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KNSA 10-K & 10-Q changes, risk factors and insider trading

Kiniksa Pharmaceuticals International, plc · Nasdaq · Pharmaceutical Preparations · CIK 1730430 · All filings on SEC.gov

Everything below is quoted or computed from Kiniksa Pharmaceuticals International, plc's public SEC filings. It is not a recommendation to buy or sell. Automated comparisons can contain errors; confirm with the original filing.

At a glance

65 / 116risk-factor paragraphs added / removed in latest 10-K
4new risk-factor headings
0Form 4 filings reporting open-market purchases (last 180 days)
8Form 4 filings reporting open-market sales (last 180 days)

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What changed in the latest 10-K

Comparing 10-K filed 2026-02-24 (period ending 2025-12-31) with 10-K filed 2025-02-25 (period ending 2024-12-31).

Risk Factors (10-K Item 1A)

65new paragraphs
116removed paragraphs
204reworded paragraphs
42,745 → 35,008words in section

New heading “Our business and operations are subject to extensive healthcare regulation and enforcement by various government entities, and our failure to strictly adhere to these regulatory requirements could have a detrimental impact on our business.”

New heading “Undesirable side effects or adverse reactions caused by any of our product candidates may be identified that could delay or prevent their marketing approval or limit their use.”

New heading “Interim, preliminary and “top-line” data from our clinical trials may differ from final data.”

New heading “Changes in United States trade policy, including tariffs imposed by the United States and any reciprocal tariffs imposed in response, could materially impact our business and results of operations.”

Removed heading “For more information, see “Risk Factors – General Risk Factors – Enacted and future healthcare legislation may have a material adverse effect on our business and results of operations.””

Removed heading “We may also be subject to burdensome pricing requirements. See “Risk Factors – Risks Related to Commercialization –Evolving health policy and associated legislative changes related to coverage and reimbursement aimed at lowering healthcare expenditures could impact the commercialization of our product candidates. Pharmaceutical pricing has been, and likely will continue to be, a central component of these efforts.””

Removed heading “We are subject to ongoing obligations, regulatory requirements and continued regulatory review, which may result in significant additional expense. Additionally, our current and future products could be subject to unfavorable regulatory changes and other restrictions and market withdrawal, and we may be subject to penalties if we fail to comply with regulatory requirements or experience unanticipated problems with our products.”

Removed heading “Our business operations are subject to extensive healthcare regulation and enforcement by various government entities, and our failure to strictly adhere to these regulatory requirements could have a detrimental impact on our business.”

Removed heading “Our products and product candidates may cause undesirable side effects or have other safety risks that could delay or prevent their regulatory approval, limit the commercial profile of an approved label or result in significant negative consequences, including withdrawal of approval, following any potential marketing approval.”

Removed heading “Interim, preliminary, and “top-line” data from our clinical trials that we announce or publish from time to time may change as more participant data become available following the release of the interim data; preliminary data are subject to audit and verification procedures, and deeper analysis of the data beyond the topline data may provide more color and context to the data, all of which could result in material or other changes that are reflected in the final data.”

Removed heading “We need to continue to develop our company and expand our scope of operations, and we may encounter difficulties in managing this development and expansion, which could disrupt our operations.”

Removed heading “Related to Competition, Executing our Strategy and Managing Growth – We have entered into and may seek to enter into collaboration, licensing or other strategic transactions or arrangements to further develop, commercialize or otherwise attempt to realize value from one or more of our products and product candidates, and any such transactions or arrangements that we enter into may not be successful or be on favorable terms, which could adversely affect our ability to develop, commercialize or attempt to realize value from our products and product candidates” above.”

Removed heading “We have not yet registered trademarks for a commercial trade name for our product candidates in the United States or jurisdictions outside of the United States and failure to secure such registrations could adversely affect our business.”

Removed heading “The increasing and evolving focus on environmental, social and governance (“ESG”) matters could increase our costs, harm our reputation, adversely impact our access to capital and financial results or otherwise adversely impact our business.”

Removed heading “We may encounter unforeseen costs following the Redomiciliation and may not realize meaningful benefits.”

Largest changes (selected automatically by length and topic keywords; quoted verbatim, no commentary)

Removed text topics: litigation, class action, fine, penalt
“In addition, certain state laws govern the privacy and security of health information in certain circumstances, some of which are more stringent than HIPAA and many of which differ from each other in significant ways and may not have the same effect, thus complicating compliance efforts. Failure to comply with these laws, where applicable, can result in the imposition of significant civil and/or criminal penalties and private litigation. …”
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Removed text topics: fine, penalt, restructuring, regulation
“Ensuring that our business arrangements with third parties comply with applicable healthcare laws and regulations may involve substantial costs. Any action against us for violation of these laws, even if we successfully defend against it, could cause us to incur significant legal expenses and divert our management’s attention from the operation of our business. …”
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Removed text topics: penalt, breach, regulation, labor
“For example, most healthcare professionals, including research institutions from which we obtain patient health information, are subject to privacy and security regulations promulgated under HIPAA. We do not believe that we are currently acting as a covered entity or business associate under HIPAA and thus are not subject to its requirements or penalties. However, any person may be prosecuted under HIPAA’s criminal provisions either directly or under aiding-and-abetting or conspiracy principles. …”
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Reworded topics: penalt, sanction, recall

Paragraph as it now reads, with added and removed wording marked:

The facilitiesFacilities used by our CDMOs to manufacture, label and package ARCALYST and our current and future product candidates may be inspected by regulatory authorities in connection with theMA submission of our MAs to, and review by, regulatory authoritiessubmissions or based on their work for other clinical trial sponsors. While we provideoversee oversightthese of suchCDMO activities, we do not and will not control thetheir manufacturing process of,operations and willrely beentirely completely dependent on, ouron CDMOs for compliance with cGMPscGMP and other regulatory requirements in connection with the manufacturing, labeling,labeling and packaging of current and future products and product candidates.operations. If our CDMOs cannotfail successfullyto performmeet such functions in conformity with ourproduct specifications and the strictor regulatory requirements of regulatory authorities,standards, they will not be able to secure or maintain regulatory approval forto operate their facilities. WhileAlthough we reviewhave the contractual right to review compliance history and performance of our CDMOs and have the ability to audit their compliance and performance, we have nolack direct control over CDMO operations, quality systems and personnel. Failure to obtain facility approval or the abilitysubsequent loss or withdrawal of ourfacility CDMOsapproval could require us to maintain adequate quality control, quality assurance and qualified personnel other than through quality monitoring in accordance with our agreements with the CDMOs. If regulatory authorities do not approve these facilities for the manufacturing, labeling and packaging of our product candidates or if they withdraw any such approval in the future, we may need to findidentify alternative facilities or CDMOs, which would significantly impactimpacting ourdevelopment ability to develop, obtaintimelines, regulatory approval foroutcomes or marketcommercialization ARCALYSTability. Failure by us or our current or future product candidates, if approved. Further, our failure, or the failure of our third party CDMOs,CDMOs to comply with applicable regulations could result in sanctions being imposed on us,sanctions, including clinical holds, fines, injunctions, civil penalties, delays, suspension or withdrawal of approvals, license revocation, seizuresseizures, or recalls of products or product candidates, if approved,recalls, operating restrictions andor criminal prosecutions,penalties, any of which could significantly and adverselymaterially affect our business and supplies of our products or product candidates.supply.
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Removed text topics: labor, competition
“Related to Competition, Executing our Strategy and Managing Growth – We have entered into and may seek to enter into collaboration, licensing or other strategic transactions or arrangements to further develop, commercialize or otherwise attempt to realize value from one or more of our products and product candidates, and any such transactions or arrangements that we enter into may not be successful or be on favorable terms, which could adversely affect our ability to develop, commercialize or attempt to realize value from our products and product candidates” above.”
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Reworded topics: default, litigation, regulation

Paragraph as it now reads, with added and removed wording marked:

Finally, Europe’s Unitary Patent system and Unified Patent Court (the “UPC”) and European Patent Package regulations (the “EU Patent Package”) may present uncertainties for our ability to protect and enforce our patent rights against competitors in Europe. In 2012, the European Patent Package (the “EU Patent Package”), regulations were passed with the goal of providing a single pan-European Unitary Patent system and a new UPC, for litigation involving European patents. Implementation of the EU Patent Package occurred in June 2023. Under the UPC, all European patents, including those issued prior to ratification of the European Patent Package, by default automatically fall under the jurisdiction of the UPC. The UPC provides our competitors with a new forum to centrally revoke our European patents and allow for the possibility of a competitor to obtain pan-European injunctions. Under the EU Patent Package we will have the right to opt our patents out of the UPC overfor thea firstlimited seven years of the court’s existence,time, but doing so may preclude us from realizing the benefits of the new unified court.
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Full comparison: every changed paragraph (385)

Green = added, red = removed. Unchanged paragraphs, 4 paragraphs where only numbers/dates changed, and tables are not shown. Read the complete text in the original filing.

Reworded

Since our commercial launch of ARCALYST, we have focused on establishing and expanding our internal capabilities, including but not limited to, sales, marketing, distribution, access and payor and patient support services capabilities as well as contracting with third parties to perform certain services. Each aspect of commercialization on its own can be complex, expensive and time consuming, and, collectively, the required effort for coordination is intensive. While we have realized revenues from such efforts, there is no guarantee that we will be able to maintain the trajectory of growth or significant and sustained revenues in the long-term.future.

Reworded

●any delays in our ability to produce sufficient quantities of ARCALYST, or any of our future products, at an acceptable cost or quality, including such delays arising out of quality assurance concerns or changes in regulatory guidance, or those caused by our reliance on our third party manufacturers;

Reworded

●our inability to recruit, train and retain adequate numbers of effective sales, marketing, access,access and payor and patient support personnel;

Removed

●our inability to enable our products to be viewed as the product of choice within any indications for which they are approved;

Added

●alternative therapies that use the same or different mechanism of action for treating patients with recurrent pericarditis or other indications that our future products may treat;

Added

●limitations on the content or form of the consumer and/or prescriber-facing marketing materials that we may use;

Removed

●our inability to address product labeling or product insert requirements, including any changes mandated by regulatory authorities after initial approval;

Removed

●our inability to develop or obtain and sustain sufficient operational functions and infrastructure to support our commercial activities;

Reworded

●unforeseen costs and expenses associated with creating and maintaining a sales, marketing,marketing and access organization.

Reworded

We rely on a select network of third party specialty pharmacies to distribute ARCALYST andin the United States, which is the only country where it is currently approved for sale. We expect to use a similar strategy forto sell and distribute our current and future product candidates, if approved. We rely on such specialty pharmacies to effectively distribute products in a timely manner, provide certain patient support services, manage prescription intake, collect accurate patient and inventory data and collect payments from payors. While we have entered into agreements with each of these specialty pharmacies, they may not perform as agreed, our strategic priorities may change or they may terminate their agreements with us. Further, an inability of our specialty pharmacies to meet our patients’ needs may lead to reputational harm or patient loss. In the event that such network fails to properly meet our or our patients’ needs, we may need to partner with other specialty pharmacies to replace or supplement our current network and there is no guarantee that we will be able to do so on commercially reasonable terms or at all. In addition, there is a risk that patients may discontinue or suspend their ARCALYST treatment in the process of transitioning between specialty pharmacies, and it may take time to re-integrate such patients into our network, if at all. In such an eventevent, our business, results of operations, financial condition and prospects may be materially affected.

Reworded

Our ability to continue to commercialize ARCALYST in its approved indications or any of our future products, if any, particularly in orphan or rare disease indications, will depend in part on the availability of favorable coverage,coverage theand adequacy ofadequate reimbursement (including affordability of patient cost-sharing obligations) for ARCALYST or the future product and alternativeassociated treatments from third party payors (e.g., governmental authorities, private health insurers and other organizations). We currently enjoy largely favorable coverage and reimbursement from third party payors for ARCALYST in the approved recurrent pericarditis indication and seek to maintain such favorable coverage and reimbursement. We cannot be certain we will continue to effectively execute our coverage and reimbursement strategy in the markets we pursue, which could limit the future commercial potential of ARCALYST in the approved recurrent pericarditis indication or any of our product candidates, if approved.

