Product image of Increlex (Mecasermin) supplied by GNH India

Increlex

Active Ingredient:
Mecasermin
Origin:
EU

Increlex (Mecasermin)

Mecasermin, the active ingredient in Increlex, is an insulin-like growth factor‑1 (IGF‑1) analog presented as a subcutaneous formulation for subcutaneous use. It is indicated for children with severe primary IGF‑1 deficiency or growth hormone gene deletion, helping to promote 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 used to address growth failure related to the IGF‑1 pathway in pediatric patients.

  • Severe primary IGF‑1 deficiency: promotes linear growth in children lacking endogenous IGF‑1.
  • Growth hormone gene deletion: supports growth in children with absent GH production.

How It Works

  • Mecasermin is a recombinant human IGF‑1 that binds to IGF‑1 receptors on target cells, activating intracellular signaling cascades that stimulate cell proliferation and protein synthesis. This mimics the physiological actions of endogenous IGF‑1, thereby enhancing longitudinal bone growth and overall somatic development in children with IGF‑1 deficiency.

Side Effects

Common Side Effects

  • Hypoglycemia: low blood sugar episodes, especially when administered without adequate carbohydrate intake.
  • Injection site reactions: redness, swelling, or pain at the injection site.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal discomfort.
  • Edema: peripheral swelling, often mild.
  • Lipodystrophy: changes in subcutaneous fat distribution.

Serious or Rare Side Effects

  • Intracranial hypertension: signs include headache, visual disturbances, or papilledema.
  • Slipped capital femoral epiphysis: hip pain and limited motion.
  • Severe hypoglycemia: seizures or loss of consciousness.
  • Anaphylactic reactions: rash, breathing difficulty, or swelling of face and throat.
  • Tumor progression: accelerated growth of pre‑existing malignancies.
  • Pancreatitis: abdominal pain with elevated enzymes.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Monitor blood glucose: check for hypoglycemia, especially after dose changes.
  • Assess IGF‑1 levels: ensure appropriate dosing and response.
  • Screen for intracranial hypertension: watch for persistent headaches or visual changes.
  • Evaluate for orthopedic complications: monitor for signs of slipped capital femoral epiphysis.
  • Avoid use in active malignancy: IGF‑1 may stimulate tumor growth.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mecasermin may interact with other agents that affect glucose metabolism or growth pathways.

Major Interactions (Avoid)

  • Insulin: combined use can cause severe hypoglycemia.
  • Oral hypoglycemic agents: increased risk of low blood sugar.
  • Growth hormone therapy: potential antagonistic effects on IGF‑1 signaling.
  • High‑dose glucocorticoids: may reduce the efficacy of IGF‑1.

Moderate Interactions (Monitor Closely)

  • Diazoxide: may blunt the hypoglycemic effect of Mecasermin.
  • Beta‑blockers: can mask hypoglycemia symptoms.
  • CYP450 inducers: may alter metabolic clearance of concomitant drugs, requiring dose adjustments.

Frequently Asked Questions

Increlex is prescribed for children who have severe primary IGF‑1 deficiency or a growth hormone gene deletion. In these conditions, the drug provides the missing IGF‑1 activity, helping to stimulate linear bone growth and improve overall stature when administered under medical supervision.

Mecasermin is a recombinant form of human insulin‑like growth factor‑1. It binds to IGF‑1 receptors on cells, activating signaling pathways that promote protein synthesis and cell proliferation, especially in growth plates of bones. This mimics the natural growth‑promoting effects of endogenous IGF‑1.

The dose of Increlex is individualized. A qualified prescriber determines the appropriate amount based on the child’s age, weight, IGF‑1 levels, and clinical response. Dosing is typically started low and titrated to achieve desired growth outcomes while monitoring safety.

Safety data for Mecasermin in pregnant or nursing women are limited. It is generally recommended to avoid use during pregnancy and breastfeeding unless the potential benefit justifies the potential risk. Physicians should discuss individual circumstances with patients.

To order 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, shipping details (including cold‑chain if needed), and import documentation.

Increlex provides direct IGF‑1 replacement, whereas traditional growth‑hormone therapy supplies GH that the body converts to IGF‑1. For patients lacking IGF‑1 production or with GH gene deletions, Mecasermin is the preferred option because it bypasses the need for functional GH secretion.

Increlex should be stored at 2‑8 °C (refrigerated). Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial. Do not use the medication if it has been exposed to temperatures outside this range.

Increlex is given by subcutaneous injection, typically into the abdomen, thigh, or upper arm. The injection site should be rotated to reduce local reactions. Administration is performed by a trained caregiver or healthcare professional according to the prescriber’s instructions.

Serious risks include severe hypoglycemia, intracranial hypertension, slipped capital femoral epiphysis, and potential acceleration of pre‑existing malignancies. Patients should be monitored regularly for signs of these conditions, and any concerning symptoms should prompt immediate medical evaluation.

Increlex is contraindicated in patients with active malignancies, known hypersensitivity to Mecasermin or any excipients, and in children whose growth failure is not due to IGF‑1 deficiency. It should also be used with caution in those with uncontrolled diabetes or severe hypoglycemia risk.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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