Table 1.
First Author and Year | Sample 3 | Cerebrolysin Regimen |
Comparator | Initiation Window |
Endpoint | Countries | Baseline NIHSS |
|
---|---|---|---|---|---|---|---|---|
Ladurner, 2005 [21] | n = 146 | 50 mL/day for 121 days | Placebo (0.9% saline) | Within 24 h | CNS at day 21 | Austria, Czech Republic, Hungary |
CNS 1 6.9 1 6.7 1 NIHSS 9.2 5 9.6 5 |
|
Skvortsova, 2004 [22] | n = 60 | 10 or 50 mL/day for 10 days | Placebo (0.9% saline) | Within 12 h | MRI infarct volume at day 30 | Russia, Romania |
13.1 1,4 12.6 1 |
|
+100 mg ASA/day for 10 days | ||||||||
+250 mg ASA/day for 90 days +pentoxifylline (days 1–21: 300 mg, days 22–90: 800 mg/day) | ||||||||
Shamalov, 2010 [23] | n = 47 | 50 mL/day for 10 days | Placebo (0.9% saline) | Within 12 h | MRI infarct volume at day 30 | Russia | 7.7 1 8.6 1 |
|
+100 mg ASA/day for 10 days | ||||||||
Gharagozli, 2017 [17] | n = 100 | Day 1–7: 30 mL/day Week 2–4: 10 mL/day, 5 days/week |
Placebo (0.9% saline) | Within 18 h | NIHSS at day 30 | Iran | 9.1 1 11.1 1 |
|
+ basic therapy | ||||||||
Heiss, 2012 [18] | n = 1070 | Cerebrolysin 30 mL/day for 10 days | Placebo (0.9% saline) | Within 12 h | Composite of NIHSS, mRS, BI at day 90 | China, Hong Kong, South Korea, Myanmar |
9 2 9 2 |
|
+100 mg ASA/day for 90 days | ||||||||
Lang, 2013 [19] | n = 119 | Cerebrolysin 30 mL/day for 10 days | Placebo (0.9% saline) | Immediately after rt-PA infusion | mRS at day 90 | Austria, Croatia, Czech Republic, Slovakia, Slovenia |
12.3 1 11.0 1 |
|
+rt-PA over 60 min | Within 3 h | |||||||
Amiri-Nikpour, 2014 [24] | n = 46 | Cerebrolysin 30 mL/day for 10 days | Placebo | Within 6–24 h | NIHSS at day 30, 60, 90 | Iran | 14 2 14 2 |
|
+100 mg ASA | ||||||||
Muresanu, 2016 [9] | n = 208 | Cerebrolysin 30 mL/day for 21 days | Placebo | Within 24–72 h | ARAT at day 90 | Romania, Ukraine, Poland | 9.1 1 9.2 1 |
|
+ basic therapy | ||||||||
Guekht, 2015 [20] | n = 240 | Cerebrolysin 30 mL/day for 21 days | Placebo | Within 24–72 h | ARAT at day 90 | Russia | 7.5 1 6.8 1 |
|
Chang, 2016 [25] | n = 70 | 30 mL/day for 21 days | Placebo (0.9% saline) | Within 7 days | FMA-T at day 29 | Korea | 8.4 1 7.0 1 |
|
Xue, 2016 [26] | n = 84 | Cerebrolysin 30 mL/day for 10 days | Placebo | Within 12 h | NIHSS and BI Day 30 | China | 13.3 1 12.7 1 |
|
NBP | ||||||||
+basic therapy | ||||||||
Stan, 2017 [10] | n = 84 | Cerebrolysin 30 mL/day for 10 days | Placebo | Within 48 h | NIHSS at Day 30 | Romania | 8.9 1 7.8 1 |
1 Means (Cerebrolysin vs. placebo), 2 medians (Cerebrolysin vs. placebo), 3 all randomized groups, 4 50 mL group 5 No NIHSS available, NIHSS derived from CNS using validated a conversion model [27].