Reworded

Governmental authorities, private health insurers and other third party payors have attempted to control costs through a number of efforts, including by delaying the time to reimbursement, byreimbursement; restricting the breadth of coverage,coverage; implementing utilization management controls such as requiring prior authorization,authorization; limiting the amount of reimbursement for a particular product; restricting the prices that manufacturers may charge for their products and increasing the proportion of the cost for which the patient is responsible. Additional future government action to control costs is likely. There may be significant delays in obtaining reimbursement for newly approved products or product indications,indications; coverage may be limited to a subset of the patient population for which the treatment is approved by the FDA or by similar regulatory authorities outside the United States including health technology assessment bodies in the European Union (the “EU”) and Unitedthe Kingdom,UK; and reimbursement rates may vary according to the use of the product and the clinical setting in which it is used. Coverage and reimbursement barriers by payors may materially impact the demand for, or the price at which we can sell, ARCALYST and any product candidate for which we obtain marketing approval, if any. If coverage and reimbursement are not available, or available only at limited levels, or if such coverage will require patient out-of-pocket costs that are unacceptably high, our ability to successfully commercialize ARCALYST or any of the product candidates for which we obtain marketing approval may be adversely affected. Moreover, any coverage or reimbursement that may be obtained may be decreased or eliminated in the future. For example, in January 2023, one of the large private health insurers that currently covers ARCALYST placed ARCALYST on its exclusion list for the CAPS indication, which could create hurdles for new patients seeking coverage for their prescriptions in all indications. In addition, obtaining and maintaining favorable coverage and adequate reimbursement may require us to offer pricing concessions to third party payors.

Added

Coverage and reimbursement barriers by payors may materially impact the demand for, or the price at which we can sell, ARCALYST and any product candidate for which we obtain marketing approval, if any. If coverage and reimbursement are not available, or available at limited levels, or if such coverage will require patient out-of-pocket costs that are unacceptably high, our ability to successfully commercialize ARCALYST or any of the product candidates for which we obtain marketing approval may be adversely affected. Moreover, any coverage or reimbursement that may be obtained may be decreased or eliminated in the future. In addition, obtaining and maintaining favorable coverage and adequate reimbursement may require us to offer pricing concessions to third party payors.

Added

We may face significant challenges in satisfying and sustaining favorable coverage and reimbursement for ARCALYST or any of our product candidates, if approved as third-party payors conduct value/benefit assessments. Payors may adopt stricter coverage criteria or select lower-cost clinical comparators, including biosimilars or competitive products (with the same or similar indications), as benchmarks for making value/benefit assessments. These actions could require patients to use alternative therapies before coverage is granted, limit pricing flexibility or even result in the denial or revocation of reimbursement. Even if we demonstrate improved efficacy, safety or convenience, competitive pricing and therapeutic category reviews may trigger aggressive pricing and coverage negotiations. Payors may also consider our products substitutable and agree to only cover the cost of an alternative product, or may remove the product from their formulary. In some cases, new competitors or biosimilars may trigger mandatory price cuts for the innovator product or broader price referencing aimed at lowering reimbursement rates for all treatments in the respective treatment category. These dynamics could significantly reduce our ability to achieve our desired pricing, limit our commercial potential and/or prevent us from realizing an appropriate return on investment. Ultimately, the evolving strategies of third-party payors to control costs and manage therapeutic categories could negatively impact our ability to continue commercializing ARCALYST or successfully launch any of our product candidates, if approved.

Removed

We may also be unable to adequately satisfy a third party payor’s value/benefit assessment on an ongoing basis. It is possible that third party payors will select low-cost clinical comparators that serve as benchmarks for determining relative value, including biosimilars and lower costs brands with or without the same approved indication. The result of such a change would be a more challenging value/benefit assessment and the potential for a worse relative outcome, including such payors refusing to provide coverage and reimbursement entirely, or finding the evidence not sufficiently compelling to support our desired pricing and reimbursement. Similarly, payors may implement coverage criteria that further restrict the use of ARCALYST or any of our product candidates, if approved, beyond the approved label, which could adversely affect their commercial potential, including, for example, situations where a patient must be proven to not adequately respond to the lower-cost comparator before the payer will cover the use of ARCALYST or any of our product candidates, if approved.

Removed

We may be unable to sustain any favorable coverage and reimbursement on an ongoing basis. Third party payors may also revisit their previously established coverage policies from time to time including their assessment of the relative value/benefit provided by a drug product compared to clinical alternatives, such as any competitive products with the same or similar indications and biosimilars. It is possible that a third party payor may consider our products and product candidates, if approved, as substitutable and only be willing to cover the cost of the alternative product. Even if we show improved efficacy, safety or improved convenience of administration with ARCALYST or any of our product candidates, if approved, pricing of competitive products may limit the amount we will be able to charge. Third party payors often introduce more challenging price negotiation methodologies when competitors exist or enter into the market. Third party payors may deny or revoke the reimbursement status of a given product or establish prices for new or existing marketed products at levels that are too low to enable us to realize an appropriate return on our investment in our product candidates. In some cases, when new competitor biosimilar products enter the market, there are mandatory price reductions for the innovator product. In other cases, payors employ “therapeutic category” price referencing and seek to lower the reimbursement levels for all treatment in the respective therapeutic category. Additionally, new competitor brand drugs can trigger therapeutic category reviews in the interest of modifying coverage and/or reimbursement levels. The potential of third party payors to introduce more challenging price negotiation methodologies could have a negative impact on our ability to continue to commercialize ARCALYST or successfully commercialize any of our product candidates, if approved. Third party payors may also employ challenging price negotiation tactics in the event of a proposed price increase of our current and future products. See “Risk Factors—Risks Related to Commercialization – It may be difficult for us to realize the benefit of increasing the price of certain of our commercialized products.”

Reworded

We have and may continue to periodically increase the price of ARCALYST and may implement similar pricing practices for future products, if approved, and may be unable to realize commercial benefits from such price increases due to unfavorable actions that third party payors (including governmental authorities and private health insurers) may take in response. Even if price increases lie below contractual price protection clauses, payors may request price concessions in exchange for covering our products or may opt to change coverage or reimbursement policies with respect to such products. If we cannot successfully negotiate with such payors, we may be forced to provide significant price concessions or, if we fail to arrive at a satisfactory resolution, lose favorable coverage or reimbursement for patients served by such payor. We are also required to provide discounts or rebates under government healthcare programs or to certain government and private purchases in order to obtain coverage under federal healthcare programs. In suchaddition, anprice event,increases patientsthat outpace inflation may havealso difficultytrigger obtainingadditional accessrebate to,obligations, orincluding affording,under suchthe productsMedicaid andDrug weRebate may see materially negative impacts on our business operations.Program.

Added

In addition, the current presidential administration has taken and will likely continue to take action to limit or reduce the price of drugs and biologics. The full scope and nature of such actions, and what biopharmaceutical companies must do, remains uncertain, but any future required compliance could impede our ability to implement price increases with certain payors and purchasers.

Removed

Any price concessions will reduce our overall revenue generation and may impair the benefit of any price increases we may take. Price concessions that reduce our product revenue may require us to rely on potentially dilutive capital-raising efforts to fund our operations, which may impact the price of our ordinary shares. Even comparatively small discounts, if aggregated across payors, may cause materially lower revenue generation in the long-term, which may offset the increased revenue we hoped to realize through a price increase.

Removed

Further, granting price concessions to one or more payors may limit our ability to negotiate prices with other payors or in other territories. Payors, including governmental payors, negotiate drug prices by reference to the prices we have set with other payors. Should payors become aware of price concessions that we have granted, they may request similar concessions. If enough payors request and receive price concessions, our ability to generate revenue may be materially impacted, harming our business, financial condition and results of operations. Further, this may limit our ability to secure acceptable prices in potential new territories, which may materially limit our overall commercial growth. A limitation on our ability to commercialize in new and existing territories may also reduce our access to the patient populations we seek to serve, harming our ability to deliver therapeutics to patients with unmet medical need.

Reworded

Any price concessions will reduce our overall revenue generation and may impair the benefit of any price increases we may take. Even comparatively small discounts, if aggregated across payors, may cause materially lower revenue generation in the long-term, which may offset the increased revenue we hoped to realize through a price increase. In the event that we cannot successfully negotiate with payors requesting price concessions in connection with a price increase or otherwise, such payors may choose to notend cover our current and future products at allcoverage or may impose onerous reimbursement policies that limit patient access.policies. We cannot assure you that current payor coverage and reimbursement policies for ARCALYST will continue. The loss of any payor, especially a large payor, or limitations on access to our drugs affecting a sizeable number of patients may materially harm our ability to generate revenue and execute on our commercial strategy. Further, as a company targeting patients with significant unmet medical need, the loss of access to our products may materially harm our targeted patient populations who cannot source adequate alternative therapies.

Added

Some payors, including governmental payors, negotiate drug prices by reference to the prices we have set with other payors. Granting price concessions to one or more payors (including government payors) may limit our ability to negotiate prices with other payors or in other territories. Further, this may limit our ability to secure acceptable prices in potential new territories, which may materially limit our overall commercial growth.

Removed

We are also required to provide discounts or rebates under government healthcare programs or to certain government and private purchases in order to obtain coverage under federal healthcare programs. In addition, price increases that outpace inflation may also trigger additional rebate obligations, including under the Medicaid Drug Rebate Program.

Reworded

The incidence and prevalence for target patient populations of our products or product candidates have not been established with precision. If the market opportunities for our products and product candidates are smaller than we estimate, or if any approval that we obtain is based on a narrower definition of our targeted patient population, our revenue and ability to achievesustain profitability may be materially adversely affected.

Reworded

The total addressable market for ARCALYST and any other of our current or future product candidates, if approved, will ultimately depend upon, among other things, the diagnostic criteria and applicable patient population included in the final label for the product or product candidate approved for sale for its indication; the efficacy, safety and tolerability demonstrated by the product candidate in our clinical trials; acceptance by the medical community; and patients, pricing, access and reimbursement. The number of addressable patients in the United StatesStates, the country where substantially all ARCALYST sales occur, and other major markets outside of the United States may turn out to be lower than expected, patients may not be otherwise amenable to treatment with our products or new patients may become increasingly difficult to identify or gain access to, all of which would adversely affect our results of operations and our business. Further, even if we obtain significant market share for our product candidates, because the potential target populations are small for many of our approved and targeted indications, we may never achieve significant and sustained profitability.

Added

Within the United States, the current presidential administration has sought and is likely to continue to seek to implement “most favored nation” pricing for drugs and biologics covered under government programs. For example, proposed Medicare Part B and Part D pilot models that, if finalized as proposed, would replace existing inflation-based Medicare rebates with rebates determined on the basis of international prices, for drugs and patients subject to the model. If “most favored nation” pricing is implemented, payment for our products could be adversely affected.

Removed

As a result of the foregoing, we may not be able to achieve or sustain favorable pricing for ARCALYST or any of our product candidates, if approved, and adequate reimbursement, which may hinder our ability to recoup our investment in such drugs.

Removed

For more information, see “Risk Factors – General Risk Factors – Enacted and future healthcare legislation may have a material adverse effect on our business and results of operations.”

Reworded

●decreased demand for any approved products we commercialize;

Reworded

●regulatory investigations that could require costly recalls or product modifications (or withdrawal of the product from the market);

Removed

●substantial monetary awards to trial participants;

Reworded

We are currently only authorized to market ARCALYST, our sole product, for the treatment of recurrent pericarditis in the United States, where we derive substantially all of our revenue. Our future growth may depend, in part, on our ability to commercialize our current and future products in markets outside of the United States either on our own or through collaborations with third parties.

Reworded

We continue to evaluate the opportunities for the development and commercialization of our product candidates in certain markets outside of the United States, including through our Named Patient Program, Managed Access Program and collaborations with third parties, including Huadong. We and our collaborators are not permitted to market or promote any of our product candidates before we receive regulatory approval from the applicable regulatory authority in that market, and we may never receive such regulatory approval for any of our product candidates. To obtain separate regulatory approval in many other countries, we, or our collaborators, must comply with numerous and varying regulatory requirements of such countries regarding safety and efficacy and governing, among other things, clinical trials, manufacturing and commercial sales, pricing and distribution of our product candidates, and we cannot predict success in these jurisdictions. If we obtain approval, and ultimately commercialize, our product candidates in markets outside of the United States, we would be subject to additional risks and uncertainties, including:

Added

●price negotiations that delay commercialization;

Reworded

●exposure to increased regulatory risk, including those arising under the FCPAUnited States Foreign Corrupt Practices Act (asthe defined“FCPA”), below)the UK Economic Crime and Corporate Transparency Act 2023 or similar foreign regulations;

Added

●tariffs, taxes and other restrictions on international trade;

Added

Our business and operations are subject to extensive healthcare regulation and enforcement by various government entities, and our failure to strictly adhere to these regulatory requirements could have a detrimental impact on our business.

