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Cerebrolysin
Cognitive / Nootropic

Cerebrolysin

EVER Neuro Pharma

Cerebrolysin is a multi-component neuropeptide preparation obtained by standardized enzymatic proteolysis of purified porcine brain proteins. The resulting mixture contains approximately 25% low-molecular-weight peptides (≤10 kDa) and 75% free amino acids. It has been used clinically since the 1970s, primarily in Europe and Asia, for acute ischemic stroke, traumatic brain injury, and vascular dementia. The preparation's neurotrophic profile mimics endogenous nerve growth factors — it has demonstrated BDNF-like and CNTF-like activity in vitro, promoting neuronal survival, dendritic arborization, and synaptic plasticity. Multiple randomized controlled trials (including the CASTA and CERE-LYSE trials) have evaluated Cerebrolysin in acute stroke, with mixed but generally favorable results on functional recovery at 90 days. It is not FDA-approved in the United States but holds marketing authorization in over 40 countries.

Specifications

Origin / ManufacturerPorcine brain-derived
Active Components
Neuropeptide mixture (≤10 kDa)Free amino acidsSodium chloride (isotonic solution)
StorageStore at 2–25°C, protect from light
Shelf Life36 months
Form FactorInjectable solution (1 mL, 5 mL, 10 mL, 20 mL ampoules)

Clinical Evidence

CASTA trial: 1,070 patients with acute ischemic stroke; Cerebrolysin 30 mL IV × 10 days showed favorable trend on ARAT at 90 days (p=0.08)

Clinical report reference

Vascular dementia meta-analysis: pooled data from 6 RCTs showed significant improvement on ADAS-cog at 24 weeks

Clinical report reference

TBI cohort studies: improved GCS recovery trajectory in moderate-to-severe TBI when added to standard care

Clinical report reference

Frequently Asked Questions

Sources & References

Every clinical claim on this page traces to a primary peer-reviewed source.

  1. 1Heiss WD, Brainin M, Bornstein NM, et al.. Cerebrolysin in Patients With Acute Ischemic Stroke in Asia (CASTA). Stroke. 2012;43(3):630-636. PMID:22246690
  2. 2Chen N, Yang M, Guo J, et al.. Cerebrolysin for vascular dementia. Cochrane Database of Systematic Reviews. 2013(1). doi:10.1002/14651858.CD008900.pub2 PMID:23440835
  3. 3Bornstein NM, Guekht A, Vester J, et al.. Safety and efficacy of Cerebrolysin in early post-stroke recovery: a meta-analysis of five large-scale clinical trials. Journal of Neural Transmission. 2018;125(10):1567-1574. doi:10.1007/s00702-018-1892-9 PMID:29943156

Reviewed by

Clinical Research Review Board

Neurology & Pharmacology Review

All clinical claims cross-checked against primary sources. Read our editorial policy →

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