Kiniksa Pharmaceuticals International, plc (KNSA): what the price assumes

In the published model solve dated 2026-Q2, anchored at $79.80, Kiniksa Pharmaceuticals International, plc (KNSA) is priced for today's economics sustained for ~12.0 years. boothcheck publishes no house fair value, target price, or buy/sell rating; individual model outputs and user-controlled scenarios are analytical inputs, not Boothcheck targets. Narrative composed 2026-06-27.

Generated: 2026-07-29 · Exported: 2026-08-01 · Source: https://boothcheck.com/report/KNSA

Headline

FieldValue
TickerKNSA
CompanyKiniksa Pharmaceuticals International, plc
Current price$79.80/sh

What The Price Assumes (Inversion)

The assumption today's price embeds, recovered by inverting the valuation.

FieldValue
Inversion basiswhole-company
Must persist for12.0y
Multiple paid69x operating income

Solve inputs: computed at a 9.2% cost of capital; growth searched up to the 25% self-funding ceiling; each 1pp moves the implied horizon ~2.3 years.

How unusual the bet is: high

ReferenceValue
cohort percentile (of 116 peers)97
sustained it ~10 years at this level14%
implied end-window share0%

Valuation X-Ray

Asset, earnings-power and peer-multiple models all land far below the price; ONLY the growth-DCF reaches it. The bet is durable compounding the static frames structurally cannot price (a moat/durability premium).

How the valuation models price the stock relative to the market price. Price/FV above 1.0 means the market pays more than that lens defends (expensive); at or below 1.0 the lens can defend the price.

FamilyMedian price/FVModelsReads
Asset7.25x4expensive
Earnings3.98x4expensive
Relative2.34x5expensive
Growth0.84x3justifies

Families that justify the price: Growth Families that call it expensive: Asset, Earnings, Relative

The models below discount at their own flat-beta convention rates (cost of equity 9.3%, WACC 9.2%); the inversion above states its own rate.

Per-Model Detail (n=16)

ModelFamilyFVPrice/FVApplicableMethodology
DCF Perpetual GrowthGrowth$87.310.91xyesFCF base $0.2B, growth 25% (input: historical growth), terminal g 4.0%, WACC 9.2%, 7yr projection
DCF Exit MultipleGrowth$95.310.84xyesExit EV/EBITDA: 65.1x / 68.1x / 71.1x (bear / base = today's held flat / bull), 7yr
Relative ValuationRelative$42.141.89xyesP/E 43.8x (blended: static sector reference 24x + trailing (TTM) 90x), scenarios: 35.0x / 43.8x / 52.6x (bear / base = reference held flat / bull), EV/EBITDA 31.62x
Simple DDMGrowthno
Two-Stage DDMGrowthno
Simple Excess ReturnAsset$9.588.33xyesBV/sh $7.35, ROE (TTM) 12.1%, ke 9.3%
Two-Stage Excess ReturnAsset$10.887.33xyes5yr excess ROE then converge to ke=9.3%
Discounted Future Market CapGrowth$115.780.69xyesRev $0.8B, growth 30% (input: historical growth; tapered), Terminal P/S: 7.0x / 8.7x / 10.5x (bear / base = today's held flat / bull, cap 12x)
Peter Lynch Fair ValueRelative$10.927.31xyesEPS $0.91, growth 2% (input: historical EPS growth), PEG=45.01 (Overvalued)
Margin TrajectoryGrowthno
Earnings Power ValueEarningsno
Residual IncomeAsset$11.147.16xyesBV $7.35 + 5yr PV of (ROE (TTM) 12.1% − Kₑ 9.3%) × BV; BV grows 7.8%/yr
Graham NumberAsset$12.276.50xyes√(22.5 × EPS $0.91 × BVPS $7.35) — Graham's conservative floor
EV/EBITDA RelativeRelative$19.854.02xyesEBITDA $0.09B × sector EV/EBITDA 16.0x
FCF YieldEarnings$22.983.47xyesFCF $164.2M / Kₑ 9.3% — zero-growth perpetuity
SBC-Adj FCF YieldEarnings$17.824.48xyesSBC-adj FCF $0.12B (FCF $0.16B − SBC $0.04B) capitalized at Kₑ
Ben Graham FormulaEarnings$29.362.72xyesEPS $0.91 × (8.5 + 2×15.0%) × (4.4 / 5.3%)
ROIC-Justified P/BAsset$3.3224.03xyesBV $7.35 × (ROIC 4.1% / WACC 9.2%) (excluded from median)
P/Sales SectorRelative$36.602.18xyesRevenue $0.75B × sector P/S 4.0x
PEG Fair ValueRelative$34.132.34xyesEPS $0.91 × (PEG 1.5 × growth 25.0% (input: historical EPS growth)) → PE 37.5x
Earnings YieldEarnings$9.848.11xyesEPS $0.91 / required return 9.3% (Rf 4.3% + ERP 5.0%)
Funds From Operations MultipleRelativeno
Clinical Phase NPVGrowthno
MertonAssetno
V5 Mechanicalno