Added

We are subject to ongoing regulatory requirements for a number of our activities, including manufacturing, packaging, labeling, storage, distribution, advertising, promotion, sampling, record-keeping, adverse event reporting, conduct of post-marketing trials and submission of safety, efficacy and other post-market information for our products in the United States and abroad. Such obligations, along with continued regulatory review, may result in significant additional expense. We also will be required to report certain adverse reactions, production and quality problems, inadequate efficacy and other issues, if any, to applicable regulatory authorities on an ongoing basis. In addition, the identification of new safety issues could lead to new labeling or restrictions on the patient population or use of our products, diminishing the addressable market or sales or both or removal of the drug from the market. Such conditions, requirements or events may prove to be expensive and burdensome, and the reporting of such may cause the price of our Class A ordinary shares to decrease. See “Business – Government Regulation”.

Added

If we fail to comply with regulatory requirements; if a regulatory agency discovers previously unknown problems with any of our current or future products, such as adverse events of unanticipated severity or frequency; if problems arise with the facility where a product is manufactured; or if a regulatory agency disagrees with the promotion, marketing or labeling of a product, such regulatory agency may:

Removed

We may also be subject to burdensome pricing requirements. See “Risk Factors – Risks Related to Commercialization –Evolving health policy and associated legislative changes related to coverage and reimbursement aimed at lowering healthcare expenditures could impact the commercialization of our product candidates. Pharmaceutical pricing has been, and likely will continue to be, a central component of these efforts.”

Removed

We are subject to ongoing obligations, regulatory requirements and continued regulatory review, which may result in significant additional expense. Additionally, our current and future products could be subject to unfavorable regulatory changes and other restrictions and market withdrawal, and we may be subject to penalties if we fail to comply with regulatory requirements or experience unanticipated problems with our products.

Removed

We are subject to ongoing regulatory requirements for a number of our activities, including manufacturing, packaging, labeling, storage, distribution, advertising, promotion, sampling, record-keeping, adverse event reporting, conduct of post-marketing trials and submission of safety, efficacy and other post-market information for our products in the United States. Such obligations, along with continued regulatory review, may result in significant additional expense. In addition, approvals may come with potentially burdensome conditions. Furthermore, if we seek and receive approval from regulatory authorities outside of the United States for products or any of our product candidates in the future, we will be subject to such authorities’ requirements, which may be more stringent than our obligations in the United States. See “Business – Government Regulation – BLA Review and Approval” and “Business – Government Regulation – Post-Approval Requirements” Any regulatory approvals that we receive may be subject to limitations on the approved indicated uses for which the product may be marketed or to the conditions of approval or contain requirements for potentially costly post-marketing testing, including Phase 4 clinical trials, and surveillance to monitor safety and efficacy. If we fail to comply with such requirements; if a regulatory agency discovers previously unknown problems with any of our current or future products, such as adverse events of unanticipated severity or frequency; if problems arise with the facility where a product is manufactured; or if a regulatory agency disagrees with the promotion, marketing or labeling of a product, such regulatory agency may impose restrictions on that product or us, including requiring suspension of sales and withdrawal of the product from the market. If we discover previously unknown problems with a product or product candidate, including adverse events of unanticipated severity or frequency, or with our manufacturing processes; fail to comply with regulatory requirements; or a regulatory agency or enforcement authority disagrees with the promotion, marketing or labeling of our products, such regulatory agency or enforcement authority may, among other things:

Added

●require us to suspend sales or withdraw a product from the market;

Added

●impose civil, criminal and administrative penalties, damages, disgorgement or monetary fines;

Added

●exclude us from participating in Medicare, Medicaid or other governmental healthcare programs;

Removed

If there are changes in the application of legislation or regulatory policies, or if problems are discovered with a product or the manufacture of a product, or if we or one of our distributors, licensees, co-marketers or other third parties operating on our behalf fails to comply with regulatory requirements, regulatory authorities could impose fines on us, impose restrictions on such product or its manufacture or require us to recall or remove such product from the market, in addition to withdrawing our marketing authorizations, or requiring us to conduct additional clinical trials, change our product labeling or submit additional applications for marketing authorization. If any of these events occur, our ability to sell an affected product may be impaired, and we may incur substantial additional expense to comply with such regulatory requirements.

Reworded

The policies of the FDA and other regulatory authorities may change and additional government regulations may be enacted that could prevent, limit or delay regulatory approval of our product candidates.candidates or require significant changes to the manufacturing, sales and distribution of any of our products. We cannot predict the likelihood, nature or extent of government regulation that may arise from future legislation or administrative or executive action, either in the United States, Europe or in other jurisdictions. In addition, ifIf we or third parties acting on our behalf are slow or unable to adapt to changes in existing requirements or the adoption of new requirements or policies, or if we or such third parties are not able to maintain regulatory compliance, we may be subject to potentially significant enforcement actions.

Removed

Our business operations are subject to extensive healthcare regulation and enforcement by various government entities, and our failure to strictly adhere to these regulatory requirements could have a detrimental impact on our business.

Removed

The development and marketing of pharmaceutical products and related arrangements with healthcare professionals, third party payors, patients, and other third parties in the healthcare industry are subject to a wide range of healthcare laws and regulations that may constrain the business or financial arrangements and relationships through which we market, sell and distribute our current and future products. See “Business – Government Regulation”.

Reworded

The development and marketing of pharmaceutical products and related arrangements with healthcare professionals, third party payors, patients and other third parties in the healthcare industry are subject to a wide range of healthcare laws and regulations that may constrain the business or financial arrangements and relationships through which we market, sell and distribute our current and future products. Given the broad scope andscope, evolving government interpretation and unpredictable enforcement of these laws, our business activities could be subject to challenge underin onethe or more of such laws. We have entered into consulting and advisory board agreements with physicians and other healthcare professionals and could be adversely affected if regulatory authorities determine our financial relationships with such prescribers violate applicable laws or create a conflict of interest.future. For example, investigators for our clinical trials may serve as scientific advisorsadvisors, speakers, advisory board members or consultants to us from time to time and receive compensation in connection with such services. Regulatory authorities may conclude that a financial relationship between us and a principal investigator or a clinical trial site has created a conflict of interest or otherwise affected interpretation of a study. Regulatory authorities may therefore question the integrity of the data generated at the applicable clinical trial site and the utility of the clinical trial itself may be jeopardized, which could result in a delay in approval, or rejection, of our marketing applications by regulatory authorities and may ultimately lead to the denial of marketing approval of our product candidates. Furthermore, investigators for our clinical trials may become debarred by regulatory authorities, which may impact the integrity of our studies and the utility of the clinical trial itself may be jeopardized.

Added

Further, the development of our marketing and sales capabilities has required, and will continue to require, significant financial and management resources. Our direct sales and marketing efforts may not be successful or may be limited by future government policies or initiatives. For example, the FDA stated in September 2025 that it intends to more aggressively enforce requirements for direct-to-consumer drug advertising and sent a significant number of warning or untitled letters to pharmaceutical companies alleging deceptive prescription drug advertising, which represents a dramatic increase in FDA actions as compared to prior years. The current administration’s focus on pharmaceutical advertising heightens the risk that we may, in the future, receive a warning or enforcement action related to our advertising and marketing practices, which could adversely affect our business.

Removed

Ensuring that our business arrangements with third parties comply with applicable healthcare laws and regulations may involve substantial costs. Any action against us for violation of these laws, even if we successfully defend against it, could cause us to incur significant legal expenses and divert our management’s attention from the operation of our business. If our operations, including activities conducted by our sales team, were to be found to be in violation of any of these laws or any other governmental regulations that may apply to us, we may be subject to the imposition of civil, criminal and administrative penalties, damages, disgorgement, monetary fines, possible exclusion from participation in Medicare, Medicaid and other federal healthcare programs, individual imprisonment, contractual damages, reputational harm, diminished profits and future earnings, additional reporting requirements or oversight if we become subject to a corporate integrity agreement or similar agreement to resolve allegations of non-compliance with these laws, and curtailment or restructuring of our operations, any of which could adversely affect our ability to operate our business and our results of operations. Further, defending against any such actions can be costly, time consuming and may require significant personnel resources. Therefore, even if we are successful in defending against any such actions that may be brought against us, our business may be impaired.

Reworded

We cannot be certain that any of our product candidates will be successful in their clinical trials.trials We also cannot be certain that theyor will receive regulatory approval,approval. evenFurther, after completing a successful pivotal clinical trial. Wewe may also choose to cease development of a product candidate prior to conducting a pivotal trial for any reason, including capital conservation purposes. We may also choose not to commercialize a product candidate that has completed a pivotal trial or received regulatory approval,approval for a number of reasons, including commercial viability. Such decisions may be for a particular indication or be for the product candidate entirely. In the event that a product candidate is unsuccessful in its clinical trials, fails to receive regulatory approvalapproval, is deprioritized for strategic reasons or is unviablenon-viable for another reason, our business may be materially harmed by limiting our ability to recoup our development expenses through a successful commercial launch.

Reworded

●submission to and authorization to proceed with clinical trials by the FDA under INDs and CTAs to applicable authorities outside of the United States for our product candidates to commence planned clinical trials or future clinical trials;

Reworded

●successful completion of required nonclinical studies, including toxicology studies, pharmacological,pharmacological and biodistribution studies, as conducted, where applicable, under GLP;

Reworded

●successful site activation for, enrollment in,in and completion of clinical trials, including the ability of our CROs to successfully conduct such trials within our planned budget and timing parameters without adversely impacting our trials, and our ability to successfully oversee CRO activities;

Removed

●establishment and maintenance of arrangements with third party manufacturers, as applicable, for continued clinical supply and commercial manufacturing;

Removed

●successful development of our manufacturing processes and transfer to third party CDMO facilities to support our development and commercialization activities in a manner compliant with all regulatory requirements;

Added

If we do not accomplish one or more of these factors in a timely manner or at all we could experience significant delays in, or an inability to, timely or successfully commercialize our product candidates.

Removed

If we do not accomplish one or more of these factors in a timely manner or at all we could experience significant delays in, or an inability to, timely or successfully commercialize our product candidates. Failure to generate sufficient revenue from the commercialization of our current and future products, whether as a result of failing to obtain regulatory approvals or unsuccessfully commercializing such products may harm our ability to continue our operations by limiting our potential commercial prospects. In such an instance, we may need to seek capital elsewhere. See “Risk Factors – General Risk Factors – We have a history of operating losses and may require substantial additional financing in the future.”

Showing the first 60 of 385 changed paragraphs. The complete comparison will be part of Pro (coming soon). Meanwhile you can read the full text in the original filing.

Management's Discussion & Analysis (MD&A) (10-K Item 7)

6new paragraphs
28removed paragraphs
30reworded paragraphs
8,407 → 7,463words in section

Removed heading “Product Revenue, Net”

Removed heading “Product Revenue, Net”

Largest changes (selected automatically by length and topic keywords; quoted verbatim, no commentary)

Removed text topics: investigation, china, labor
“Mavrilimumab is an investigational monoclonal antibody inhibitor targeting GM-CSFRα. In 2017, we licensed exclusive worldwide rights in all indications to mavrilimumab from MedImmune. In February 2025, we announced our termination of our license agreement from MedImmune for convenience, effective in May 2025. …”
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New text topics: penalt, regulation
“We file tax returns based upon our interpretation of tax laws and regulations, and we record estimates in our financial statements based upon these interpretations at the applicable tax rates in the jurisdictions in which we operate. Our tax returns are routinely subject to examination by taxing authorities, which could result in future tax, interest, and penalty assessments. Inherent uncertainties also exist in estimates of many tax positions due to the complexity of tax laws. …”
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Removed text topics: covenant, labor
“Until such time, if ever, as we can generate substantial and sustained product revenue, we expect to finance our cash needs through a combination of public or private equity offerings, debt financings, or other sources, including, licensing, collaboration, marketing, distribution or other strategic transactions or arrangements with third parties. …”
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Reworded topics: china, labor

Paragraph as it now reads, with added and removed wording marked:

In February 2022, we entered into the Huadong Collaboration Agreements,Agreements with Huadong, pursuant to which we granted Huadong exclusive rights to develop and commercialize theARCALYST Huadongand Licensed Productsmavrilimumab, in the Huadong Territory. In FebruaryApril 2025, we providedentered writteninto noticea mutual termination agreement with Huadong pursuant to Huadongwhich thatwe Huadong has not conducted material development activity with respectagreed to mavrilimumab in the People’s Republic of China for a continuous period in excess of six months as required under the mavrilimumab Huadong Collaboration Agreement. Unless Huadong conducts material development activity within 60 days of the notice,terminate the mavrilimumab Huadong Collaboration Agreement willand terminaterelease onall Aprilclaims 25,related 2025.thereto. WeThe otherwise retain our current rights to theARCALYST Huadong LicensedCollaboration ProductsAgreement outsideremains thein Huadong Territory.effect. For more information, see “Business –License and Acquisition Agreements—Out-Licensing Agreements—Huadong Collaboration Agreements”.
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Removed text topics: litigation, labor
“●address litigation arising out of, but not limited to, product liability claims, intellectual property disputes, disputes arising from our collaboration and license agreements and employment-related disputes;”
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Removed text topics: liquidity
“As of December 31, 2024, we had cash, cash equivalents and short-term investments of $243.6 million. We believe that our existing cash, cash equivalents and short-term investments will enable us to fund our operating expenses and capital expenditure requirements for at least the next 12 months from the date of issuance of the audited consolidated financial statements included in this Annual Report. We have based this estimate on assumptions that may prove to be wrong, and we could exhaust our available capital resources sooner than we expect. …”
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Green = added, red = removed. Unchanged paragraphs, 8 paragraphs where only numbers/dates changed, and tables are not shown. Read the complete text in the original filing.

