Mecasermin contains recombinant-DNA-engineered human insulin-like growth factor-1 (rhIGF-1). IGF-1 consists of 70 amino acids in a single chain with three intramolecular disulfide bridges and a molecular weight of 7649 daltons. The amino acid sequence of the product is identical to that of endogenous human IGF-1. The rhIGF-1 protein is synthesized in bacteria (E. coli) that have been modified by the addition of the gene for human IGF-1.
For the long-term treatment of growth failure in pediatric patients with Primary IGFD or with GH gene deletion who have developed neutralizing antibodies to GH . It is not indicated to treat Secondary IGFD resulting from GH deficiency, malnutrition, hypothyroidism or other causes; it is not a substitute for GH therapy.
Wright State Physicians, Fairborn, Ohio, United States
Icahn School of Medicine at Mount Sinai, New York, New York, United States
Pediatric Endocrinology Unit, Dept of Women's and Children's Health, Karolinska Institute & University Hospital, Stockholm, Sweden
Institute of Sportsmedicine Copenhagen, Copenhagen, Denmark
Leiden University Medical Center, Leiden, Netherlands
Cork University Hospital, Cork, Ireland
University of Texas Southwestern Medical Center, Dallas, Texas, United States
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
Pole medical Bel'Air, Mulhouse, France
Centre Hospitalier de Blois, Blois, France
Hôpital Jean Verdier, Bondy, France
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