OncoSignal
Live from Open Targets Platform, fetched 2026-11-12 04:50 UTC. Every row links to its source record.

APH1A aph-1A gamma-secretase subunit

ENSG00000117362 · protein coding · Open Targets profile

Non-catalytic subunit of the gamma-secretase complex, an endoprotease complex that catalyzes the intramembrane cleavage of integral membrane proteins such as Notch receptors and APP (amyloid- beta precursor protein) (PubMed:12297508, PubMed:12522139, PubMed:12679784, PubMed:12763021, PubMed:25043039, PubMed:26280335, PubMed:30598546, PubMed:30630874). Required for normal gamma-secretase assembly (PubMed:12471034, PubMed:12522139, PubMed:12763021, PubMed:19369254). The gamma-secretase complex plays a role in Notch and Wnt signaling cascades and regulation of downstream processes via its role in processing key regulatory proteins, and by regulating cytosolic CTNNB1 levels (Probable). {ECO:0000269|PubMed:12297508, ECO:0000269|PubMed:12471034, ECO:0000269|PubMed:12522139, ECO:0000269|PubMed:12679784, ECO:0000269|PubMed:12763021, ECO:0000269|PubMed:25043039, ECO:0000269|PubMed:26280335, ECO:0000269|PubMed:30598546, ECO:0000269|PubMed:30630874, ECO:0000305}.

2 of the 7 drugs recorded against APH1A are approved, and 2 more reached Phase 3

Each band is a group of drugs. It runs from the kind of drug on the left to the furthest stage that drug has reached in any disease on the right. Thicker bands mean more drugs.

2 small molecule drugs at Approved: NIROGACESTAT HYDROBROMIDE, NIROGACESTAT2 small molecule drugs at Phase 3: TARENFLURBIL, SEMAGACESTAT2 small molecule drugs at Phase 2: RG-4733, AVAGACESTAT1 small molecule drug at Phase 1: BEGACESTATSmall molecule 7Approved 2Phase 3 2Phase 2 2Phase 1 1

Approved bands are highlighted. Withdrawn means the drug was pulled from the market or from development. A combined phase counts as the later one (Phase 1/2 is shown as Phase 2). Hover a band for the drug names. Source: Open Targets Platform, fetched live.

APH1A: inherited and tumour-mutation evidence across 15 cancers

Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751desmoid tumordesmoid tumorfibromatosisfibromatosisbreast cancerbreast cancerplasma cell myelomaplasma cell myelomamelanomamelanomacolorectal cancercolorectal cancernon-small cell lung carcinomanon-small cell lung carcinomaglioblastomaglioblastomaprostate cancerprostate cancerKaposi's sarcomaKaposi's sarcomapancreatic neoplasmpancreatic neoplasmmalignant pancreatic neoplasmmalignant pancreatic neoplasmtriple-negative breast carcinomatriple-negative breast carcinomaovarian carcinomaovarian carcinomaovarian granulosa tumourovarian granulosa tumour

Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.

Tractability

Small molecule
Advanced Clinical, Structure with Ligand, High-Quality Ligand, Druggable Family
Antibody
GO CC high conf, UniProt SigP or TMHMM
PROTAC
Database Ubiquitination, Half-life Data, Small Molecule Binder

gnomAD loss of function constraint: o/e 0.5281400084495544 (upper bound 0.8021399974822998). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.

Who runs trials of these drugs

Principal investigators and study chairs on 22 registry trials, updated in the last three years, of the most advanced drugs against APH1A (nirogacestat hydrobromide, nirogacestat, tarenflurbil, semagacestat, RG-4733, avagacestat), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

8 of 22 trials of drugs against APH1A have sites only in United States

Registry trials of nirogacestat hydrobromide, nirogacestat, tarenflurbil, semagacestat, RG-4733, avagacestat updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 10 of 22 have all sites in one country.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 8 trials with sites only hereUnited States: 10 trials with sites here and elsewhere18EuropeEurope: 2 trials with sites only hereEurope: 9 trials with sites here and elsewhere11JapanJapan: 1 trials with sites only hereJapan: 1 trials with sites here and elsewhere2OtherOther: 0 trials with sites only hereOther: 11 trials with sites here and elsewhere11

Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. Source: ClinicalTrials.gov, fetched live.

12 trials of drugs against APH1A were stopped early; 2 give no reason

Terminated, withdrawn and suspended interventional trials of nirogacestat hydrobromide, nirogacestat, tarenflurbil, semagacestat, RG-4733, avagacestat, begacestat, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 12 most recent of 12.

