5-Lipoxygenase (5-LO) is an important enzyme of the arachidonic acid cascade and catalyses with the help of FLAP, the 5-LO-activating protein, the formation of bioactive leukotrienes (LTs). LTs are inflammatory mediators playing a pathophysiological role in different diseases such as asthma, allergic rhinitis as well as cardiovascular diseases and certain types of cancer. Up to now, only one 5-LO inhibitor is on the market, zileuton for the treatment of asthma. With the rising number of indications for anti-LT therapy, 5-LO inhibitor drug development becomes more and more important. This MiniReview gives an update on 5-LO inhibitors currently under clinical development. Furthermore, the recent advances in the search for novel 5-lipoxygenase inhibitors with a focus on computational methods are summarized. Currently, licofelone is the compound with the highest clinical development status (completed phase III trials). 5-LO inhibitor screening programmes based on computational methods could deliver several promising drug-like new molecules. These activities can be expected to be driven by the newly resolved structure of human 5-LO in the future, enabling structure-based drug design. For the prospective drugs in late-stage clinical development, the future will show their clinical safety and efficacy in the particular diseases. The 5-LO-derived arachidonic acid metabolites have been shown to be potent mediators of inflammatory reactions. During the last decades, many investigations demonstrated that the 5-LO pathway plays a role in the development of allergic diseases such as asthma [2] Most of the 5-LO inhibitors bind to the catalytic site and show a more or less competitive inhibition of the enzyme. 5-LO inhibitors can be classified into three main groups: redoxactive compounds, iron-ligand inhibitors with weak redoxactive properties and non-redox-type inhibitors [7].Insights into the pharmacological potential of 5-LO inhibitors were obtained in studies using 5-LO-deficient mice. 5-LOdeficient mice are strongly resistant against PAF-induced shock and show reduced airway reactivity [8]. Furthermore, interference with the 5-LO pathway via blockage of FLAP was found to reduce collagen-induced arthritis [9]. Another study with 5-LO-deficient mice suggests that 5-LO plays a critical role in the development of chronic myeloid leukaemia [4].Up to now, the iron-ligand type-5-LO inhibitor zileuton is the only 5-LO inhibitor that came on the market for the treatment of asthma. So, how to come up with novel inhibitors? There are several different strategies in drug design, divided mainly in (I) the improvement of already known compounds by medicinal chemistry approaches to cope with, for example, a poor pharmacokinetic profile and (II) the identification of novel scaffolds. For the latter, high-throughput screening of large databases of synthetic compounds or natural product extracts to find active compounds can be applied. Alternatively, computational methods are quite helpful tools to speed up the drug discovery p...