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. 2024 Feb 9;67(4):2369–2378. doi: 10.1021/acs.jmedchem.3c01938

Table 2. Comparative Performance of Clinical Candidate CMX990a vs Nirmatrelvir.

  Nirmatrelvir CMX990
In Vitro Potency
SARS-CoV-2 Mpro IC50 [nM] 28.1 23.4
HeLa-ACE2 CoV-2 EC50/90 [nM] 70/148 37/90
ALI-HBEC CoV-2 EC50/90 [nM] 25.3/44.8 5.3/9.6
HCT-8 hCoV-OC43 EC50/90 [nM] 112/418 135/712
MCR5 hCoV-229E EC50/90 [nM] 353/798 25/146
HeLa-ACE2 CoV-2 variants EC90 [nM], alpha/delta/omicron 242/196/117 63/35/37
Uninfected cytotoxicity CC50 [μM], HeLa-ACE2/HCT-8/MRC5/ALI-HBEC >40/>30/>30/>3.3 >40/>30/>30/>3.3
 
ADME Properties [Mu/Rat/Dog/Cyno/Human]
Microsomal/hepatocyte stability [CLint, μL/min/mg; CLhep, μL/min/106] 32.8/2.3 (human) 7.5/0.2 (human)
Human plasma stability [% at 2 h] >80% >80%
PPB [%] 73.6/58.6/98.8/70.3/54.8 48.1/88.8/63.6/62.3/56.3
Microsomal protein binding [%] 24.0/17.6/9.8/21.7/16.5 22.6/23.2/24.5/18.0/19.1
B/P ratio 0.67/0.85/0.67/0.83/1.12 0.89/0.94/0.74/0.88/1.15
Papp(a→b/b→a) Caco-2 [10–6 cm/s] 0.9/9.0 0.6/9.3
Aqueous solubility n.d. 1.4–1.5 mg/mL
 
In Vivo Propertiesa [Mu/Rat/Dog/Cyno]
Plasma clearance 35.8/33.5/1.9/30.0 125/26.3/16.5/32.9
IV PK CLp [mL/min/kg]
IV PK Vss [L/kg] 2.0 (Vd)/1.0/0.57/1.5 1.2/2.7/1.1/1.2
FPO (%) 17/44/69/3 14/12/53/1
 
Target Selectivity and Tox Profiling
CEREP screen (10 μM, 44 targets) No hits No hits
hERG channel (CHO cells) IC50 >10 μM >10 μM
CYP inhibition IC50 (1A2, 2C19, 2C9, 2D6, 3A4) 3A4 = 46.4 μM, >50 μM (all)
rest >50 μM
Ames and MNT assay Negative Negative
Human peptidase selectivity panel, Cathepsin B/K/L/L2/S IC50 (μM) No significant engagement except below cathepsins
>30/1.2/>30/14.6/1.8 4.3/0.10/1.6/0.2/0.7
a

Further detailed in vivo data for CMX990 in Table 3. n.d.= not determined.