Cortexin

In simple words

Cortexin is a Russian drug made from peptides of the animal cerebral cortex. It is studied in stroke, head injuries, and pediatric neurology as a way to protect nerve cells.

What this molecule is

A polypeptide complex from bovine/porcine cerebral cortex. Contains neuropeptides <10 kDa. 10 mg/vial for IM administration. Registered in Russia and CIS countries.

Why it is studied

A neuroprotective agent with clinical data in acute ischemic stroke (3 RCTs at Russian centers), TBI, and pediatric neurology (cerebral palsy, developmental delays, epilepsy). Restores the neuronal balance of inhibitory/excitatory neurotransmitters.

How it works

↑BDNF, NGF → neuroplasticity. ↑GABA/glutamate balance → ↓neuronal excitation in epilepsy. ↑antioxidant enzymes (SOD, catalase) → ↓oxidative stress in the brain. ↑dopamine and serotonin in the cortex.

Doses used in studies

Studies used 10 mg IM once a day (adults) or 0.5 mg/kg (children) for a 10-day course; a repeat course was given after 3-6 months. The solution was prepared with bacteriostatic water (1-2 mL).

Combined with in studies

  • Cerebrolysin — comprehensive neuroprotection
  • Semax — BDNF + cortex
  • Epitalon — neuroendocrine regulation

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 in stroke. Registered in Russia/CIS.

Important to know

⚠️ IM administration only. Much of the data comes from Russian centers and does not always meet Western GCP standards. Prescription drug.

Studies in PubMed

  1. Neuroprotective action of Cortexin, Cerebrolysin and Actovegin in acute or chronic brain ischemia in rats. (PLoS One, 2021)
  2. [Efficacy of Korteksin in acute period of hemispheric ischemic stroke]. (Zh Nevrol Psikhiatr Im S S Korsakova, 2018)
  3. [Evaluation of the efficacy and safety of application of the drug cortexin in the complex rehabilitation of verticalization in patients with ischemic stroke in the acute period]. (Zh Nevrol Psikhiatr Im S S Korsakova, 2019)
  4. [Comparison of the efficacy of Cellex and Cortexin in patients in the early recovery period of ischemic stroke]. (Zh Nevrol Psikhiatr Im S S Korsakova, 2020)
  5. Neurotropic Effects of Cortexin on Models of Mental and Physical Developmental Delay. (Biomedicines, 2025)

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