Drugs / mecasermin
last change Dec 2025 re-read 2 minutes ago

mecasermin

Protein / enzyme biologic

Developed for
growth delay due to insulin-like growth factor type 1 deficiency · hyperinsulinism · anorexia nervosa · growth hormone insensitivity syndrome · autism spectrum disorder · cystic fibrosis · Duchenne muscular dystrophy · growth delay due to insulin-like growth factor I resistance
+17 more · hyperglycemia · isolated short stature · lipodystrophy · liver disorder · multiple sclerosis · Phelan-McDermid syndrome due to 22q13.3 deletion · Rett syndrome · T-B+ severe combined immunodeficiency due to gamma chain deficiency · amyotrophic lateral sclerosis · disease of the tendon · Ehlers-Danlos syndrome, classic type · heart failure · myocardial infarction · osteoporosis · pituitary deficiency · type 1 diabetes mellitus · type 2 diabetes mellitus
Investigated by
Ipsen · Children's Hospital of Philadelphia · Children's Hospital Medical Center, Cincinnati · Icahn School of Medicine at Mount Sinai · Massachusetts General Hospital · Autism Science Foundation
+16 more · Autism Speaks · Beth Israel Deaconess Medical Center · Boston Children's Hospital · Charley's Fund · FDA Office of Orphan Products Development · International Rett Syndrome Foundation · National Institute of Allergy and Infectious Diseases (NIAID) · National Institute of General Medical Sciences (NIGMS) · National Institute of Mental Health (NIMH) · National Institute of Neurological Disorders and Stroke (NINDS) · Stony Brook University · Tercica · The University of Texas Medical Branch, Galveston · University of California, Los Angeles · University of Oklahoma · University of Texas Southwestern Medical Center

Regulatory milestones approvals, filings & regulatory actions · 3 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) INCRELEX 2024-03-15 fda.gov
Approved EU (EMA) Increlex 2007-08-02 europa.eu
Approved US (FDA) INCRELEX 2005-08-30 fda.gov

