Peptide preparation

Cerebrolysin

Cerebrolysin is a porcine brain-derived peptide preparation used for neurological indications in several countries. It is not FDA-approved in the United States. Clinical studies and systematic reviews report mixed findings, with continued calls for larger and higher-quality trials.

Regulatory watch Last reviewed Jul 1, 2026 Next review Jul 29, 2026
Sealed amber Cerebrolysin ampoules arranged on a stainless clinical tray

Evidence snapshot

A Cochrane systematic review examined Cerebrolysin for vascular dementia, finding it is used as daily intravenous infusions in many countries but concluding results were inconsistent and higher-quality trials are needed (Cui et al., Cochrane Database Syst Rev, 2019; CD008900).

A 2025 prospective, randomized, open-label, blinded-endpoint pilot trial (CLINCH) evaluated Cerebrolysin for intracerebral hemorrhage, finding it was safe and feasible to study (Kobayashi et al., Front Neurol, 2025).

A 2026 systematic review and meta-analysis found Cerebrolysin as an adjunct to mechanical thrombectomy in acute ischemic stroke showed promise but required further study (Brain Behav, 2026).

Cerebrolysin is not approved by the FDA for any indication. It is manufactured by Ever Pharma (Unterach, Austria) and is available in over 40 countries, primarily in Europe and Asia.

Research record

What the evidence record says

Cerebrolysin is a porcine brain-derived peptide preparation used for neurological indications in several countries. It is not FDA-approved in the United States. Clinical studies and systematic reviews report mixed findings, with continued calls for larger and higher-quality trials.

Evidence grade
Not Graded
Regulatory status
Cerebrolysin regulatory status has not been fully reviewed by Peptide Report editorial team. See company profiles and regulatory watch for current status.

Evidence records

Studies, registries, reviews, and regulatory records

Evidence timeline

What changed, and when

  1. Peptide Report last reviewed Cerebrolysin on 2026-07-01.

    Records: Cerebrolysin for vascular dementia

Direct answers

Frequently asked questions

What is Cerebrolysin?

Cerebrolysin is a peptide preparation tracked by Peptide Report. See the full profile for current editorial assessment.

Open research questions

What is still unknown

  • What is the complete human evidence base for Cerebrolysin?
  • What are the long-term safety considerations for Cerebrolysin?

Tracked claims

Cerebrolysin is approved in 40+ countries but not FDA-approved for use in the United States.

Evidence level: Primary regulatory

Sources: Cerebrolysin for vascular dementia, Cerebrolysin - Wikipedia

How to read this: Confirm regulatory status on each review cycle. The compound cannot be legally prescribed or sold in the United States. Update immediately if FDA status changes.

Clinical trials, including Cochrane reviews, have examined Cerebrolysin for vascular dementia and stroke recovery.

Evidence level: Peer reviewed

Sources: Cerebrolysin for vascular dementia, Safety and feasibility of cerebrolysin in treatment of primary intracerebral hemorrhage (CLINCH)-a prospective, randomized, open-label, blinded endpoint pilot trial, Efficacy and Safety of Cerebrolysin as an Adjunct to Mechanical Thrombectomy in Acute Ischemic Stroke: A Systematic Review and Meta-Analysis

How to read this: Cite the Cochrane review and key trials directly. The Cochrane review noted inconsistent results and need for higher-quality trials. Do not present as established therapy.

Cerebrolysin has neurotrophic and neuroprotective properties based on preclinical and clinical studies.

Evidence level: Preclinical

Sources: Cerebrolysin for vascular dementia, Cerebrolysin - Wikipedia

How to read this: Mechanistic claims are supported by preclinical data. Clinical evidence is mixed. The Cochrane review specifically noted inconsistency in results.

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