Birkenstock, Insmed, and Other Major Stocks Decline in Thursday's Pre-Market Trading
Written by Emily J. Thompson, Senior Investment Analyst
Updated: Dec 18 2025
0mins
Should l Buy INSM?
Source: Benzinga
U.S. Stock Futures: U.S. stock futures rose this morning, with Dow futures increasing by approximately 100 points.
Birkenstock Earnings Report: Birkenstock Holding PLC's shares fell 10.6% in pre-market trading despite reporting quarterly earnings of 60 cents per share, surpassing analyst expectations.
Other Stocks Declining: Several stocks, including Insmed Inc and DBV Technologies, experienced significant declines in pre-market trading due to various company announcements and performance issues.
Instacart Investigation: Instacart's shares dropped 6.6% amid reports of a U.S. Federal Trade Commission investigation into its AI pricing tool.
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Analyst Views on INSM
Wall Street analysts forecast INSM stock price to rise
19 Analyst Rating
18 Buy
1 Hold
0 Sell
Strong Buy
Current: 151.110
Low
162.00
Averages
219.50
High
263.00
Current: 151.110
Low
162.00
Averages
219.50
High
263.00
About INSM
Insmed Incorporated is a global biopharmaceutical company. It is advancing a diverse range of approved and mid- to late-stage investigational medicines and drug discovery. Its advanced programs are in pulmonary and inflammatory conditions, including a therapy approved in the United States, Europe, and Japan to treat a chronic, debilitating lung disease. Its pre-clinical research programs encompass a range of technologies and modalities, including gene therapy, AI-driven protein engineering, protein manufacturing, RNA end-joining, and synthetic rescue. Its first commercial product, ARIKAYCE (amikacin liposome inhalation suspension), is used for the treatment of Mycobacterium avium complex lung disease as part of a combination antibacterial drug regimen for adult patients with limited or no alternative treatment options. Its pipeline includes clinical-stage programs, brensocatib, TPIP, and INS1201 and pre-clinical research programs. Its INS1148 is an investigational monoclonal antibody.
About the author

Emily J. Thompson
Emily J. Thompson, a Chartered Financial Analyst (CFA) with 12 years in investment research, graduated with honors from the Wharton School. Specializing in industrial and technology stocks, she provides in-depth analysis for Intellectia’s earnings and market brief reports.
- BRINSUPRI Revenue Guidance: Insmed anticipates BRINSUPRI revenue to exceed $1 billion in 2026, reflecting strong confidence in market access and early performance feedback, thereby establishing a solid foundation for future revenue growth.
- Significant ARIKAYCE Growth: In 2025, ARIKAYCE achieved a remarkable 40% growth in Japan, contributing over a quarter of global revenues, demonstrating the company's strong market performance in the region and providing excellent opportunities for future market expansion.
- Positive Cash Flow Outlook: The CFO reported a cash position of approximately $1.4 billion at the end of 2025, with expectations to achieve cash flow positivity without needing additional capital, enhancing the company's flexibility for future business development.
- Market Expansion Strategy: Management emphasized the potential to further expand BRINSUPRI's market by identifying undiagnosed bronchiectasis patients within the COPD and asthma populations, which is expected to drive overall company revenue to double in 2026.
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- Market Weakness: The S&P 500 index fell by 0.28%, the Dow Jones Industrial Average decreased by 0.54%, and the Nasdaq 100 index dropped by 0.41%, indicating market concerns over the outlook for artificial intelligence, particularly affecting chipmakers and AI infrastructure stocks.
- Mixed Economic Data: Initial jobless claims in the US fell to 206,000, a 5-week low, indicating a strong labor market; however, the December trade deficit widened to $70.3 billion, exceeding expectations, reflecting uncertainties in economic recovery.
- Shifts in Fed Policy Expectations: Hawkish comments from Fed officials suggest a potential need for interest rate hikes to combat persistent inflation, leading to a more hawkish outlook for future rate paths, which further dampens market sentiment.
- Earnings Season Nearing Conclusion: With over three-quarters of S&P 500 companies reporting, 74% exceeded expectations, and Q4 earnings are projected to grow by 8.4%, demonstrating corporate resilience, yet the market remains cautious about future growth prospects.