Trials 22 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 13 trials
Phase 1 NCT01329744 Jun 2011 → Jun 2013 lipodystrophy University of Texas Southwestern Medical Center Terminated No outcome recorded
Phase 1 NCT01253317 Dec 2010 → Sep 2012 Rett syndrome Boston Children's Hospital Completed No outcome recorded
Phase 1 NCT00566241 Jun 2008 → Jun 2012 cystic fibrosis Stony Brook University Terminated No outcome recorded
Phase 1/24 trials
Phase 1/2 NCT02636270 Dec 2015 → Oct 2022 isolated short stature Children's Hospital Medical Center, Cincinnati Completed No outcome recorded
Phase 1/2 NCT01207908 Nov 2010 → Oct 2012 Duchenne muscular dystrophy Children's Hospital Medical Center, Cincinnati Completed No outcome recorded
Phase 1/2 NCT00490100 Jun 2007 → Dec 2012 T-B+ severe combined immunodeficiency due to gamma chain deficiency, growth hormone insensitivity syndrome National Institute of Allergy and Infectious Diseases (NIAID) Terminated No outcome recorded
Phase 1/2 NCT00516386 Mar 2007 → May 2008 anorexia nervosa Massachusetts General Hospital Completed No outcome recorded
Phase 25 trials
Phase 2 NCT01970345 May 2014 → Sep 2017 autism spectrum disorder Icahn School of Medicine at Mount Sinai Terminated No outcome recorded
Phase 2 NCT01525901 Feb 2012 → Aug 2016 Phelan-McDermid syndrome due to 22q13.3 deletion Icahn School of Medicine at Mount Sinai Completed No outcome recorded
Phase 2 NCT00572156 Dec 2007 → Apr 2010 growth delay due to insulin-like growth factor type 1 deficiency Ipsen Terminated No outcome recorded
Phase 2 NCT00001669 Jul 1997 → Apr 2000 multiple sclerosis National Institute of Neurological Disorders and Stroke (NINDS) Completed No outcome recorded
Phase 2 NCT00004700 Aug 1995 → Jan 1999 hyperinsulinism Children's Hospital of Philadelphia Completed No outcome recorded
Phase 2/33 trials
Phase 2/3 NCT00125190 Jul 2005 → Jan 2009 growth delay due to insulin-like growth factor type 1 deficiency Ipsen Completed No outcome recorded
Phase 2/3 NCT00673309 Jul 2000 → Apr 2011 The University of Texas Medical Branch, Galveston Completed No outcome recorded
Phase 2/3 NCT00571727 May 1991 → Dec 2011 growth hormone insensitivity syndrome Ipsen Completed No outcome recorded
Phase 33 trials
Phase 3 NCT01301183 Feb 2011 → Mar 2019 anorexia nervosa Massachusetts General Hospital Completed No outcome recorded
Phase 3 NCT00330668 Nov 2005 → Feb 2010 growth delay due to insulin-like growth factor I resistance Ipsen Terminated No outcome recorded
Phase 3 NCT00125164 Mar 2004 → Jul 2008 growth delay due to insulin-like growth factor type 1 deficiency Ipsen Completed No outcome recorded
Phase not applicable4 trials
NCT01314508 Jun → Oct 2011 liver disorder University of California, Los Angeles Withdrawn No outcome recorded
NCT00004825 May 1998 hyperinsulinism FDA Office of Orphan Products Development Completed No outcome recorded
NCT00004419 Apr 1998 → Sep 2000 hyperglycemia Beth Israel Deaconess Medical Center Completed No outcome recorded
NCT00004699 Aug 1995 → Jan 1999 hyperinsulinism Children's Hospital of Philadelphia Completed No outcome recorded
Also used as a comparator or background therapy in 9 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT03932162 Comparator Sep 2019 → Dec 2025 overdue sunburn Wright State University Recruiting No outcome recorded
Phase 0 NCT01834989 Comparator Apr 2013 → Feb 2017 disease of the tendon Bispebjerg Hospital Unknown No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT01438086 Comparator Oct 2011 → Feb 2016 heart failure, myocardial infarction University College Cork Completed No outcome recorded
Phase 1/2 NCT00684957 Comparator Jan 2008 → Oct 2012 pituitary deficiency Columbia University Terminated No outcome recorded
Phase 32 trials
Phase 3 NCT01020955 Comparator Oct 2009 → Nov 2011 type 2 diabetes mellitus Karolinska University Hospital Completed No outcome recorded
Phase 3 NCT00035815 Comparator Jun 2003 → Aug 2007 amyotrophic lateral sclerosis Mayo Clinic Completed No outcome recorded
Phase not applicable3 trials
NCT01406444 Comparator Oct 2011 → May 2019 anorexia nervosa, osteoporosis Massachusetts General Hospital Completed No outcome recorded
NCT01446783 Comparator Sep 2011 → Nov 2012 Ehlers-Danlos syndrome, classic type Bispebjerg Hospital Completed No outcome recorded
NCT01588093 Comparator Apr → Sep 2011 type 1 diabetes mellitus Peter Bang Completed No outcome recorded

Evidence & citations 18 cited values

Every value below carries the sentence it was read from. 34 sources stand behind the page.

FieldValueCited text
Known as mecasermin “0,1 ml mecasermin (10 mg/ml) is injected intratendinous into the patella tendon with ultrasound guidance.” NCT01446783
9

“As a medication, IGF-1 is Increlex\[(Trademark)\] (mecasermin),” NCT00490100

Mecasermin and Vivelle Dot patch” NCT01301183

NCT01329744

NCT00125164

NCT00125190

NCT00571727

NCT00572156

NCT00330668

NCT01438086

Known as CEP-151 “The drug rhIGF-1 (CEP-151) has been shown to play a key role preclinically in oligodendrocyte differentiation and survival” NCT00001669
Known as IGF-1 “The purpose of this study is to pilot the use of Insulin-Like Growth Factor-1 (IGF-1) treatment in 22q13 Deletion Syndrome (Phelan-McDermid Syndrome) caused by SHANK3 gene...” NCT01525901
8

“Researchers believe that a major difference between young adult and geriatric skin is that young skin has a lot of a protein called insulin-like growth factor-1 (IGF-1),...” NCT03932162

