The document discusses the design and synthesis of macrocyclic compounds as beta-secretase (BACE-1) inhibitors for the treatment of Alzheimer's disease. It describes how macrocycles were developed starting from a high-throughput screening hit with improved potency. A novel reductive amination approach was explored as an efficient synthetic method for macrocyclization, yielding potent inhibitors with low nanomolar binding affinity and the ability to lower beta-amyloid levels in mouse models.