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Last Updated: December 31, 2025

Mecasermin - Biologic Drug Details


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Summary for mecasermin
Tradenames:1
High Confidence Patents:0
Applicants:2
BLAs:2
Suppliers: see list2
Note on Biologic Patents

Matching patents to biologic drugs is far more complicated than for small-molecule drugs.

DrugPatentWatch employs three methods to identify biologic patents:

  1. Brand-side disclosures in response to biosimilar applications
  2. These patents were identified from disclosures by the brand-side company, in response to a potential biosimilar seeking to launch. They have a high certainty of blocking biosimilar entry. The expiration dates listed are not estimates — they're expiration dates as indicated by the brand-side company.

  3. DrugPatentWatch analysis and brand-side disclosures
  4. These patents were identified from searching drug labels and other general disclosures from the brand-side company. This list may exclude some of the patents which block biosimilar launch, and some of these patents listed may not actually block biosimilar launch. The expiration dates listed for these patents are estimates, based on the grant date of the patent.

  5. Patents from broad patent text search
  6. For completeness, these patents were identified by searching the patent literature for mentions of the branded or ingredient name of the drug. Some of these patents protect the original drug, whereas others may protect follow-on inventions or even inventions casually mentioning the drug. The expiration dates listed for these patents are estimates, based on the grant date of the patent.

1) High Certainty: US Patents for mecasermin Derived from Brand-Side Litigation

No patents found based on brand-side litigation

2) High Certainty: US Patents for mecasermin Derived from DrugPatentWatch Analysis and Company Disclosures

These patents were obtained from company disclosures
Applicant Tradename Biologic Ingredient Dosage Form BLA Patent No. Estimated Patent Expiration Source
Ipsen Biopharmaceuticals, Inc. INCRELEX mecasermin Injection 021839 ⤷  Get Started Free 2014-10-28 DrugPatentWatch analysis and company disclosures
Ipsen Biopharmaceuticals, Inc. INCRELEX mecasermin Injection 021839 ⤷  Get Started Free 2015-10-20 DrugPatentWatch analysis and company disclosures
Ipsen Biopharmaceuticals, Inc. INCRELEX mecasermin Injection 021839 ⤷  Get Started Free 2016-05-03 DrugPatentWatch analysis and company disclosures
Insmed Incorporated IPLEX mecasermin rinfabate Injection 021884 ⤷  Get Started Free 2014-10-28 DrugPatentWatch analysis and company disclosures
>Applicant >Tradename >Biologic Ingredient >Dosage Form >BLA >Patent No. >Estimated Patent Expiration >Source

3) Low Certainty: US Patents for mecasermin Derived from Patent Text Search

These patents were obtained by searching patent claims

Market Dynamics and Financial Trajectory for the Biologic Drug: Mecasermin

Last updated: July 29, 2025

Introduction

Mecasermin, commercially known as Increlex, is a recombinant human insulin-like growth factor-1 (IGF-1) used primarily to treat growth failure in children with severe primary IGF-1 deficiency or those with Laron syndrome. As a biologic therapy, mecasermin operates within a complex landscape characterized by evolving market dynamics, regulatory developments, and distinct financial trajectories. This report analyzes the key drivers influencing mecasermin’s market positioning, assesses its financial outlook, and explores emerging opportunities.


Market Overview and Therapeutic Landscape

Indications and Clinical Use

Mecasermin addresses a niche but critical health need—growth hormone insensitivity syndromes such as Laron syndrome and IGF-1 deficiency conditions leading to impaired growth. Currently, its approved indications are narrow, restricting the market potential. Nonetheless, expanding clinical research around IGF-1 pathways hints at emerging indications, including metabolic disorders and neurodegenerative diseases, potentially broadening future applications.

Competitive Dynamics

While mecasermin remains a unique recombinant IGF-1 product, competition exists from growth hormone therapies (e.g., somatropin) that indirectly stimulate growth. Notably, the limited number of biologics targeting IGF-1 pathways constrains direct competition but emphasizes the importance of positioning and label expansion strategies.

Regulatory Environment

The regulatory landscape influences market access. The U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA) maintain stringent approval criteria for pediatric biologics, emphasizing safety profiles. Recent regulatory activities focus on biosimilar development and post-marketing surveillance, impacting pricing and reimbursement strategies.


Market Drivers and Challenges

Drivers

  1. Rarity and Unmet Need: Laron syndrome and IGF-1 deficiency are rare conditions, classifying mecasermin as an orphan drug. This designation offers benefits like market exclusivity, tax credits, and favorable reimbursement pathways, incentivizing continued investment.

  2. Demand for Targeted Therapies: As personalized medicine gains traction, biologics like mecasermin attract increased attention for their specificity and efficacy in rare diseases.

  3. Regulatory Incentives: Orphan drug status and potential for expedited approval pathways through programs such as the FDA’s Fast Track facilitate market entry and accelerate clinical development.

  4. Potential Expansion Indications: Emerging research linking IGF-1 pathways to metabolic and neurodegenerative diseases may create avenues for label extensions, driving sales growth.

Challenges

  1. Limited Patient Population: The rarity of target indications constrains revenue potential, raising questions over commercialization viability without strategic partner involvement.

  2. Pricing and Reimbursement: Biologics like mecasermin generally command high prices, but reimbursement complexities and payer scrutiny can impact market penetration.