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- 2026 Revenue Expectations: Insmed anticipates that revenues from BRINSUPRI® (brensocatib) will reach at least $1 billion in 2026, while reiterating guidance for ARIKAYCE® (amikacin liposome inhalation suspension) revenues between $450 million and $470 million, reflecting strong confidence in the market potential of its new drugs.
- 2025 Financial Performance: The company reported total revenues of $606.4 million for 2025, with BRINSUPRI generating $144.6 million in Q4 and $172.7 million for the full year, while ARIKAYCE achieved $119.2 million in Q4 and $433.8 million for the year, marking a 19% annual growth that exceeded guidance, indicating robust market demand.
- Clinical Trial Progress: Insmed noted that clinical trials for BRINSUPRI and ARIKAYCE are progressing well, particularly the Phase 3 trials for TPIP, which are expected to lay the groundwork for future product expansions and enhance the company's competitive position in the market.
- Cash Flow and Investment Plans: As of the end of 2025, Insmed reported approximately $1.4 billion in cash and cash equivalents, demonstrating strong financial health, with plans to continue investing in the commercialization of BRINSUPRI and ARIKAYCE, supporting its future growth strategy.
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- 2025 Revenue Performance: Insmed reported total revenues of $606.4 million for 2025, reflecting a 67% increase from 2024, with ARIKAYCE generating $433.8 million, a 19% year-over-year growth that exceeded the upper end of guidance, indicating strong market demand and product acceptance.
- BRINSUPRI Sales Outlook: The company anticipates at least $1 billion in revenues from BRINSUPRI (brensocatib) in 2026, showcasing its robust growth potential in the non-cystic fibrosis bronchiectasis market, further solidifying its leadership in respiratory disease treatments.
- R&D and Operating Expenses: Research and development expenses reached $771.1 million in 2025, a 29% increase from 2024, primarily driven by rising personnel costs and the acquisition of INS1148, indicating a commitment to innovation and the development of new therapies despite increased spending.
- Cash Flow and Financial Position: As of the end of 2025, Insmed held approximately $1.4 billion in cash and cash equivalents, ensuring ample funding for future R&D and market expansion, thereby enhancing its financial stability and competitive position in the market.
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- Earnings Performance: Insmed's Q4 GAAP EPS of -$1.54 missed expectations by $0.44, indicating ongoing challenges in profitability; however, revenue reached $263.8 million, reflecting a robust year-over-year growth of 152.7%, showcasing strong business momentum.
- Cash Reserves: As of December 31, 2025, Insmed reported approximately $1.4 billion in cash, cash equivalents, and marketable securities, providing substantial financial support for future R&D and market expansion, thereby enhancing its financial stability.
- 2026 Revenue Projections: The company anticipates BRINSUPRI revenues of at least $1 billion for 2026, demonstrating strong confidence in the product's market potential, while ARIKAYCE revenue is expected to range between $450 million and $470 million, further solidifying its revenue base.
- Market Response: Despite setbacks in the Brensocatib pipeline, Insmed showcased its product potential at the J.P. Morgan Healthcare Conference, with analysts expressing optimism about Brinsupri and Arikayce sales prospects, which may attract more investor interest.
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- Earnings Announcement: Insmed (INSM) is scheduled to release its Q4 earnings on February 19 before market open, with a consensus EPS estimate of -$1.17, reflecting a significant year-over-year decline of 188.6%, which could negatively impact investor sentiment.
- Revenue Growth Expectations: The revenue estimate stands at $263.98 million, representing a robust year-over-year increase of 152.9%, indicating strong growth potential in the market, which may attract investor interest despite the poor EPS outlook.
- Historical Performance Review: Over the past year, Insmed has exceeded EPS estimates 50% of the time and revenue estimates 75% of the time, suggesting a degree of stability and reliability in its financial performance, potentially bolstering market confidence.
- Revision Dynamics: In the last three months, EPS estimates have seen 10 upward revisions and 1 downward revision, while revenue estimates have experienced 8 upward revisions with no downward adjustments, reflecting a positive trend that may indicate market optimism regarding Insmed's future performance.
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