Brensocatib's 2025 Launch Will Transform Bronchiectasis Care

Published
19 Mar 25
Updated
23 Aug 25
AnalystConsensusTarget's Fair Value
US$148.44
11.2% undervalued intrinsic discount
23 Aug
US$131.88
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1Y
67.3%
7D
3.2%

Author's Valuation

US$148.4

11.2% undervalued intrinsic discount

AnalystConsensusTarget Fair Value

Last Update23 Aug 25
Fair value Increased 24%

Insmed’s consensus price target has surged to $148.44, driven by the FDA approval and strong commercial prospects for Brinsupri, expanded pipeline potential, and robust Phase 2 results for TPIP—underscoring significant upward revisions in revenue and profit expectations.


Analyst Commentary


  • Bullish analysts are raising price targets following FDA approval of Brinsupri as the first therapy for non-cystic fibrosis bronchiectasis, citing a broad label with both doses approved, clean safety profile, and inclusion of favorable FEV1 and secondary endpoint data in prescribing information.
  • Strong commercial prospects for Brinsupri underlie valuation upgrades, with upside surprises on launch pricing ($88,000 per year) and peak sales projections ranging from $5B to as high as $7B in the lead indication, and additional blockbuster potential in other neutrophil-mediated diseases.
  • The “pipeline-in-a-pill” potential is highlighted, as multiple analysts expand their valuation models to include future indications for Brinsupri, such as chronic rhinosinusitis and hidradenitis suppurativa, with assumed launches in 2027–2028.
  • Recent Phase 2 data for treprostinil palmitil inhalation powder (TPIP) in pulmonary arterial hypertension (PAH) exceeded expectations, leading to increased peak revenue forecasts and further supporting Insmed’s long-term growth thesis.
  • One bearish analyst cites Insmed’s valuation already reflecting near-term opportunity post-approval, resulting in a relative downgrade despite positive views on pipeline and commercial launch readiness.

What's in the News


  • The FDA approved Insmed’s BRINSUPRI (brensocatib) as the first and only therapy for non-cystic fibrosis bronchiectasis (NCFB), supported by positive Phase 2 and 3 data, with commercial launches in Europe, the UK, and Japan anticipated pending further approvals.
  • Maxor Specialty Pharmacy, a VytlOne company, was selected as a limited distribution provider for BRINSUPRI, now available by prescription in the U.S.
  • Insmed announced positive topline Phase 2b results for treprostinil palmitil inhalation powder (TPIP) in pulmonary arterial hypertension (PAH), meeting primary and all secondary endpoints.
  • The company reiterated full-year 2025 global ARIKAYCE revenue guidance at $405–$425 million, indicating double-digit growth over 2024.
  • Insmed completed a follow-on equity offering of $750 million and was added to multiple Russell value and growth indices while being dropped from some small-cap and growth benchmarks; recent lock-up agreements cover executive share sales until mid-August.

Valuation Changes


Summary of Valuation Changes for Insmed

  • The Consensus Analyst Price Target has significantly risen from $120.12 to $148.44.
  • The Net Profit Margin for Insmed has significantly risen from 4.03% to 8.97%.
  • The Future P/E for Insmed has significantly fallen from 399.96x to 203.54x.

Key Takeaways

  • Anticipated U.S. and international launches of brensocatib are key catalysts for significant revenue growth and new market penetration.
  • Strategic investment in market access and R&D aims to sustain long-term profitability and support efficient product launches.
  • Regulatory and payer challenges could delay brensocatib's U.S. launch and market uptake, potentially affecting Insmed's revenue projections and margin strategies.

Catalysts

About Insmed
    Develops and commercializes therapies for patients with serious and rare diseases in the United States, Europe, Japan, and internationally.
What are the underlying business or industry changes driving this perspective?
  • The anticipated U.S. launch of brensocatib in bronchiectasis in the third quarter of 2025 is a major catalyst, expected to significantly increase revenue once it hits the market and starts generating sales late in Q3.
  • The upcoming Phase II data for TPIP in PAH by mid-2025 and brensocatib in CRS without nasal polyps by the end of 2025 are key clinical milestones that could enhance future revenue streams if positive.
  • Potential label expansion for ARIKAYCE based on the Phase III ENCORE trial readout in Q1 2026 could address a larger patient population, leading to a substantial increase in revenue.
  • Upcoming international launches of brensocatib in Europe, the U.K., and Japan by 2026 could open new markets, contributing to revenue growth.
  • Strategic investment in enhanced market access and a strong commercial team is expected to support efficient launches and revenue growth, while cash on hand allows for continued investment in R&D, sustaining long-term profitability.

