Randomized Controlled Trial

PMID: 29798983

Gusev et al./PubMed/2019

Why It Matters

This Russian study caught my attention because it tests a nootropic peptide (semax) that some biohackers use for cognitive enhancement—but in actual stroke patients. The results suggest it might support neuroplasticity through BDNF, though this is a small study from one country with limited details on methodology. Not something to DIY, but interesting evidence that peptides affecting brain-derived neurotrophic factor could have real functional outcomes.

Key Findings

  • Semax treatment was associated with increased plasma BDNF levels in stroke patients across different recovery stages
  • Patients receiving semax showed improvements in motor performance compared to standard rehabilitation alone
  • Barthel index scores (measuring independence in daily activities) improved more in semax-treated groups
  • Effects varied by stroke stage, with timing of treatment potentially influencing outcomes
  • The study was relatively small and conducted in Russia where semax is an approved pharmaceutical (not available in US/EU)
Read the PaperPMID: 29798983
PMID: 29798983 | William Kasel