Neurological researchBlend

Cerebrolysin

Porcine peptide and amino-acid mixture

No FDA-approved product identified for this exact research entry in the targeted review.

What does it do?

Stroke rehabilitation

Study

The 2025 C-REGS 2 study reported better 90-day disability outcomes with added Cerebrolysin. It was an open-label comparative-effectiveness study, so the association does not have the causal strength of a blinded randomized trial.1

Molecular information

2

Amino-acid sequence

This blend contains multiple compounds and has no single amino-acid sequence.

Multiple componentsComposition varies
LengthMixture; no single sequence
Molecular weight · DaNo single molecular weight
Molecular formulaNo single molecular formula2

Product-level trial findings do not identify one active peptide.

Pharmacokinetics

Reported half-lifeHuman half-life not verified3

No numerical human elimination estimate was verified for the exact material in this review.

Pep-Pedia reference claim

Pep-Pedia lists 1 hour. A mixture has no single elimination half-life, so this value is not used to create a blend curve.21

What to expect

Study outcomes

Newer observational stroke evidence

The 2025 C-REGS 2 study reported better 90-day disability outcomes with added Cerebrolysin. It was an open-label comparative-effectiveness study, so the association does not have the causal strength of a blinded randomized trial.1

Reported timelines

Reference & community

Weeks 1–2 / 2–4 / 4–8 / 8–12

Reference sequence: early effects/dizziness; neurological/cognitive change; motor recovery; plateau. Early-treatment windows, including 72 hours, are indication-specific; benefit unguaranteed.22

These are reported timelines, not a prediction of your response.

Doses & schedules

6 rows
Route

Scroll to compare all columns →

One row for each documented route and dose or dose range
RouteDoseFrequencyGoal / evidenceDurationReferences
IVUndiluted IV slow push over 3 minutesUp to 10 mLOnce dailySmall Volume IVReference reportAcute: 7-30 days; Chronic: 4 weeks (2-4 cycles yearly)22
IMUndiluted IM injection over 3 minutesUp to 5 mLOnce dailyIntramuscular (Lower Doses)Reference reportAcute: 7-30 days; Chronic: 4 weeks (2-4 cycles yearly)22
IVIV infusion (diluted to 100mL minimum)20-50 mLOnce daily for 10-21 daysAcute StrokeReference reportAcute: 7-30 days; Chronic: 4 weeks (2-4 cycles yearly)22
IVIV infusion (diluted to 100mL minimum)20-50 mLOnce daily for 7-30 daysTraumatic Brain InjuryReference reportAcute: 7-30 days; Chronic: 4 weeks (2-4 cycles yearly)22
IVIV injection/infusion (2-4 cycles yearly)10-30 mL5 days weekly for 4 weeksAlzheimer's DiseaseReference reportAcute: 7-30 days; Chronic: 4 weeks (2-4 cycles yearly)22
IVIV injection/infusion (2-4 cycles yearly)10-30 mL5 days weekly for 4 weeksVascular DementiaReference reportAcute: 7-30 days; Chronic: 4 weeks (2-4 cycles yearly)22

Study and label doses retain their study context. Reference reports are unvalidated practices, not personal treatment instructions. Ranges remain ranges; escalation stages are labeled.

Cycles & timing

Reference reports22

Reported use periods and breaks. These do not establish a safe cycle or prove that breaks prevent tolerance.

Injectable

Use period
Acute: 7-30 days; Chronic: 4 weeks (2-4 cycles yearly)
Break
Cycles separated by 1-3 months for chronic conditions
Reported timing

As soon as possible for acute conditions; morning preferred

Side effects & safety

Evidence limitation

The preparation is a mixture, so individual peptide identities and exposures are not interchangeable with isolated research peptides.

1

Serious adverse events

The Cochrane assessment identified increased nonfatal serious adverse events in acute-stroke trials.

2

Additional reported cautions

Reference reports22

Contraindications

Reference cites epilepsy and severe renal insufficiency.

Symptoms

Anaphylaxis/rash, seizure, cardiovascular events, worsening renal function, dizziness or agitation require assessment.

