational New Drug (IND) filing for INS1033, Insmed’s second dipeptidyl peptidase 1 (DPP1) inhibitor, was cleared by the FDA for patients with rheumatoid arthritis (RA).
Insmed plans to initiate a Phase 1 trial in healthy volunteers in the third quarter of 2026.
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Insmed continues to enroll patients in the Phase 1 ASCEND clinical study of INS1201, an intrathecally delivered gene therapy for patients with Duchenne muscular dystrophy (DMD).
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Insmed continues to enroll patients in the Phase 1 ARMOR study of INS1202, an intrathecally delivered gene therapy for patients with amyotrophic lateral sclerosis (ALS).
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In May 2026, Insmed presented six abstracts from across its Respiratory Therapeutic Area at the American Thoracic Society (ATS) 2026 International Conference.
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In June 2026, Insmed appointed Samuele Butera as Senior Vice President, General Manager, Global Respiratory to lead its Respiratory Therapeutic Area.
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Three Months Ended June 30,
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Six Months Ended June 30,
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(in millions)
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2026
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2025
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Growth
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2026 |
2025
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Growth
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ARIKAYCE
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||||||||||||||||||||||||
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U.S.
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$
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70.2
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$
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68.7
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2
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%
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$
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133.1
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$
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133.0
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<1
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% | ||||||||||||
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International
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46.1
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38.7
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19
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%
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81.4
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67.3
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21
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%
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||||||||||||||||
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Total
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$
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116.3
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$
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107.4
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8
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%
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$
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214.4
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$
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200.2
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7
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%
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BRINSUPRI
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U.S.
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$
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308.6
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$
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-
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N/A
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$
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515.7
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$
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-
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N/A
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||||||||||||||
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International
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0.6
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-
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N/A
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1.3
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-
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N/A
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Total
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$
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309.2
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$
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-
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N/A
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$
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517.0
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$
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-
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N/A
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||||||||||||||
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Total Revenues
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||||||||||||||||||||||||
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U.S.
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$
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378.7
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$
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68.7
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451
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%
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$
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648.8
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$
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133.0
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388
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%
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||||||||||||
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International
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46.7
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38.7
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21
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%
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82.6
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67.3
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23
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%
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Total
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$
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425.5
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$
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107.4
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296
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%
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$
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731.5
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$
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200.2
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265
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%
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||||||||||||
| • |
Cost of product revenues (excluding amortization of intangibles) were $67.2 million for the second quarter of 2026, compared to $28.1 million for the second quarter of 2025. The increase in cost of
product revenues in the second quarter of 2026 primarily reflects the increase in total product revenues for ARIKAYCE and BRINSUPRI. Cost of product revenues as a percentage of revenues decreased in the second quarter of 2026 due to sales of
BRINSUPRI, which has lower manufacturing costs than ARIKAYCE.
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Research and development (R&D) expenses were $210.0 million for the second quarter of 2026, compared to $177.2 million for the second quarter of 2025. The increase in R&D expenses for the
second quarter of 2026 was primarily related to increases in compensation and benefit-related expenses, as well as stock-based compensation due to an increase in headcount, and an increase in clinical development and research costs primarily
related to TPIP.
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Selling, general and administrative (SG&A) expenses for the second quarter of 2026 were $247.5 million, compared to $154.8 million for the second quarter of 2025. The increase in SG&A
expenses for the second quarter of 2026 was primarily related to increases in professional fees and other external expenses, and an increase in compensation and benefit-related expenses due to an increase in headcount, both driven by
commercial activities for BRINSUPRI.
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For the second quarter of 2026, Insmed reported a net loss of $13.2 million, or $0.06 per share, compared to a net loss of $321.7 million, or $1.70 per share, for the second quarter of 2025.
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As of June 30, 2026, Insmed had cash, cash equivalents, and marketable securities totaling approximately $1.2 billion.
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The Company raised its guidance for full-year 2026 BRINSUPRI revenues to a range of $1.25 billion to $1.40 billion from the previous guidance of at least $1 billion. The Company continues to
anticipate full-year 2026 ARIKAYCE revenues in the range of $450 million to $470 million.
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The Company raised its peak revenue estimate for BRINSUPRI to more than $7 billion, raised its peak revenue estimate for TPIP to more than $6 billion, and reiterated its peak revenue estimate for
ARIKAYCE as more than $1 billion.
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The Company continues to anticipate submitting an average of one to two INDs per year from its pre-clinical research programs.
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Insmed continues to anticipate that the totality of its pre-clinical research programs will comprise less than 20% of overall expenditures.
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The Company plans to continue to invest in the following key activities in 2026:
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acceleration of BRINSUPRI commercial efforts in the U.S. and preparations for launch in Japan;
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strengthening of ARIKAYCE commercial efforts;
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preparation of regulatory submissions for full approval for ARIKAYCE in the U.S. and label expansion to include newly diagnosed patients with MAC lung disease in the U.S. and Japan;
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advancement of the clinical development programs for TPIP, including the Phase 3 studies in patients with PH-ILD, PAH, PPF, and IPF;
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advancement of multiple development programs for INS1148;
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advancement of the clinical trial programs for INS1201 in DMD and INS1202 in ALS, as well as IND-enabling activities for additional programs;
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advancement of clinical trial programs for INS1033 in RA; and
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continued development of its pre-clinical research programs.
