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Cerebrolysin

Porcine brain-derived mixture of low-molecular-weight peptides and amino acids

Alzheimer diseaseacute ischaemic stroke
Generic peptide vial illustrationCerebrolysin
Entity typePeptide-derived mixture
Evidence reviewed2026-09-18
Canonical recordCEREBROLYSIN
Page updated2026-09-20
Evidence profileHuman clinical evidence — indication-dependent / regionally marketed
Human evidenceClinical evidence
Regulatory statusCountry-specific; not FDA-approved
Choose your depthStart simple, then open the evidence or technical detail only if you need it.
Quick answerPlain languageEvidenceOutcomes and studiesStudiesPrimary recordsTechnicalMechanism, route and identifiers

In plain English

30-second evidence answer

What does the evidence mean in simple terms?

Cerebrolysin has been studied in people, especially in stroke and neurological settings, but results vary by condition and study. It is marketed in some regions, while broad cognitive-enhancement claims are not established.

Still uncertain: Use for cognitive enhancement in healthy people, consistent benefit across stroke populations, and equivalence of non-authenticated products are not established.

New to terms such as “preclinical”, “randomized” or “investigational”? Use the plain-English glossary →

What does the evidence mean in simple terms? table
What is it?Porcine brain-derived mixture of low-molecular-weight peptides and amino acids
Entity typePeptide-derived mixture
Research focusAlzheimer disease, acute ischaemic stroke, traumatic brain injury, cognitive recovery
Human evidenceMultiple randomized trials and meta-analyses exist, but results differ by indication. Alzheimer trials show some short-term cognitive/global signals, whereas the 2023 Cochrane stroke review found no mortality benefit and a potential increase in non-fatal serious adverse events.
Regulatory statusRegulatory availability varies by country; it is not an FDA-approved cognitive enhancer. Jurisdiction-specific product status must be checked separately.
Main limitationsUse for cognitive enhancement in healthy people, consistent benefit across stroke populations, and equivalence of non-authenticated products are not established.
SafetySafety conclusions differ by clinical setting; acute-stroke Cochrane data raise concern about non-fatal serious adverse events.
Evidence reviewed2026-09-18
i
Multiple randomized trials and meta-analyses exist, but results differ by indication. Alzheimer trials show some short-term cognitive/global signals, whereas the 2023 Cochrane stroke review found no mortality benefit and a potential increase in non-fatal serious adverse events.
Outcome-level evidence

Evidence is not one score.

Each record below answers a narrower question about an outcome, population or context. Evidence status and the study finding are shown separately so strong evidence is not mistaken for a positive effect.

How to read this →

Cognitive/global outcomes in Alzheimer disease

Human evidence
Multiple randomized trials / meta-analysis

Context: Mild-to-moderate Alzheimer disease

Finding: Some disease-specific human evidence exists.

Uncertainty / evidence gap: Longer-term cognitive endpoint not consistently significant; older trial set and potential conflicts require caution.

Acute ischaemic stroke outcomes

Human evidence
Cochrane systematic review

Context: Acute ischaemic stroke

Finding: No mortality benefit established.

Safety / tolerability context: Potential increase in non-fatal serious adverse events: RR 2.39 in pooled analysis.

Verified 2026-09-18Primary source ↗

Cognitive recovery after mild TBI

Human evidence
Small randomized pilot

Context: 32 adults with acute mild TBI

Finding: Pilot signal in TBI recovery.

Uncertainty / evidence gap: Very small sample and multiple outcomes; requires replication.

Verified 2026-09-18Primary source ↗
Evidence rule: an outcome-specific evidence label is not a recommendation, a safety rating or an overall score for the compound.

Evidence synthesis

  • ✓Some disease-specific human evidence exists.
  • ✓No mortality benefit established.
  • ✓Pilot signal in TBI recovery.

Important limitations

  • !Older studies, heterogeneous methods, product-specific IV use; not healthy enhancement evidence.
  • !Heterogeneity and mixture variants; not a cognition-enhancement context.
  • !N=32; not healthy cognition; one small pilot.

Selected study & evidence records

Cerebrolysin for acute ischaemic stroke — Cochrane review

2023 · Systematic review / meta-analysis of RCTs · n=Multiple trials; SAE analysis 1335

Moderate-certainty evidence found no beneficial effect on all-cause death; non-death attrition evidence very uncertain.

Study detail → Primary source ↗

Cerebrolysin in mild-to-moderate Alzheimer's disease: meta-analysis

2015 · Meta-analysis of randomized double-blind placebo-controlled trials · n=6 RCTs

Short-term cognitive and global signals favoured Cerebrolysin; cognitive effect at 6 months was not statistically significant while global change remained significant.

Study detail → Primary source ↗

Cerebrolysin in Alzheimer's disease: randomized double-blind placebo-controlled trial

2002 · Randomized, double-blind, placebo-controlled trial · n=192

CIBIC+ favoured Cerebrolysin at week 12; broad cognitive outcome differences were less consistent.

Study detail → Primary source ↗

Cerebrolysin enhances cognitive recovery of mild traumatic brain injury patients

2013 · Double-blind, placebo-controlled randomized pilot · n=32

CASI improvement from baseline to week 12 was greater with Cerebrolysin (21.0 vs 7.6; p=0.0461).

Study detail → Primary source ↗

Safety and unknowns

Safety conclusions differ by clinical setting; acute-stroke Cochrane data raise concern about non-fatal serious adverse events.

Safety varies by population and indication. Cochrane stroke evidence found a possible increase in non-fatal serious adverse events despite little/no difference in total serious adverse events.

Technical details

Mechanism / biologyProposed neurotrophic and neuroprotective effects are attributed to a complex mixture of peptides/amino acids; no single active peptide explains the clinical product.
Route / formulation boundaryEvidence applies to a specific biologic mixture formulation, commonly administered intravenously in trials; generic 'peptide blends' are not equivalent.
Identity / data-quality noteTreat as a defined peptide/amino-acid mixture, not a single peptide.
Study / label regimen evidenceMultiple human trial regimens verified. Published studies commonly used 30 mL/day IV in specific Alzheimer, stroke and TBI protocols; these are study/product regimens, not healthy-person enhancement guidance.
Identifiers & alternate namesCerebrolysin peptide mixture

Source depth & provenance

WhichPeps does not rely on a single headline study when the evidence base is broader. Primary research, registries, regulators and supporting records are kept distinct.

4structured study records
3outcome records
6linked source records

How to read these counts: they show evidence coverage, not evidence strength. One large, well-designed study can be more informative than several weak or indirect records.

Show supporting and discovery sources

Study pages above contain the records used for public evidence summaries. The links below include supporting, regulatory and literature-discovery sources; a registry or search result is not treated as proof of benefit.

Evidence rule: WhichPeps keeps human, animal, laboratory, regulatory and product/formulation evidence distinct. Common names help people find the page; they do not change the underlying scientific identity.