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[Preprint]. 2023 Mar 15:rs.3.rs-2627723. [Version 1] doi: 10.21203/rs.3.rs-2627723/v1

Table 1. IC50 values of nirmatrelvir, ensitrelvir, and FB2001 against Mpro resistance variants.

Clear examples of single amino acid substitution mutations conferring selective resistance to nirmatrelvir and ensitrelvir are highlighted in gray; similar mutations have yet to be found for FB2001. The relative values in brackets are reflected in the heatmap in Figure 1B.

Mpro
variant
IC50 [nM] (Fold-change relative to WT)
Nirmatrelvir Ensitrelvir FB2001
WT 29.4 (1.0) 35.9 (1.0) 27.2 (1.0)
T21I 36.0 (1.2) 16.3 (0.5) 34.0 (1.3)
M49I 23.0 (0.8) 338 (9.4) 29.8 (1.1)
M49L 27.1 (0.9) 769 (21.4) 10.7 (0.4)
L50F 58.4 (2.0) 21.0 (0.6) 33.2 (1.2)
S144A 236 (8.0) 623 (17.3) 74.7 (2.7)
E166A 622 (21.2) 126 (35.2) 355 (13.1)
E166V >10000 (>300) 2800 (77.9) 645 (23.7)
L167F 282 (9.6) 728 (20.3) 115 (4.2)
ΔP168 243 (8.3) 193 (5.4) 184 (6.8)
A173V 460 (15.8) 45.9 (1.3) 45.7 (1.7)
P252L 76.9 (2.6) 28.8 (0.8) 38.9 (1.4)
T304I 40.7 (1.4) 19.0 (0.5) 10.5 (0.4)
L50F/E166A 793 (27) 1040 (28.8) 355 (13)
L50F/E166V >10000 (>300) 751 (20.9) 185 (6.8)
ΔP168/A173V 1630 (55.4) 122 (3.4) 166 (6.1)