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Three Months Ended June 30,
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Six Months Ended June 30,
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2026
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2025
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2026
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2025
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Product revenues, net
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$
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425,486
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$
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107,415
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$
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731,450
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$
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200,238
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Operating expenses:
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Cost of product revenues (excluding amortization of intangible assets)
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67,212
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28,075
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114,632
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49,353
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Research and development
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210,034
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177,190
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419,519
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329,767
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Selling, general and administrative
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247,467
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154,763
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494,726
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302,308
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Amortization of intangible assets
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2,081
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1,263
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4,162
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2,526
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Change in fair value of contingent consideration liabilities
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(99,760
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)
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59,000
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(146,721
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)
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77,300
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Total operating expenses
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427,034
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420,291
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886,318
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761,254
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Operating loss
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(1,548
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)
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(312,876
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)
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(154,868
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)
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(561,016
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)
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Investment income
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10,979
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13,225
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23,019
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27,131
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Interest expense
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(20,273
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)
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(21,245
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)
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(40,355
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)
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(42,814
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)
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Other (expense) income, net
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(531
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)
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453
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(1,267
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)
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585
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Loss before income taxes
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(11,373
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)
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(320,443
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)
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(173,471
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)
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(576,114
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)
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Provision for income taxes
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1,869
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1,243
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3,334
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2,155
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Net loss
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$
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(13,242
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)
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$
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(321,686
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)
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$
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(176,805
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)
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$
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(578,269
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)
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||||
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||||||||||||||||
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Basic and diluted net loss per share
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$
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(0.06
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)
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$
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(1.70
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)
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$
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(0.82
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)
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$
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(3.12
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)
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||||
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||||||||||||||||
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Weighted average basic and diluted common shares outstanding
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217,352
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189,302
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216,415
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185,104
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As of
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||||||||
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June 30, 2026
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December 31, 2025
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|||||||
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(unaudited)
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||||||||
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Assets
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||||||||
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Current assets:
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||||||||
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Cash and cash equivalents
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$
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544,765
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$
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510,445
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||||
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Marketable securities
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615,547
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919,602
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Accounts receivable
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215,325
|
140,857
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||||||
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Inventory
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142,384
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132,068
|
||||||
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Prepaid expenses and other current assets
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115,898
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91,236
|
||||||
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Total current assets
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1,633,919
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1,794,208
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||||||
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Fixed assets, net
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107,219
|
102,942
|
||||||
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Finance lease right-of-use assets
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14,205
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15,561
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Operating lease right-of-use assets
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13,179
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20,708
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Intangibles, net
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93,489
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97,651
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Goodwill
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136,110
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136,110
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Other assets
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104,444
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97,378
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Total assets
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$
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2,102,565
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$
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2,264,558
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Liabilities and shareholders' equity
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||||||||
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Current liabilities:
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||||||||
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Accounts payable and accrued liabilities
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$
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428,929
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$
|
456,060
|
||||
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Finance lease liabilities
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3,549
|
3,345
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||||||
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Operating lease liabilities
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6,266
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9,469
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||||||
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Total current liabilities
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438,744
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468,874
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Debt, long-term
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543,513
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540,964
|
||||||
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Royalty financing agreement
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159,843
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162,865
|
||||||
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Contingent consideration
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170,550
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314,340
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||||||
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Finance lease liabilities, long-term
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18,890
|
20,719
|
||||||
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Operating lease liabilities, long-term
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7,663
|
12,174
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||||||
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Other long-term liabilities
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5,868
|
5,646
|
||||||
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Total liabilities
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1,345,071
|
1,525,582
|
||||||
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Shareholders' equity:
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||||||||
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Common stock, $0.01 par value; 500,000,000 authorized shares, 218,281,059 and 214,255,853 issued and
outstanding shares at June 30, 2026 and December 31, 2025, respectively
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2,183
|
2,143
|
||||||
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Additional paid-in capital
|
6,572,181
|
6,372,064
|
||||||
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Accumulated deficit
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(5,813,497
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)
|
(5,636,692
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)
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||||
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Accumulated other comprehensive (loss) gain
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(3,373
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)
|
1,461
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|||||
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Total shareholders' equity
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757,494
|
738,976
|
||||||
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Total liabilities and shareholders' equity
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$
|
2,102,565
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$
|
2,264,558
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WARNING: RISK OF INCREASED RESPIRATORY ADVERSE REACTIONS
ARIKAYCE has been associated with an increased risk of respiratory adverse
reactions, including hypersensitivity pneumonitis, hemoptysis, bronchospasm, and exacerbation of underlying pulmonary disease that have led to hospitalizations in some cases.
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