Reworded

ARCALYST is an IL-1α and IL-1β cytokine trap. In 2017, we licensed ARCALYST from Regeneron, which discovered and initially developed the drug. Our exclusive license to ARCALYST from Regeneron includes worldwide rights, excluding the Middle East and North Africa, for all applications other than those in oncology and local administration to the eye or ear. We received FDA approval of ARCALYST for the treatment of recurrent pericarditis and reduction in risk of recurrence in adults and children 12 years and older in March 2021. Recurrent pericarditis is a painful inflammatory cardiovascular disease with an estimated United States prevalent population of approximately 40,000 patients seeking and receiving medical treatment. ARCALYST is also approved in the United States for the treatment of CAPS, including FCAS and Muckle-Wells Syndrome in adults and children 12 years and older, and the maintenance of remission in DIRA in adults and children weighing 10 kg or more. ARCALYST is commercially available across the United States through a select network of specialty pharmacies. We are responsible for sales and distribution of ARCALYST in all approved indications in the United States, and evenly split profits on sales as well as third party proceeds with Regeneron. In 2022, we granted Huadong exclusive rights to develop and commercialize ARCALYST in the Huadong Territory. In 2023, Regeneron initiated a technology transfer of the manufacturing process for ARCALYST drug substance, and we are working to qualify Samsung as our replacement CDMO. In December 2024, we initiated a collaborative study agreement with The Mayo Clinic (together with Johns Hopkins University) to investigate the effects of ARCALYST in the treatment of cardiac sarcoidosis.

Reworded

KPL-387 is an investigational, fully human immunoglobulin G2 monoclonal antibody that binds IL1-R1, inhibiting IL-1α and IL-1β mediated signaling. KPL-387 is an independently developed asset that we believe hasmay expand the recurrent pericarditis market and provide an additional treatment option for patients, with the potential to further advance recurrent pericarditis treatment options for patients by providingadd the added convenience of monthly subcutaneous dosingself-administration with a liquid formulation. In June 2024, we initiated a Phase 1 clinical trial of KPL-387 in normal healthy volunteers. In FebruaryJuly 2025, we announced ourthat planthe toPhase initiate2 adose-focusing portion of the Phase 2/3 clinical trial of KPL-387 in recurrent pericarditis inhad mid-2025.begun recruiting. We expect data from the Phase 2 portion of the trial in the second half of 2026.2026 and plan to use the totality of the data to determine further development strategy. In September 2025, we announced plans to conduct a supplemental Phase 2 transition to KPL-387 monotherapy dosing and administration study to evaluate the efficacy and safety of dosing regimens used to transition patients from standard therapies to KPL-387 monotherapy. In October 2025, the FDA granted Orphan Drug Designation to KPL-387 for the treatment of pericarditis.

Reworded

KPL-1161 is an independently developed, pre-clinical, Fc-modified immunoglobulin G2 monoclonal antibody that binds IL-1R1, inhibiting IL-1α- and IL-1β-mediated signaling. KPL-1161 is a modified version of KPL-387 designed to have an increased drug half-life that we believe could support quarterly subcutaneous dosing. We are currently conducting preclinical activities with respect to this asset, with an expectation to initiate a Phase 1 first-in-human clinical trial by the end of 2026.

Reworded

Abiprubart is an investigational monoclonal antibody inhibitor of CD40-CD154 costimulatory interaction, which we believe to be an attractive approach to address multiple autoimmune disease pathologies. We hold an exclusive worldwide license to abiprubart from BIDMC. We previously announced a Phase 2b clinical trial of abiprubart in Sjögren’s Disease. In February 2025, we announced our plans to discontinue development of abiprubart in the indication and to explore strategic alternatives for the asset.

Removed

Mavrilimumab is an investigational monoclonal antibody inhibitor targeting GM-CSFRα. In 2017, we licensed exclusive worldwide rights in all indications to mavrilimumab from MedImmune. In February 2025, we announced our termination of our license agreement from MedImmune for convenience, effective in May 2025. In addition, in February 2025, we provided written notice to Huadong that Huadong has not conducted material development activity with respect to mavrilimumab in the People’s Republic of China for a continuous period in excess of six months as required under the mavrilimumab Huadong Collaboration Agreement. Unless Huadong conducts material development activity within 60 days of the notice, the mavrilimumab Huadong Collaboration Agreement will terminate in April 2025.

Removed

Our ability to generate product revenue sufficient to sustain our organization will depend heavily on a number of factors, including the continued commercialization of ARCALYST, the development and eventual commercialization of one or more of our current or future product candidates, if approved, and the management of our costs consistent with our current operating plan. For the twelve months ended December 31, 2024, our net loss was $43.2 million, as compared to net income of $14.1 million for the year ended December 31, 2023. As of December 31, 2024, we had an accumulated deficit of $521.1 million compared to an accumulated deficit of $478.0 million as of December 31, 2023.

Removed

As of December 31, 2024, we had cash, cash equivalents and short-term investments of $243.6 million. We believe that our existing cash, cash equivalents and short-term investments will enable us to fund our operating expenses and capital expenditure requirements for at least the next 12 months from the date of issuance of the audited consolidated financial statements included in this Annual Report. We have based this estimate on assumptions that may prove to be wrong, and we could exhaust our available capital resources sooner than we expect. See “Management’s Discussion and Analysis of Financial Condition and Results Of Operations — Liquidity and Capital Resources.”

Reworded

We have been generating product revenue from sales of ARCALYST since April 2021. ARCALYST is sold through a third party logistics provider that distributes primarily through a select network of specialty pharmacies (collectively, “customers”), which deliver the medication to patients by mail. ARCALYST is currently only approved for sale in the United States, and, therefore, we expect to derive substantially all of our product revenue from the United States for the foreseeable future.

Reworded

In February 2022, we entered into the Huadong Collaboration Agreements,Agreements with Huadong, pursuant to which we granted Huadong exclusive rights to develop and commercialize theARCALYST Huadongand Licensed Productsmavrilimumab, in the Huadong Territory. In FebruaryApril 2025, we providedentered writteninto noticea mutual termination agreement with Huadong pursuant to Huadongwhich thatwe Huadong has not conducted material development activity with respectagreed to mavrilimumab in the People’s Republic of China for a continuous period in excess of six months as required under the mavrilimumab Huadong Collaboration Agreement. Unless Huadong conducts material development activity within 60 days of the notice,terminate the mavrilimumab Huadong Collaboration Agreement willand terminaterelease onall Aprilclaims 25,related 2025.thereto. WeThe otherwise retain our current rights to theARCALYST Huadong LicensedCollaboration ProductsAgreement outsideremains thein Huadong Territory.effect. For more information, see “Business –License and Acquisition Agreements—Out-Licensing Agreements—Huadong Collaboration Agreements”.

Reworded

Under the Genentech License Agreement, we received an upfront payment of $80.0 million for the license. Additionally, in 2023, we received a total of $35.0 million in additional payments from Genentech related to delivery of certain drug material to Genentech and Genentech’s achievement of a development milestone. In the fourth quarter of 2023, following the achievement of a development milestone related to a second indication under the Genentech License Agreement, Genentech became obligated to make an additional cash payment of $10.0 million, which was received in the first quarter of 2024. In the second quarter of 2024, we received $5.0 million following the achievement of a development milestone related to a third indication under the Genentech License Agreement. We will be eligible to receive up to a total of approximately $600.0 million in contingent payments, including specified development, regulatory and sales-based milestones, of which approximately $570.0 million remains as of December 31, 2024.2025. We will also be eligible to receive tiered percentage royalties on a Genentech Licensed Product-by-Genentech Licensed Product basis ranging from low-double digits to mid-teens on annual net sales of each Genentech Licensed Product, subject to certain customary reductions, with an aggregate minimum floor, before fulfilling our upstream financial obligations. Royalties will be payable on a Genentech Licensed Product-by-Genentech Licensed Product and country-by-country basis until the latest to occur of the expiration of certain patents that cover a Genentech Licensed Product, the expiration of regulatory exclusivity for such Genentech Licensed Product, or the tenth anniversary of first commercial sale of such Genentech Licensed Product in such country. As of December 31,In 2024, we havecompleted recognizedour theremaining $130.0 million received from Genentechobligations under the Genentech License Agreement and we have recognized as revenue.revenue all of the consideration received.

Reworded

Cost of goods sold includes production and distribution costs of ARCALYST, amortization of the $20.0 million payment we made to Regeneron in the first quarter of 2021 upon achievement of a regulatory milestone and other miscellaneous product costs associated with ARCALYST. Cost of goods sold also includes labor and overhead costs associated with the production of ARCALYST associated with supply chain, quality, and regulatory activities, and the technology transfer of the manufacturing process for the ARCALYST drug substance.ARCALYST.

Reworded

Other income consists of interest income recognized from investments in money market funds, United States Treasury notessecurities and other miscellaneous income offset by expenses related to investments.

Reworded

Prior to the Redomiciliation, our principal holding company was incorporated and principally subject to taxation in Bermuda. Following the Redomiciliation, our principal holding company is incorporated and principally subject to taxation in the United Kingdom. Under the currentprevious laws of Bermuda, there is no corporate income tax levied on an exempted company’s income, resulting in an effective zero percent tax rate. As a result, we have not recorded any income tax benefits from our losses incurred in Bermuda during each of the reporting periods in which it was incorporated there, and no net operating loss carryforwards are currently available to us for those losses. Following the Redomiciliation, our income is subject to the enacted United Kingdom statutory corporate tax rate and net operating losses incurred have an indefinite carryforward. Our wholly owned Unitedsubsidiaries States(including subsidiaries,any Kiniksa US, and Primatope Therapeutics, Inc. are subject to federal and state income taxes in the United States. Our wholly owned subsidiary Kiniksa UK, its Swissforeign branch office,offices and Kiniksa UK’s wholly owned subsidiaries, Kiniksa Pharmaceuticals (Germany) GmbH, Kiniksa Pharmaceuticals (France) SARL, and Kiniksa Pharmaceuticals, GmbH (“Kiniksa Switzerland”thereof) are subject to taxation in their respective countries.

Reworded

In the first quarter of 2022, Kiniksa Bermuda transferred exclusive rights to develop and commercialize mavrilimumab in the Asia Pacific region, excluding Japan, to Kiniksa UK. In the third quarter of 2022, Kiniksa Pharmaceuticals, Ltd. (“Kiniksa Bermuda”) transferred exclusive worldwide rights to develop and commercialize vixarelimab to Kiniksa UK.Pharmaceuticals (UK), Ltd. (“Kiniksa UK”). In the fourth quarter of 2023, all rights, title and interest in, among other things, certain contracts, intellectual property rights, product filings and approvals and other information, plans and inventory owned insofar as they related exclusively or primarily to ARCALYST were allocated by Kiniksa UK to its Swiss branch office. In the first quarter of 2024, Kiniksa Bermuda transferred to Kiniksa Pharmaceuticals, GmbH (“Kiniksa Switzerland”) all rights, title and interest in, among other things, certain contracts, intellectual property rights, product filings and approvals and other information, plans and materials owned insofar as they related exclusively or primarily to abiprubart, mavrilimumab, KPL-387, KPL-1161 and other preclinical assets, with such exceptions as necessary to allow the completion of Cohort 4 of our Phase 2 clinical trial of abiprubart in rheumatoid arthritis (“RA”).assets. In connection with each of the foregoing transfers and /or allocations, we recognized a step-up in basis and did not incur any material tax liabilities.

