Brinsupri (aka Brensocatib)

Posted by scoop @scoop, 4 days ago

FDA approved Brensocatib today. Hooray for us. Let’s hope we have access to it as soon as possible and it gives us some measure of relief. Thank you to all the scientists and doctors and patients!
https://www.multivu.com/insmed/9347351-en-fda-approves-brinsupri-brensocatib

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

A few things gleaned from today's conference call announcement:
Bronchiectasis was first diagnosed (and named) in 1819. Since then no drug (pharmaceutical) treatments have been available.
Company expects 250,000 patients in US to get the drug upon launch. There are over 500,000 diagnosed with bronchiectasis. There are approx. 17,000 pulmonologists in US.
There are 2 drug strengths, 10mg and 25 mg tablets. Pulmonologists will decide on what dose each patient receives and which patients receive it. The guidelines are 2 exacerbations a year, but the decision to prescribe is up to each pulmonologist.
"Time to fill" is approximately 1-month's time. Insmed is presently negotiating with payers, dealing with labelling etc.
60% of patients receiving drug are on Medicare.
Formulary vs exception. Brinsupri will be an exception process for now. One of the reasons for a Q3 launch is that many patients are near or at their OOP maximums, so theoretically Brinsupri may cost them zero dollars.
Competitive landscape - none exists for at least 2-3 years.

Oddly, no one asked about side effects!

REPLY
Profile picture for scoop @scoop

A few things gleaned from today's conference call announcement:
Bronchiectasis was first diagnosed (and named) in 1819. Since then no drug (pharmaceutical) treatments have been available.
Company expects 250,000 patients in US to get the drug upon launch. There are over 500,000 diagnosed with bronchiectasis. There are approx. 17,000 pulmonologists in US.
There are 2 drug strengths, 10mg and 25 mg tablets. Pulmonologists will decide on what dose each patient receives and which patients receive it. The guidelines are 2 exacerbations a year, but the decision to prescribe is up to each pulmonologist.
"Time to fill" is approximately 1-month's time. Insmed is presently negotiating with payers, dealing with labelling etc.
60% of patients receiving drug are on Medicare.
Formulary vs exception. Brinsupri will be an exception process for now. One of the reasons for a Q3 launch is that many patients are near or at their OOP maximums, so theoretically Brinsupri may cost them zero dollars.
Competitive landscape - none exists for at least 2-3 years.

Oddly, no one asked about side effects!

Jump to this post

Thanks, Scoop, exciting news. Does this mean that Insmed expects it to be on the market in about a month?

REPLY
Profile picture for wolfplanetzero @wolfplanetzero

Thanks, Scoop, exciting news. Does this mean that Insmed expects it to be on the market in about a month?

Jump to this post

That's what Insmed said!

REPLY

Coming soon to a specialty pharmacy near you.

REPLY
Profile picture for scoop @scoop

A few things gleaned from today's conference call announcement:
Bronchiectasis was first diagnosed (and named) in 1819. Since then no drug (pharmaceutical) treatments have been available.
Company expects 250,000 patients in US to get the drug upon launch. There are over 500,000 diagnosed with bronchiectasis. There are approx. 17,000 pulmonologists in US.
There are 2 drug strengths, 10mg and 25 mg tablets. Pulmonologists will decide on what dose each patient receives and which patients receive it. The guidelines are 2 exacerbations a year, but the decision to prescribe is up to each pulmonologist.
"Time to fill" is approximately 1-month's time. Insmed is presently negotiating with payers, dealing with labelling etc.
60% of patients receiving drug are on Medicare.
Formulary vs exception. Brinsupri will be an exception process for now. One of the reasons for a Q3 launch is that many patients are near or at their OOP maximums, so theoretically Brinsupri may cost them zero dollars.
Competitive landscape - none exists for at least 2-3 years.

Oddly, no one asked about side effects!

Jump to this post

Now the big question of IF one's health care plan will cover some or any of the costs!

REPLY
Profile picture for cwal @cwal

Now the big question of IF one's health care plan will cover some or any of the costs!

Jump to this post

The money is always a big question! Insmed made it clear it was negotiating with payers now, including Medicare and others. Fingers crossed.

REPLY
Profile picture for scoop @scoop

A few things gleaned from today's conference call announcement:
Bronchiectasis was first diagnosed (and named) in 1819. Since then no drug (pharmaceutical) treatments have been available.
Company expects 250,000 patients in US to get the drug upon launch. There are over 500,000 diagnosed with bronchiectasis. There are approx. 17,000 pulmonologists in US.
There are 2 drug strengths, 10mg and 25 mg tablets. Pulmonologists will decide on what dose each patient receives and which patients receive it. The guidelines are 2 exacerbations a year, but the decision to prescribe is up to each pulmonologist.
"Time to fill" is approximately 1-month's time. Insmed is presently negotiating with payers, dealing with labelling etc.
60% of patients receiving drug are on Medicare.
Formulary vs exception. Brinsupri will be an exception process for now. One of the reasons for a Q3 launch is that many patients are near or at their OOP maximums, so theoretically Brinsupri may cost them zero dollars.
Competitive landscape - none exists for at least 2-3 years.

Oddly, no one asked about side effects!

Jump to this post

@scoop Thank you for this summary full of info. I am so hoping it will help us get back some of our day. Honestly, getting most the sputum out from my lungs each day is taking me longer and longer. If Brensocatib will decrease inflammation and consequently sputum it would be a win for us!

REPLY

Another interesting article about the money side:
"Insmed plans on charging $88,000 a year for Brinsupri at list price. In a presentation, the company estimated its net price would be 25% to 35% lower after accounting for rebates and discounts provided to insurers."

At that rate, out-of-pocket maximums will be quickly reached!
https://www.biopharmadive.com/news/insmed-fda-approval-brinsupri-brensocatib-bronchiectasis/757476/

REPLY

Scoop, great info. Thanks

REPLY
Please sign in or register to post a reply.