Tissue fibrosis underlies the majority of human mortality to date with close to half of all reported deaths having a fibrotic etiology. The progression of fibrosis is very complex and reputed irreversible once established. Although some preventive options are being reported, therapeutic options are still scarce and in very high demand, given the rise of diseases linked to fibroproliferative disorders. Our work explored four platforms, complementarily, in order to screen preventive and therapeutic potentials of the antiparasitic drug Praziquantel as a possible antifibrotic. We applied the mouse CCl 4driven liver fibrosis model, the mouse chronic schistosomiasis liver fibrosis model, as well as novel 2D and 3D human cell-based co-culture of human hepatocytes, KCs (Kupffer cells), LECs (Liver Endothelial Cells), HSCs (Hepatic Stellate Cells) and/or myofibroblasts to mimic in vivo fibrotic responses and dynamics. Praziquantel showed some effect on fibrosis marker when preventively administered before severe establishment of fibrosis. However, it failed to potently reverse already established fibrosis. Together, we provided a novel sophisticated multi-assay screening platform to test preventive and therapeutic antifibrotic candidates. We further demonstrated a direct preventive potential of Praziquantel against the onset of fibrosis and the confirmation of its lack of therapeutic potential in reversing already established fibrosis. Discovered close to 50 years ago, Praziquantel (PZQ), a tetracyclic tetrahydroisoquinoline derivative administered as a racemate is the main drug therapy for combating flatworm parasites including tapeworms and schistosomes 1,2. In vitro and in vivo, the antischistosomal activity of PZQ enantiomers resides primarily in the (R)-enantiomer 3,4. The drug induces rapid paralysis of adult flatworm musculature and tegumental damage that facilitate the immunological removal of the worm from the host 5,6. As a result, the morbid manifestations of tissue-dwelling flatworm larvae were reported to be considerably, and even at times fully, controlled by PZQ treatment 7-25. One crippling and life-threatening sequelae resulting from Schistosoma eggs trapped in tissue is fibrosis 26,27. Fibrosis manifests as the uncontrolled formation of extracellular matrix in injured organ that progressively replaces the tissue parenchyma and drives pathology. Reduction of tissue fibrosis following PZQ treatment of flatworm-driven infections and injuries has been reported to be a direct consequence of the antiparasitic effect of the drug 28. The still poorly defined mode of action of the drug 5,6,29-32 has made definitive claims on its scope of action difficult. In fact, a recent report claiming PZQ-associated reduction of pathological