Reworded

In the second quarter of 2024, Kiniksa UK terminated its exclusive rights to develop and commercialize mavrilimumab in the Huadong Territory, with such rights reverting to Kiniksa Switzerland. Thereafter, Kiniksa Switzerland held worldwide rights to develop and commercialize mavrilimumab. In the fourth quarter of 2024, Kiniksa UK contributed all of its rights, title and interest in, among other things, certain contracts, intellectual property rights, product filings and approvals and other information, plans and materials owned or controlled by Kiniksa UK insofar as they related exclusively or primarily to vixarelimab to Kiniksa Switzerland. In connection with the termination of Kiniksa UK rights and the contribution, we revalued the assets at fair market value and did not incur any material tax liabilities.

Removed

Product Revenue, Net

Reworded

We did not recognize any license and collaboration revenue for the year ended December 31, 2025. We reported $6.2 million of license and collaboration revenue for the year ended December 31, 2024, primarily driven by the achievement of a $5.0 million development milestone related to a third indication under the Genentech License Agreement,Agreement and $0.7 million of products sold under the ARCALYST Huadong Collaboration Agreements, and $0.2 million of deferred revenue recognized related to the delivery of such materials.Agreements. We reported $37.1 million of license and collaboration revenue for the year ended December 31, 2023, related to the Genentech License Agreement primarily driven by the achievement of $25.0 million in development milestones related to two new indications, materials delivered and our ongoing recognition of the transaction price related to the in-progress Phase 2b clinical trial of vixarelimab in prurigo nodularis. We reported $97.7 million of license and collaboration revenue for the year ended December 31, 2022, which primarily consisted of $87.7 million for revenue related to the Genentech License Agreement and $10.0 million in revenue recognized upon the signing of the mavrilimumab Huadong Collaboration Agreement in February of 2022. We expect to recognize $31.8 million of deferred revenue related to the ARCALYST Huadong Collaboration Agreement over the life of the agreement as materials are delivered.

Reworded

We recognized cost of goods sold of $60.9$77.7 million, $33.4$60.9 million, and $22.9$33.4 million for the years ended December 31, 2024,2025, 20232024 and 2022,2023, respectively. The increase of $16.8 million in 2025 from 2024 related primarily to the increase in sales of ARCALYST. The increase of $27.5 million in 2024 from 2023 related primarily to the increase in sales of ARCALYST and a $12.6 million increase related to the technology transfer of the manufacturing process offset by a decrease in average cost per unit resulting from favorable production variances. The increase of $10.5 million in 2023 from 2022 related primarily to the increase in sales of ARCALYST and $3.3 million related to the initiation of the technology transfer of the manufacturing process offset by a decrease in average cost per unit resulting from favorable production variances.

Reworded

We recognized collaboration expenses of $128.3$229.5 million, $56.5$128.3 million and $24.1$56.5 million for the years ended December 31, 2024,2025, 20232024 and 2022,2023, respectively. The increase of $101.2 million in 2025 from 2024 relates primarily to increased revenue from sales of ARCALYST. The increase of $71.8 million in 2024 from 2023 relates primarily to increasedan increase in revenue from the sales of ARCALYST driving higher profits under the Regeneron agreement and to a $10.0 million payment due to Regeneron related to a regulatory milestone achieved under the ARCALYST Huadong Collaboration Agreement. The increase of $32.5 million in 2023 from 2022 relates primarily to an increase in revenue from the sales of ARCALYST and improved profitability under the Regeneron agreement.

Added

Research and development expenses were $96.9 million for the year ended December 31, 2025, compared to $111.6 million for the year ended December 31, 2024, or a decrease of $14.8 million. Research and development expenses were $111.6 million for the year ended December 31, 2024 compared to $76.1 million for the year ended December 31, 2023, or an increase of $35.5 million.

Removed

Research and development expenses were $111.6 million for the year ended December 31, 2024, compared to $76.1 million for the year ended December 31, 2023, or an increase of $35.5 million. Research and development expenses were $76.1 million for the year ended December 31, 2023 compared to $65.5 million for the year ended December 31, 2022, or an increase of $10.6 million.

Reworded

Direct costs for our KPL-387 program were $11.2$47.3 million, $2.5$11.2 million and less than $0.1$2.5 million for the years ended December 31, 2024,2025, 20232024 and 2022,2023, respectively. During the year ended December 31, 2025, expenses primarily related to the start-up of our Phase 2/3 clinical trial in recurrent pericarditis and manufacturing of clinical supply. During the year ended December 31, 2024, expenses primarily related to our Phase 1 study in normal healthy volunteers and manufacturing of clinical supply. During the year ended December 31, 2023, expenses primarily related to manufacturing of clinical supply.

Reworded

Direct costs for our KPL-1161 program were $4.2 million and $0.6 million for the yearyears ended December 31, 2024.2025 and 2024, respectively. We did not incur any expenses related to KPL-1161 for the year ended December 31, 2023. For the years ended December 31, 20232025 and 2022. For the year ended December 31, 2024 expenses incurred primarily related to pre-clinical development.

Reworded

Direct costs for our abiprubart program were $59.5$6.1 million, $28.4$59.5 million and $11.6$28.4 million for the years ended December 31, 2024,2025, 20232024 and 2022,2023, respectively. During the year ended December 31, 2025 expenses incurred primarily related to the close-out of our Phase 2b clinical trial in Sjögren’s Disease. During the year ended December 31, 2024 expenses incurred primarily related to a $18.5 million write-off of prepayments for future manufacturing we no longer expect to utilize, manufacturing of clinical material, continuation of cohort four and study wind-down activities of our Phase 2 clinical trial in RA and start-up costs of our Phase 2b clinical trial in Sjögren’s Disease. During the year ended December 31, 2023, expenses incurred primarily related to the manufacturing of clinical material, the continuation of the first two cohorts of the Phase 2 clinical trial of abiprubart in RA and Cohorts 3 and 4 of such trial. During the year ended December 31, 2022, expenses incurred primarily related to the first two cohorts of our Phase 2 clinical trial of abiprubart in RA, which was initiated in December 2021.

Removed

Direct costs of our mavrilimumab program were $0.6 million, $0.8 million and $6.4 million for the years ended December 31, 2024, 2023 and 2022, respectively. During the years ended December 31, 2024 and 2023, expenses related primarily to intellectual property maintenance. During the year ended December 31, 2022, expenses related primarily to the wind-down activities of the Phase 3 portion of our clinical trial of mavrilimumab in COVID-19 related ARDS.

Reworded

Direct costs for our vixarelimab program were $1.5less than $0.1 million, $7.7$1.5 million and $12.8$7.7 million for the yearyears ended December 31, 2024,2025, 20232024 and 2022,2023, respectively. During the year ended December 31, 2024, expenses incurred were primarily related to the wind-down activities of our Phase 2b clinical trial in prurigo nodularis. During the yearsyear ended December 31, 2023 and 2022, expenses incurred primarily related primarily to our ongoing Phase 2b clinical trial of vixarelimab in prurigo nodularis. The decrease of $5.1 million in 2023 from 2022 was primarily related to a decrease in active participants in our ongoing Phase 2b clinical trial of vixarelimab in prurigo nodularis.

Reworded

Unallocated research and development expenses were $37.7$38.2 million, $34.1$37.8 million and $33.9$34.8 million for the years ended December 31, 2024,2025, 20232024 and 2022,2023, respectively. The increase of $3.6$0.8 million in unallocated research and development expenses in 2025 from 2024 was primarily due to an increase in pre-clinical development. The increase of $3.0 million in unallocated research and development expenses in 2024 from 2023 was primarily due to an increase in personnel to support our clinical trials. The increase of $0.2 million in unallocated research and development expenses in 2023 from 2022 was primarily due to timing of raw material purchases to support internal development. Personnel-related costs for the years ended December 31, 2024,2025, 20232024 and 20222023 included share-based compensation of $6.1$6.6 million, $5.5$6.1 million and $6.8$5.5 million, respectively.

Reworded

Selling, general and administrative expenses were $168.0$196.3 million, $129.4$168.0 million and $98.0$129.4 million for the years ended December 31, 2024,2025, 2023 and 2022, respectively. In 20222024 and 2023, werespectively. expandedThe ourincrease ARCALYSTof salesforce$28.3 million in 2025 from 2024 was primarily due to helpan driveincrease furtherof prescriber$23.1 adoptionmillion in personnel-related costs largely attributable to an increase in headcount and patientan enrollments.increase in sales and marketing expenses of $5.5 million. The increase of $38.6 million in 2024 from 2023 was primarily due to an increase of $18.9 million in personnel-related costs and an increase in sales and marketing expenses of $13.5 million, largely attributable to a full year of expenses associated with the expansion of our salesforce in 2023 and an increase in professional fees of $2.8 million largely attributable to the Redomiciliation. The increase of $31.5 million in 2023 from 2022 was primarily due to an increase of $18.9 million in personnel-related costs and an increase in sales and marketing of $6.0 million largely attributable to the expansion of our salesforce. Personnel-related costs for the years ended December 31, 2024,2025, 20232024 and 20222023 included share-based compensation of $22.9$28.2 million, $19.8$22.9 million and $17.7$19.8 million, respectively.

Added

Other income was $11.6 million, $9.5 million and $8.5 million for the years ended December 31, 2025, 2024 and 2023. The year-over-year increases were driven primarily by higher interest income generated by increased average holdings of cash, cash equivalents, and short-term investments.

Removed

Other income was $9.5 million for the year ended December 31, 2024, compared to $8.5 million for the year ended December 31, 2023. The increase of $1.0 million was primarily due to interest earned on higher cash, cash equivalents and short-term investment balances. Other income was $8.5 million for the year ended December 31, 2023, compared to other income of $1.3 million for the year ended December 31, 2022. The increase was due primarily to higher interest rates on U.S. Treasury notes and a higher average balance in short term investments.

Reworded

For the year ended December 31, 2024,2025, we recorded an income tax provision of $7.0$29.9 million relating primarily to income earned in SwitzerlandSwitzerland, the United States, and the U.S.,UK; netvaluation allowance on Swiss losses and revaluation of Foreign-DerivedSwiss Intangibledeferred Incometax (“FDII”)assets deductionfor enacted rate changes; offset by benefits related to share-based compensation, and U.S.United States federal and state R&D Credits utilized.Credits.

Added

For the year ended December 31, 2024, we recorded an income tax provision of $7.0 million relating primarily to income earned in Switzerland and the United States, offset by Foreign-Derived Intangible Income (“FDII”) deduction and United States federal and state R&D Credits utilized.

Reworded

For the year ended December 31, 2023, we recorded an income tax benefit of $30.7 million relating to a non-cash deferred tax benefit of $33.8 million primarily associated with Kiniksa UK’s allocation of its ARCALYST assets to its Swiss branch office and the release of the valuation allowance on U.S.United States deferred tax assets offset by the establishment of a partial valuation allowance on our UK deferred tax assets. The net benefit in the net deferred tax asset was offset by current income tax expense of $3.1 million primarily associated with income earned in the UK and the United States.

Removed

For the year ended December 31, 2022, we recorded an income tax benefit of $172.3 million relating to a non-cash deferred tax benefit of $185.5 million primarily associated with the release of the valuation allowance on our UK deferred tax assets. Our UK deferred tax asset consists primarily of the tax basis of the intangible assets that were transferred to our wholly-owned UK subsidiary in 2021 and 2022.

Reworded

As of December 31, 2024,2025, our principal source of liquidity was cash, cash equivalents and short-term investments, which totaled $243.6$414.1 million. Our net income (losses) were $59.0 million, ($43.2) million, $14.1 million and $183.4$14.1 million for the years ended December 31, 2024,2025, 20232024 and 2022,2023, respectively. We expect our cash balance and our expected cash inflows from operations to allow us to meet our current operating plan.

Reworded

Under various agreements with third parties, we have agreed to make milestone payments, pay royalties, pay annual maintenance fees and to meet due diligence requirements, each based upon specified events. Pursuant to the Regeneron Agreement, we have entered into a supply agreement with Regeneron to purchase both clinical and commercial product. We have committed to minimum payments to Regeneron of $40.7$24.6 million, all of which are due within one year. We have entered into lease agreements for office and laboratory space, and vehicles, with total future lease payments of $11.3$10.5 million, $2.7$3.5 million of which are due within one year. In connection with our ongoing technology transfer of ARCALYST drug substance manufacturing, we have entered into a manufacturingMaster commitmentServices Agreement and a Product Specific Agreement with SamsungSamsung. toOur establishcommitments aunder newsuch manufacturing site for ARCALYST drug substance. Such commitment,agreements, which includes the purchase of raw materials and related service fees, obligates us to minimum payments of $151.0$147.7 million, $15.2$18.9 million of which are due within one year. As December 31, 2025, we have capitalized $20.9 million of production cost into inventory as semi-finished goods related to drug substance manufactured at Samsung. We have additionally entered into agreements with several CDMOs to provide us with preclinical and clinical trial materials for our non-ARCALYST assets, which obligate us to minimum payments of $40.8$3.4 million, $39.0 millionall of which are due within one year. InWe Februaryhave 2025long-term weincentive issuedplans terminationfor noticesour employees that may result in cash award payments of $23.1 million, based upon the achievement of certain regulatory milestones, none of which are expected to severalbe ofachieved these CDMOs to terminate clinical supply agreements forin the productionnext of abiprubart. The terminations will be effective in March 2025, and we are currently performing an analysis of the financial impact of the terminations. As of the date of this report, we expect to pay between $14.0 million and $17.0 million in termination cost.year.

