Cerebrolysin

In simple words

Cerebrolysin is a drug made from pig brain peptides, registered in more than 50 countries. It is studied in stroke, Alzheimer's disease, and traumatic brain injury as a way to help nerve cells survive and recover.

What this molecule is

A mixture of neuropeptide fragments from pig brain (15% peptides, 85% free amino acids). Contains BDNF-, NGF-, and NT-3-like fragments. Registered in 50+ countries.

Why it is studied

A neurotrophic drug with clinical data in stroke (2016 meta-analysis: ↓neurological deficit), Alzheimer's (meta-analysis: ↑MMSE +2.4 points), and TBI. 3 level A RCTs. The most extensively studied complex neuropeptide.

How it works

Neurotrophic activity: BDNF-, NGF-, CNTF-like fragments → TrkA/TrkB → ↑neuron survival, ↑neurogenesis. ↓β-amyloid toxicity → neuroprotection in Alzheimer's disease. ↑cholinergic transmission. ↑NGF in limbic structures.

Doses used in studies

Studies used IM or IV injections: 5-10 mL (standard), up to 30-50 mL IV in stroke, for a course of 10-20 days. More than 10 mL per single IM injection was not used.

Combined with in studies

  • Cortexin — regional neuroprotection
  • P-21/P021 — CNTF pathways, PMID 21860085
  • Semax — BDNF synergy
  • Dihexa — HGF + neurotrophins

Level of evidence

Level A Human clinical trials. There are randomized controlled trials (RCTs), or the compound has been approved by a regulatory agency. The most reliable level. 3 RCTs. Registered in 50+ countries. Meta-analyses in stroke and Alzheimer's disease.

Important to know

⚠️ Not suitable for patients with active epilepsy. IV infusion: only in a clinical setting. Allergy is possible (proteins of animal origin).

Studies in PubMed

  1. Regional comparison of the neurogenic effects of CNTF-derived peptides and cerebrolysin in AβPP transgenic mice. (J Alzheimers Dis, 2011)
  2. Add-on treatment with Cerebrolysin improves clinical symptoms in patients with ALS: results from a prospective, single-center, placebo-controlled, randomized, double-blind, phase II study. (J Med Life, 2023)
  3. Cerebrolysin in Patients with TBI: Systematic Review and Meta-Analysis. (Brain Sci, 2023)
  4. The Effects of Neuromonitoring and Cerebrolysin Administration on Outcomes in Patients with Traumatic Brain Injury-An Interventional Pilot Study. (J Clin Med, 2024)
  5. Cerebrolysin in Patients Diagnosed with Subarachnoid Hemorrhage-The Results of an Observational Cohort Study. (Biomedicines, 2024)
  6. Cerebrolysin for acute ischaemic stroke. (Cochrane Database Syst Rev, 2023)

Research peptides are laboratory reagents (Research Use Only). They are not medicines and are not intended for use in humans or animals.