“A total of 330 patients from 20 medical centers were randomized to receive 0.05 mg/kg body weight of human recombinant IGF-1 given subcutaneously twice daily or placebo for 2 years.” PMID 19029516 Nov 2008

“Local administration of insulin-like growth factor-1 (IGF-1) in humans has been shown to quickly stimulate tendon collagen synthesis.” PMID 34138667 Jun 2021

“using a medication known as IGF-1 (mecasermin or INCRELEX)” NCT01253317

NCT00673309

NCT01207908

NCT00566241

NCT01970345

Known as IGF-I “The purpose of this multicenter study is to determine if insulin-like growth factor-1 (IGF-I) slows the progressive weakness in amyotrophic lateral sclerosis (ALS) patients.” NCT00035815
3

“Confirm the inhibitory effect of recombinant human insulin-like growth factor I (IGF-I) on insulin secretion in children with hyperinsulinism.” NCT00004825

“Patients receive an escalating dose of recombinant human insulin-like growth factor I (IGF-I).” NCT00004699

“recombinant human insulin-like growth factor I (IGF-I)” NCT00004700

Known as Increlex ClinicalTrials.gov intervention name — accepted as the source's own label NCT02636270
4

NCT01314508

NCT00490100

NCT01588093

NCT01020955

Known as Increlex (mecasermin [rDNA origin] injection) Increlex (mecasermin [rDNA origin] injection)NCT01207908
Known as Increlex (mecasermin), Ipsen Increlex (mecasermin), IpsenNCT01446783
Known as Insulin-like growth factor type I “BACKGROUND: Previous human clinical trials of insulin-like growth factor type I (IGF-1) in amyotrophic lateral sclerosis (ALS) have been inconsistent.” PMID 19029516 Nov 2008
Known as insulin-like growth factor-1 “Researchers believe that a major difference between young adult and geriatric skin is that young skin has a lot of a protein called insulin-like growth factor-1 (IGF-1),...” NCT03932162
4

“The purpose of this multicenter study is to determine if insulin-like growth factor-1 (IGF-I) slows the progressive weakness in amyotrophic lateral sclerosis (ALS) patients.” NCT00035815

“Local administration of insulin-like growth factor-1 (IGF-1) in humans has been shown to quickly stimulate tendon collagen synthesis.” PMID 34138667 Jun 2021

NCT01525901

NCT03932162

Known as Insulin-like Growth Factor-I “Effect of Training and Local Infusion of Insulin-like Growth Factor-I and Training on Tendon Structure in Patients With Patellar Tendinopathy” NCT01834989
5

NCT01834989

NCT00004699

NCT00004700

NCT00004419

NCT00004825

Known as MyotrophinTM “The objective of this trial was to determine whether IGF-1 (MyotrophinTM) slows progression of weakness in amyotrophic lateral sclerosis (ALS).” NCT00035815
Known as Recombinant Human IGF-1 ClinicalTrials.gov intervention name — accepted as the source's own label NCT00684957
Known as recombinant human IGF-I recombinant human IGF-I (rhIGF-I) therapy for short children with severe IGF-I deficiency” PMID 17192294 Dec 2006
Known as rhIGF-1 rhIGF-1 (mecasermin) for a period of 86 weeks” NCT00125190
7

“injections BID of rhIGF-1, mecasermin” NCT00571727

rhIGF-1 (mecasermin, Tercica, Inc.)” NCT00125164

“Drug: rh IGF-1 (mecasermin)” NCT00330668

NCT00001669

NCT00516386

NCT01253317

NCT01406444

Known as rhIGF-I “Patients receive the first dose of subcutaneous recombinant human insulin-like growth factor I (rhIGF-I) on day 7.” NCT00004419
1

“recombinant human IGF-I (rhIGF-I) therapy for short children with severe IGF-I deficiency” PMID 17192294 Dec 2006

Action Inhibit inhibitory effect of recombinant human insulin-like growth factor I (IGF-I) on insulin secretion” NCT00004825
Modality Protein / enzyme biologic “recombinant human insulin-like growth factor I (rhIGF-I)” NCT00004419
Route Subcutaneous Subcutaneously Administered Insulin-Like Growth Factor-1” NCT00001669