Evidence

Mixed trial findings and research-integrity concerns prevent a blanket efficacy conclusion.

Not a complete safety screen. Discuss health decisions with a qualified clinician.

Combinations & interactions

9 entries

Check cautions and reported pairings. A compatibility claim does not establish that a combination is safe.

SSRIs

Caution reported

Additive neurological effects.22

Reference report · Pep-Pedia label: Monitor Combination

Tricyclic antidepressants

Caution reported

Additive neurological effects.22

Reference report · Pep-Pedia label: Use Caution

Noopept

Caution reported

Overstimulation concern.22

Reference report · Pep-Pedia label: Monitor Combination

Piracetam

Unverified pairing

No blanket safe-combination conclusion.22

Reference report · Pep-Pedia label: Compatible

Donepezil

Unverified pairing

Possible cognitive effects; not safety guarantee.22

Reference report · Pep-Pedia label: Compatible

Balanced amino-acid solutions

Unverified pairing

Infusion compatibility issue.22

Reference report · Pep-Pedia label: Avoid Combination

Cardiovascular medicines

Unverified pairing

Same-infusion warning, not universal co-use ban.22

Reference report · Evidence context: Do not mix claim

Vitamin solutions

Unverified pairing

Same-infusion warning.22

Reference report · Pep-Pedia label: Avoid Combination

Other medicines or peptides

Not established

No exact-product human interaction study was verified; lack of evidence is not evidence of safety.3

Research context

Reconstitution

No validated preparation identified

No product-specific preparation or stability instruction was verified. A dilution calculation does not establish suitability for injection.3

Reference preparation details

Reported handling information, not a validated formulation or instruction to prepare an injectable product.

Injectable

The source describes ready-made ampoules for clinical IM or IV use.

Form
Source describes a prepared product
Reported parameters
It distinguishes undiluted injections from infusions diluted to at least 100 mL. · The source specifies opening immediately before use and beginning infusion immediately after dilution.

Sodium chloride appears as a catheter-flush solution, not as evidence of a universal reconstitution solvent. The source describes clinical administration; follow the applicable product and facility instructions.

22

Appearance & documentation

Appearance and a purity certificate cannot establish sterility, identity, or suitability for injection.

Reported appearanceClear amber solution from reputable sourceReported appearanceRoom temperature storage ≤25°C as specifiedReported appearanceProtected from lightReported appearanceClinical evidence awarenessReported variationResearch quality considerationsReported concernFrozen product or improper storageReported concernMixing with incompatible solutions
22

Available forms

Prepared solution, measured in mL

Product-specific administration is required; this entry is not a single-mass peptide vial.2

Amounts are total blend mass. Formulas and ratios vary. Approved and research products are not interchangeable.

Storage after mixing

Reconstituted research vials

No applicable mixing data

The available sources describe prepared products or do not establish a reconstitution method.22

Storage notes

22
Injectable

Room temperature ≤25°C, protect from light, never freeze

Storage depends on the formulation, diluent, container, and handling. Follow the specific product label or pharmacist’s instructions.

Evidence limits

View findings →

Randomized evidence, treatment setting and observational results must be interpreted separately.1

2 distinct primary sources or abstracts checked. Evidence may concern a parent compound, individual blend ingredient, animal, or cell model; it does not necessarily establish a benefit for this exact product.

Evidence definitions →

Research findings

Human trials
Compound identity & other names

Cerebrolysin is a prepared mixture of porcine-brain peptides and amino acids studied in neurological disorders. Findings differ by outcome and study design; favorable recovery studies do not establish a mortality benefit after acute stroke.

No FDA-approved product identified for this exact research entry in the targeted review.

Porcine brain-derived peptide and amino-acid preparation2

How it may work

Neurotrophic/neuroprotective activity is proposed; mixture findings do not establish individual-peptide effects.22

Newer observational stroke evidence

The 2025 C-REGS 2 study reported better 90-day disability outcomes with added Cerebrolysin. It was an open-label comparative-effectiveness study, so the association does not have the causal strength of a blinded randomized trial.

