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FDA Approves Brinsupri as First Therapy for Non-Cystic Fibrosis Bronchiectasis

About 500,000 Americans living with chronic bronchiectasis now have an FDA-approved option following trial data showing significant cuts in flare-ups.

Overview

  • The approval covers Brinsupri (brensocatib) 10 mg and 25 mg once-daily tablets for adults and patients 12 years and older with non-cystic fibrosis bronchiectasis.
  • Phase 3 ASPEN results showed a 21.1% reduction in annual exacerbations at 10 mg and 19.4% at 25 mg versus placebo, with both doses delaying first flare-ups and boosting exacerbation-free rates.
  • Phase 2 WILLOW safety data aligned with ASPEN findings except for a higher incidence of gingival and periodontal adverse reactions, which will inform post-marketing monitoring.
  • Insmed’s stock jumped more than 6% on the approval news and Wall Street forecasts peak annual sales of up to $6 billion at a list price of about $88,000 per patient.
  • The company has secured EMA and MHRA filings, plans a 2025 submission in Japan and is targeting commercial launches in 2026 pending foreign approvals.