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Mecasermin

Mecasermin is recombinant human IGF-1 in INCRELEX, used for severe, specifically defined childhood growth disorders rather than general muscle growth or adult recovery.

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At a glance

Evidence stage
Approved use
Regulatory status
INCRELEX is US-approved from age 2 for severe primary IGF-1 deficiency or GH-gene deletion with neutralizing GH antibodies; it is not a general GH substitute.
Research context
Mecasermin is recombinant human IGF-1 in INCRELEX, used for severe, specifically defined childhood growth disorders rather than general muscle growth or adult recovery.

What this is

  • Mecasermin is recombinant human IGF-1 in INCRELEX, used for severe, specifically defined childhood growth disorders rather than general muscle growth or adult recovery.

What this isn't

  • A recommendation to use, prepare, combine, or administer a product
  • Evidence that a related molecule or a differently formulated product has the same effects

Mecasermin is recombinant human IGF-1 in INCRELEX, used for severe, specifically defined childhood growth disorders rather than general muscle growth or adult recovery.

IGF-1 activates receptors that support tissue growth and nutrient utilization. In the approved population, the aim is to replace a severely deficient growth signal when the underlying problem is not ordinary growth-hormone deficiency. The label explicitly distinguishes mecasermin from growth hormone and from secondary low IGF-1 caused by other illnesses or nutritional problems. Product label.

Evidence limits

How to read the evidence

Height velocity in severe deficiency cannot be generalized to adult muscle gain, longevity, or athletic enhancement. Observational follow-up is vulnerable to selection and attrition, and growth response varies with the underlying diagnosis and treatment history. Low IGF-1 on a single laboratory test is not sufficient to establish the labeled disorder. Product-specific scope.

Sources appraised 2026-10-28. Educational information; not medical advice. Study findings apply to the populations, preparations and outcomes described.

External sources and citations

  1. Mecasermin — product label (DailyMed)
  2. Long-term recombinant IGF-1 study in severe deficiency
  3. FDA application BLA021839 — approval and marketing records

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