Cerebrolysin

clinical trials

Also known as: FPF-1070

**Mechanism of Action** Cerebrolysin (FPF-1070) is a porcine brain-derived peptide preparation composed of low-molecular-weight neuropeptides and amino acids. Its mechanism mimics endogenous neurotrophic factors, including brain-derived neurotrophic factor (BDNF), glial cell line-derived neurotrophic factor (GDNF), and nerve growth factor (NGF). It promotes neuroprotection by reducing excitotoxicity, oxidative stress, and apoptosis, while enhancing neuroplasticity, synaptogenesis, and neurogenesis. Cerebrolysin also modulates amyloid precursor protein processing and attenuates tau hyperphosphorylation, contributing to its effects in neurodegenerative conditions. **Key Research Findings** Clinical trials have demonstrated efficacy in acute ischemic stroke, where Cerebrolysin improved functional outcomes (e.g., modified Rankin Scale) when administered within 24–72 hours, particularly in moderate-to-severe cases. In traumatic brain injury (TBI), meta-analyses suggest reduced mortality and improved cognitive recovery. For dementia (e.g., Alzheimer’s disease), randomized controlled trials show modest benefits in cognition and global function, especially when combined with cholinesterase inhibitors. However, heterogeneity in dosing, timing, and outcome measures limits consensus. Preclinical studies support its role in reducing infarct volume and enhancing synaptic plasticity. **Clinical Relevance** Cerebrolysin is approved in over 40 countries for stroke, TBI, and dementia, though not by the FDA. Its clinical utility is debated due to moderate effect sizes and variability in trial designs. Ongoing research aims to optimize patient selection (e.g., stroke subtype, dementia severity) and combination therapies. Safety profiles are generally favorable, with rare adverse events including injection-site reactions and transient dizziness. For research purposes only — not medical advice.

Key data

Category
Cognitive & Neuroprotective
Administration
intravenous, intramuscular
Research status
clinical trials
References
629
Tags
neurotrophic, stroke, dementia

Research & studies

Efficacy of Cerebrolysin Treatment as an Add-On Therapy to Mechanical Thrombectomy in Patients with Acute Ischemic Stroke Due to Large Vessel Occlusion in Anterior Circulation: Results of a 3-Month Follow-up of a Prospective, Open Label, Single-Center Study
Translational stroke research · 2025 · PubMed

Cerebrolysin group had higher rates of mRS 0-2 at 90 days (68% vs. 44%, p=0.016, NNT=4.2).; Secondary ICH risk was lower with Cerebrolysin (14% vs. 40%, p=0.02, RR 0.37).; Neurological recovery was faster, with lower NIHSS at day 7 (median 3 vs. 6, p=0.01).; Cerebrolysin was an independent predictor of favorable 3-month outcomes (OR 7.5), especially in diabetic patients (interaction OR 9.6).

Speech Therapy Combined With Cerebrolysin in Enhancing Nonfluent Aphasia Recovery After Acute Ischemic Stroke: ESCAS Randomized Pilot Study
Stroke · 2025 · PubMed

Cerebrolysin group had a mean increase of 35.6 points on Western Aphasia Battery vs. 20.8 points in placebo (difference 14.8 points, P<0.001).; Cerebrolysin group showed greater reduction in NIHSS scores (difference 2.1 points, P<0.001).; Cerebrolysin group had greater improvements in functional independence (Barthel Index) and a trend toward reduced disability (modified Rankin Scale).; Adverse events did not differ significantly between groups (P=0.105 for number of patients, P=0.134 for events per patient).

Efficacy analysis of neuroprotective drugs in patients with acute ischemic stroke based on network meta-analysis
Frontiers in pharmacology · 2024 · PubMed

Ginkgolide, edaravone, cinepazide maleate, citicoline, cerebrolysin, minocycline, and ginkgo diterpene lactone meglumine reduced mortality versus conventional treatment.; All drug regimens significantly improved neurological function, with citicoline + vinpocetine ranking highest.; Edaravone, ginkgolide, and edaravone dexborneol had the best balance of high treatment effectiveness and low adverse effects.; Edaravone, minocycline, edaravone dexborneol, ginkgo diterpene lactone meglumine, citicoline, and cerebrolysin had higher adverse effect rates than conventional treatment.

Life-Threatening Anaphylaxis due to Cerebrolysin®
Case reports in neurological medicine · 2024 · PubMed
Current neuroprotective agents in stroke
Turkish journal of physical medicine and rehabilitation · 2024 · PubMed

Neuroprotection aims to inhibit neuronal death and reduce disability after acute ischemic stroke.; Citicoline, cerebrolysin, and MLC901 are frequently used in neurorehabilitation clinics.; There is ongoing debate about the efficacy and safety of these neuroprotective agents.

[Cognitive impairment in post-traumatic stress disorder]
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova · 2024 · PubMed

PTSD incidence reaches up to 12.5% among primary care patients.; Cognitive impairments in PTSD include attention deficits, reduced processing speed, executive dysfunction, and verbal learning/memory impairments.; These cognitive deficits are persistent and similar to those in neurodegenerative diseases.; Potential mechanisms involve neuroinflammation, oxidative stress, and reduced neurotrophic factors; Cerebrolysin shows promise as a treatment.

Cerebrolysin for acute ischaemic stroke
The Cochrane database of systematic reviews · 2020 · PubMed

Cerebrolysin probably results in little to no difference in all-cause death (RR 0.90, 95% CI 0.61 to 1.32, moderate-quality evidence).; Cerebrolysin probably results in little to no difference in total serious adverse events (RR 1.15, 95% CI 0.81 to 1.65, moderate-quality evidence).; Cerebrolysin may increase non-fatal serious adverse events (RR 2.15, 95% CI 1.01 to 4.55, moderate-quality evidence), especially with a 30 mL for 10-day dosing schedule (RR 2.86, 95% CI 1.23 to 6.66).; No trials reported on poor functional outcome (death or dependence) or quality of life.

Cerebrolysin for vascular dementia
The Cochrane database of systematic reviews · 2019 · PubMed

Cerebrolysin showed a beneficial effect on cognitive function (SMD 0.36, 95% CI 0.13 to 0.58; very low-quality evidence).; Global function improved with Cerebrolysin (RR 2.69, 95% CI 1.82 to 3.98; very low-quality evidence).; No difference in adverse effects was found (RR 0.91, 95% CI 0.29 to 2.85; very low-quality evidence).; No new eligible studies were identified since the 2013 review, and the existing evidence is weak due to high risk of bias and heterogeneity.

Frequently asked questions

What is Cerebrolysin?

**Mechanism of Action** Cerebrolysin (FPF-1070) is a porcine brain-derived peptide preparation composed of low-molecular-weight neuropeptides and amino acids. Its mechanism mimics endogenous neurotrophic factors, including brain-derived neurotrophic factor (BDNF), glial cell line-derived neurotrophic factor (GDNF), and

How does Cerebrolysin work?

Porcine brain-derived peptide preparation with neurotrophic-factor-like activity studied in stroke, TBI, and dementia.

What is the research status of Cerebrolysin?

Cerebrolysin is currently classified as clinical trials, with 629 research references on record. This is for research purposes only and is not medical advice.

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