Cerebrolysin
Porcine Brain Peptide Complex
aka FPF-1070 · brain-derived peptide mixture · porcine brain peptides
A porcine-derived neuropeptide complex researched for neuroprotection, cognitive recovery, and stroke rehabilitation.
Sequence
Mechanism of action
Cerebrolysin is thought to mimic the action of endogenous neurotrophic factors, promoting neuronal survival and differentiation. It enhances synaptic plasticity and supports neurogenesis by activating signaling pathways such as MAPK/ERK and PI3K/Akt. Additionally, it reduces oxidative stress and inflammation in neural tissues, providing neuroprotection.
What the evidence actually shows
Several human trials have been conducted, primarily in Eastern Europe and Asia, showing improvements in cognitive function and recovery post-stroke. However, the studies often have small sample sizes and methodological limitations, necessitating further large-scale, high-quality trials.
Regulatory status
In the UK, Cerebrolysin is not licensed for medical use and is considered a research compound.
Source ↗Pharmacokinetics
Dosing — what backs each figure
Cerebrolysin is the only compound in this batch with real approved labelling. It is a porcine brain-derived peptide concentrate (215.2 mg/mL) licensed in Austria, Russia, China and around 50 other countries — but not by the FDA or EMA — and given as an intravenous infusion in defined courses: 20-50 mL/day for 10-21 days in stroke, 20-50 mL/day for 7-30 days in traumatic brain injury, and 10-30 mL/day five days a week for 4 weeks, 2-4 cycles a year, in dementia. It is a hospital-administered infusion, not a self-injected peptide, and the evidence base for its efficacy remains contested (Cochrane reviews find no convincing benefit in acute stroke).
Stroke: 20-50 mL/day by intravenous infusion, diluted to a minimum total volume of 100 mL, for a course of 10-21 days. Traumatic brain injury: 20-50 mL/day IV for 7-30 days. Alzheimer's disease and vascular dementia: 10-30 mL/day IV, given 5 days per week for 4 weeks, repeated 2-4 cycles per year. Concentrate strength is 215.2 mg/mL.
Adults with cerebrovascular disorders, Alzheimer's dementia, vascular dementia, stroke, craniocerebral trauma · intravenous infusion (also given IM at low volumes)
30 mL/day for 14 days, administered concurrently with alteplase 0.9 mg/kg
126 patients with acute ischaemic stroke receiving thrombolysis (CEREHETIS, ISRCTN87656744) · intravenous
Prospective randomised multicentre pilot study, BMC Neurology 2023 ↗
10 mL once daily intravenously, 5 days a week for the first month then 3 days a week for the next 2 months, added to riluzole 50 mg twice daily
20 patients with amyotrophic lateral sclerosis · intravenous
Placebo-controlled randomised double-blind phase 2 study, Journal of Medicine and Life 2023 ↗
5 mL diluted in 100 mL normal saline over 30 minutes once daily for 21 days postoperatively
60 patients operated for degenerative cervical myelopathy · intravenous
5 mL/day intramuscularly, 5 days per week, for 8-24 weeks
150 patients with persistent post-COVID smell and taste disorders · intramuscular
Randomised clinical trial, Expert Review of Clinical Pharmacology 2023 ↗
Handling and storage
Cerebrolysin is a nationally registered medicine in several countries but is not licensed in the UK, EU-centrally or the US, and no publicly accessible SmPC was retrievable in this pass, so no storage temperature or duration is recorded here. It is supplied as a ready-to-use solution in ampoules, not as a lyophilised powder, so lyophilised-stability framing does not apply.
Source ↗Safety
- ·Headache
- ·Dizziness
- ·Nausea
- ·Seizures
- ·"Allergic reactions"
- ·Severe renal impairment
- ·Known hypersensitivity to Cerebrolysin
- ·May enhance the effects of antidepressants due to overlapping pathways
Reported combinations
- ·Acetyl-L-carnitine
- ·High-dose corticosteroids
Combination claims in this dataset are largely unsourced and should be treated as folk knowledge until a citation appears beside them.
References (4)
- Heiss WD, et al. (2012) Cerebrolysin in patients with acute ischemic stroke in Asia: results of a double-blind, placebo-controlled randomized trial. ↗StrokePMID 22282884DOI
CASTA trial: 1070 patients with acute ischaemic hemispheric stroke randomised within 12 h to 30 mL Cerebrolysin daily by IV infusion for 10 days plus aspirin 100 mg, or placebo. The confirmatory endpoint (combined global test of mRS, Barthel Index and NIHSS) showed NO significant difference between groups; a post-hoc subgroup with NIHSS >12 showed a favourable trend.
- Gauthier S, et al. (2015) Cerebrolysin in mild-to-moderate Alzheimer's disease: a meta-analysis of randomized controlled clinical trials. ↗Dementia and Geriatric Cognitive DisordersPMID 25832905DOI
Meta-analysis of randomised double-blind placebo-controlled trials of Cerebrolysin in mild-to-moderate Alzheimer's disease, summarising benefit and risk.
- Seidl LF, Aigner L. (2024) Comparing the biological activity and composition of Cerebrolysin with other peptide preparations. ↗Journal of Medicine and LifePMID 38737662DOI
Analysed the peptide composition and neurotrophic activity of preparations marketed as similar to Cerebrolysin, finding they lacked relevant biological activity and had significantly different peptide composition.
- Gevaert B, et al. (2015) Peptide profiling of Internet-obtained Cerebrolysin using high performance liquid chromatography - electrospray ionization ion trap and ultra high performance liquid chromatography - ion mobility - quadrupole time of flight mass spectrometry. ↗Drug Testing and AnalysisPMID 26017115DOI
Mass-spectrometric peptide profiling of internet-sourced Cerebrolysin, characterising the peptide content of the preparation.
Data provenance
Chemistry and citations on this page were checked against primary sources on 2026-08-14. Values that could not be verified were left blank rather than filled with a plausible guess.
Could not verify
sequence, molecularFormula, molecularWeight, casNumber, pubchemCid, storage.lyophilized, storage.reconstituted, storage.lightSensitive, regulatory.wada