Insmed Earnings and Revenue Growth

Insmed Future Earnings and Revenue Growth

Assumptions

How have these above catalysts been quantified?
  • Analysts are assuming Insmed's revenue will grow by 72.0% annually over the next 3 years.
  • Analysts are not forecasting that Insmed will become profitable in next 3 years. To represent the Analyst Price Target as a Future PE Valuation we will estimate Insmed's profit margin will increase from -251.2% to the average US Biotechs industry of 15.9% in 3 years.
  • If Insmed's profit margin were to converge on the industry average, you could expect earnings to reach $293.8 million (and earnings per share of $1.32) by about May 2028, up from $-913.8 million today. However, there is a considerable amount of disagreement amongst the analysts with the most bullish expecting $522 million in earnings, and the most bearish expecting $-510.0 million.
  • In order for the above numbers to justify the analysts price target, the company would need to trade at a PE ratio of 88.9x on those 2028 earnings, up from -14.2x today. This future PE is greater than the current PE for the US Biotechs industry at 20.4x.
  • Analysts expect the number of shares outstanding to grow by 7.0% per year for the next 3 years.
  • To value all of this in today's terms, we will use a discount rate of 6.58%, as per the Simply Wall St company report.

Insmed Future Earnings Per Share Growth

Insmed Future Earnings Per Share Growth

Risks

What could happen that would invalidate this narrative?
  • The potential delay in the FDA review process, especially if the agency decides to convene an advisory committee, could impact the timing of the U.S. launch of brensocatib, which in turn may affect revenue projections.
  • Market access challenges, including the need for contracting and potential pushback from payers on reimbursement criteria for brensocatib, could lead to slower-than-expected uptake, impacting revenue and margin assumptions.
  • The competitive landscape for treatments targeting CRS without nasal polyps and bronchiectasis, along with payer acceptance, could influence the pricing strategy and impact net margins.
  • Continuation rates and adherence to TPIP and brensocatib in real-world settings may vary, which could impact the projected uptake and revenue generation in these therapeutic areas.
  • External factors such as regulatory changes under the Inflation Reduction Act may alter gross-to-net revenue calculations, affecting Insmed's earnings and financial projections.

Valuation

How have all the factors above been brought together to estimate a fair value?
  • The analysts have a consensus price target of $97.124 for Insmed based on their expectations of its future earnings growth, profit margins and other risk factors. However, there is a degree of disagreement amongst analysts, with the most bullish reporting a price target of $110.0, and the most bearish reporting a price target of just $89.0.
  • In order for you to agree with the analyst's consensus, you'd need to believe that by 2028, revenues will be $1.9 billion, earnings will come to $293.8 million, and it would be trading on a PE ratio of 88.9x, assuming you use a discount rate of 6.6%.
  • Given the current share price of $71.4, the analyst price target of $97.12 is 26.5% higher.
  • We always encourage you to reach your own conclusions though. So sense check these analyst numbers against your own assumptions and expectations based on your understanding of the business and what you believe is probable.

How well do narratives help inform your perspective?

Disclaimer

AnalystConsensusTarget is a tool utilizing a Large Language Model (LLM) that ingests data on consensus price targets, forecasted revenue and earnings figures, as well as the transcripts of earnings calls to produce qualitative analysis. The narratives produced by AnalystConsensusTarget are general in nature and are based solely on analyst data and publicly-available material published by the respective companies. These scenarios are not indicative of the company's future performance and are exploratory in nature. Simply Wall St has no position in the company(s) mentioned. Simply Wall St may provide the securities issuer or related entities with website advertising services for a fee, on an arm's length basis. These relationships have no impact on the way we conduct our business, the content we host, or how our content is served to users. The price targets and estimates used are consensus data, and do not constitute a recommendation to buy or sell any stock, and they do not take account of your objectives, or your financial situation. Note that AnalystConsensusTarget's analysis may not factor in the latest price-sensitive company announcements or qualitative material.

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