Reworded

Under various agreements with third parties, we are entitled to receive upfront payments, milestone payments, and royalties, each based upon specified milestones. DuringIn the year ended December 31, 20242024, we received $10.0$15.0 million,million following Genentech’s achievement of ain development milestone inpayments thefrom fourth quarter of 2023Genentech related to a second indication under the Genentech License Agreement and $5.0 million following Genentech’s achievement of a development milestone related to a third indication under the Genentech License Agreement. In the2025, fourthwe quarterreceived ofa 2024,$20.0 followingmillion milestone payment related to Huadong’s achievement of a regulatory milestone under the ARCALYST Huadong Collaboration Agreement, Huadong became obligated to pay a $20.0$10.0 million milestone,of which was receivedpaid to Regeneron in the2025 firstas quarterpart of 2025.the Regeneron Agreement.

Added

Net cash provided by operations was $138.0 million for the year ended December 31, 2025, compared to $25.7 million for the year ended December 31, 2024. The increase in cash provided by operating activities is primarily due to an increase in net contribution from higher ARCALYST sales, offset by a decrease in cash received from licensing agreements of $5.0 million.

Removed

Net cash provided by operations was $13.3 million for the year ended December 31, 2023, compared to $5.8 million for the year ended December 31, 2022. The increase in cash provided by operating activities is primarily due to an increase in net contribution from higher ARCALYST sales, offset by a decrease in cash received from licensing agreements of $67.0 million.

Added

Net cash used in investing activities was $189.0 million for the year ended December 31, 2025, compared to net cash provided by investing activities of $37.7 million for the year ended December 31, 2024 as part of managing our cash and short-term investment portfolio mix as we deployed higher levels of investable cash into treasury securities with longer-terms.

Removed

Net cash used in investing activities was $29.6 million for the year ended December 31, 2023, compared to $8.1 million for the year ended December 31, 2022 as part of managing our cash and short-term investment portfolio mix.

Reworded

We expect to incur significant expenses in connection with our ongoing and planned activities as we continue to commercialize ARCALYST and advance our current and future product candidates through preclinical and clinical development, seek regulatory approval and commercialize one or more of our current or future product candidates, if approved. We may also incur expenses in connection with thecollaboration, in-licensinglicensing or acquisitionother ofstrategic additionaltransactions. product candidates. As a result,Further, we expect tomay incur additional expenses related to milestone, royalty and other payments payable to third parties with whom we have entered into license, acquisition and other similar agreements to acquire the rights to our product candidates. For more information on our near and long-term funding requirements, see “Risk Factors – General Risk Factors – We expecthave toa incurhistory expensesof asoperating we:losses and may require substantial additional financing in the future.”

Removed

●support our sales, marketing and distribution capabilities, infrastructure and organization to commercialize ARCALYST and any product candidates for which we may obtain marketing approval;

Removed

●conduct new and ongoing research and pre-clinical and clinical development of our product candidates, including our planned Phase 2/3 clinical trial of KPL-387 in recurrent pericarditis, our ongoing Phase 1 clinical trial of KPL-387 in normal healthy volunteers and our pre-clinical investigations of KPL-1161;

Removed

●manufacture our products and product candidates for clinical or commercial use, increase our manufacturing capabilities, add additional manufacturers or suppliers and perform activities related to our technology transfer of the process for manufacturing ARCALYST drug substance;

Removed

●seek regulatory and marketing approvals for our product candidates that successfully complete clinical trials, if any;

Removed

●identify, assess and study new or expanded indications for our products and product candidates and/or new or alternative dosing levels, dosing frequencies or administrations of our products and product candidates;

Removed

●make milestone or other payments under any current or future license, acquisition, collaboration or other strategic transaction agreement;

Removed

●seek to identify, assess and study new or expanded indications for our products or product candidates, new or alternative dosing levels and frequency for our products or product candidates, or new or alternative administration of our products or product candidates, including method, mode or delivery device;

Removed

●seek to identify, assess, acquire or develop additional product candidates;

Removed

●address litigation arising out of, but not limited to, product liability claims, intellectual property disputes, disputes arising from our collaboration and license agreements and employment-related disputes;

Removed

●enter into licensing, acquisition, collaboration or other strategic transaction agreements;

Removed

●seek to maintain, protect and expand our intellectual property portfolio;

Removed

●seek to attract and retain skilled personnel;

Removed

●create additional infrastructure to support our product development and commercialization efforts; and

Removed

●experience delays or encounter issues with any of the above, including but not limited to failed trials, complex results, safety issues, regulatory challenges that require longer follow-up of existing trials, additional major trials, additional supportive trials in order to pursue marketing approval, a pandemic or other outbreak of disease or disruptions to the national or global economy.

Reworded

We believe that our existing cash, cash equivalents and short-term investments will enable us to fund our operating expenses and capital expenditure requirements for at least the next 12 months. The future viability of our company is dependent on our ability to fund our operations through sales of ARCALYST and/or raise additional capital, such as through debt or equity offerings, as needed. We anticipate that we may require additional capital if we choose to pursue in-licensescollaboration, licensing or acquisitions of other productstrategic candidates and technologies or their related businesses.transactions. We expect to continue to incur significant expenses related to product manufacturing, including technology transfer costs, sales, marketing and distribution of ARCALYST. In addition, if we obtain regulatory approval for any of our current or future product candidates, pursue additional indications or additional territories for our products or any of our current or future product candidates, we expect to incur significant expenses related to product development and manufacturing, sales, marketing and distribution, depending on where we choose to commercialize.

Removed

Until such time, if ever, as we can generate substantial and sustained product revenue, we expect to finance our cash needs through a combination of public or private equity offerings, debt financings, or other sources, including, licensing, collaboration, marketing, distribution or other strategic transactions or arrangements with third parties. To the extent that we raise additional capital through the sale of equity or convertible debt securities, our shareholders’ ownership interest may be materially diluted, and the terms of such securities could include liquidation or other preferences that adversely affect our shareholders’ rights as an ordinary shareholder. Debt financing and preferred equity financing, if available, may involve agreements that include restrictive covenants that limit our ability to take specified actions, such as incurring additional debt, making capital expenditures or declaring dividends. In addition, debt financing would result in fixed payment obligations.

Removed

If we raise funds through licensing, collaboration, marketing, distribution or other strategic transactions or arrangements with third parties, we may have to relinquish valuable rights to our technologies, product candidates or future revenue streams, or otherwise agree to terms that may not be favorable to us. If we are unable to obtain funding, we could be forced to delay, reduce or eliminate some or all of our research and development programs for product candidates, product portfolio expansion or commercialization efforts, which could adversely affect our business prospects, or we may be unable to continue operations.

Removed

Product Revenue, Net

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What changed in the latest 10-Q

Comparing 10-Q filed 2026-07-28 (period ending 2026-06-30) with 10-Q filed 2026-04-28 (period ending 2026-03-31).

Risk Factors (10-Q Part II, Item 1A)

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The section in the latest 10-Q reads in full:

In addition to the information discussed elsewhere in this Quarterly Report, you should carefully review and consider the risk factors disclosed in Part I, Item 1A of the Annual Report, as updated by any information appearing in Part II, Item 1A of any of our subsequent Quarterly Reports on Form 10-Q. These risks could materially and adversely affect our business, results of operations, financial condition and prospects. The risks and uncertainties described therein are not the only ones we face. Additional risks and uncertainties not currently known to us or that we deem immaterial also may impair our business, results of operations, financial condition and prospects.

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Reworded

In addition to the information discussed elsewhere in this Quarterly Report, you should carefully review and consider the risk factors disclosed in Part I, Item 1A of the Annual Report, as updated by any information appearing in Part II, Item 1A of any of our subsequent Quarterly Reports on Form 10-Q. These risks could materially and adversely affect our business, results of operations, financial condition and prospects. The risks and uncertainties described therein are not the only ones we face. Additional risks and uncertainties not currently known to us or that we deem immaterial also may impair our businessbusiness, operations.results of operations, financial condition and prospects.

Management's Discussion & Analysis (MD&A) (10-Q Part I, Item 2)

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New heading “Comparison of the Six Months Ended June 30, 2026 and 2025”

New heading “Product Revenue, Net”

New heading “Cost of Goods Sold”

New heading “Collaboration Expenses”

New heading “Research and Development Expenses”

New heading “Selling, General and Administrative Expenses”

New heading “Provision for Income Taxes”

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“Selling, General and Administrative Expenses”
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Reworded

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our unaudited condensed consolidated financial statements and related notes included elsewhere in this Quarterly Report, and our audited consolidated financial statements and related notes for the year ended December 31, 2025 included in the Annual Report. Some of the information contained in this discussion and analysis or set forth elsewhere in this Quarterly Report, including information with respect to our plans and strategy for our business, includes forward-looking statements that involve risks and uncertainties. As a result of many factors, including those factors set forth in the risks identified in Part I, Item 1A of the Annual Report, as updated by any information appearing in Part II, Item 1A of any of our subsequent Quarterly Reports on Form 10-Q,10-Q (including this Quarterly Report), and our other filings with the Securities and Exchange Commission (the “SEC”) our actual results could differ materially from the results, performance or achievements expressed in or implied by these forward-looking statements.

Reworded

ARCALYST is an interleukin-1α (“IL-1α”) and interleukin-1β (“IL-1β”) cytokine trap. In 2017, we licensed ARCALYST from Regeneron, which discovered and initially developed the drug. Our exclusive license to ARCALYST from Regeneron includes worldwide rights, excluding the Middle East and North Africa, for all applications other than those in oncology and local administration to the eye or ear. We received FDA approval of ARCALYST for the treatment of recurrent pericarditis and reduction in risk of recurrence in adults and children 12 years and older in March 2021. Recurrent pericarditis is a painful inflammatory cardiovascular disease with an estimated United States prevalent population of approximately 40,000 patients seeking and receiving medical treatment. ARCALYST is also approved in the United States for the treatment of Cryopyrin-Associated Periodic Syndromes (“CAPS”), including Familial Cold Autoinflammatory Syndrome and Muckle-Wells Syndrome in adults and children 12 years and older, and the maintenance of remission in Deficiency of Interleukin-1 Receptor Antagonist (“DIRA”) in adults and children weighing 10 kg or more. ARCALYST is commercially available across the United States through a select network of specialty pharmacies. We are responsible for sales and distribution of ARCALYST in all approved indications in the United States, and evenly split profits on sales, as well as third party proceeds, with Regeneron. In 2022, we granted Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd. (“Huadong”) exclusive rights to develop and commercialize ARCALYST in the Huadong Territory (as defined below). In 2023, Regeneron initiated a technology transfer of the manufacturing process for ARCALYST drug substance.substance, Sinceand thenin weJune have2026 workedthe toFDA qualifyapproved Samsung Biologics Co., Ltd. (“Samsung”) as our replacement contract development and manufacturing organization (“CDMO”) and, in April 2026, the FDA accepted the supplemental biologics license application related to such technology transfer and assigned a Prescription Drug User Fee Act target action date of June 19, 2026.. In December 2024, we initiated a collaborative study agreement with The Mayo Clinic (together with Johns Hopkins University) to investigate the effects of ARCALYST in the treatment of cardiac sarcoidosis.

