A library of derivatives of the quinolizidine alkaloid (-)-cytisine with amine, amide, and thio-and carboxamides in the 3-, 5-, and 12-positions were synthesized. Their activity with respect to NFAT transcription factor was studied. It was shown that NFAT modulation activity was a function of the nature of the substituent.The discovery of compounds that modulate transcription factor (TF) activity is currently used to select potential targeting drug candidates. Numerous studies showed that activation of NFAT (nuclear factor of activated T-cells) TF plays an important role in the normal functioning of the immune system. However, excessive activation of this TF causes the development of immunopathological reactions such as autoimmune processes, inflammation, transplant rejection, carcinogenesis, and metastasis. Thus, the search for new NFAT modulators is extremely critical [1][2][3].A sufficient number of NFAT inhibitors/activators of natural and synthetic origin have now been identified [4][5][6]. However, such studies of the quinolizidine alkaloid (-)-cytisine and its derivatives have not been conducted.This TF was chosen as the screening target because the anti-inflammatory and immunomodulating activities of several quinolizidine alkaloids were reported [7,8].