SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

                          ____________________________

                                    FORM 8-K

                                 CURRENT REPORT

                     PURSUANT TO SECTION 13 or 15(d) OF THE

                         SECURITIES EXCHANGE ACT OF 1934

                          ____________________________

Date of report (Date of earliest event reported)         October 3, 2002
                                                --------------------------------

                          INSPIRE PHARMACEUTICALS, INC.
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               (Exact Name of Registrant as Specified in Charter)

         Delaware                        000-31135                04-3209022
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(State or Other Jurisdiction            (Commission            (I.R.S. Employer
      of Incorporation)                 File Number)         Identification No.)

4222 Emperor Boulevard, Suite 470, Durham, North Carolina             27703-8466
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(Address of Principal Executive Offices)                              (Zip Code)

Registrant's telephone number, including area code     (919) 941-9777
                                                   -----------------------------

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          (Former Name or Former Address, If Changed Since Last Report)



Item 5. Other Events.

     On October 4, 2002, Inspire Pharmaceuticals, Inc. issued the following
 press release:

"INSPIRE PHARMACEUTICALS ANNOUNCES COLLABORATION WITH CYSTIC FIBROSIS FOUNDATION
                                  THERAPEUTICS

    Also Presents Phase I/II Results and Receives Fast Track Designation for
                    INS37217 Respiratory for Cystic Fibrosis

"DURHAM, NC - October 4, 2002 - Inspire Pharmaceuticals, Inc. (Nasdaq: ISPH)
today announced a collaboration with Cystic Fibrosis Foundation Therapeutics,
Inc. (CFFT), a non-profit drug development affiliate of the Cystic Fibrosis
Foundation, that will provide funding of a Phase II study for INS37217
Respiratory for the treatment of cystic fibrosis (CF). The Phase II study is
being conducted based on results from a recently completed Phase I/II study.
These results will be presented at the 16/th/ Annual North American Cystic
Fibrosis Conference, October 3-6 in New Orleans. In addition, Inspire has
received Fast Track designation from the U.S. Food and Drug Administration (FDA)
for INS37217 Respiratory for cystic fibrosis.

"CFFT COLLABORATION
The CFFT has agreed to provide the majority of funding of external costs for a
Phase II trial of INS37217 Respiratory in exchange for post-commercialization
milestone payments to be made following FDA approval. Financial terms of the
agreement were not disclosed.

"This trial, which has been designed in collaboration with the CFFT, will be a
28-day, double-blind, placebo-controlled, parallel group study of INS37217
Respiratory inhaled solution. The study will be conducted in approximately 90
patients with mild CF lung disease at 12 U.S. sites. Inspire will work closely
with the Cystic Fibrosis Therapeutics Development Network (CF TDN) and
Coordinating Center in conducting the study. The study is targeted for
initiation by the end of 2002.

"`We look forward to continuing our work with Inspire's team on INS37217, a
novel product that takes aim at the basic defect in CF cells -- faulty ion
channels,' stated Robert J. Beall, Ph.D., President and CEO of the Cystic
Fibrosis Foundation and CFFT. `Now that researchers have shown the drug to be
well tolerated in CF patients, we are delighted to provide our expertise in
designing the Phase II study to evaluate the drug's potential use as an early
intervention approach to CF lung disease.'

"PHASE I/II STUDY RESULTS
Results from the Phase I/II study of INS37217 Respiratory for CF will be
described in a podium presentation on October 5/th/ at 3:00 PM CDT at the North
American CF Conference, with a supporting poster. Inspire worked with the CF TDN
to conduct the study, which was a double-blind, placebo-controlled,
ascending-dose safety and tolerability study in approximately 60 patients at 8
U.S. sites. Results demonstrated that INS37217 Respiratory, delivered by
inhalation over an 8-day treatment period, was well tolerated at all dose levels
in children and adults with mild CF lung disease. Clear evidence of
pharmacological activity was noted. Patients receiving INS37217 Respiratory
showed a statistically significant increase compared to placebo (p value =



0.02) in sputum expectoration, a key indicator of lung clearance, following
dosing on the first day of the study. In addition, some improvement in lung
function was observed in the patients treated with INS37217 Respiratory during
this short treatment period. This improvement was noted particularly in patients
with mild lung disease, who accounted for the majority of patients in the study,
and are the target population for the next study.