Solvency

FieldValue
Net cash$468.1m
Net debt / NOPAT (after-tax)-7.26x (net cash)
Net debt / operating income (pre-tax)-5.02x (net cash)
Share count CAGR (dilution)4.5%
Burning cashno

Interest expense is not separately reported in the latest filings, so interest coverage cannot be computed.

Bullet Takeaways

Kiniksa is a profitable commercial biopharma built around one drug, ARCALYST for recurrent pericarditis, and that drug is compounding fast: Q1 2026 net revenue rose 56% to $214.3 million and management raised full-year 2026 ARCALYST guidance to $930 million to $945 million.

The capital position is the standout: $468.1 million of cash, no debt, and net income that swung to $22.6 million from $8.5 million a year earlier. The company is self-funding its pipeline rather than diluting to survive.

The price is elevated. At $55.16 the market pays about 50x company-wide operating income, implying growth held near the self-funding ceiling for about 10 years, a pace only about 16% of comparable companies have sustained. The bet is that ARCALYST plus the KPL-387 follow-on builds a durable franchise.

Bull Case

The capital-allocation picture is where the Kiniksa bull case begins, because it tells you how management sees its own value. The company holds $468.1 million in cash against no debt, and it is now profitable, net income of $22.6 million in Q1 2026, up from $8.5 million a year earlier. That combination is rare for a single-product biopharma: most are still burning cash and diluting shareholders. Kiniksa is doing the opposite, generating cash from ARCALYST and plowing it into a pipeline designed to extend the very franchise that throws off the cash. That is the signal, a management team confident enough in its core market to self-fund the next act rather than sell it or raise against it.

The core asset is genuinely strong. ARCALYST, an interleukin-1 inhibitor, is the established therapy for recurrent pericarditis, a debilitating heart-inflammation condition with real unmet need. Q1 2026 net product revenue grew 56% to $214.3 million, and management raised full-year 2026 guidance to $930 million to $945 million, up from $900 million to $920 million, citing expanding adoption. The clinical positioning is improving too: the company points to concise clinical guidance prioritizing IL-1 inhibition as a second-line treatment, which it reads as growing acceptance of ARCALYST as an effective, steroid-sparing therapy for patients with unmet need (FY2025 10-K, accession 0001104659-26-019168). Steroid-sparing matters because the alternative, chronic steroids, carries serious side effects, so a clean mechanism wins share.

The pipeline is the reinvestment thesis made concrete. Kiniksa is advancing KPL-387, which it is developing for the same recurrent-pericarditis indication (FY2025 10-K), with Phase 2 data expected in the second half of 2026 and a pivotal Phase 3 planned by year-end. A successful KPL-387, potentially a more convenient dosing option, would let Kiniksa defend and extend its hold on recurrent pericarditis well beyond ARCALYST's lifecycle. Against profitable single-asset peers like Harmony Biosciences and Neurocrine, Kiniksa offers fast revenue growth, real profitability, a clean balance sheet, and a self-funded pipeline aimed squarely at deepening its franchise. That is a disciplined use of capital.

Bear Case

The structural risk in Kiniksa is the same one that defines every single-product biopharma, and the recent cycle position makes it sharper: nearly all the value rests on one drug in one indication. ARCALYST is the franchise, and recurrent pericarditis is the market. A peer in the same situation states the risk in the bluntest possible terms, deriving all of its revenue from a single commercial product (HRMY FY2025 10-K, accession 0001104659-26-018859), and Kiniksa is no different in substance. When a company's entire earnings stream is one molecule, every competitive, regulatory, or clinical surprise lands directly on the valuation with nothing to cushion it. The 56% growth looks like a secular ramp, but single-drug ramps eventually flatten as a niche indication saturates.

