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Cognitive Wellness

Davunetide (NAP)

A valuable case study in how a plausible neuroprotective mechanism can fail in a large human trial.

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At a glance

Evidence stage
Early human
Regulatory status
Investigational; not an FDA-approved treatment for neurodegenerative disease.
Research context
Davunetide is an eight-amino-acid peptide studied for microtubule and tau-related mechanisms. A large phase 2/3 PSP trial was negative, making it an important evidence-literacy example.

What this is

  • An investigational neuropeptide also called NAP
  • A compound with a substantial negative clinical trial result

What this isn't

  • A proven cognitive enhancer
  • Evidence that a mechanistic rationale predicts clinical benefit

Key terms

Educational information only — not medical advice. This page does not diagnose a condition, recommend treatment, or replace care from a qualified clinician. The evidence stage and regulatory status below apply to the named molecule and indication, not to every product sold under a similar name.

Davunetide was developed around microtubule-stability and tau-related hypotheses. The compound reached a randomized phase 2/3 trial in progressive supranuclear palsy, where it did not improve the prespecified clinical outcomes compared with placebo.

Evidence limits

How to read the evidence

Educational information only — not medical advice. This page does not diagnose a condition, recommend treatment, or replace care from a qualified clinician. The evidence stage and regulatory status below apply to the named molecule and indication, not to every product sold under a similar name.

Use davunetide to teach readers how to read trial registration, primary endpoints, intention-to-treat analysis, adverse events, and negative results. “Failed trial” is not the same as “no science,” but it is a strong boundary against marketing certainty.

External sources and citations

  1. Davunetide in progressive supranuclear palsy: randomized phase 2/3 trial. The Lancet Neurology, 2014
  2. ClinicalTrials.gov NCT01110720: davunetide in progressive supranuclear palsy. 2014

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