Daclastasvir | in GT1b | Ledipasvir | in GT1b | Velpatasvir | in GT1b | Ombitasvir | in GT1b | Pibrentasvir | in GT1b | Elbasvir | in GT1b | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Mutation | EC50 Fold-shift/Clinical RAS | Phenotype | EC50 Fold-shift/Clinical RAS | Phenotype | EC50 Fold-shift/Clinical RAS | Phenotype | EC50 Fold-shift/Clinical RAS | Phenotype | EC50 Fold-shift/Clinical RAS | Phenotype | EC50 Fold-shift/Clinical RAS | Phenotype |
WT (1b_con1) | 1x | likely susceptible | 1x | likely susceptible | 1 | likely susceptible | 1x | likely susceptible | 1x | likely susceptible | 1x | likely susceptible |
Q24K | <2.5x | likely susceptible | <2.5x | likely susceptible | 2.5 - 100x | resistance possible | ||||||
Q24R | ||||||||||||
L28A | cRAS/cRAS | resistance possible | ||||||||||
L28M | 1.3x/cRAS/cRAS | resistance possible | <2.5x/cRAS | resistance possible | 0.7x | likely susceptible | 2x/cRAS | resistance possible | 1x/cRAS | resistance possible | 2x/cRAS | resistance possible |
L28T | cRAS/cRAS | resistance possible | 661x | resistance likely | 0.9x | likely susceptible | ||||||
L28I | 3x | likely susceptible | ||||||||||
L28V | 2.3x | likely susceptible | <2.5x | likely susceptible | <2.5x | likely susceptible | 1.3x | likely susceptible | ||||
P29S | cRAS/cRAS | resistance possible | ||||||||||
P29del | 1,666,666x/cRAS/cRAS | resistance likely | 361139x | resistance likely | 10x | resistance possible | ||||||
R30G | 100x/cRAS/cRAS | resistance likely | <10x | likely susceptible | ||||||||
R30H | 6.7x/cRAS/cRAS | resistance possible | <2.5x | likely susceptible | <2.5x | likely susceptible | <10x | likely susceptible | ||||
R30K | 1x/cRAS/cRAS | resistance possible | <2.5x | likely susceptible | <2.5x | likely susceptible | ||||||
R30L | 0.3x | likely susceptible | <2.5x | likely susceptible | <2.5x | likely susceptible | ||||||
R30P | likely susceptible | <10x | likely susceptible | |||||||||
R30Q | 0.7x/cRAS/cRAS | resistance possible | <2.5x | likely susceptible | <2.5x | likely susceptible | 0.4x/cRAS | resistance possible | 0.5x/cRAS | resistance possible | 3x/cRAS | resistance likely |
R30S | likely susceptible | <2.5x | likely susceptible | <2.5x | likely susceptible | |||||||
R30T | <2.5x | likely susceptible | <2.5x | likely susceptible | <2.5x | likely susceptible | ||||||
L31F | 5x/cRAS/cRAS | resistance possible | 2x | likely susceptible | 0.7x | likely susceptible | 10x/cRAS | resistance possible | 1.2x | likely susceptible | 15x/cRAS | resistance likely |
L31I | 3x/cRAS/cRAS | resistance possible | 10-50x/cRAS | resistance possible | 3.8x | resistance possible | 2x | likely susceptible | ||||
L31K | cRAS | resistance possible | ||||||||||
L31M | 3x/cRAS/cRAS | resistance possible | 3x/cRAS | resistance possible | 1.7x/cRAS | resistance possible | 0.9x/cRAS | resistance possible | 1.4-1.5x | likely susceptible | 7x/cRAS | resistance likely |
L31T | <10x | likely susceptible | ||||||||||
L31V | 28x/cRAS/cRAS | resistance likely | 10-50x/cRAS | resistance possible | 2x/cRAS | resistance possible | 8X/cRAS | resistance possible | 0.8x | likely susceptible | 13x/cRAS | resistance likely |
L31W | 91x | resistance possible | ||||||||||
P32F | ||||||||||||
P32L | 16x | likely susceptible | <2.5x | likely susceptible | ||||||||
P32K | cRAS | resistance possible | ||||||||||
P32R | cRAS | resistance possible | ||||||||||
P32N | cRAS | resistance possible | ||||||||||
