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A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease
by
Siemers, Eric
, Kieburtz, Karl
, Sun, Xiaoying
, Sethuraman, Gopalan
, Thomas, Ronald G
, Aisen, Paul S
, He, Feng
, Doody, Rachelle S
, Raman, Rema
, Iwatsubo, Takeshi
, Joffe, Steven
, Mohs, Richard
, Farlow, Martin
, Vellas, Bruno
in
Activities of Daily Living
/ Adult and adolescent clinical studies
/ Aged
/ Alanine - adverse effects
/ Alanine - analogs & derivatives
/ Alanine - therapeutic use
/ Alzheimer Disease - drug therapy
/ Alzheimer's disease
/ Amyloid beta-Peptides - blood
/ Amyloid precursor protein
/ Amyloid Precursor Protein Secretases - antagonists & inhibitors
/ Azepines - adverse effects
/ Azepines - therapeutic use
/ Biological and medical sciences
/ Biomarkers - blood
/ Cell adhesion & migration
/ Cholesterol
/ Cognition - drug effects
/ Cognitive ability
/ Cortex
/ Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
/ Double-Blind Method
/ Female
/ General aspects
/ Humans
/ Immunoglobulins
/ Leukocytes (eosinophilic)
/ Lymphocytes T
/ Male
/ Medical sciences
/ Middle Aged
/ Monocytes
/ Neurodegenerative diseases
/ Neurology
/ Organic mental disorders. Neuropsychology
/ Patients
/ Plaques
/ Plasma
/ Psychology. Psychoanalysis. Psychiatry
/ Psychopathology. Psychiatry
/ Secretase
/ Skin cancer
/ Skin Neoplasms - chemically induced
/ Therapeutic applications
/ Treatment Failure
/ Uric acid
/ Urine
/ Weight Loss - drug effects
2013
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A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease
by
Siemers, Eric
, Kieburtz, Karl
, Sun, Xiaoying
, Sethuraman, Gopalan
, Thomas, Ronald G
, Aisen, Paul S
, He, Feng
, Doody, Rachelle S
, Raman, Rema
, Iwatsubo, Takeshi
, Joffe, Steven
, Mohs, Richard
, Farlow, Martin
, Vellas, Bruno
in
Activities of Daily Living
/ Adult and adolescent clinical studies
/ Aged
/ Alanine - adverse effects
/ Alanine - analogs & derivatives
/ Alanine - therapeutic use
/ Alzheimer Disease - drug therapy
/ Alzheimer's disease
/ Amyloid beta-Peptides - blood
/ Amyloid precursor protein
/ Amyloid Precursor Protein Secretases - antagonists & inhibitors
/ Azepines - adverse effects
/ Azepines - therapeutic use
/ Biological and medical sciences
/ Biomarkers - blood
/ Cell adhesion & migration
/ Cholesterol
/ Cognition - drug effects
/ Cognitive ability
/ Cortex
/ Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
/ Double-Blind Method
/ Female
/ General aspects
/ Humans
/ Immunoglobulins
/ Leukocytes (eosinophilic)
/ Lymphocytes T
/ Male
/ Medical sciences
/ Middle Aged
/ Monocytes
/ Neurodegenerative diseases
/ Neurology
/ Organic mental disorders. Neuropsychology
/ Patients
/ Plaques
/ Plasma
/ Psychology. Psychoanalysis. Psychiatry
/ Psychopathology. Psychiatry
/ Secretase
/ Skin cancer
/ Skin Neoplasms - chemically induced
/ Therapeutic applications
/ Treatment Failure
/ Uric acid
/ Urine
/ Weight Loss - drug effects
2013
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A Phase 3 Trial of Semagacestat for Treatment of Alzheimer's Disease
by
Siemers, Eric
, Kieburtz, Karl
, Sun, Xiaoying
, Sethuraman, Gopalan
, Thomas, Ronald G
, Aisen, Paul S
, He, Feng
, Doody, Rachelle S
, Raman, Rema
, Iwatsubo, Takeshi
, Joffe, Steven
, Mohs, Richard
, Farlow, Martin
, Vellas, Bruno
in
Activities of Daily Living
/ Adult and adolescent clinical studies
/ Aged
/ Alanine - adverse effects
/ Alanine - analogs & derivatives
/ Alanine - therapeutic use
/ Alzheimer Disease - drug therapy
/ Alzheimer's disease
/ Amyloid beta-Peptides - blood
/ Amyloid precursor protein
/ Amyloid Precursor Protein Secretases - antagonists & inhibitors
/ Azepines - adverse effects
/ Azepines - therapeutic use
/ Biological and medical sciences
/ Biomarkers - blood
/ Cell adhesion & migration
/ Cholesterol
/ Cognition - drug effects
/ Cognitive ability
/ Cortex
/ Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
/ Double-Blind Method
/ Female
/ General aspects
/ Humans
/ Immunoglobulins
/ Leukocytes (eosinophilic)
/ Lymphocytes T
/ Male
/ Medical sciences
/ Middle Aged
/ Monocytes
/ Neurodegenerative diseases
/ Neurology
/ Organic mental disorders. Neuropsychology
/ Patients
/ Plaques
/ Plasma
/ Psychology. Psychoanalysis. Psychiatry
/ Psychopathology. Psychiatry
/ Secretase
/ Skin cancer
/ Skin Neoplasms - chemically induced
/ Therapeutic applications
/ Treatment Failure
/ Uric acid
/ Urine
/ Weight Loss - drug effects
2013
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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 . . .
Publisher
Massachusetts Medical Society
Subject
/ Adult and adolescent clinical studies
/ Aged
/ Alanine - analogs & derivatives
/ Alzheimer Disease - drug therapy
/ Amyloid beta-Peptides - blood
/ Amyloid Precursor Protein Secretases - antagonists & inhibitors
/ Biological and medical sciences
/ Cortex
/ Female
/ Humans
/ Male
/ Organic mental disorders. Neuropsychology
/ Patients
/ Plaques
/ Plasma
/ Psychology. Psychoanalysis. Psychiatry
/ Skin Neoplasms - chemically induced
/ Urine
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