Review Article

Efficacy and Safety of Cerebrolysin for Acute Ischemic Stroke: A Meta-Analysis of Randomized Controlled Trials

Table 1

Characteristics of the included studies.

First author, publication year, countrySample size (% men)Population age (years)Time window from stroke onset to intervention (hours)InterventionControlEfficacy outcomesSafety outcomesTime window from stroke onset to examination (days)Baseline NIHSS

Ladurner, 2005, Austria, Czech Republic, and Hungary146 (58.2)45–8524Cerebrolysin for 21 days, 50 mL/d, IVPlacebo for 21 daysCNS, BI, GCS, CGI, MMSE, SST, HAMDAE, SAE, lab tests, vital signs1, 3, 7, 14, 21, 90NA
Jianu, 2010, Romania156 (71.8)20–7572Cerebrolysin for 21 days, 30 mL/d, IVPlacebo for 21 daysmRS, mortalityAE9014
Heiss, 2012, China, Hong Kong, Republic of Korea, and Myanmar1067 (60)18–8512Cerebrolysin for 10 days, 30 mL/d, IV, in addition to aspirin (100 mg/d)Placebo for 10 days in addition to aspirin (100 mg/d)mRS, BI, NIHSSAE, SAE, lab tests, vital signs909
Lang, 2013, Austria, Croatia, Czech Republic, Slovenia, and UK119 (64.7)18–803Cerebrolysin for 10 days, 30 mL/d, IVPlacebo for 10 daysmRS, NIHSS, BI, GOSAE, SAE, lab tests, vital signs5, 10, 30, 90Active: 12.3
Control: 11
Amiri-Nikpour, 2014, Iran46 (51.2)18–8512–30Cerebrolysin for 10 days, 30 mL/d, IV, adjunct to 100 mg of aspirin dailyPlacebo for 10 days adjunct to 100 mg of aspirin dailyNIHSS, mean flow velocity (cm/s) of cerebral arteries, PINA30, 60, 9014
Muresanu, 2016, Romania, Ukraine, and Poland205 (63.9)18–8024–72Cerebrolysin for 21 days, 30 mL/d, IVPlacebo for 21 daysARAT, NIHSS, BI, mRSAE, SAE, lab tests, vital signs42, 90Active: 9.1
Control: 9.2
Xue, 2016, China40 (47.5)52–8712Cerebrolysin for 10 days, 30 mL/d, IVPlacebo for 10 daysNIHSS, BIAdverse events, lab tests, vital signs11 and 21 days after the initiation of therapyActive: 10.6
Control: 10.2

AE, adverse event; ARAT, Action Research Arm Test; BI, Barthel Index; CGI, Clinical Global Impressions; CNS, Canadian Neurological Scale; GCS, Glasgow Coma Scale; GOS, Glasgow Outcome Scale; HAMD, Hamilton Rating Scale for Depression; IQR, interquartile range; MMSE, Mini-Mental State Examination; mRS, modified Rankin Scale; NA, not available; NIHSS, National Institutes of Health Stroke Scale; PI, pulsatility index; SAE, serious adverse event; SD, standard deviation; SST, syndrome short test; UNSS, Unified Neurological Stroke Scale.