Bottom line

Des(1-3) IGF-1 is a truncated variant of human IGF-1 lacking the N-terminal tripeptide Gly-Pro-Glu (residues 1-3), resulting in a 67-amino-acid peptide. The truncation removes a key IGFBP-binding domain, reducing sequestration by IGF-binding proteins and thereby increasing free peptide available to activate the IGF-1 receptor. In cell assays it is approximately 7–10 times more potent than native IGF-1, and in rodent models approximately 2.5 times more potent. However, this enhanced potency reflects reduced IGFBP binding, not stronger receptor affinity. There are no controlled human trials; the entire evidence base is preclinical.

Identity and composition

FieldVerified information
Preferred nameDes(1-3) IGF-1
Key aliasesIGF-1 DES, destripeptide IGF-1, Delta-3 IGF-1, truncated IGF-1
Molecular/sequence identity67-amino-acid truncated version of human IGF-1; sequence same as native IGF-1(4-70)
Modifications/formRemoval of N-terminal Gly-Pro-Glu tripeptide; three disulfide bonds
Stable identifiersCAS: 112603-35-7; MW ~7365 Da
Identity caveatsNot mecasermin. Des(1-3) IGF-1 is explicitly distinct from the FDA-approved drug mecasermin (full-length rhIGF-1). The approval of mecasermin does not apply to this truncated variant. The enhanced potency is an availability effect, not stronger receptor binding.

Development and approval status

JurisdictionStatus and indicationProduct/sourceAs of
US (FDA)No regulatory status; research use only2026-08-06
Registers reviewedNo FDA-approved product or EMA-authorized medicine identified; status elsewhere requires a current national-register check2026-08-06

Mechanism and pharmacology

Des(1-3) IGF-1 binds the IGF-1 receptor with comparable or slightly reduced affinity compared to native IGF-1. Its enhanced potency arises from dramatically reduced affinity for IGFBPs (especially IGFBP-3), which normally sequester >95% of circulating IGF-1. By evading IGFBP binding, a greater proportion remains in the free, bioactive form. This is an availability effect, not a super-agonist mechanism. The peptide was first identified in bovine colostrum and human brain tissue as a naturally occurring truncated form.

Evidence by claim

Claim/indicationStageGradeBest human evidenceMain resultImportant limitations
Anabolic (rodent)PreclinicalDLemmey et al., Am J Physiol 1991; rat gut resection modelIncreased weight gain, nitrogen retention, muscle protein synthesis vs IGF-1Animal only; no human data
Cell proliferation (in vitro)PreclinicalN/ABallard et al., multiple 1990s in vitro studies7-10× potency vs native IGF-1 in cell bioassaysIn vitro only; does not predict human in vivo effects
Human therapeutic useNoneXNo human studiesNo evidenceNo human safety or efficacy data exist

Key studies

StudyDesign/populationExposure studiedEndpoints and resultLimitations
Lemmey et al., Am J Physiol 1991; PMID: 1996625Rat gut resection modelSC infusion, 0.96 mg/kg/dayIncreased weight gain and nitrogen retention; ~2.5× potency vs native IGF-1Rodent model; acute exposure only
Ballard et al., Prog Growth Factor Res 1991Cell-based bioassaysIn vitro7-10× increased potency vs native IGF-1In vitro; does not predict in vivo human response
Francis et al., J Mol Endocrinol 1992Structural characterizationIn vitroReduced IGFBP binding confirmedPreclinical characterization only

Dose and administration evidence

Approved labeled regimen

Not applicable.

Studied regimens (not recommendations)

No established or recommended human dose. In rodent studies, ~1–2 mg/kg/day by SC infusion.

What is not established

  • No human pharmacokinetic parameters

  • No human safety data

  • No human efficacy data

  • No validated dose for any human use

  • Any human microgram figure circulating in community sources is not derived from published clinical evidence

Safety

No human safety data exist. Theoretical risks are as for any IGF-1 analog: hypoglycemia (insulin-like activity), mitogenic effects, and unknown effects of reduced IGFBP binding on growth factor signaling dynamics. Research-grade material identity, purity, and bioactivity are not independently verified for this atlas.

Unknowns and product-quality risks

All safety, pharmacokinetic, and efficacy parameters are unknown in humans. Gray-market IGF-1 DES may be improperly synthesized, contain truncation variants other than the intended des(1-3), or have unknown degradation profiles.

Interactions and special populations

No data exist.

Regulatory, compounding, and sport notes

Des(1-3) IGF-1 is an IGF-1 analog and falls within WADA S2 prohibition. No authorized human medicinal product was identified in the jurisdictions and regulator databases reviewed; that finding is not a universal legal opinion.

Evidence gaps

  • No human study of any kind published

  • No toxicology or safety pharmacology data

  • No pharmacokinetic data in humans

  • No regulatory submissions or clinical trial registrations

  • The entire evidence base consists of cell-culture bioassays and rodent studies from the late 1980s and early 1990s

Search notes

  • Databases and registries: PubMed, PubChem, FDA Drugs@FDA

  • Search terms: "des(1-3)IGF-1", "IGF-1 DES", "destripeptide IGF-1", "truncated IGF-1"

  • Last searched: 2026-08-06

  • Inclusion emphasis: Primary peer-reviewed primary data for the specific truncated variant

Sources

  1. Lemmey AB et al. IGF-I and des-(1-3)IGF-I enhance growth in rats after gut resection. Am J Physiol. 1991;260(2 Pt 1):E213-E219. https://pubmed.ncbi.nlm.nih.gov/1996625/

  2. Ballard FJ et al. Des(1-3)IGF-I: a truncated form of IGF-I. Prog Growth Factor Res. 1991;3(1):35-43.

  3. Francis GL et al. Biological activity of des(1-3)IGF-I. J Mol Endocrinol. 1992;8(3):213-223.

  4. WADA Prohibited List 2026. https://www.wada-ama.org/en/prohibited-list

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