. "approved"@en . "Somatomedin-C"@en . . "There is no clinical experience with overdosage of mecasermin. Based on known pharmacological effects, acute overdosage would be predicted to lead to hypoglycemia. Long-term overdosage may result in signs and symptoms of acromegaly."@en . . . "In blood, IGF-1 is bound to six IGF binding proteins, with > 80% bound as a complex with IGFBP-3 and an acid-labile subunit."@en . "investigational"@en . . "Both the liver and the kidney have been shown to metabolize IGF-1."@en . "Mecasermin"@en . . . "IGF-1"@en . "2 hours"@en . "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."@en . "Mechano growth factor"@en . . "Humans and other mammals"@en . "IGF1"@en . "While the bioavailability of rhIGF-1 after subcutaneous administration in healthy subjects has been reported to be close to 100%, the absolute bioavailability of mecasermin given subcutaneously to subjects with primary insulin-like growth factor-1 deficiency (Primary IGFD) has not been determined."@en . . "68562-41-4"@en . "* 0.257 \u00B1 0.073 L/kg [subjects with severe Primary IGFD]"@en . . "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."@en . . . . "Insulin-like growth factor 1"@en . . "# Keating GM: Mecasermin. BioDrugs. 2008;22(3):177-88. \"Pubmed\":http://www.ncbi.nlm.nih.gov/pubmed/18481900 # Rosenbloom AL: Mecasermin (recombinant human insulin-like growth factor I). Adv Ther. 2009 Jan;26(1):40-54. Epub 2009 Jan 28. \"Pubmed\":http://www.ncbi.nlm.nih.gov/pubmed/19198769 # Kemp SF: Insulin-like growth factor-I deficiency in children with growth hormone insensitivity: current and future treatment options. BioDrugs. 2009;23(3):155-63. doi: 10.2165/00063030-200923030-00002. \"Pubmed\":http://www.ncbi.nlm.nih.gov/pubmed/19627167 # Rosenbloom AL: Is there a role for recombinant insulin-like growth factor-I in the treatment of idiopathic short stature? Lancet. 2006 Aug 12;368(9535):612-6. \"Pubmed\":http://www.ncbi.nlm.nih.gov/pubmed/16905026 # Lewis ME, Neff NT, Contreras PC, Stong DB, Oppenheim RW, Grebow PE, Vaught JL: Insulin-like growth factor-I: potential for treatment of motor neuronal disorders. Exp Neurol. 1993 Nov;124(1):73-88. \"Pubmed\":http://www.ncbi.nlm.nih.gov/pubmed/8282084"@en . . "Mecasermin supplies recombinant-DNA-origin IGF-1, which binds to the Type I IGF-1 receptor. This receptor exerts intra-cellular signaling activity in a number of processes involved in statural growth, including mitogenesis in multiple tissue types, chondrocyte growth and division along cartilage growth plates, and increases in organ growth. "@en . . . "Mecasermin rinfabate"@en . . . .