Insmed Halts Brensocatib Program After Mid-Stage Trial Miss

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Insmed says it will discontinue development of its drug candidate brensocatib for hidradenitis suppurativa (HS) after a mid-stage clinical trial failed to meet its primary and secondary efficacy endpoints. HS is a chronic, non-contagious inflammatory skin disease characterized by painful lumps (nodules/boils) that form under the skin, usually in the armpits or groin. It causes recurrent abscesses that may rupture, forming tunnels (sinus tracts) and scarring.

The company reports that its Phase 2b CEDAR study, which evaluated brensocatib in adults with moderate to severe hidradenitis suppurativa, did not demonstrate improvement over placebo at either the 10 mg or 40 mg doses.

At 16 weeks, patients receiving brensocatib saw reductions in total abscess and inflammatory nodule counts of 45.5% and 40.3% for the 10 mg and 40 mg arms, respectively. However, the placebo group showed a greater reduction of 57.1%, leading to the study missing its primary endpoint, according to the company.

Despite the lack of efficacy, the company said the treatment was generally well tolerated, with no new safety signals observed across either dose. Rates of treatment-emergent adverse events were comparable across study arms, and serious adverse events remained low.

Insmed said it plans to present detailed results from the study at a future scientific meeting.

The decision narrows the development focus for brensocatib, a dipeptidyl peptidase 1 (DPP1) inhibitor that has been studied in multiple inflammatory conditions.

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