Abnormal generation of neurotoxic amyloid-b peptide (Ab) 42/43 species due to mutations in the catalytic presenilin 1 (PS1) subunit of c-secretase is the major cause of familial Alzheimer's disease (FAD). Deeper mechanistic insight on the generation of Ab43 is still lacking, and it is unclear whether c-secretase modulators (GSMs) can reduce the levels of this Ab species. By comparing several types of Ab43-generating FAD mutants, we observe that very high levels of Ab43 are often produced when presenilin function is severely impaired. Altered interactions of C99, the precursor of Ab, are found for all mutants and are independent of their particular effect on Ab production. Furthermore, unlike previously described GSMs, the novel compound RO7019009 can effectively lower Ab43 production of all mutants. Finally, substrate-binding competition experiments suggest that RO7019009 acts mechanistically after initial C99 binding. We conclude that altered C99 interactions are a common feature of diverse types of PS1 FAD mutants and that also patients with Ab43-generating FAD mutations could in principle be treated by GSMs.