Reworded

KPL-387 is an investigational, fully human immunoglobulin G2 monoclonal antibody that binds human interleukin-1 receptor 1 (“IL-1R1”), inhibiting IL-1α- and IL-1β-mediated signaling. KPL-387 is an independently developed asset that we believe may expand the recurrent pericarditis market and provide an additional treatment option for patients, with the potential to add the convenience of monthly subcutaneous self-administration with a liquid formulation. In July 2025,2026, we announced that the Phase 2 dose-focusing portion of thepivotal Phase 2/3 clinical trial of KPL-387 in recurrent pericarditispericarditis, PASTORALE, had begun recruiting.enrolling Weand expectdosing datapatients, fromsupported theby Phase 2 portiondata ofat the trial300 inmg thesubcutaneous secondmonthly halfdose of 2026 and plan to use the totality of the data to determine further development strategy.level. In September 2025,addition, we announced plansthat we expect to conductbegin commercializing KPL-387 in 2028 or 2029. We are also conducting a supplemental Phase 2 transition to KPL-387 monotherapy dosing and administration study to evaluate the efficacy and safety of dosing regimens used to transition patients from standard therapies to KPL-387 monotherapy. In April 2026, we announced our expectation to initiate a pivotal Phase 3 clinical trial of KPL-387 in recurrent pericarditis by the end of 2026. In October 2025, theThe FDA previously granted Orphan Drug Designation to KPL-387 for the treatment of pericarditis.

Reworded

Under the Huadong Collaboration Agreement, we received a total upfront cash payment of $12.0 million for the Huadong Territory license of ARCALYST. In the fourth quarter of 2024, following the achievement of a regulatory milestone under the Huadong Collaboration Agreement, Huadong became obligated to make an additional cash payment of $20.0 million, which was received in the first quarter of 2025. In addition, we will be eligible to receive additional contingent sales-based milestones payments related to ARCALYST. Huadong will also be obligated to pay us tiered percentage royalties on ARCALYST ranging from the low-to-mid teens on annual net sales in the Huadong Territory, subject to certain reductions tied to ARCALYST manufacturing costs and certain other customary reductions, with an aggregate minimum floor. Royalties will be payable on a country-by-country or region-by-region basis until the later of (i) 12 years after the first commercial sale of ARCALYST in such country or region in the Huadong Territory, (ii) the date of expiration of the last valid patent claim of our patent rights or any joint collaboration patent rights that covers ARCALYST in such country or region in the Huadong Territory, and (iii) the expiration of the last regulatory exclusivity for ARCALYST in such country or region in the Huadong Territory. We have recognized $0.2 million of revenue of the $32.0 million transaction price under the Huadong Collaboration Agreement as of MarchJune 31,30, 2026, and will recognize the remaining revenue as materials are shipped.

Reworded

Under the Genentech License Agreement, we will be eligible to receive up to a total of approximately $600.0 million in contingent payments, including specified development, regulatory and sales-based milestones, of which approximately $570.0 million remains as of MarchJune 31,30, 2026. We will also be eligible to receive tiered percentage royalties on a Genentech Licensed Product-by-Genentech Licensed Product basis ranging from low-double digits to mid-teens on annual net sales of each Genentech Licensed Product, subject to certain customary reductions, with an aggregate minimum floor, before fulfilling our upstream financial obligations. Royalties will be payable on a Genentech Licensed Product-by-Genentech Licensed Product and country-by-country basis until the latest to occur of the expiration of certain patents that cover a Genentech Licensed Product, the expiration of regulatory exclusivity for such Genentech Licensed Product, or the tenth anniversary of first commercial sale of such Genentech Licensed Product in such country.

Reworded

Our income is subject to the enacted United Kingdom statutory corporate tax rate. Our wholly owned United States subsidiaries, including Kiniksa Pharmaceuticals,Pharmaceuticals Inc.Corp. (“Kiniksa US”), are subject to federal and state income taxes in the United States. Our wholly owned subsidiary Kiniksa Pharmaceuticals (UK), Ltd. (“Kiniksa UK”), its Swiss branch office, and Kiniksa UK’s wholly owned subsidiaries, including Kiniksa Pharmaceuticals, GmbH (“Kiniksa Switzerland”) are subject to taxation in their respective countries.

Reworded

Comparison of the Three Months Ended MarchJune 31,30, 2026 and 2025

Reworded

The following table summarizes our results of operations for the three months ended MarchJune 31,30, 2026 and 2025:

Reworded

We recognized net revenue from the sale of ARCALYST of $214.3$243.6 million for the three months ended MarchJune 31,30, 2026, compared to $137.8$156.8 million for the three months ended MarchJune 31,30, 2025, an increase of $76.5$86.8 million. The increase in product revenue was driven primarily by an increase in patientpatients enrollment.on therapy.

Reworded

We recognized cost of goods sold of $20.8$23.6 million for the three months ended MarchJune 31,30, 2026, compared to $17.9$18.6 million for the three months ended MarchJune 31,30, 2025, an increase of $2.9$5.0 million. The increase in cost of goods sold relates primarily to the increase in sales of ARCALYST partially offset by favorable production variances.

Reworded

Collaboration expenses were $75.6$88.1 million for the three months ended MarchJune 31,30, 2026, compared to $43.8$52.4 million for the three months ended MarchJune 31,30, 2025, an increase of $31.8$35.7 million. The increase ofin $31.8collaboration millionexpenses relates primarily to increased revenue from sales of ARCALYST.

Reworded

Research and development expenses were $27.5$40.9 million for the three months ended MarchJune 31,30, 2026, compared to $19.3$18.8 million for the three months ended MarchJune 31,30, 2025, an increase of $8.2$22.1 million.

Reworded

Direct costs for our KPL-387 program were $16.2$21.4 million during the three months ended MarchJune 31,30, 2026, compared to $5.2$8.5 million during the three months ended MarchJune 31,30, 2025. The increase in expenses incurred primarily related to the enrollment and continuation of our Phase 2/3 clinical trial in recurrent pericarditis and the start of the supplemental Phase 2 transition to KPL-387 monotherapy dosing and administration study during the three months ended MarchJune 31,30, 2026, as compared to the Phase 1 clinical trial in normal healthy volunteers and the start-up of our Phase 2/3 clinical trial during the three months ended MarchJune 31,30, 2025.

Reworded

Direct costs for our KPL-1161 program were $1.0$0.8 million for the three months ended MarchJune 31,30, 2026, compared to $0.1$0.4 million during the three months ended MarchJune 31,30, 2025. For the three months ended MarchJune 31,30, 2026 and 2025, expenses incurred primarily related to pre-clinical development.

Removed

The direct costs for our abiprubart program were $0.1 million during the three months ended March 31, 2026, compared to $4.4 million during the three months ended March 31, 2025, a decrease of $4.3 million. For the three months ended March 31, 2025, expenses incurred primarily related to the close-out of our Phase 2b clinical trial in Sjögren’s Disease and $2.5 million of termination expenses associated with cancelled manufacturing agreements.

Reworded

Unallocated research and development expenses were $10.0$18.2 million and $9.3$9.1 million for the three months ended MarchJune 31,30, 2026 and MarchJune 31,30, 2025, respectively. The increase was primarily related to an increase in pre-clinical development expenses of $6.7 million during the three months ended June 30, 2026. Personnel-related costs for the three months ended MarchJune 31,30, 2026 and 2025 included share-based compensation of $1.6$2.5 million and $1.2$1.7 million, respectively.

Reworded

Selling, general and administrative expenses were $61.2$63.9 million for the three months ended MarchJune 31,30, 2026, compared to $43.5$46.9 million for the three months ended MarchJune 31,30, 2025. The increase of $17.6$17.0 million was primarily due to an increase of $10.8$9.6 million in personnel-related costs largely attributable to an increase in headcount and an increase in sales and marketing expenses of $5.2$4.8 million largely attributable to increased promotional activitiesactivities, andincluding theour timingdirect-to-consumer ofadvertising free goods designation.campaign. Personnel-related costs for the three months ended MarchJune 31,30, 2026 and 2025 included share-based compensation of $7.9$8.5 million and $5.8$6.6 million, respectively.

Reworded

Other income, net was $3.4$4.0 million and $2.3$2.7 million for the three months ended MarchJune 31,30, 2026 and MarchJune 31,30, 2025, respectively. The year-over-year increase was driven primarily by higher interest income generated by increased average holdings of cash, cash equivalents, and short-term investments.

Reworded

We recorded an income tax provision of $10.1$5.7 million and $7.0$5.0 million for the three months ended MarchJune 31,30, 2026 and MarchJune 31,30, 2025, respectively. The provision for income taxes was driven primarily by income earned in Switzerland, UK and the United States as well as uncertain tax positions offset in part by tax benefits related to share-based compensation, United States federal and state research and development credits (“R&D Credits”) and Foreign Derived Intangible Income (“FDII”) deduction. The increase in the provision for income taxes was driven primarily by an increase in taxable income partially offset by an increase in the tax benefits related to share-based compensation.

Added

Comparison of the Six Months Ended June 30, 2026 and 2025

Added

The following table summarizes our results of operations for the six months ended June 30, 2026 and 2025:

Added

Product Revenue, Net

Added

We recognized net revenue from the sale of ARCALYST of $457.9 million for the six months ended June 30, 2026, compared to $294.6 million for the six months ended June 30, 2025, an increase of $163.3 million. The increase in product revenue was primarily driven by an increase in patients on therapy.

Added

Cost of Goods Sold

Added

We recognized cost of goods sold of $44.4 million for the six months ended June 30, 2026, compared to $36.5 million for the six months ended June 30, 2025, an increase of $7.9 million. The increase in cost of goods sold relates primarily to the increase in sales of ARCALYST partially offset by favorable production variances.

Added

Collaboration Expenses

Added

Collaboration expenses were $163.6 million for the six months ended June 30, 2026, compared to $96.2 million for the six months ended June 30, 2025, an increase of $67.4 million. The increase in collaboration expenses relates primarily to increased revenue from sales of ARCALYST.

Added

Research and Development Expenses

Added

Research and development expenses were $68.4 million for the six months ended June 30, 2026, compared to $38.1 million for the six months ended June 30, 2025, an increase of $30.3 million.

Added

Direct costs for our KPL-387 program were $37.6 million during the six months ended June 30, 2026, compared to $13.7 million during the six months ended June 30, 2025. The increase in expenses incurred primarily related to the enrollment and continuation of our Phase 2/3 clinical trial in recurrent pericarditis and the start of the supplemental Phase 2 transition to KPL-387 monotherapy dosing and administration study during the six months ended June 30, 2026, as compared to the Phase 1 clinical trial in normal healthy volunteers and the start-up of our Phase 2/3 clinical trial during the six months ended June 30, 2025.

Added

Direct costs for our KPL-1161 program were $1.7 million for the six months ended June 30, 2026, compared to $0.5 million during the six months ended June 30, 2025. For the six months ended June 30, 2026 and 2025, expenses incurred primarily related to pre-clinical development.

Added

The direct costs for our abiprubart program were $0.2 million during the six months ended June 30, 2026, compared to $5.0 million during the six months ended June 30, 2025, a decrease of $4.8 million. For the six months ended June 30, 2025, expenses incurred primarily related to the close-out of our Phase 2b clinical trial in Sjögren’s Disease and $2.5 million of termination expenses associated with cancelled manufacturing agreements.

Added

Unallocated research and development expenses were $28.2 million for the six months ended June 30, 2026, compared to $18.4 million for the six months ended June 30, 2025. The increase was primarily related to an increase in pre-clinical development expenses of $6.6 million during the six months ended June 30, 2026. Personnel-related costs for the six months ended June 30, 2026 and 2025 included share-based compensation of $4.1 million and $3.2 million, respectively.

Added

Selling, General and Administrative Expenses

Added

Selling, general and administrative expenses were $125.0 million for the six months ended June 30, 2026, compared to $90.4 million for the six months ended June 30, 2025. The increase of $34.6 million was primarily due to an increase of $20.4 million in personnel-related costs largely attributable to an increase in headcount and an increase in sales and marketing costs of $10.0 million largely attributable to promotional activities, including our direct-to-consumer advertising campaign. Personnel-related costs for the six months ended June 30, 2026 and 2025 included share-based compensation of $16.4 million and $12.4 million, respectively.

Added

Provision for Income Taxes

Added

We recorded an income tax provision of $15.8 million and $12.1 million for the six months ended June 30, 2026 and June 30, 2025, respectively. The provision for income taxes was driven primarily by income earned in Switzerland, UK and the United States as well as uncertain tax positions offset in part by tax benefits related to share-based compensation, R&D Credits and FDII deduction. The increase in the provision for income taxes was driven primarily by an increase in taxable income partially offset by an increase in the tax benefits related to share-based compensation.

Reworded

As of MarchJune 31,30, 2026, our principal source of liquidity was cash, cash equivalents and short-term investments, which totaled $468.1$525.9 million. Net income was $22.6$48.0 million and $8.5$26.4 million for the threesix months ended MarchJune 31,30, 2026 and 2025, respectively. We expect our cash balance and our expected cash inflows from operations to allow us to meet our current operating plan.

