Neglected tropical diseases (NTDs) are prevalent in tropical and subtropical
countries, and schistosomiasis is among the most relevant diseases worldwide. In addition,
one of the two biggest problems in developing drugs against this disease is related to drug
resistance, which promotes the demand to develop new drug candidates for this purpose.
Thus, one of the drug targets most explored, Schistosoma mansoni Cathepsin B1 (SmCB1
or Sm31), provides new opportunities in drug development due to its essential functions
for the parasite's survival. In this way, here, the latest developments in drug design studies
targeting SmCB1 were approached, focusing on the most promising analogs of nitrile, vinyl
sulphones, and peptidomimetics. Thus, it was shown that despite being a disease
known since ancient times, it remains prevalent throughout the world, with high mortality
rates. The therapeutic arsenal of antischistosomal drugs consists only of praziquantel,
which is widely used for this purpose and has several advantages, such as efficacy and
safety. However, it has limitations, such as the impossibility of acting on the immature
worm and exploring new targets to overcome these limitations. SmCB1 shows its potential
as a cysteine protease with a catalytic triad consisting of Cys100, His270, and Asn290.
Thus, design studies of new inhibitors focus on their catalytic mechanism for designing
new analogs. In fact, nitrile and sulfonamide analogs show the most significant potential
in drug development, showing that these chemical groups can be better exploited in drug
discovery against schistosomiasis. We hope this manuscript guides the authors in searching
for promising new antischistosomal drugs.