<?xml version="1.0" encoding="UTF-8"?><own:edgarSubmission xmlns:com="http://www.sec.gov/edgar/common" xmlns:own="http://www.sec.gov/edgar/ownership">
  <!-- Generated by Workiva -->
  <own:headerData>
    <own:submissionType>144</own:submissionType>
    <own:filerInfo>
      <own:filer>
        <own:filerCredentials>
          <own:cik>0001870278</own:cik>
          <own:ccc>XXXXXXXX</own:ccc>
        </own:filerCredentials>
      </own:filer>
      <own:liveTestFlag>LIVE</own:liveTestFlag>



    </own:filerInfo>
  </own:headerData>
  <own:formData>
    <own:issuerInfo>
      <own:issuerCik>0001104506</own:issuerCik>
      <own:issuerName>INSMED INC</own:issuerName>
      <own:secFileNumber>000-30739</own:secFileNumber>
      <own: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>
      </own:issuerAddress>
      <own:issuerContactPhone>9089779900</own:issuerContactPhone>
      <own:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Michael Smith</own:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <own:relationshipsToIssuer>
        <own:relationshipToIssuer>Officer</own:relationshipToIssuer>
      </own:relationshipsToIssuer>
    </own:issuerInfo>
    <own:securitiesInformation>
      <own:securitiesClassTitle>Common</own:securitiesClassTitle>
      <own:brokerOrMarketmakerDetails>
        <own:name>Merrill Lynch</own:name>
        <own: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>
        </own:address>
      </own:brokerOrMarketmakerDetails>
      <own:noOfUnitsSold>4109</own:noOfUnitsSold>
      <own:aggregateMarketValue>477383</own:aggregateMarketValue>
      <own:noOfUnitsOutstanding>216752451</own:noOfUnitsOutstanding>
      <own:approxSaleDate>05/13/2026</own:approxSaleDate>
      <own:securitiesExchangeName>NASDAQ</own:securitiesExchangeName>
    </own:securitiesInformation>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common</own:securitiesClassTitle>
      <own:acquiredDate>05/11/2026</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Stock Plan Activity</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>4109</own:amountOfSecuritiesAcquired>
      <own:paymentDate>05/11/2026</own:paymentDate>
      <own:natureOfPayment>n/a</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:nothingToReportFlagOnSecuritiesSoldInPast3Months>N</own:nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <own:securitiesSoldInPast3Months>
      <own:sellerDetails>
        <own:name>Michael Smith</own:name>
        <own: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>
        </own:address>
      </own:sellerDetails>
      <own:securitiesClassTitle>Common</own:securitiesClassTitle>
      <own:saleDate>03/30/2026</own:saleDate>
      <own:amountOfSecuritiesSold>19638</own:amountOfSecuritiesSold>
      <own:grossProceeds>2964929</own:grossProceeds>
    </own:securitiesSoldInPast3Months>
    <own:securitiesSoldInPast3Months>
      <own:sellerDetails>
        <own:name>Michael Smith</own:name>
        <own: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>
        </own:address>
      </own:sellerDetails>
      <own:securitiesClassTitle>Common</own:securitiesClassTitle>
      <own:saleDate>02/24/2026</own:saleDate>
      <own:amountOfSecuritiesSold>24774</own:amountOfSecuritiesSold>
      <own:grossProceeds>3859153</own:grossProceeds>
    </own:securitiesSoldInPast3Months>
    <own:noticeSignature>
      <own:noticeDate>05/13/2026</own:noticeDate>
      <own:signature>Michael Smith</own:signature>
    </own:noticeSignature>
  </own:formData>
</own:edgarSubmission>