P32K | cRAS | resistance possible | ||||||||||
P32T | cRAS/cRAS | 2.5-10x | likely susceptible | >2.5x | cRAS | resistance possible | ||||||
P32S | ||||||||||||
P32del | >1,666,667x/cRAS/cRAS | resistance likely | 1036x/cRAS | resistance likely | ||||||||
F37L | 1x | likely susceptible | ||||||||||
Q54H | 1x/cRAS/cRAS | resistance possible | <2.5x | likely susceptible | 1x | likely susceptible | 1.1x | likely susceptible | ||||
Q54N | 1x | likely susceptible | ||||||||||
Q54L | 0.3x | likely susceptible | ||||||||||
Q54Y | 1.3x | likely susceptible | /cRAS | resistance possible | 1.2x | likely susceptible | ||||||
P58A | 0.7x | likely susceptible | ||||||||||
P58D | 100-1000x | resistance likely | <2.5x | likely susceptible | >2.5x | |||||||
P58L | 1x/cRAS/cRAS | resistance possible | ||||||||||
P58Q | <2.5x | likely susceptible | <2.5x | likely susceptible | <2.5x | likely susceptible | ||||||
P58R | <2.5x | likely susceptible | <2.5x | likely susceptible | <2.5x | likely susceptible | ||||||
P58S | 1x/cRAS/cRAS | resistance possible | <2.5x | likely susceptible | <2.5x | likely susceptible | 0.8x/cRAS | resistance possible | 1.3x | likely susceptible | /cRAS | resistance possible |
P58T | 1x | likely susceptible | <2.5x | likely susceptible | 2.5 - 100x | resistance possible | 0.4x | likely susceptible | ||||
Q62D | likely susceptible | |||||||||||
Q62E | 1x/cRAS/cRAS | resistance possible | 2.3x | likely susceptible | ||||||||
Q62A | 0.7x | likely susceptible | ||||||||||
Q62H | 1x | likely susceptible | ||||||||||
Q62N | 0.7x | likely susceptible | ||||||||||
Q62R | 1x | likely susceptible | ||||||||||
Q62S | 1x | likely susceptible | ||||||||||
A92E | 1.3x/cRAS/cRAS | resistance possible | <2.5x | likely susceptible | <2.5x | likely susceptible | 0.7x | likely susceptible | 0.5x | likely susceptible | ||
A92V | ||||||||||||
A92K | >100x/cRAS/cRAS | resistance likely | >1000x | resistance likely | >100x | resistance likely | ||||||
A92P | <2.5x | likely susceptible | <2.5x | likely susceptible | ||||||||
A92T | 1x | likely susceptible | <2.5x/cRAS | resistance possible | <2.5x | likely susceptible | ||||||
A92V | 0.3x | likely susceptible | <2.5x | likely susceptible | <2.5x | likely susceptible | 0.5x | likely susceptible | ||||
Y93C | 3x | likely susceptible | /cRAS | resistance possible | 0.2x/cRAS | resistance possible | 1.7x | likely susceptible | ||||
Y93H | 30x/cRAS/cRAS | resistance likely | 1325x/cRAS | resistance likely | 3x/cRAS | resistance likely | 77x/cRAS | resistance likely | 0.6x | likely susceptible | 67x/cRAS | resistance likely |
Y93N | 50x | resistance possible | >100x | resistance likely | 3x/cRAS | resistance likely | 202x | resistance likely | 0.6x | likely susceptible | ||
Y93F | 0.7x | likely susceptible | <2.5x | likely susceptible | <2.5x | likely susceptible | ||||||
Y93L | <2.5x | likely susceptible | <2.5x | likely susceptible | <2.5x | likely susceptible | ||||||
Y93R | >2.5 - 100x | resistance possible | ||||||||||
Y93T | 2.5 - 100x | resistance possible | ||||||||||
Y93S | 6.7x | <100x | resistance possible | 0.6x/cRAS | resistance possible | 12x/cRAS | resistance possible | 0.4x | likely susceptible | |||
V121I | 0.2x | likely susceptible | ||||||||||
D320E | 0.9x | likely susceptible | ||||||||||
L23F+L31F | 13x | likely susceptible | ||||||||||
Q24R+R30Q | <2.5x | likely susceptible | <2.5x | likely susceptible | ||||||||