The peak-versus-sustainable question is whether the current growth is the early innings of a durable franchise or the steep part of an S-curve that levels off. Recurrent pericarditis is a defined patient population, not an open-ended market, so ARCALYST's revenue has a ceiling that adoption will approach. The exclusivity clock is the other half: ARCALYST will eventually face loss of protection, and the pipeline meant to bridge that gap is itself the franchise's main vulnerability. Kiniksa's own filing notes KPL-387 will compete with the same assets as ARCALYST in recurrent pericarditis (FY2025 10-K, accession 0001104659-26-019168), so the follow-on is doubling down on a single disease rather than diversifying away from it. And pipelines fail: the company discontinued development of abiprubart, a reminder that even a cash-rich biopharma cannot buy clinical success.

The valuation is what turns these risks into a real downside. At $55.16 (June 27, 2026) the price embeds operating growth held near the self-funding ceiling for roughly 10 years, which the engine flags as elevated, above what fundamentals comfortably support, with only about 16% of comparable companies sustaining that pace. The static methods land far below, simple excess return near $10, residual income near $11, the Graham Number near $12, a fraction of the price, because the current earnings base is small and concentrated. The price is paying for a decade of ceiling-rate compounding from a one-drug, one-indication company whose key pipeline bet is unproven and whose lead asset has a finite patient pool and an exclusivity cliff. If KPL-387 disappoints or ARCALYST growth saturates sooner, the stock reverts toward the much lower static value. The clean balance sheet protects against insolvency, not against a re-rating.

Valuation

Kiniksa is priced for durable franchise compounding, and the methods say only the growth lens reaches the price. At $55.16 the reverse-DCF reads the market as paying about 50x company-wide operating income, implying growth held near the 25% self-funding ceiling for roughly 10 years, computed at a 9.1% cost of capital. The engine rates that elevated, with only about 16% of comparable companies sustaining the pace. The method families split as they do for a high-growth single-asset name: the growth frames reach well above the price, DCF perpetual growth near $88, discounted future market cap near $80, both extrapolating the recent 25%-plus growth. The asset and earnings-power frames land far below, simple excess return near $10, residual income near $11, the Graham Number near $12, because the current earnings base is small relative to the market value. Earnings power value is gated off because normalized operating income does not yet clear the cost of capital.

The relative methods sit in the middle, relative valuation near $34 and sector price-to-sales near $37, reflecting the rich multiples the market assigns growing biopharma.

The honest synthesis is a quality-premium valuation that depends entirely on the franchise outlook. The premium-by-family figures show the price several times the asset and earnings-power fair values; only durable growth justifies it. The case for that growth is real, 56% revenue growth, raised guidance, real profitability, a self-funded pipeline. The case against is concentration and duration: one drug, one indication, an exclusivity cliff, and a pipeline bet that is not yet de-risked. The $468 million cash balance removes financing risk and gives management room to invest, but it does not change the fact that the price requires a decade of exceptional compounding from a narrow base. This is a bet on the franchise, not a value entry.

Catalysts

Q1 2026 (reported April 2026) was strong: ARCALYST net product revenue rose 56% to $214.3 million, net income climbed to $22.6 million from $8.5 million, and diluted EPS reached $0.27 from $0.11. The company raised full-year 2026 ARCALYST net sales guidance to $930 million to $945 million from $900 million to $920 million, citing expanding adoption in recurrent pericarditis. The next quarterly revenue prints test whether the adoption ramp holds toward that guidance.

The pipeline is the defining medium-term catalyst. Kiniksa expects Phase 2 data for KPL-387 in recurrent pericarditis in the second half of 2026 and plans to initiate the pivotal Phase 3 trial by year-end. Positive KPL-387 data would validate the franchise-extension thesis directly; a disappointment would expose the single-asset concentration. The discontinuation of abiprubart is a reminder that pipeline outcomes are binary and not guaranteed.

The swing factors over the next 90 days are ARCALYST prescription and adoption trends, KPL-387 trial progress and any data readouts, and how management deploys the $468 million cash balance, whether toward pipeline, business development, or capital return. Competitive dynamics in IL-1 inhibition and any updates to clinical treatment guidelines are the other variables to track.

Sources: StockTitan (KNSA Q1 2026 8-K and 10-Q), GlobeNewswire and company release (Q1 2026 results), Investing.com (Q1 2026 slides), Pienomial, StockAnalysis.

Peer Cohorts (Per Segment, With Filing Citations)

Kiniksa Pharmaceuticals (single segment) (reported)

Methodology Note

Fundamentals sourced from SEC EDGAR filings. Current price from Databento. The priced-in inversion and valuation x-ray are computed by the boothcheck engine; narrative composed by AI from the structured data.

View the full interactive KNSA report on boothcheck