Reworded

Under various agreements with third parties, we have agreed to make milestone payments, pay royalties, pay annual maintenance fees and to meet due diligence requirements, each based upon specified events. Pursuant to the Regeneron Agreement, we have entered into a supply agreement with Regeneron to purchase both clinical and commercial product. We have committed to minimum payments to Regeneron of $51.0 million, all of which are due within one year. We have entered into lease agreements for office and laboratory space, and vehicles, with total future lease payments of $9.9$9.6 million, $3.6$4.4 million of which are due within one year. InWe connectionare withalso ourparty ongoing technology transfer of ARCALYST drug substance manufacturing, we have entered intoto a Master Services Agreement and a Product Specific Agreement with Samsung.Samsung related to the manufacture of ARCALYST drug substance. Our commitments under such agreements, which includes the purchase of raw materials and related service fees, obligates us to minimum payments of $147.1$140.4 million, $59.8$53.1 million of which are due within one year. As of March 31, 2026, we have capitalized $21.1 million of production cost into inventory as semi-finished goods related to drug substance manufactured at Samsung. We have additionally entered into agreements with several CDMOs to provide us with preclinical and clinical trial materials for our non-ARCALYST assets, which obligate us to minimum payments of $10.2$14.5 million all of which are due within one year. We have long-term incentive plans for our employees that may result in cash award payments of $23.1$24.9 million, based upon the achievement of certain regulatory milestones, none of which are expected to be achieved in the next year.

Reworded

Net cash provided by operations was $50.2$97.4 million and $22.3$50.4 million for the threesix months ended MarchJune 31,30, 2026 and 2025, respectively. The increase in cash provided by operating activities is primarily due to an increase in net contribution from higher ARCALYST sales offset by a decrease in net cash received from licensing agreements of $20.0 million.sales.

Reworded

Net cash used in investing activities was $31.9$105.5 million and $51.5$55.4 million for the threesix months ended MarchJune 31,30, 2026 and 2025, respectively. The increase in net cash used in investing activities was driven by managing our cash and short-term investment portfolio mix as we deployed higher levels of cash into Treasury Securities with longer-terms.

Reworded

During the threesix months ended MarchJune 31,30, 2026 and 2025, net cash provided by financing activities was $6.1$18.2 million and $2.8$13.5 million, respectively, consisting of proceeds from the exercise of share options offset by payments in connection with ordinary shares tendered for employee tax obligations.

Reworded

We expect to incur significant expenses in connection with our ongoing and planned activities as we continue to commercialize ARCALYST and advance our current and future product candidates through preclinical and clinical development, seek regulatory approval and commercialize one or more of our current or future product candidates, if approved. We may also incur expenses in connection with collaboration, licensing or other strategic transactions. Further, we may incur expenses related to milestone, royalty and other payments payable to third parties with whom we have entered into license, acquisition and other similar agreements to acquire the rights to our product candidates We believe that our existing cash, cash equivalents and short-term investments will enable us to fund our operating expenses and capital expenditure requirements for at least the next 12 months. The future viability of our company is dependent on our ability to fund our operations through sales of ARCALYST and/or raise additional capital, such as through debt or equity offerings, as needed. We anticipate that we may require additional capital if we choose to pursue collaboration, licensing or other strategic transactions. We expect to continue to incur significant expenses related to product manufacturing, including technology transfer costs, sales, marketing and distribution of ARCALYST. In addition, if we obtain regulatory approval for any of our current or future product candidates, pursue additional indications or additional territories for our products or any of our current or future product candidates, we expect to incur significant expenses related to product development and manufacturing, sales, marketing and distribution, depending on where we choose to commercialize.

Reworded

Because of the numerous risks and uncertainties associated with research, development and commercialization of biologic products, we are unable to estimate the exact amount of our working capital requirements. Our future funding requirements may be impacted by a number of factors, including those described in Part I, Item 1A of the Annual Report, as updated by any information appearing in Part II, Item 1A of any of our subsequent Quarterly Reports on Form 10-Q.10-Q, including this Quarterly Report.

KNSA insider buying and selling (Form 4)

Since 2026-04-11, insiders reported open-market purchases in 0 Form 4 filings and open-market sales in 8 filings (6 insiders, 7 trade dates, 645,028 shares, about $33.9M; 7 of these filings say the sales were made under a Rule 10b5-1 trading plan). Net open-market shares: -645,028 (purchases minus sales); net value about -$33.9M.Totals add up every open-market (code P and S) line in those filings, using the prices reported in the filings. Awards, option exercises, tax withholding and gifts are listed below but not counted.

Trade dateInsiderTransactionSharesPriceValueOwned afterFiling
2026-09-03Megna Michael R
CHIEF ACCOUNTING OFFICER
Open-market sale
10b5-1 plan
4,600$80.30 $369.4K29,062 SEC
2026-09-01Ragosa Mark
CHIEF FINANCIAL OFFICER
Option exercise 2,694— —18,848 SEC
2026-09-01Ragosa Mark
CHIEF FINANCIAL OFFICER
Option exercise 1,750— —20,598 SEC
2026-09-01Ragosa Mark
CHIEF FINANCIAL OFFICER
Shares withheld for tax 4,404$79.28 $349.1K20,854 SEC
2026-09-01Ragosa Mark
CHIEF FINANCIAL OFFICER
Option exercise 3,069— —25,258 SEC
2026-09-01Ragosa Mark
CHIEF FINANCIAL OFFICER
Option exercise 1,591— —22,189 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise 6,237— —98,883 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Shares withheld for tax 15,144$79.28 $1.2M92,348 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise 6,481— —92,646 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise 9,991— —86,165 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise 8,609— —107,492 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise 6,237— —98,883 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise 8,609— —107,492 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Shares withheld for tax 15,144$79.28 $1.2M92,348 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise 6,481— —92,646 SEC
2026-09-01Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise 9,991— —86,165 SEC
2026-09-01Paolini John F.
CHIEF MEDICAL OFFICER
Option exercise 1,624— —69,744 SEC
2026-09-01Paolini John F.
CHIEF MEDICAL OFFICER
Option exercise 2,457— —73,951 SEC
2026-09-01Paolini John F.
CHIEF MEDICAL OFFICER
Option exercise 1,750— —71,494 SEC
2026-09-01Paolini John F.
CHIEF MEDICAL OFFICER
Shares withheld for tax 4,029$79.28 $319.4K69,922 SEC
2026-09-01Paolini John F.
CHIEF MEDICAL OFFICER
Option exercise 2,497— —68,120 SEC
2026-09-01Moat Ross
CHIEF OPERATING OFFICER
Option exercise 1,611— —16,117 SEC
2026-09-01Moat Ross
CHIEF OPERATING OFFICER
Shares withheld for tax 4,007$79.28 $317.7K16,307 SEC
2026-09-01Moat Ross
CHIEF OPERATING OFFICER
Option exercise 2,457— —20,314 SEC
2026-09-01Moat Ross
CHIEF OPERATING OFFICER
Option exercise 1,740— —17,857 SEC
2026-09-01Moat Ross
CHIEF OPERATING OFFICER
Option exercise 2,477— —14,506 SEC
2026-09-01Megna Michael R
CHIEF ACCOUNTING OFFICER
Shares withheld for tax
10b5-1 plan
5,531$79.28 $438.5K33,662 SEC
2026-09-01Megna Michael R
CHIEF ACCOUNTING OFFICER
Option exercise
10b5-1 plan
2,362— —36,549 SEC
2026-09-01Megna Michael R
CHIEF ACCOUNTING OFFICER
Option exercise
10b5-1 plan
2,558— —34,187 SEC
2026-09-01Megna Michael R
CHIEF ACCOUNTING OFFICER
Option exercise
10b5-1 plan
3,932— —31,629 SEC
2026-09-01Megna Michael R
CHIEF ACCOUNTING OFFICER
Option exercise
10b5-1 plan
2,644— —39,193 SEC
2026-08-19Quart Barry D
Director
Gift 2,600— —12,745 SEC
2026-08-01Levy Richard S
Director
Option exercise 403— —22,359 SEC
2026-07-29Cole G Bradley
Director
Gift 4,500— —7,172 SEC
2026-07-29Cole G Bradley
Director
Open-market sale 3,673$81.43 $299.1K11,672 SEC
2026-07-15Megna Michael R
CHIEF ACCOUNTING OFFICER
Grant/award
10b5-1 plan
279$33.50 $9.3K27,697 SEC
2026-06-01Patel Sanj K
Director, CHAIRMAN & CEO
Conversion 900,000— —951,794 SEC
2026-05-29Quart Barry D
Director
Option exercise 2,799— —15,345 SEC
2026-05-29Popovits Kimberly J
Director
Option exercise 2,799— —15,345 SEC
2026-05-29Mccain Tracey L
Director
Option exercise 2,799— —15,345 SEC
2026-05-29Malley Thomas
Director
Option exercise 2,799— —15,345 SEC
2026-05-29Levy Richard S
Director
Option exercise 2,799— —21,956 SEC
2026-05-29Cole G Bradley
Director
Option exercise 2,799— —15,345 SEC
2026-05-29Baker Julian
Director
Grant/award 6,078— —2,744,894 SEC
2026-05-29Baker Julian
Director
Grant/award 6,078— —143,277 SEC
2026-05-01Paolini John F.
CHIEF MEDICAL OFFICER
Open-market sale
10b5-1 plan
37,327$53.52 $2.0M86,720 SEC
2026-05-01Paolini John F.
CHIEF MEDICAL OFFICER
Open-market sale
10b5-1 plan
21,097$54.04 $1.1M65,623 SEC
2026-05-01Paolini John F.
CHIEF MEDICAL OFFICER
Option exercise
10b5-1 plan
58,424$10.36 $605.3K124,047 SEC
2026-05-01Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise
10b5-1 plan
48,565$30.93 $1.5M48,565 SEC
2026-05-01Patel Sanj K
Director, CHAIRMAN & CEO
Open-market sale
10b5-1 plan
48,565$54.02 $2.6M0 SEC
2026-04-30Patel Sanj K
Director, CHAIRMAN & CEO
Open-market sale
10b5-1 plan
2,141$54.01 $115.6K0 SEC
2026-04-30Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise
10b5-1 plan
2,141$30.93 $66.2K2,141 SEC
2026-04-29Patel Sanj K
Director, CHAIRMAN & CEO
Open-market sale
10b5-1 plan
22,544$54.01 $1.2M0 SEC
2026-04-29Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise
10b5-1 plan
22,544$30.93 $697.3K22,544 SEC
2026-04-28Patel Sanj K
Director, CHAIRMAN & CEO
Open-market sale
10b5-1 plan
51,750$54.02 $2.8M0 SEC
2026-04-28Patel Sanj K
Director, CHAIRMAN & CEO
Open-market sale
10b5-1 plan
243,596$52.02 $12.7M51,750 SEC
2026-04-28Patel Sanj K
Director, CHAIRMAN & CEO
Open-market sale
10b5-1 plan
113,673$51.47 $5.9M295,346 SEC
2026-04-28Patel Sanj K
Director, CHAIRMAN & CEO
Open-market sale
10b5-1 plan
74,635$50.43 $3.8M409,019 SEC
2026-04-28Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise
10b5-1 plan
51,750$30.93 $1.6M483,654 SEC
2026-04-28Patel Sanj K
Director, CHAIRMAN & CEO
Option exercise
10b5-1 plan
431,904$10.36 $4.5M431,904 SEC

Showing the 60 most recent of 64 transactions.

Well-known investors holding KNSA (13F)

InvestorQuarterSharesReported value% of their 13FChange vs prior quarter
Point72 Asset Management (Steve Cohen) ORD SHS CL A2026-06-30659,493$42.2M0.06%Added 3%
D. E. Shaw & Co. ORD SHS CL A2026-06-30569,756$36.4M0.02%Reduced 41%
Two Sigma Investments ORD SHS CL A2026-06-30561,480$35.9M0.03%Added 33%
AQR Capital Management (Cliff Asness) ORD SHS CL A2026-06-30375,039$24.0M0.01%Reduced 1%
Millennium Management (Israel Englander) ORD SHS CL A2026-06-3093,364$6.0M0.0%Reduced 83%
Renaissance Technologies ORD SHS CL A2026-06-3068,077$4.4M0.01%New position
Citadel Advisors (Ken Griffin) ORD SHS CL A2026-06-3041,665$2.7M0.0%Reduced 91%
Gotham Asset Management (Joel Greenblatt) ORD SHS CL A2026-06-304,799$306.9K0.0%Reduced 37%

13F reports are filed up to 45 days after quarter end and show long U.S. equity positions only; options positions are omitted here.

Coming soon: email alerts when KNSA files, watchlists and downloadable comparisons.