Is Rusfertide legal in Canada?

A lab-made peptide that copies hepcidin, the body's iron-control hormone. The FDA approved it on 28 August 2026 for adults with polycythaemia vera, a blood cancer that makes too many red blood cells. In the 293 person VERIFY study, 76.9 percent on rusfertide avoided needing blood removed between weeks 20 and 32, against 32.9 percent on a dummy injection.

Rusfertide is a lab-made peptide, 18 amino acids long, shaped into a ring and fitted with a fat tail. It copies hepcidin, the liver hormone that decides how much iron gets into the blood.

How it works: Hepcidin works by grabbing ferroportin, the only known door that lets iron out of cells. The door gets pulled inside the cell and broken down.

Approval history: FDA approved 28 August 2026 (Mimrylo, NDA 220605, a brand-new drug molecule) to treat too many red blood cells in adults with polycythaemia vera, a rare blood disorder. A shot under the skin once a week, in 9.5 to 54 mg vials.

Allows a drug to be sold by issuing a Notice of Compliance and a Drug Identification Number (DIN). A compound that is not allowed for sale cannot legally be sold for use in people. Bringing in prescription drugs for your own use is also limited.

The legal category above is how The Longevity Archive reads Health Canada, Health Products and Food Branch listings for Rusfertide on the reviewed date. It is not a legal opinion. Rules change. Bringing a compound into the country, prescribing it and owning it can each be treated differently. Check with the agency before you act on anything here.

Check Health Canada directly

Whether Rusfertide is banned in sport is set by the World Anti-Doping Code and by military rules, not by its legal status in Canada. Before you compete or get tested, look up Rusfertide by name on the Prohibited List, or look up a named product in Global DRO. Under the World Anti-Doping Code, category S0 bans, at all times, any drug-like substance that meets two tests. No other section of the List covers it. And no government health regulator anywhere has a current approval for it as a treatment in people. Many substances that are approved somewhere are banned by name in another section. So approval does not mean a substance is allowed in sport.

• WADA Prohibited List
• Global DRO (check a named product)
• USADA (US athletes)
• Operation Supplement Safety (US service members)

The rules you compete or serve under decide this, not this page.