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A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease
A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease
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A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease
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A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease
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A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease
A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease
Journal Article

A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease

2013
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Overview
In this placebo-controlled trial, the γ-secretase inhibitor semagacestat did not improve cognitive status in patients with Alzheimer's disease and was associated with more adverse events than placebo, including skin cancers and infections. Alzheimer's disease begins decades before the appearance of clinical symptoms, with the deposition of aggregated amyloid-beta (Aβ) peptide plaques in the cortex and hippocampus. This protein is cleaved from the amyloid precursor protein (APP) by the sequential action of β- and γ-secretases, producing fragments that include Aβ1-40 and Aβ1-42. Since the accumulation of aggregated Aβ is associated with disease progression, both β-secretase and γ-secretase represent potential therapeutic targets. Multiple small molecules can inhibit γ-secretase in vitro, 1 – 4 but Notch and other transmembrane proteins are also substrates for γ-secretase, 1 – 4 and studies have raised concern that the inhibition of γ-secretase could . . .