Back/Insmed Ends Brensocatib Study, Acquires New Monoclonal Antibody INS1148 for Future Development
pharma·December 18, 2025·insm

Insmed Ends Brensocatib Study, Acquires New Monoclonal Antibody INS1148 for Future Development

ED
Editorial
Cashu Markets·2 min read
TL;DR
  • Insmed has discontinued the Phase 2b study of brensocatib due to unmet efficacy endpoints in chronic rhinosinusitis.
  • Despite disappointing results, brensocatib shows a favorable safety profile with comparable adverse event rates across treatment groups.
  • Insmed is acquiring INS1148, a monoclonal antibody, to enhance its pipeline for treating respiratory and inflammatory diseases.

Insmed Discontinues Brensocatib Study but Forges Ahead with New Monoclonal Antibody Acquisition

Insmed Incorporated, a biopharmaceutical company focused on innovative therapies for severe diseases, has announced the discontinuation of its Phase 2b BiRCh study of brensocatib in chronic rhinosinusitis without nasal polyps (CRSsNP). The study, which aimed to evaluate the efficacy of brensocatib, fails to achieve both primary and secondary endpoints in its 10 mg and 40 mg treatment arms. The findings reveal that the placebo group exhibited a least squares (LS) mean change from baseline on the Sinus Total Symptom Score (sTSS) of -2.44, compared to -2.21 for the 10 mg dose and -2.33 for the 40 mg dose. This lack of efficacy highlights the challenges Insmed faces in developing effective treatments for chronic respiratory conditions.

Despite the disappointing results for brensocatib, there is a silver lining, as the treatment demonstrates a favorable safety profile, with no new safety signals identified. The rates of treatment-emergent adverse events (TEAEs) are comparable across the groups: 63.6% for the 10 mg, 69.9% for the 40 mg, and 65.3% for the placebo. Dr. Martina Flammer, Insmed's Chief Medical Officer, expresses disappointment over the study's outcome but acknowledges that the results provide clarity on the drug's potential, allowing the company to pivot its research focus as needed.

In a strategic move to bolster its pipeline, Insmed announces the acquisition of INS1148, a monoclonal antibody that is ready for Phase 2 clinical trials. INS1148 targets a specific isoform of Stem Cell Factor SCF248, with the potential to offer a first-in-class therapy for respiratory and inflammatory diseases. This acquisition is significant as it positions Insmed to address critical unmet medical needs, emphasizing its commitment to advancing innovative treatments in the biopharmaceutical landscape.

In summary, while the discontinuation of brensocatib's clinical trial presents a setback for Insmed, the company's acquisition of INS1148 illustrates its resilience and focus on developing new therapeutic options. As the biopharmaceutical industry continues to evolve, Insmed's strategic decisions reflect an adaptive approach to research and development, ensuring that it remains at the forefront of innovation in treating serious diseases.