1

Randomized evidence remains less favorable

The 2023 Cochrane review found probably little or no mortality benefit and an increase in nonfatal serious adverse events in Cerebrolysin trials. Later observational findings do not resolve this randomized-evidence concern.

2

Research areas and evidence gaps

Stroke rehabilitation research. The 2025 C-REGS 2 study reported better 90-day disability outcomes with added Cerebrolysin. It was an open-label comparative-effectiveness study, so the association does not have the causal strength of a blinded randomized trial.1

  • Randomized evidence, treatment setting and observational results must be interpreted separately.

Additional uses listed by Pep-Pedia

Cognition. Alzheimer disease, vascular dementia and post-stroke cognition.22

Neuroprotection. Acute stroke, traumatic brain injury and subarachnoid hemorrhage.22

Recovery. Motor function, neurological scores and independence; positive score changes do not ensure functional benefit.22

Community reports Unvalidated

Pep-Pedia discusses neurological recovery research.3

Editorial summary, not a measured community survey, clinical protocol or recommendation.

Search coverage and review status

Added 2025 C-REGS 2 observational evidence and the 2023 Cochrane assessment; their designs and conclusions remain distinct.

Checked
2026-10-12
Search
cerebrolysin 2025 2026 randomized trial stroke
Catalog
Pep-Pedia ↗ · 17 listed references retained
  • Targeted search and selected primary-source checks, not an exhaustive systematic review.
  • Preserved bibliography entries marked unreviewed have not had their findings independently verified.

AI-prepared summaries. Independent medical editorial review is pending.

Community poll 10 topics · Pep-Pedia snapshot

Voluntary, unverified reports. These percentages do not measure effectiveness or safety.

Primary goal

Cognitive enhancement77%
Recovery/Healing15%
Other: Slow down Parkinson's 8%

Number of responses to this question: not disclosed.

Source & limitations

The source displays “166 responses” for this profile. This is not a confirmed participant count or a denominator for individual questions.

  • Voluntary self-reports from Pep-Pedia visitors; identity, treatment, outcomes and timing are unverified. These data are not efficacy or safety estimates.
  • The source displays a profile-wide response label, not a confirmed unique participant count. It stays unchanged across questions. Question-specific denominators and absolute option counts are not exposed.
  • Only the top five categories are displayed for some questions. Extra categories are retained as an undisplayed-category count; their labels and percentages are unavailable.
  • Displayed percentages are rounded. They may not total 100%, especially where categories are hidden.
  • This is a dated snapshot, not a live survey or current recommendation.

References

Original sources and review status. Open a reference to read its summary.

22 sources

1C-REGS 2—A multinational comparative effectiveness study of Cerebrolysin in moderate acute ischemic strokeTrial · 2025 · pmc.ncbi.nlm.nih.govAbstract checked
AI-PREPARED SUMMARY

This prospective open-label comparative-effectiveness study reported better 90-day disability outcomes with Cerebrolysin plus standard care; its observational design remains susceptible to confounding.

Newer observational stroke evidence

The 2025 C-REGS 2 study reported better 90-day disability outcomes with added Cerebrolysin. It was an open-label comparative-effectiveness study, so the association does not have the causal strength of a blinded randomized trial.

Additional research · Checked 2026-10-12

Original source
2Cerebrolysin for acute ischaemic strokeReview · 2023 · cochrane.orgPrimary source checked
AI-PREPARED SUMMARY

A Cochrane review found probably little or no effect on all-cause death and identified increased nonfatal serious adverse events in Cerebrolysin trials; evidence was current to June 2022.

Randomized evidence remains less favorable

The 2023 Cochrane review found probably little or no mortality benefit and an increase in nonfatal serious adverse events in Cerebrolysin trials. Later observational findings do not resolve this randomized-evidence concern.

Additional research · Checked 2026-10-12

Original source
3Pep-Pedia: CerebrolysinCommunity · Accessed 2026 · pep-pedia.orgCommunity source checked
AI-PREPARED SUMMARY

Secondary editorial profile and reported practices; not clinical validation.