"`We are pleased with the momentum in this program,' stated Christy L. Shaffer,
Ph.D., CEO of Inspire. `It is particularly exciting for us to see encouraging
results in our CF program, as Inspire was founded by leading experts in CF lung
disease who understood the implications of studying the role of P2Y\\2\\
receptors in mucosal defense. We have had productive interactions with the CFFT
and the CF TDN over the past year, and are looking forward to strengthening
these relationships further through this collaboration as we continue the
development of a novel and valuable potential product for this life-threatening
disease.'

"FAST TRACK DESIGNATION
In addition to having received Orphan Drug Status designation by the FDA,
Inspire has now received Fast Track designation for INS37217 Respiratory for the
treatment of CF. The FDA considers applications for Fast Track designation for
products that have the potential to address unmet medical needs for serious or
life-threatening conditions. Programs that have Fast Track designation may be
considered for priority review or for accelerated approval based on surrogate
endpoints.

"ABOUT CYSTIC FIBROSIS
Cystic fibrosis is a life-threatening disease involving a genetic mutation that
disrupts the cystic fibrosis transmembrane regulator protein. This protein acts
as an ion-specific channel that moves salt and water to the surface of the
lungs. The defect in this ion channel in CF patients leads to poorly hydrated,
thick, mucous secretions in the airways and severely impaired mucociliary
clearance. INS37217 Respiratory is believed to enhance the lung's mucosal
hydration and mucociliary clearance mechanisms by activating an alternative ion
channel that acts in the same way as the defective ion channel in moving salt
and water to the surface of the lungs. It is well established that mucociliary
clearance is impaired early in life in CF patients. Therefore, this unique,
early intervention approach is different from the approach of other approved CF
products and may be important in intervening in the early clinical course of CF
lung disease.

"Impairments in vital lung function in CF patients typically begin in early
childhood and invariably result in chronic secondary infections resulting in
progressive lung dysfunction and deterioration. Respiratory failure accounts for
approximately 90% of deaths in CF patients. According to the U.S. CF Foundation,
the median average life expectancy for patients with CF is 33 years. There are
approximately 33,000 diagnosed CF patients in the United States and 75,000 in
the eight major pharmaceutical markets.

"ABOUT INSPIRE
Inspire Pharmaceuticals, Inc. discovers and develops new drugs to treat diseases
characterized by deficiencies in the body's innate defense mechanisms of mucosal
hydration and mucociliary



clearance, as well as other non-mucosal disorders. Mucosal defense mechanisms
are the natural way that the body defends its mucosal surfaces against dust,
pollutants, bacteria and viruses. Inspire's lead product candidates target
ophthalmic and respiratory diseases with inadequate current treatments and which
represent large therapeutic market opportunities. Inspire has development and
commercialization alliances with Allergan, Inc., Kissei Pharmaceutical Co.,
Ltd., Santen Pharmaceutical Co., Ltd. and Kirin Brewery Co., Ltd. Inspire's
products are based on proprietary technology relating to P2Y\\2\\ receptors and
to non-P2Y\\2\\ receptors that show therapeutic promise, including P2Y\\12\\.

"FORWARD-LOOKING STATEMENTS
The forward-looking statements in this news release relating to management's
expectations and beliefs are based on preliminary information and management
assumptions. Such forward-looking statements are subject to a wide range of
risks and uncertainties that could cause results to differ in material respects,
including those relating to product development, revenue and earnings
expectations, intellectual property rights and litigation, competitive products,
results of clinical trials, the need for additional research and testing, delays
in manufacturing, funding and the timing and content of decisions made by
regulatory authorities, including the United States Food and Drug
Administration. Further information regarding factors that could affect
Inspire's results is included in Inspire's filings with the Securities and
Exchange Commission. Inspire undertakes no obligation to publicly release the
results of any revisions to these forward-looking statements that may be made to
reflect events or circumstances after the date hereof to reflect the occurrence
of unanticipated events."

                                    * * * * *

Item 7.  Financial Statements, Pro Forma Financial Information and Exhibits.

(c)  Exhibits.

Exhibit 10.1*     Study Funding Agreement, dated as of October 3, 2002, between
                  Inspire Pharmaceuticals, Inc. and The Cystic Fibrosis
                  Foundation Therapeutics, Inc.

* Confidential treatment has been requested with respect to a portion of this
  Exhibit



                                    SIGNATURE

         Pursuant to the requirements of the Securities Exchange Act of 1934,
the Registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.

                                             Inspire Pharmaceuticals, Inc.

                                             By: /s/ Gregory J. Mossinghoff
                                                 --------------------------
                                                    Gregory J. Mossinghoff
                                                    President, Treasurer and
                                                    Secretary

Dated:  October 4, 2002