Product image of Increlex (Mecasermin) supplied by GNH India

Increlex

Active Ingredient:
Mecasermin
Origin:
EU

Increlex (Mecasermin)

Mecasermin, the active ingredient in Increlex, is a insulin-like growth factor-1 (IGF-1) analog presented as a sterile solution for subcutaneous use. It is indicated for children with primary IGF-1 deficiency or growth hormone gene deletion to support linear growth.

GNH India supplies Increlex as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Esteve Pharmaceuticals, S.A.

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Indications & Clinical Uses

Increlex is an IGF‑1 analog used to address growth disorders that stem from IGF‑1 deficiency.

  • Primary IGF‑1 deficiency: promotes linear growth in children lacking sufficient endogenous IGF‑1.
  • Growth hormone gene deletion: stimulates growth in children whose GH gene is non‑functional.
  • Severe growth failure associated with IGF‑1 deficiency: helps achieve height gain when conventional GH therapy is ineffective.

How It Works

  • Mecasermin is recombinant human IGF‑1 that binds to IGF‑1 receptors on target cells, activating intracellular signaling pathways (PI3K/Akt and MAPK) that drive cellular proliferation, differentiation, and protein synthesis, thereby facilitating linear bone growth and overall somatic development in pediatric patients with IGF‑1 deficiency.

Side Effects

Adverse reactions may occur with Increlex administration.

Common Side Effects

  • Injection site pain or erythema: local discomfort at the subcutaneous injection site.
  • Hypoglycemia: low blood glucose, especially when administered without adequate carbohydrate intake.
  • Headache: mild to moderate intensity.
  • Nausea or abdominal discomfort.

Serious or Rare Side Effects

  • Intracranial hypertension: signs include headache, visual changes, or papilledema.
  • Severe hypoglycemia: can lead to seizures or loss of consciousness.
  • Allergic reactions: rash, urticaria, or anaphylaxis.
  • Potential tumor progression: monitor patients with known malignancies.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Blood glucose monitoring: check glucose levels before and after dosing to prevent hypoglycemia.
  • Dose adjustment: reduce dose if recurrent hypoglycemia occurs.
  • Intracranial pressure assessment: watch for symptoms of increased pressure, especially in patients with pre‑existing conditions.
  • Malignancy surveillance: evaluate risk in patients with a history of cancer.
  • Storage: Store at 2‑8 °C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mecasermin may interact with other medicines that affect glucose metabolism or IGF‑1 activity.

Major Interactions (Avoid)

  • Insulin or insulin‑secretagogues (e.g., sulfonylureas): combined use can cause severe hypoglycemia.
  • Other IGF‑1 analogs: additive effects may increase risk of adverse events.

Moderate Interactions (Monitor Closely)

  • Glucocorticoids: may diminish the growth‑promoting effect of IGF‑1.
  • Thyroid hormone replacement: altered metabolism may require dose adjustments.
  • CYP450 inducers (e.g., rifampin): could reduce systemic exposure of Mecasermin.

Frequently Asked Questions

Increlex is prescribed for children with primary IGF‑1 deficiency or growth hormone gene deletion. The recombinant IGF‑1 analogue helps stimulate linear bone growth, allowing affected children to achieve improved height velocity when conventional growth‑hormone therapy is ineffective.

Mecasermin is a recombinant form of human IGF‑1 that binds to IGF‑1 receptors on target tissues. This binding activates intracellular signaling cascades that promote cell proliferation, protein synthesis, and bone growth, thereby supporting normal height development in patients lacking adequate endogenous IGF‑1.

The dose of Increlex is individualized. A qualified prescriber determines the appropriate amount based on the patient’s age, weight, IGF‑1 levels, and response to therapy. Dosing is typically adjusted over time to achieve optimal growth outcomes while minimizing adverse effects.

The safety of Mecasermin in pregnant or nursing women has not been established. It is classified as pregnancy category unknown, and the drug should only be used if the potential benefit justifies the potential risk to the fetus or infant. Consultation with a specialist is essential.

To request Increlex, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, cold‑chain shipping details, and necessary import documentation.

Increlex differs from conventional recombinant growth‑hormone products because it directly replaces IGF‑1 rather than stimulating its production. It is the preferred option for patients with primary IGF‑1 deficiency or GH‑gene deletions, whereas GH therapy is used when the GH‑IGF‑1 axis is intact.

Increlex must be stored refrigerated at 2‑8 °C. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking. If the product reaches room temperature, it should be used promptly and not re‑refrigerated.

Increlex is given as a subcutaneous injection, usually into the thigh, abdomen, or upper arm. The injection site should be rotated to reduce local irritation. Administration is performed by a healthcare professional or a trained caregiver following aseptic technique.

Serious risks include severe hypoglycemia, intracranial hypertension, allergic reactions such as anaphylaxis, and potential acceleration of tumor growth in patients with a history of malignancy. Prompt medical evaluation is required if any of these events are suspected.

Increlex is contraindicated in patients with known hypersensitivity to Mecasermin or any excipients, those with active malignancies, or individuals who have experienced severe hypoglycemia that cannot be managed. It should also be avoided in patients with uncontrolled intracranial hypertension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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