2012
DOI: 10.1021/cn200124u
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ACS Chemical Neuroscience Molecule Spotlight on Begacestat (GSI-953)

Abstract: A "second generation" γ-secretase, Begacestat (GSI-953), which is more selective against Notch-signaling, has shown promise in recent Phase I clinical trials. Begacestat, a novel, 2,5-disubsitituted thiophene sulfonamide from Wyeth (now Pfizer) is under evaluation for the treatment of Alzheimer's disease.

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Cited by 32 publications
(14 citation statements)
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“…During the semagacestat treatment, side effects were shown to increase the risk of skin cancer. Begacestat (GSI-953) decreased Aβ levels in plasma, brain, and cerebrospinal fluid in Tg2576 mice, but it failed to reduce Aβ concentration in the AD patient brain [ 141 ]. It was discontinued in the phase 1 trial in 2010.…”
Section: What Is the Role Of Small Molecules In Inhibition Mechanism Of Aβ Aggregation?mentioning
confidence: 99%
“…During the semagacestat treatment, side effects were shown to increase the risk of skin cancer. Begacestat (GSI-953) decreased Aβ levels in plasma, brain, and cerebrospinal fluid in Tg2576 mice, but it failed to reduce Aβ concentration in the AD patient brain [ 141 ]. It was discontinued in the phase 1 trial in 2010.…”
Section: What Is the Role Of Small Molecules In Inhibition Mechanism Of Aβ Aggregation?mentioning
confidence: 99%
“…Furthermore, in Tg2576 transgenic mice studies, high doses of GSI-953 reduced Aβ41 levels in the brain ( 120 , 121 ). A clinical study was performed using GSI-953 for AD treatment ( 119 , 122 ), and the results demonstrated that GSI-953 does not exhibit a positive effect on the reduction of Aβ40 levels in the CSF of patients with AD ( 120 ).…”
Section: The Use Of Receptor-based Pharmaceutical Agents To Treat Admentioning
confidence: 99%
“…90 The compound has shown promise in recent Phase I clinical trials. 91 NIC5-15 is a natural compound acted as a Notch-sparing gsecretase inhibitor and an insulin sensitizer. The compound can improve cognitive function through multiple mechanisms including reduce Ab production by modulating g-secretase.…”
Section: Cholinergic Drugsmentioning
confidence: 99%