Original source
4TBI Systematic Review - Positive Outcomes (2023)Reference · Accessed 2026 · ncbi.nlm.nih.govPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: A review of ten studies totaling 8,749 TBI patients reportedly found improvements in GCS/GOS neurological scores.

Reported population / model
Humans

Reported study details
10-50 mL daily · Variable duration · GCS/GOS improvements

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
5CAPTAIN II Trial - Traumatic Brain Injury (2020)Reference · Accessed 2026 · link.springer.comPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: The source describes improved neurological scales after moderate-to-severe TBI in a randomized study; detailed effect sizes are not supplied.

Reported population / model
Humans

Reported study details
30-50 mL daily · 10-28 days · Significant neurological improvement

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
6Subarachnoid Hemorrhage Pilot Trial (2020)Reference · Accessed 2026 · bmcneurol.biomedcentral.comPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: Favorable six-month outcomes were reported in 76% versus 48% in the pilot subarachnoid-hemorrhage trial.

Reported population / model
Humans

Reported study details
30 mL daily · 14 days · Improved 6-month outcomes

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
7Nine-Trial Stroke Meta-Analysis - Positive Results (2017)Reference · Accessed 2026 · link.springer.comPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: A nine-trial stroke analysis reportedly favored treatment on NIHSS, with a reported NNT of 7.7 across 1,879 patients.

Reported population / model
Humans

Reported study details
30-50 mL daily · 10-21 days · NIHSS improvement, NNT=7.7

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
8Conflicting Stroke Meta-Analysis - Neutral Results (2017)Reference · Accessed 2026 · ncbi.nlm.nih.govPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: A separate 1,779-patient stroke analysis found no significant improvement on modified Rankin or Barthel functional scales.

Reported population / model
Humans

Reported study details
Various doses · 72-hour window · No significant mRS/BI improvement

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
9Alzheimer's Disease Meta-Analysis - Mixed EvidenceReference · Accessed 2026 · pubmed.ncbi.nlm.nih.govPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: Small cognitive changes were reported in Alzheimer's studies; whether these translate into meaningful daily-life improvement remains uncertain.

Reported population / model
Humans

Reported study details
30 mL daily · 4 weeks · Modest cognitive improvements

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
10Safety and efficacy of Cerebrolysin in early post-stroke recovery: a meta-analysis of nine randomized clinical trialsReference · Accessed 2026 · link.springer.comPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: A nine-trial stroke analysis reportedly favored treatment on NIHSS, with a reported NNT of 7.7 across 1,879 patients.

Reported population / model
Humans

Reported study details
30-50 mL daily · 10-21 days · NIHSS improvement, NNT=7.7

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
11How to use Cerebrolysin®Reference · Accessed 2026 · cerebrolysin.comLinked reference · Not independently reviewed
REFERENCE NOTE

Reference retained from Pep-Pedia’s bibliography; findings and bibliographic accuracy have not been independently verified.

Pep-Pedia bibliography · Checked 2026-10-12

Listed source
12Efficacy and Safety of Cerebrolysin for Acute Ischemic Stroke: A Meta-Analysis of Randomized Controlled TrialsReference · Accessed 2026 · ncbi.nlm.nih.govPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: A separate 1,779-patient stroke analysis found no significant improvement on modified Rankin or Barthel functional scales.

Reported population / model
Humans

Reported study details
Various doses · 72-hour window · No significant mRS/BI improvement

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
13Efficacy and safety of cerebrolysin in neurorecovery after moderate-severe traumatic brain injury: results from the CAPTAIN II trialReference · Accessed 2026 · link.springer.comPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: The source describes improved neurological scales after moderate-to-severe TBI in a randomized study; detailed effect sizes are not supplied.

Reported population / model
Humans

Reported study details
30-50 mL daily · 10-28 days · Significant neurological improvement

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
14Cerebrolysin in Patients with TBI: Systematic Review and Meta-AnalysisReference · Accessed 2026 · ncbi.nlm.nih.govPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: A review of ten studies totaling 8,749 TBI patients reportedly found improvements in GCS/GOS neurological scores.

