Evidence map›Paper›PMID 23791707›Full record

ReviewBiochimica et biophysica acta2013

γ-Secretase inhibitors and modulators.

Todd E Golde, Edward H Koo, Kevin M Felsenstein, Barbara A Osborne, Lucio Miele

Registry-linked trialAbstract readReview
In one paragraph

Review in Biochimica et biophysica acta, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06639282 (SIPO1-AD), which is not on this map. Cited by 141 papers.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06639282 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

SIPO1-AD: A Phase II Clinical Trial for the Assessment of Safety, Tolerability, and Efficacy of Siponimod in Patients With Mild Alzheimer's Disease

TypeinterventionalSponsorSt. Joseph's Hospital and Medical Center, PhoenixRan2025 to 2029Enrolled105ConditionsAlzheimer Disease, Mild Alzheimer Disease, MCI With Increased Risk for Alzheimer Disease, Cognitive Impairment, MildArmsSiponimod, Placebo
3 · Its place in the literature

Who cites it

141 citing papers in PubMed.

  1. Nirogacestat, a γ-Secretase Inhibitor for Desmoid Tumors.The New England journal of medicine · 2023
    Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Structural insights into human signal peptide peptidase.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Article
  10. Beyond linear: How circRNAs twist and turn Notch signaling.Journal of cell communication and signaling · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Hepatocellular carcinoma: signaling pathways and therapeutic advances.Signal transduction and targeted therapy · 2025
    Review
  15. Review
  16. Notch Inhibitors and BH3 Mimetics in T-Cell Acute Lymphoblastic Leukemia.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. Review

81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Todd E GoldeCenter for Translational Research in Neurodegenerative Disease, Department of Neuroscience, McKnight Brain Institute, College of Medicine, University of Florida, Gainesville, FL 32610, USA. Electronic address: tgolde@ufl.edu.
Edward H Koo
Kevin M Felsenstein
Barbara A Osborne
Lucio Miele

Funding

TARGET IDENTIFICATION AND MECHANISMS OF ACTIONS OF y-SECRETASE MODULATORSP01AG020206 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GOLDE, TODD E · 2002 to 2013
$13.2M
Targeting Multiple Diseases Through Gamma SecretaseP01AG025531 · NIA · UNIVERSITY OF MASSACHUSETTS AMHERST · PI OSBORNE, BARBARA A · 2006 to 2011
$5.0M
NIA NIH HHS P01 AG020206NIA NIH HHS P01 AG025531NIA NIH HHS P01 AG20206
6 · The paper itself

Abstract

γ-Secretase is a fascinating, multi-subunit, intramembrane cleaving protease that is now being considered as a therapeutic target for a number of diseases. Potent, orally bioavailable γ-secretase inhibitors (GSIs) have been developed and tested in humans with Alzheimer's disease (AD) and cancer. Preclinical studies also suggest the therapeutic potential for GSIs in other disease conditions. However, due to inherent mechanism based-toxicity of non-selective inhibition of γ-secretase, clinical development of GSIs will require empirical testing with careful evaluation of benefit versus risk. In addition to GSIs, compounds referred to as γ-secretase modulators (GSMs) remain in development as AD therapeutics. GSMs do not inhibit γ-secretase, but modulate γ-secretase processivity and thereby shift the profile of the secreted amyloid β peptides (Aβ) peptides produced. Although GSMs are thought to have an inherently safe mechanism of action, their effects on substrates other than the amyloid β protein precursor (APP) have not been extensively investigated. Herein, we will review the current state of development of GSIs and GSMs and explore pertinent biological and pharmacological questions pertaining to the use of these agents for select indications. This article is part of a Special Issue entitled: Intramembrane Proteases.

Indexed as

Alzheimer DiseaseAmyloid beta-Protein PrecursorAmyloid Precursor Protein SecretasesBinding SitesClinical Trials as TopicDrug DesignHumansNeoplasmsProtease InhibitorsProtein BindingProtein SubunitsProteolysisSignal TransductionStructure-Activity RelationshipSubstrate SpecificityAmyloid beta-Protein PrecursorAmyloid Precursor Protein SecretasesProtease InhibitorsProtein SubunitsAlzheimer's diseaseCancerγ-Secretase inhibitorγ-Secretase modulator

Identifiers

PMID23791707
PMCPMC3857966

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.