BACE, a -secretase, is an attractive potential disease-modifying therapeutic strategy for Alzheimer's disease (AD) as it results directly in the decrease of amyloid precursor protein (APP) processing through the -secretase pathway and a lowering of CNS amyloid- (A) levels. The interaction of the -secretase and ␣-secretase pathway-mediated processing of APP in the rhesus monkey (nonhuman primate; NHP) CNS is not understood. We hypothesized that CNS inhibition of BACE would result in decreased newly generated A and soluble APP (sAPP), with increased newly generated sAPP␣.A stable isotope labeling kinetics experiment in NHPs was performed with a 13 C 6 -leucine infusion protocol to evaluate effects of BACE inhibition on CNS APP processing by measuring the kinetics of sAPP␣, sAPP, and A in CSF. Each NHP received a low, medium, or high dose of MBI-5 (BACE inhibitor) or vehicle in a four-way crossover design. CSF sAPP␣, sAPP, and A were measured by ELISA and newly incorporated label following immunoprecipitation and liquid chromatography-mass spectrometry. Concentrations, kinetics, and amount of newly generated APP fragments were calculated. sAPP and sAPP␣ kinetics were similar, but both significantly slower than A. BACE inhibition resulted in decreased labeled sAPP and A in CSF, without observable changes in labeled CSF sAPP␣. ELISA concentrations of sAPP and A both decreased and sAPP␣ increased. sAPP␣ increased by ELISA, with no difference by labeled sAPP␣ kinetics indicating increases in product may be due to APP shunting from the -secretase to the ␣-secretase pathway. These results provide a quantitative understanding of pharmacodynamic effects of BACE inhibition on NHP CNS, which can inform about target development.