<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <!-- Generated by Workiva -->
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001796960</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001104506</issuerCik>
      <issuerName>INSMED INC</issuerName>
      <secFileNumber>000-30739</secFileNumber>
      <issuerAddress>
        <com:street1>700 US Highway 202/206</com:street1>
        <com:city>Bridgewater</com:city>
        <com:stateOrCountry>NJ</com:stateOrCountry>
        <com:zipCode>08807</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>9089779900</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Martina Flammer</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>Merrill Lynch</name>
        <address>
          <com:street1>1800 K ST NW</com:street1>
          <com:street2>Suite 800</com:street2>
          <com:city>Washington</com:city>
          <com:stateOrCountry>DC</com:stateOrCountry>
          <com:zipCode>20006</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>5138</noOfUnitsSold>
      <aggregateMarketValue>894885</aggregateMarketValue>
      <noOfUnitsOutstanding>213273469</noOfUnitsOutstanding>
      <approxSaleDate>01/08/2026</approxSaleDate>
      <securitiesExchangeName>NASDAQ</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>01/04/2026</acquiredDate>
      <natureOfAcquisitionTransaction>Stock Plan Activity</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>1603</amountOfSecuritiesAcquired>
      <paymentDate>01/04/2026</paymentDate>
      <natureOfPayment>n/a</natureOfPayment>
    </securitiesToBeSold>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>01/05/2026</acquiredDate>
      <natureOfAcquisitionTransaction>Stock Plan Activity</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>1648</amountOfSecuritiesAcquired>
      <paymentDate>01/05/2026</paymentDate>
      <natureOfPayment>n/a</natureOfPayment>
    </securitiesToBeSold>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>01/06/2026</acquiredDate>
      <natureOfAcquisitionTransaction>Stock Plan Activity</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>1887</amountOfSecuritiesAcquired>
      <paymentDate>01/06/2026</paymentDate>
      <natureOfPayment>n/a</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Martina Flammer</name>
        <address>
          <com:street1>700 US Highway 202/206</com:street1>
          <com:city>Bridgewater</com:city>
          <com:stateOrCountry>NJ</com:stateOrCountry>
          <com:zipCode>08807</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>01/07/2026</saleDate>
      <amountOfSecuritiesSold>1434</amountOfSecuritiesSold>
      <grossProceeds>252154</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Martina Flammer</name>
        <address>
          <com:street1>700 US Highway 202/206</com:street1>
          <com:city>Bridgewater</com:city>
          <com:stateOrCountry>NJ</com:stateOrCountry>
          <com:zipCode>08807</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>01/06/2026</saleDate>
      <amountOfSecuritiesSold>10185</amountOfSecuritiesSold>
      <grossProceeds>1770153</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Martina Flammer</name>
        <address>
          <com:street1>700 US Highway 202/206</com:street1>
          <com:city>Bridgewater</com:city>
          <com:stateOrCountry>NJ</com:stateOrCountry>
          <com:zipCode>08807</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>01/05/2026</saleDate>
      <amountOfSecuritiesSold>12303</amountOfSecuritiesSold>
      <grossProceeds>2108459</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Martina Flammer</name>
        <address>
          <com:street1>700 US Highway 202/206</com:street1>
          <com:city>Bridgewater</com:city>
          <com:stateOrCountry>NJ</com:stateOrCountry>
          <com:zipCode>08807</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>12/01/2025</saleDate>
      <amountOfSecuritiesSold>8895</amountOfSecuritiesSold>
      <grossProceeds>1840841</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Martina Flammer</name>
        <address>
          <com:street1>700 US Highway 202/206</com:street1>
          <com:city>Bridgewater</com:city>
          <com:stateOrCountry>NJ</com:stateOrCountry>
          <com:zipCode>08807</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>11/11/2025</saleDate>
      <amountOfSecuritiesSold>31226</amountOfSecuritiesSold>
      <grossProceeds>5921820</grossProceeds>
    </securitiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>01/08/2026</noticeDate>
      <planAdoptionDates>
        <planAdoptionDate>02/27/2025</planAdoptionDate>
      </planAdoptionDates>
      <signature>Martina Flammer</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