Reported population / model
Humans

Reported study details
10-50 mL daily · Variable duration · GCS/GOS improvements

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
15Randomized, placebo-controlled, double-blind, pilot trial to investigate safety and efficacy of Cerebrolysin in patients with aneurysmal subarachnoid hemorrhageReference · Accessed 2026 · bmcneurol.biomedcentral.comPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: Favorable six-month outcomes were reported in 76% versus 48% in the pilot subarachnoid-hemorrhage trial.

Reported population / model
Humans

Reported study details
30 mL daily · 14 days · Improved 6-month outcomes

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
16Cerebrolysin in mild-to-moderate Alzheimer's disease: a meta-analysis of randomized controlled clinical trialsReference · Accessed 2026 · pubmed.ncbi.nlm.nih.govPep-Pedia report · Primary source not checked
AI-PREPARED SUMMARY

Pep-Pedia reports: Small cognitive changes were reported in Alzheimer's studies; whether these translate into meaningful daily-life improvement remains uncertain.

Reported population / model
Humans

Reported study details
30 mL daily · 4 weeks · Modest cognitive improvements

Reported by Pep-Pedia; the linked publication, design, doses and result have not been independently verified here.

Read the Pep-Pedia report ↗

Pep-Pedia reference card; original summary of its reported findings · Checked 2026-10-12

Listed study
17Cerebrolysin for vascular dementiaReference · Accessed 2026 · pubmed.ncbi.nlm.nih.govLinked reference · Not independently reviewed
REFERENCE NOTE

Reference retained from Pep-Pedia’s bibliography; findings and bibliographic accuracy have not been independently verified.

Pep-Pedia bibliography · Checked 2026-10-12

Listed source
18Cerebrolysin for stroke, neurodegeneration, and traumatic brain injury: review of the literature and outcomesReference · Accessed 2026 · pubmed.ncbi.nlm.nih.govLinked reference · Not independently reviewed
REFERENCE NOTE

Reference retained from Pep-Pedia’s bibliography; findings and bibliographic accuracy have not been independently verified.

Pep-Pedia bibliography · Checked 2026-10-12

Listed source
19Efficacy, safety, and cost-effectiveness analysis of Cerebrolysin in acute ischemic stroke: A rapid health technology assessmentReference · Accessed 2026 · ncbi.nlm.nih.govLinked reference · Not independently reviewed
REFERENCE NOTE

Reference retained from Pep-Pedia’s bibliography; findings and bibliographic accuracy have not been independently verified.

Pep-Pedia bibliography · Checked 2026-10-12

Listed source
20Cerebrolysin in vascular dementia: improvement of clinical outcome in a randomized, double-blind, placebo-controlled multicenter trialReference · Accessed 2026 · pubmed.ncbi.nlm.nih.govLinked reference · Not independently reviewed
REFERENCE NOTE

Reference retained from Pep-Pedia’s bibliography; findings and bibliographic accuracy have not been independently verified.

Pep-Pedia bibliography · Checked 2026-10-12

Listed source
21Pep-Pedia: Cerebrolysin — reported pharmacokineticsReference estimate; not independently verified human PKCommunity · 2026 · pep-pedia.orgCommunity source checked
AI-PREPARED SUMMARY

Lists a half-life of 1 hr and a peak time of 30 min. Stated attribution: EVER Pharma data. This value is reported by a secondary reference. The stated attribution has not been independently verified as a route- and formulation-matched human PK measurement. Five half-lives is not complete clearance, and the source’s “cleared” value is not used as a measured endpoint.

Secondary reference page checked; the underlying quantitative claim is not independently confirmed. · Checked 2026-10-12

Original source
22Pep-Pedia: Cerebrolysin — route-specific referenceReference page checked; underlying claims require separate verification.Community · Checked 2026 · pep-pedia.orgCommunity source checked
AI-PREPARED SUMMARY

Source page checked across available routes. Protocols, cycles, storage, mechanisms and pairing claims are secondary reports; checking the page does not independently validate those claims. Original concise summaries are used here.

Content coverage audit · Checked 2026-10-12

Original source
Source details