What is Mecasermin?

The short answer

Mecasermin is a protein. In the US, you need a prescription to get Mecasermin.

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What it is

Type
Recombinant IGF-1 (protein)
Also known as
increlex, igf-1, rhigf-1
How it works
Replaces IGF-1 in severe primary IGF-1 deficiency.

Regulatory status

FDA-approved (Rx) How we label status

As of October 4, 2026, Mecasermin is an FDA-approved prescription drug for severe primary IGF-1 deficiency in children.

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Federal (FDA)
Approved Rx (Increlex BLA021839, 2005)
503A compounding
Approved-drug component (not in any 503A category) (as of May 14, 2026)
WADA 2026
S2.3

References

Sources as of October 4, 2026

  1. DailyMed: dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
  2. WADA: www.wada-ama.org/sites/default/files/2025-09/2026list_en_final_clean_september_2025.pdf