CognitiveNot approvedEvidence tier: Human RCT

Cerebrolysin

Last updated October 21, 2026. Approval line checked October 21, 2026. No compounding source date is assigned.

FDA status

Not approved

Not approved. This record is not an FDA-approved drug product. Approval, where it exists, is specific to a drug product, indication, and route.

FDA: Unapproved drugs

Evidence tier

Human RCT. The tier is the highest indexed study type. It is not a safety rating and it is not an FDA approval. Confidence score 3/5. 1,250 PubMed citations indexed.

Cerebrolysin in the literature

Standardized peptide mixture derived from porcine brain protein hydrolysis; contains neurotrophic factors including BDNF/NGF-like fractions that promote neuroplasticity and neuroprotection.

What the literature studies

Neuroprotection & Cognitive Recovery

Evidence tier

Human RCT

Compounding record

Status not verified

Confidence
3/5

Regulatory record

Status not verified. No product-specific FDA primary source is recorded for this entry. FDA approval and compounding eligibility are not verified. Research information is not evidence of FDA approval. Approval, where applicable, is specific to a drug product, indication and route. Research information is not evidence of FDA approval. Approval, where applicable, is specific to a drug product, indication and route.

Regulatory source not verified; no checked date is assigned.

animal-derived source raises potential prion concern requiring rigorous testing.

Questions

Educational only. Not medical advice. This page does not give doses or sourcing. See the medical and editorial disclaimer.

Short answer

Cerebrolysin is a porcine-brain-derived peptide mixture used in some countries for stroke and cognition research; it is not FDA-approved in the United States, and a large Asian acute ischemic stroke RCT (CASTA) did not meet its primary endpoint.

What it is

A mixture of low-molecular-weight peptides and amino acids derived from purified porcine brain protein, marketed outside the US for neurological indications by Ever Neuro Pharma and studied mainly in stroke and dementia settings [R1].

Legal / FDA status (as of Oct 27 2026)

Not FDA-approved for any US indication. Importation or compounding for unapproved uses remains a US regulatory risk; peptidex.ai does not advise on sourcing. Presence on research catalogs does not create an FDA approval.

Human evidence

  • CASTA (Stroke 2012): double-blind, placebo-controlled randomized trial of Cerebrolysin in acute ischemic stroke in Asia; the study did not demonstrate a statistically significant benefit on the primary endpoint versus placebo [R1].
  • Additional trials and meta-analyses continue in selected stroke/rehab contexts; results are mixed and do not constitute US FDA approval [R2].

Animal / lab evidence

Neurotrophic and neuroprotective claims are based largely on preclinical models; animal data are not clinical proof.

Risks and unknowns

As a biologic peptide mixture, batch composition and immunogenicity are product-dependent. Allergic reactions and other adverse events are reported in clinical literature. Unregulated US "research" vials are not the EU-licensed product.

What's coming

No US FDA approval pathway identified in this check. Readers should not confuse Cerebrolysin with FDA-approved stroke therapies.

Sources

  1. [R1] Heiss WD et al. Cerebrolysin in patients with acute ischemic stroke in Asia: results of a double-blind, placebo-controlled randomized trial. Stroke 2012;43:630-636. PMID 22282884
  2. [R2] Mureanu DF et al. Role and impact of Cerebrolysin for ischemic stroke care. J Clin Med 2022;11:1274. PMID 35268364

Last checked 2026-10-27

Education only. Not medical advice. No dosing guidance. peptidex.ai does not sell peptides or link to sellers.