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Cyclic

Cyclosporin A

Cyclosporin A is a cyclic non-ribosomal peptide immunosuppressant used in transplant medicine — a landmark natural product peptide drug.

By The Peptides Codex Editorial TeamIndividual review date not recorded

Page data last changed: . Chemistry registry snapshot: . Registry refreshes and identity assessments are separate from scientific content review.

Length
11 aa
Class
Cyclic
Function
Immunosuppression
Context
Transplant medicine (approved)

Cyclic non-ribosomal peptide — cornerstone of transplant medicine.

Part of the Foundational & therapeutic peptides cluster

Overview

Cyclosporin A is a cyclic non-ribosomal peptide immunosuppressant used in transplant medicine — a landmark natural product peptide drug.

Source & context

Biological / chemical source: Fungus (Tolypocladium)

Primary research or clinical context: Transplant medicine (approved)

Non-ribosomal synthesis

Unlike ribosomal peptides, cyclosporin is assembled by non-ribosomal peptide synthetases and includes non-proteinogenic residues — expanding what 'peptide drug' can mean.

Sequence

One-letter sequence commonly cited for Cyclosporin A (educational; isoforms and modifications may differ):

XXXLVLAALLV

XXXLVLAALLV

X = non-canonical or modified residue in the IUPHAR record. X marks a non-canonical residue — see the structure block below. (Plotted as alanine on the wheel.)

Cyclosporin A11 aa · C62H111N11O12 · ≈ 1,202.6 DaPEPTIDESCODEX.COMN-terminus →→ C-terminusX1X2X3L4V5L6A7A8L9L10V11nonpolarpolaracidicbasicGly / Pronon-canonical (X)Hydropathy (Kyte–Doolittle): ▮ hydrophobic (cyan) / ▮ hydrophilic (rose) · Side-chain charge at pH 7: + / −X = non-canonical or modified residue in the IUPHAR record
Cyclosporin A — Structure cardDownload SVG
A1A2A3L4V5L6A7A8L9L10V11
Helical wheel projection

Residues plotted ~100° apart around an α-helix — clustering of one color reveals an amphipathic face.

Analyze sequences in the playground →

Structure & chemistry

Molecular identity & reference confidence

Source-supported reference

Reference values are taken from the cited molecular record or curated profile. A database match is not independent laboratory verification; modifications, counter-ions, and formulations can change the measured mass.

Molecular form
Cyclosporin A (source record; form not independently established)
Species
Not established by this molecular identity audit
Termini (N / C)
Not specified / Not specified

Average reference mass

Reference policy updated: 2026-10-05

Molecular formula
C62H111N11O12
Average reference mass
≈ 1,202.6
Status
Approved medicine in at least one jurisdiction (IUPHAR record)
Identifiers

Chemistry values: IUPHAR/BPS Guide to Pharmacology, PubChem · fetched 2026-10-01.

Clinical development snapshot

ClinicalTrials.gov lists 1,071 registered studies with “Cyclosporin A” as an intervention (snapshot 2026-10-01). A registry footprint is not evidence of efficacy or approval.

Registered studies
1,071
Highest phase reached
Phase 4
Active in latest 100
65
Most recent update
2026-09-29
Most recently updated studies
NCTTitlePhaseStatusUpdated
NCT07290803This Study is a Non-interventional Disease Registry of Adolescent and Adult Patients With Atopic Dermatitis Wh—recruiting2026-09-29
NCT03644667Tocilizumab in Cardiac TransplantationPhase 2completed2026-09-29
NCT06809608A Study Investigating the Effect of Different Approved Medications on How the Body Processes the Study CompounPhase 1completed2026-09-28
NCT07843381Clinical Efficacy of Telitacicept in Sjögren's Disease With Interstitial Lung Disease—recruiting2026-09-28
NCT05600426A Trial Comparing Unrelated Donor BMT With IST for Pediatric and Young Adult Patients With Severe Aplastic AnePhase 3active not recruiting2026-09-25
NCT04018937Early Human Leukocyte Antigen (HLA) Matched Sibling Hematopoietic Stem Cell TransplantationPhase 2active not recruiting2026-09-24
See all on ClinicalTrials.gov →
Concentration math

Cyclosporin A — reconstitution calculator

Enter how much peptide is in the vial and how much diluent (e.g. bacteriostatic water) is added. The tool returns the resulting solution concentration — and, for any amount you type, the volume it corresponds to. This is educational arithmetic, not a dosing recommendation.

Reference form: Cyclosporin A (source record; form not independently established)Average reference mass: 1,202.6 Da

Syringe graduation
Solution concentration
5 mg/mL5,000 mcg/mL
mcg

Enter an amount to see the volume it corresponds to.

Educational concentration mathematics only. This tool does not recommend a dose, amount, or protocol, and nothing here is medical advice. Many peptides are not authorized by Health Canada for human use — see our reconstitution and bacteriostatic-water guides for context.

Open the Cyclosporin A calculator on its own page →

Change log

Dated observations from the data pipeline (registry flags, trial footprints, identifiers) and editorial reviews of this profile.

  1. Trials3 registered studies added on ClinicalTrials.gov (now 1071).

FAQ about Cyclosporin A

What is Cyclosporin A?+

Cyclosporin A is a cyclic non-ribosomal peptide immunosuppressant used in transplant medicine — a landmark natural product peptide drug.

What Canadian product status is recorded for Cyclosporin A?+

Canadian product status for Cyclosporin A has not been verified in this profile. No verified record here does not mean no authorization exists. Status depends on the product, formulation and use; consult Health Canada's product records.

What is the typical length of Cyclosporin A?+

Cyclosporin A is commonly described as approximately 11 amino acids (Cyclic).

Related peptides

References & further reading

  1. 1.Morris (1981). Cyclosporin A. Transplantation
  2. 2.Nussenblatt (1987). Cyclosporin A. Ann Inst Pasteur Immunol
  3. 3.Green (1979). Cyclosporin A. Lancet
  4. 4.Noda et al. (2019). Cyclosporin A: Teaching an Old Drug New Tricks?. Transplantation
  5. 5.Dieperink (1989). Cyclosporin A nephrotoxicity. Dan Med Bull
  6. 6.Lloveras Macià (1984). [Cyclosporin A]. Med Clin (Barc)
  7. 7.Thiele (1984). [Cyclosporin A]. Immun Infekt
  8. 8.Ross et al. (2008). Topical cyclosporin: a treatment for corneal graft rejection. Clin Exp Ophthalmol
  9. 9.PubChem — compound summary for Cyclosporin A (CID 5284373)
  10. 10.Wikipedia — Ciclosporin
Disclaimer: Educational content only. Not medical advice. Not instructions for human use. Research peptides and unapproved products may be restricted or illegal to market for human consumption in your jurisdiction. Consult qualified professionals and applicable law.
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