  • terminated · 2026-04-24 · Pfizer · Elranatamab + Nirogacestat
    “A business decision was made by Pfizer to terminate the study and not proceed with the Phase 2 expansion of this study. The reason for study termination is not due to any safety concerns or requests from regulatory authorities.”
  • terminated · 2024-11-19 · National Cancer Institute (NCI) · matched by the registry's drug synonyms
    “Other - Protocol moved to Administratively Complete”
  • terminated · 2023-09-21 · Precision BioSciences, Inc. · Nirogacestat
    “Study was terminated due to lack of sufficient therapeutic effect”
  • terminated · 2019-03-15 · Pfizer · matched by the registry's drug synonyms
    “The study was terminated on June 24th, 2015 due to change in strategy of PF-03084014 development. There were no safety/efficacy concerns behind the decision.”
  • terminated · 2019-01-10 · Pfizer · matched by the registry's drug synonyms
    “The study was terminated on 24JUN15 due to change in strategy of PF-03084014 development.No safety/efficacy concerns were behind the reason of trial termination”
  • terminated · 2019-01-08 · Pfizer · matched by the registry's drug synonyms
    “The study was terminated on June 24th, 2015 due to change in strategy of PF-03084014 development. There were no safety/efficacy concerns behind the decision.”
  • withdrawn · 2016-04-29 · Jules Bordet Institute · matched by the registry's drug synonyms
    “Due to the discontinuation of the development of the Notch inhibitor PF-03084014-04”
  • terminated · 2015-10-12 · Bristol-Myers Squibb · Avagacestat
    No reason given
  • withdrawn · 2015-10-07 · Pfizer · matched by the registry's drug synonyms
    No reason given
  • withdrawn · 2015-07-23 · AIDS Malignancy Consortium · matched by the registry's drug synonyms
    “Drug supply unavailable”
  • terminated · 2008-08-05 · Myrexis Inc. · matched by the registry's drug synonyms
    “Myriad has discontinued the development of Flurizan.”
  • terminated · 2008-08-05 · Myrexis Inc. · matched by the registry's drug synonyms
    “Myriad has discontinued the development of Flurizan.”
Paediatric incentives and obligations for APH1A's drugs

For nirogacestat hydrobromide, nirogacestat, tarenflurbil, semagacestat, RG-4733, avagacestat, begacestat: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.

  • EU paediatric investigation plan: yes · EMEA-002971-PIP01-21 (nirogacestat hydrobromide, Treatment of soft tissue sarcoma): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), 31 Jan 2022
    Rule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA EMEA-002971-PIP01-21, 2026-11-11
  • EU orphan designation: yes · EU/3/19/2214 positive 17 Oct 2019: Treatment of soft tissue sarcoma
    Rule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA EU/3/19/2214, 2026-11-11
  • Authorised in the EU: yes · Ogsiveo: authorised since 14 Aug 2025, orphan medicine
    Rule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA EPAR Ogsiveo, 2026-11-11
  • FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the link
    Rule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
  • FDA pediatric oncology approval: no · FDA's table lists no pediatric approval of nirogacestat hydrobromide, nirogacestat, tarenflurbil, semagacestat, rg-4733, avagacestat, begacestat
    Rule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-12
  • Registered studies open to children: yes · 2 interventional studies of nirogacestat hydrobromide, nirogacestat, tarenflurbil, semagacestat, rg-4733, avagacestat, begacestat include patients under 18; 1 is recruiting, not yet recruiting or active
    Rule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-12

Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs

All 7 drugs and clinical candidates as a table

Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.

DrugTypeHighest stageIndicationsSource records
NIROGACESTAT HYDROBROMIDESmall moleculeapprovalneoplasmOpen Targets · ChEMBL
NIROGACESTATSmall moleculephase 4desmoid tumor, neoplasm, fibromatosis, Alzheimer disease, pancreatic ductal adenocarcinoma, Kaposi's sarcoma, breast cancer, triple-negative breast carcinoma, +3 moreOpen Targets · ChEMBL
TARENFLURBILSmall moleculephase 3Alzheimer disease, prostate cancerOpen Targets · ChEMBL
SEMAGACESTATSmall moleculephase 3Parkinson disease, Alzheimer diseaseOpen Targets · ChEMBL
RG-4733Small moleculephase 2breast cancer, non-small cell lung carcinoma, colorectal cancer, melanoma, glioblastoma, renal cell carcinoma, fallopian tube cancer, primary peritoneal carcinoma, +17 moreOpen Targets · ChEMBL
AVAGACESTATSmall moleculephase 2Alzheimer disease, dementiaOpen Targets · ChEMBL
BEGACESTATSmall moleculephase 1Alzheimer diseaseOpen Targets · ChEMBL