L28I+R30Q | 6.7x | likely susceptible | ||||||||||
L28M+L31F | 569X | resistance likely | ||||||||||
L28M+P32del | 6326x | resistance likely | ||||||||||
L28M+R30L | 1x | likely susceptible | ||||||||||
L28M+R30Q | 1x | likely susceptible | 0.4x | likely susceptible | ||||||||
L28M+R30Q | 0.5x/cRAS | resistance possible | 0.4x | |||||||||
L28M+Y93H | 1000x/cRAS/cRAS | resistance likely | >100x | resistance likely | 5x | resistance possible | 415x | resistance likely | 1.2x | likely susceptible | ||
L28V+L31F | 2170X | resistance likely | ||||||||||
L28V+R30Q | 0.3x | likely susceptible | ||||||||||
R30H+Y93H | 2,667x | resistance likely | ||||||||||
R30L+L31M | 3x | likely susceptible | ||||||||||
R30Q+L31M | 16.7x | likely susceptible | <2.5x | likely susceptible | ||||||||
R30Q+L31F | 88x | resistance possible | ||||||||||
R30Q+L31V | <2.5x | likely susceptible | ||||||||||
R30Q+Q54H | 0.3x | likely susceptible | ||||||||||
R30Q+A92K | 77,000x | resistance likely | ||||||||||
R30Q+Y93H | 200x | resistance likely | >100x | resistance likely | <2.5x | likely susceptible | 284x | resistance likely | 1.2x | likely susceptible | ||
R30Q+Y93S | 23.3 | resistance possible | ||||||||||
L31F+A92E | 1022x | resistance likely | 0.6x | likely susceptible | ||||||||
L31F+P32del | 1,666,667x | resistance likely | ||||||||||
L31F+P58L | 78x | resistance possible | ||||||||||
L31F+Q54H | 2.4x | likely susceptible | ||||||||||
L31F+Y93H | 5000x | resistance likely | 27 | resistance likely | 415,1027x | resistance likely | 1.5x | likely susceptible | ||||
L31IV+Y93H | 33,677x/cRAS/cRAS | resistance likely | ||||||||||
L31I+A92V | 1x | likely susceptible | ||||||||||
L31I+Y93H | 2492x/cRAS/cRAS | resistance likely | >100x | resistance likely | ||||||||
L31M+A92K | 1,281,333x | resistance likely | ||||||||||
L31M+P58L | 200x/cRAS/cRAS | resistance likely | ||||||||||
L31M+P58S | 30x | resistance possible | ||||||||||
L31M+Q54H | 1.3x | likely susceptible | ||||||||||
L31M+Y93C | >100x | resistance likely | ||||||||||
L31M+Y93H | 7105x/cRAS/cRAS | resistance likely | 20270x | resistance likely | 44x | resistance likely | 142x | resistance likely | 0.7x | likely susceptible | ||
L31M+Y93N | 28,666x | >100x | resistance likely | |||||||||
L31V+P32del | >1,666,667x/cRAS/cRAS | resistance likely | ||||||||||
L31V+Y93H | 33,666x/cRAS/cRAS | resistance likely | >100x | resistance likely | 986x | resistance likely | 12328x | resistance likely | 0.9x | likely susceptible | ||
L31V+Y93N | >100x | resistance likely | >100x | resistance likely | ||||||||
P32del+Y93H | not viable | |||||||||||
F37L+Y93H | 19x | likely susceptible | ||||||||||
Q54H+Q62E | 0.3x | |||||||||||
Q54H+A92E | 0.9x | likely susceptible | ||||||||||
Q54H+Y93H | 9.2x/cRAS/cRAS | resistance possible | 0.9x | likely susceptible | ||||||||
Q54H+Y93S | 2.7x | likely susceptible | ||||||||||
Q54Y+Y93H | 67x/cRAS/cRAS | resistance likely | 1x | likely susceptible | ||||||||
P58A+Y93H | 1226x | resistance likely | ||||||||||
P58L+Y93H | 233x | resistance likely | 135x | resistance likely | ||||||||
P58S+A92T | 0.3x | likely susceptible | ||||||||||
P58S+Y93H | 1401x | resistance likely | 0.8x | likely susceptible | ||||||||
Q62E+Y93H | 33.3x | resistance possible | 13.3x | resistance likely | ||||||||
A92T+Y93H | 33.3x | resistance possible | ||||||||||
A92V+Y93H | 0.4x | likely susceptible | ||||||||||
V121I+Y93H | 200x | resistance likely | ||||||||||
