We report here a comparative study of the anti-hepatitis C virus (HCV) activities of selected (i) nucleoside polymerase, (ii) nonnucleoside polymerase, (iii) ␣,␥-diketo acid polymerase, (iv) NS3 protease, and (v) helicase inhibitors, as well as (vi) cyclophilin binding molecules and (vii) alpha 2b interferon in four different HCV genotype 1b replicon systems.Worldwide, more than 170 million people are chronically infected with hepatitis C virus (HCV) and are thus at increased risk of developing serious, life-threatening liver disease. Current standard therapy for chronic hepatitis C consists of pegylated interferon in combination with ribavirin (26). Unfortunately, this therapy results in a sustained virological response in only about 50 to 60% of the patients treated and is associated with serious side effects. There is an urgent need for new therapeutic strategies (10).Small-molecule inhibitors that target, in particular, the NS3 protease or the NS5B RNA-dependent RNA polymerase (RdRp) have been pursued as potential new therapies. BILN 2061 (culprivir), a peptidomimetic inhibitor of the HCV NS3 protease, was the first selective inhibitor of HCV to be administered to patients chronically infected with HCV (genotype 1). Administration of the compound resulted in a rapid and pronounced decline in viral replication (11, 12), but the drug was not developed further because of toxicity issues (11).Following the pioneering studies with BILN 2061, numerous anti-HCV compounds progressed toward clinical studies; three other NS3 protease inhibitors, i.e., VX-950 (telaprevir), SCH 503034 (boceprevir), and TMC435350, entered clinical trials. VX-950 has shown good efficacy both in monotherapy (29) and in combination with the current standard therapy (8) and is currently in phase II clinical studies.