TheraRadar
Data updated: May 26, 2026

BRINSUPRI (brensocatib)

Trial Activity: Declining 1 active trials
First-in-Class Priority Review
Respiratory Approved 2025-08-12

Brinsupri treats non-cystic fibrosis bronchiectasis (NCFB) in both adults and pediatric patients aged 12 and older. This medication helps manage the chronic inflammation associated with the condition by targeting specific enzymes involved in the immune response. It is used to address the underlying inflammatory processes that contribute to the lung damage seen in these patients.

Source: FDA Label • INSMED INC

How BRINSUPRI Works

Brinsupri works by blocking dipeptidyl peptidase 1 (DPP1), an enzyme responsible for activating inflammatory proteins during the maturation of white blood cells in the bone marrow. By inhibiting this enzyme, the drug reduces the activity of several proteases, such as neutrophil elastase, that drive lung inflammation. This reduction in enzyme activity helps limit the neutrophil-mediated inflammation characteristic of non-cystic fibrosis bronchiectasis.

Development Insights

Insmed Incorporated conducting 9 trials (90%)
8 indications explored (Moderate)
healthy volunteers (3 trials)
cystic fibrosis (1 trials)
hidradenitis suppurativa (1 trials)
1
Indication
--
Phase 3 Trials
1
Priority Reviews
0
Years on Market

Details

Status
Prescription
First Approved
2025-08-12
Patent Cliff
2040

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Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: BRENSOCATIB

BRINSUPRI Approval History

2026
Original
New Indication
New Form
Label Update
2 FDA actions from 2025 to 2025
Aug 2025 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What BRINSUPRI Treats

1 indications

BRINSUPRI is approved for 1 conditions since its original approval in 2025. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Bronchiectasis
Source: FDA Label
📋

Clinical Trial Registry

10 trials
Trial Sponsor ID Phase Status Title
NCT05090904 results posted INS1007-211 Ph 2 completed A Study to Assess the Safety, Tolerability, and Pharmacokinetics of Brensocatib Tablets in Adults With Cystic Fibrosis
NCT06685835 CEDAR INS1007-231 2024-515959-38-00 Ph 2 active not recruiting A Study of the Efficacy and Safety of Brensocatib in Adults With Moderate to Severe Hidradenitis Suppurativa (HS)
NCT06013241 BiRCh INS1007-221 2022-502481-24-00 Ph 2 completed A Study of the Efficacy and Safety of Brensocatib in Participants With Chronic Rhinosinusitis Without Nasal Polyps (CRSsNP)
NCT06178783 INS1007-107 8521537 Ph 1 completed A Study of the Palatability and Acceptability of Different Brensocatib Oral Liquid Formulations in Healthy Participants
NCT05965570 INS1007-109 Ph 1 completed A Study to Investigate Effect of Clarithromycin, a Strong CYP3A4 Inhibitor, on Brensocatib Pharmacokinetics in Healthy Participants
NCT04817332 STOP-COVID19 results posted 01.01.20 2020-001643-13, 281986 Ph 3 completed STOP-COVID19: Superiority Trial Of Protease Inhibition in COVID-19
NCT05826574 INS1007-106 Ph 1 completed A Study to Assess Pharmacokinetics (PK) of Brensocatib Alone and With Multiple Doses of Rifampin or Esomeprozole in Healthy Participants
NCT05517525 INS1007-105 Ph 1 completed A Study to Evaluate the Pharmacokinetics (PK) and Safety of a Single Dose of Brensocatib in Participants With Normal Hepatic Function and Participants With Hepatic Impairment
NCT05673603 INS1007-102 Ph 1 completed A Study of Brensocatib Following a Single Oral Administration in Participants With or Without Renal Impairment
NCT05355935 INS1007-104 Ph 1 completed A Study to Investigate the Effects of Brensocatib on QT Interval in Healthy Participants
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

BRINSUPRI FDA Label Details

Indications & Usage

FDA Label (PDF)

BRINSUPRI is indicated for the treatment of Bronchiectasis.

View full patent landscape →
14 OB patents · 2 families · 181 international docs across 41 countries

BRINSUPRI Patents & Exclusivity

Latest Patent: Feb 2040
Exclusivity: Aug 2030

Patents (14 active)

US12059424 Expires Feb 21, 2040
US12201638 Expires Mar 1, 2039
US9522894 Expires Mar 12, 2035
US12054465 Expires Jan 21, 2035
US11814359 Expires Jan 21, 2035
US11773069 Expires Jan 21, 2035
US11673871 Expires Jan 21, 2035
US11655224 Expires Jan 21, 2035
US11655223 Expires Jan 21, 2035
US11655222 Expires Jan 21, 2035
US11655221 Expires Jan 21, 2035
US10669245 Expires Jan 21, 2035
US10287258 Expires Jan 21, 2035
US9815805 Expires Jan 21, 2035

Exclusivity

NCE Until Aug 2030
NCE Until Aug 2030
NCE Until Aug 2030
NCE Until Aug 2030
Source: FDA Orange Book

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Deep insights for BRINSUPRI

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2040
  • 56 active patents

Trial Analysis

  • 10 total trials
  • Stage: Declining

Competitive Landscape

  • Competitor tracking
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment