The published work comes largely from one research program in Saint Petersburg. It includes cell studies of oxidative stress and neuronal spines, a mouse Alzheimer's model treated from 2 to 4 months of age, a study of fibroblast-derived induced neurons from elderly donors, and a 2015 Russian-language clinical report on 32 patients without a placebo group. Independent replication is limited. The 2020 mechanism paper is a review by the developers rather than new data.
Whether any laboratory effect occurs in people is unknown, since the human evidence is essentially absent. The claim that a tripeptide crosses into the nucleus and regulates genes rests on modeling rather than direct demonstration. The only human study hints at possible suppression of blood cell production, which no follow-up has examined. Until an independent controlled trial is run, marketing it for brain protection makes claims the evidence does not support.