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Alisporivir is a non-immunosuppressive, second-generation cyclophilin inhibitor structurally related to cyclosporin A. It acts by inhibiting the host protein cyclophilin A, thereby blocking its peptidyl-prolyl isomerase activity, which is essential for the replication of certain viruses such as hepatitis C virus (HCV). Unlike cyclosporin A, alisporivir does not suppress the immune system. The drug has demonstrated broad-spectrum antiviral activity and has been evaluated in clinical trials for hepatitis C and chronic hepatitis C. Additional research has explored its potential use in Duchenne muscular dystrophy, Alzheimer's disease, other viral infections (such as tick-borne encephalitis), and myocardial infarction. Alisporivir is being developed by Debiopharm (Japan) and Novartis (rest of world)[1][3][4][5][8].
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