“…Arguably, macrocycles belong to one of the hottest “new” modalities of the last five years. − Although initially there was much skepticism surrounding the use of macrocycles in drug discovery, mostly because of the increased molecular weight and polarity, they were soon found to be highly promising emerging entities. , The dynamic changes in their conformation combined with their high surface area in certain protein–protein interactions, which takes advantage of entropic factors, make macrocycles an attractive solution to many targets previously undruggable with typical small molecules (MW ≤ 500 Da). ,,, Consequently, since 2014, more than 19 macrocycles have been approved by FDA for the treatment of various diseases and conditions: cancer, , hepatorenal syndrome, obesity, bacterial and viral infections, , radiopharmaceuticals, immuno-inflammatory diseases, and sexual disorders (Figure ). Moreover, they have been employed as spike/ACE2 inhibitors for COVID-19 .…”