L28I+R30P+P32F | 78,000x | resistance likely | ||||||||||
L28I+R30Q+P32L | 34,666x | resistance likely | ||||||||||
L28M+R30L+Q54H | 0.3x | likely susceptible | ||||||||||
L28M+R30Q+A92K | 1310666 | resistance likely | ||||||||||
L28M+R30Q+A92T | 1.7x | likely susceptible | ||||||||||
L28M+R30Q+Y93H | 1,666,667x | resistance likely | 981x | resistance likely | 0.5x | likely susceptible | ||||||
L28M+R30Q+Y93S | 667x | resistance likely | ||||||||||
L28T+R30Q+Y93H | 41,667x | resistance likely | ||||||||||
L28V+R30Q+Y93H | 2,766x | resistance likely | ||||||||||
P29S+R30Q+Y93S | 216,333x | resistance likely | ||||||||||
R30H+P58S+Y93H | 6,000x | resistance likely | ||||||||||
R30Q+L31F+Y93H | 51,666x | resistance likely | ||||||||||
R30Q+L31M+Y93H | 20,333x | resistance likely | ||||||||||
R30Q+Q54H+A92K | 8667x/cRAS/cRAS | resistance likely | ||||||||||
L31F+Q54H+Y93H | 6,333x | resistance likely | ||||||||||
L31F+Y93H+V121I | 27 | resistance likely | ||||||||||
L31F+Q54F+A92E | 1.7x | likely susceptible | ||||||||||
L31I+A92V+Y93H | 3,667x | resistance likely | ||||||||||
L31I+P58S+Y93H | 54,667x | resistance likely | ||||||||||
L31M+A92V+Y93H | 19,333x | resistance likely | ||||||||||
L31M+P58A+Y93H | 65000x/cRAS/cRAS | resistance likely | ||||||||||
L31M+P58G+Y93H | 100000x/cRAS/cRAS | resistance likely | ||||||||||
L31M+P58L+Y93H | 13,000x | resistance likely | ||||||||||
L31M+P58S+Y93H | 70,000x | resistance likely | ||||||||||
L31M+Q54H+A92E | 100x | resistance possible | ||||||||||
L31M+Q54H+Y93H | 4,233x/cRAS/cRAS | resistance likely | ||||||||||
L31M+Q54Y+Y93H | 6466x | resistance likely | ||||||||||
L31V+P58A+Y93H | 204,000x | resistance likely | ||||||||||
L31V+P58S+Y93H | 140,333x | resistance likely | ||||||||||
L31V+Q54H+Y93H | 8,667x | resistance likely | ||||||||||
L31V+Q54H+Y93H | 19000x/cRAS/cRAS | resistance likely | 263x | resistance likely | ||||||||
L31V+Q54Y+Y93H | 25,333x | resistance likely | ||||||||||
L31V+Q62E+Y93H | 67,333x | resistance likely | ||||||||||
Q54H+A92V+Y93H | 1x | likely susceptible | ||||||||||
Q54H+P58A+Q62E | 0.7x | likely susceptible | ||||||||||
Q54H+P58S+A92K | 16,333x | resistance likely | ||||||||||
Q54H+P58S+Y93H | 200x | resistance likely | ||||||||||
L28M+L31V+P58S+Y93N | 1,666,667x | resistance likely | ||||||||||
L28M+R30H+L31V+Y93H | 1,666,667x | resistance likely | ||||||||||
L28M+R30H+Q54H+Y93H | 38,333x | resistance likely | ||||||||||
L28M+R30Q+L31I+Y93H | 194,333x | resistance likely | ||||||||||
L28M+R30Q+L31V+Y93H | 557,333x/cRAS/cRAS | resistance likely | ||||||||||
L28M+R30Q+Q54H+A92T | 0.7x | likely susceptible | ||||||||||
R30Q+L31M+P58S+Y93H | 44,000x | resistance likely | ||||||||||
R30Q+L31M+Q54H+Y93H | 4,666x | resistance likely | ||||||||||
R30Q+L31V+P58S+Y93H | 76,333x | resistance likely | ||||||||||
L31IM+Q54H+Q62E+Y93H | 9,333x/cRAS/cRAS | resistance likely | ||||||||||
L31I+Q54H+P58S+Y93H | 14,000x | resistance likely | ||||||||||
L31M+Q54H+A92E+Y93H | 113,333x | resistance likely | ||||||||||
L31M+Q54H+A92V+Y93H | 4,333x | resistance likely | ||||||||||
L31M+Q54H+P58S+Y93H | 17,667x | resistance likely | ||||||||||
L31M+Q54H+Q62E+Y93H | 9,333x | resistance likely | ||||||||||
L31M+Q54Y+P58S+Y93H | 50,000x | resistance likely | ||||||||||
L31V+Q54H+P58S+Y93H | 111333x | resistance likely | ||||||||||
L31V+Q54H+Q62D+Y93H | 31,333x | resistance likely | ||||||||||
L31V+Q54H+Q62E+Y93H | 31,667x | resistance likely |