Insmed ends brensocatib CRSsNP program, adds INS1148 antibody asset
Insmed Incorporated reported topline results from its Phase 2b BiRCh study of brensocatib in patients with chronic rhinosinusitis without nasal polyps (CRSsNP) and announced that it has discontinued development of brensocatib for this indication.
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Insmed Incorporated reported topline results from its Phase 2b BiRCh study of brensocatib in patients with chronic rhinosinusitis without nasal polyps (CRSsNP) and announced that it has discontinued development of brensocatib for this indication. The 24‑week, randomized, double‑blind, placebo‑controlled study enrolled 288 patients across 104 global sites, comparing once‑daily brensocatib 10 mg, brensocatib 40 mg, and placebo, all on top of mometasone furoate nasal spray.
The primary endpoint was change from baseline in the 28‑day average daily Sinus Total Symptom Score at Week 24. Least squares mean changes were -2.44 for placebo, -2.21 for brensocatib 10 mg, and -2.33 for brensocatib 40 mg. Brensocatib was observed to be well tolerated, with similar rates of treatment‑emergent and serious adverse events across arms. Insmed also disclosed it has acquired INS1148, an investigational monoclonal antibody it plans to develop for respiratory, immunological, and inflammatory diseases with high unmet need.
Insights
Insmed is ending brensocatib development in CRSsNP after modest Phase 2b results while adding a new antibody asset, INS1148.
The BiRCh Phase 2b study tested brensocatib 10 mg and 40 mg once daily versus placebo in 288 CRSsNP patients over 24 weeks, all receiving mometasone furoate nasal spray. The primary endpoint was improvement in the 28‑day average daily Sinus Total Symptom Score at Week 24. Reported least squares mean changes were -2.44 for placebo, -2.21 for 10 mg brensocatib, and -2.33 for 40 mg brensocatib, indicating similar symptom score changes across arms based on these topline figures.
Safety was described as well tolerated, with comparable treatment‑emergent and serious adverse event rates and no new safety signals. Despite this tolerability profile, Insmed has discontinued the brensocatib program in CRSsNP, suggesting the efficacy data do not support further development in this indication based on the company’s assessment. In parallel, Insmed acquired INS1148, an investigational monoclonal antibody it plans to move into Phase 2 studies in interstitial lung disease and moderate‑to‑severe asthma, subject to successful trial conduct and regulatory interactions as described in its forward‑looking statements.
The shift away from brensocatib in CRSsNP toward INS1148 focuses the pipeline on other respiratory and immunological indications. Actual outcomes will depend on full BiRCh data, execution of planned Phase 2 trials for INS1148 in interstitial lung disease and asthma, manufacturing reliability, regulatory review, and the risk factors highlighted in Insmed’s prior annual and subsequent SEC reports.
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