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. 2023 Oct 11;2023(10):CD007026. doi: 10.1002/14651858.CD007026.pub7

Comparison 1. Cerebrolysin or Cortexin versus placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 All‐cause death 6 1689 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.65, 1.41]
1.1.1 Cerebrolysin dose: 30 mL for 10 days 3 1235 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.56, 1.39]
1.1.2 Cerebrolysin dose: 50 mL for 21 days 1 146 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.29, 2.58]
1.1.3 Cerebrolysin dose: 10 mL and 50 mL for 10 days 1 36 Risk Ratio (M‐H, Fixed, 95% CI) 1.17 [0.37, 3.73]
1.1.4 Cortexin dose: 20 mg for 10 days, 10 days rest, then 20 mg for 10 days 1 168 Risk Ratio (M‐H, Fixed, 95% CI) 2.17 [0.12, 39.28]
1.1.5 Cortexin dose: 20 mg for 10 days, 10 days rest, then placebo for 10 days 1 104 Risk Ratio (M‐H, Fixed, 95% CI) 3.16 [0.17, 59.53]
1.2 Non‐death attrition 6 1689 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.38, 1.39]
1.2.1 Cerebrolysin dose: 30 mL for 10 days 3 1235 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.50, 1.52]
1.2.2 Cerebrolysin dose: 50 mL for 21 days 1 146 Risk Ratio (M‐H, Random, 95% CI) 0.26 [0.08, 0.91]
1.2.3 Cerebrolysin dose: 10 mL and 50 mL for 10 days 1 36 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.2.4 Cortexin dose: 20 mg for 10 days, 10 days rest, then 20 mg for 10 days 1 168 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.2.5 Cortexin dose: 20 mg for 10 days, 10 days rest, then placebo for 10 days 1 104 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.3 Total number of people with SAEs 3 1335 Risk Ratio (M‐H, Fixed, 95% CI) 1.16 [0.81, 1.66]
1.3.1 Cerebrolysin dose: 30 mL for 10 days 2 1189 Risk Ratio (M‐H, Fixed, 95% CI) 1.23 [0.83, 1.81]
1.3.2 Cerebrolysin dose: 50 mL for 21 days 1 146 Risk Ratio (M‐H, Fixed, 95% CI) 0.75 [0.26, 2.12]
1.4 Total number of people with fatal SAEs 3 1335 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.59, 1.38]
1.4.1 Cerebrolysin dose: 30 mL for 10 days 2 1189 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.57, 1.44]
1.4.2 Cerebrolysin dose: 50 mL for 21 days 1 146 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.29, 2.58]
1.5 Total number of people with non‐fatal SAEs 3 1335 Risk Ratio (M‐H, Fixed, 95% CI) 2.39 [1.10, 5.23]
1.5.1 Cerebrolysin dose: 30 mL for 10 days 2 1189 Risk Ratio (M‐H, Fixed, 95% CI) 2.87 [1.24, 6.69]
1.5.2 Cerebrolysin dose: 50 mL for 21 days 1 146 Risk Ratio (M‐H, Fixed, 95% CI) 0.29 [0.01, 7.03]
1.6 Total number of people with adverse events 4 1607 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.92, 1.14]
1.6.1 Cerebrolysin dose: 30 mL for 10 days 2 1189 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.90, 1.11]
1.6.2 Cerebrolysin dose 50 mL for 21 days 1 146 Risk Ratio (M‐H, Fixed, 95% CI) 1.62 [0.69, 3.82]
1.6.3 Cortexin dose: 20 mg for 10 days, 10 days rest, then 20 mg for 10 days 1 168 Risk Ratio (M‐H, Fixed, 95% CI) 1.57 [0.50, 4.96]
1.6.4 Cortexin dose: 20 mg for 10 days, 10 days rest, then placebo for 10 days 1 104 Risk Ratio (M‐H, Fixed, 95% CI) 1.22 [0.42, 3.55]