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NIM811 is a non-immunosuppressive cyclosporine analog and a potent dual inhibitor of mitochondrial permeability transition and cyclophilin. Unlike cyclosporine A, the binary complex of NIM811 with cyclophilin cannot bind to calcineurin and therefore does not exhibit immunosuppressive activity[2][7]. It has demonstrated in vitro antiviral activity against hepatitis C virus (HCV), with clinical studies exploring its use for chronic hepatitis C infection[3][5]. Additionally, it is being investigated as a potential treatment for genetic muscular diseases such as Ullrich congenital muscular dystrophy (UCMD) and Bethlem myopathy (BM)[2][7].
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