  3. Manufacturing Complexity: As a protein biologic, production involves sophisticated bioprocessing, which increases costs and impacts pricing strategies.

  4. Safety and Tolerability Concerns: Potential adverse events, including hypoglycemia, demand rigorous safety monitoring and can influence payer and clinician acceptance.


Financial Trajectory Analysis

Historical Performance and Market Share

As an orphan biologic, mecasermin’s sales have historically been modest, consistent with the limited patient segments. The drug has maintained stable revenue streams driven predominantly by existing licensed indications; however, growth has remained subdued due to the narrow target population.

Revenue Projections and Growth Opportunities

Forecasting for mecasermin hinges on multiple factors:

  • Orphan Drug Incentives: These support sustained revenues through exclusivity periods. The original exclusivity periods in major markets like the U.S. and Europe typically extend 7-10 years from approval.

  • Expansion Strategies: Label extensions into related indications, including metabolic disorders or neurodegeneration, could potentially unlock higher sales volumes, provided clinical success.

  • Market Penetration and Adoption: Gaining wider acceptance among specialists involves demonstrating long-term safety and efficacy, especially in real-world settings.

  • Pricing Strategies: High-cost biologics often command premium pricing; maintaining favorable reimbursement coverage is crucial to financial stability.

Competitive and External Factors

The entry of biosimilars can impact pricing and market share post-exclusivity. Additionally, advancements in gene therapy and alternative treatments may redefine the treatment landscape for IGF-1 deficiency, impacting mecasermin’s financial trajectory.

Forecast Scenarios

  1. Conservative Scenario: Stable sales with minimal expansion, driven solely by existing indications, lead to stagnant revenue streams over the next 5-10 years.

  2. Moderate Growth Scenario: Successful clinical trials for new indications and improved market access increase revenues by 10-15% annually, leveraging orphan benefits.

  3. Optimistic Scenario: Label extensions into broader indications, combined with successful commercialization tactics and favorable reimbursement, could result in doubled sales figures within a decade.


Emerging Trends Influencing Market Dynamics

Technological Advancements

Biotechnological innovations, such as improved bioprocessing techniques and biosimilar development, influence the cost structure, access, and competitive landscape of mecasermin.

Regulatory Evolution

Enhanced pathways for rare disease drugs, including adaptive licensing and accelerated approvals, support faster market entry and expanded indications.

Healthcare System Evolution

Reimbursement policies increasingly favor value-based pricing models for high-cost biologics, compelling companies to demonstrate long-term clinical and economic benefits.


Strategic Opportunities

  • Pipeline Diversification: Developing biosimilars or next-generation IGF-1 therapies could reduce manufacturing costs and expand indications.

  • Global Market Expansion: Asian and Latin American markets offer rising demand for orphan biologics, influenced by increasing healthcare infrastructure and regulatory harmonization.

  • Collaborations: Strategic alliances with biotech firms or academic institutions could accelerate research into new indications, broadening revenue prospects.


Key Takeaways

  • Niche Focus Ensures Stability: Mecasermin’s foundational market remains niche, sustained by orphan drug protections and specific indications like Laron syndrome.

  • Growth Potential Lies in Indication Expansion: Clinical development targeting broader metabolic and neurodegenerative conditions offers significant upside, contingent on successful trials.

  • Pricing and Reimbursement Are Pivotal: High manufacturing costs and payer scrutiny necessitate strategic pricing and demonstrating value to secure market access.

  • Regulatory and Competitive Landscape Is Dynamic: Navigating evolving policies and biosimilar entries will be crucial for maintaining financial performance.

  • Innovation Drives Future Value: Advances in biologic manufacturing, personalized medicine, and gene therapy could redefine mecasermin’s market position.


FAQs

1. What are the primary clinical indications of mecasermin?
Mecasermin is approved for treating growth failure in children with severe primary IGF-1 deficiency or Laron syndrome, a rare genetic condition characterized by insensitivity to growth hormone.

2. How does orphan drug status impact mecasermin’s market prospects?
Orphan designation grants market exclusivity, tax benefits, and expedited regulatory pathways, which support stable revenues and incentivize continued investment despite a limited patient population.

3. What factors could influence the financial outlook of mecasermin in the next decade?
Potential enzyme or biosimilar entrants, expansion into new indications, regulatory policy shifts, and payer reimbursement decisions will shape its financial trajectory.

4. Are there any emerging indications that could expand mecasermin’s market?
Research suggests potential applications in metabolic and neurodegenerative diseases involving IGF-1 pathways, which could broaden therapeutic use if clinical efficacy is established.

5. What are the challenges associated with manufacturing biologic drugs like mecasermin?
Manufacturing involves complex, costly bioprocessing with strict quality controls. These costs impact pricing, margins, and market competitiveness.


References

  1. [1] US Food and Drug Administration. Increlex (mecasermin) prescribing information. 2005.
  2. [2] European Medicines Agency. Increlex summary of product characteristics. 2010.
  3. [3] Orphan Drug Designation Database. U.S. FDA.
  4. [4] Biopharma Market Reports. Biologic drugs market analysis. 2022.
  5. [5] Kumar, A., & Anderson, R. (2023). Advances in IGF-1 biologics: Clinical and regulatory perspectives. Journal of Rare Diseases.

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