NS3 GT3

Download full data set for GT3

Asunaprevir

MutationEC50 (nM)Fold-shiftPhenotypeClinical RASReferenceComments
WT (3a_S52)11621xresistance likely1, 2
K26R
L36W
Q41H
Q41K
Q41L
Q41R
F43L
F43S
F43Y
T47I
T54A
T54S
V55A
V55I
Y56H
Y56N
Q80R
Q80K
V107I
D110N
S122A
S122C
S122F
S122P
S122R
S122T
S122Y
L132V
L132I
C134R
R155C
R155K
R155G
R155M
R155T
R155W
A156G
A156P
A156S
A156T
A156V
V158I
S166A
A166T
A166S
A166Y
Q168A
Q168E
Q168F
Q168G
Q168H
Q168I
Q168K
Q168L
Q168N
Q168R
Q168T
Q168V
Q168Y
V170I
V170L
V170M
L175M
Q178R
D186L
D186R
A294V
I366V
K26R+Q168R
V36M+R155K
Q41R+A156T
Q41R+Q168R
Q41R+V170I
Q41R+V55I
Q41T+V170I
T54S+V170I
T54A+V55A
T54S+V55I
V55I+V170I
Y56H+A156G
Y56H+S166A
Y56H+S166T
Y56H+Q168K
Y56H+Q168L
Y56H+Q168R
Y56H+Q168A
Y56H+Q168V
Q80R+ A 166T
Q80R+V170I
C134R+A156T
R155K+A156T
S166A+Q168K
S166A+Q168L
S166A+Q168R
Q168H+A156V
Y56H+S155A+Q168K
Y56H+S155A+Q168L
Y56H+S155A+Q168R
1. Kwo PY et al.  EASL 2016 http://www.natap.org/2016/EASL/EASL_40.htm
2.  Sunvepra Canadian Prodcut Monograph 2016

Glecaprevir

MutationEC50 (nM)Fold-shiftFold-shift rangePhenotypeClinical RASReferenceCommentsSVR with RAV
WT (3a_S52)0.711x0.71-1.9likely susceptibleNo1,2,6only 3x FC vs GT1; clinical isolate=0.3 (0.05-3.8)90-99% (4)
K26R
L36W
Q41H
Q41K
Q41L
Q41R
F43L
F43S
F43Y
T47I
T54A
T54Sresistance possibleYes6Clinical VF RAV (6)
V55A
V55I
Y56Hresistance possibleYes4,5,6,3Clinical TE RAV (4,5,6,3)
Y56Nresistance possibleYes4,6Clinical TE RAV (4,6)
Q80R11.521xresistance likelyYes6,4Clinical TE RAV (4,6)
Q80K21xresistance likelyYes4,6Clinical TE RAV (4,6)
V107Iresistance possibleYes6Clinical VF RAV (6)
D110N
S122A
S122C
S122F
S122P
S122R
S122T
S122Y
L132V
L132Iresistance possibleYes6Clinical VF RAV (6)
C134R
R155C
R155K0.280.5xlikely susceptible6
R155G
R155M
R155T
R155W
A156G11001500xresistance likelyYes2,4,6Clinical TE RAV (4,6)
A156P
A156S
A156T
A156V
V158I
S166Aunfit6
A166T2.64.7xresistance likelyYes4,5,3,6Clinical VF RAV (4,5,3). FC (S166T)
A166Sresistance possibleYes4,5,6Clinical VF RAV (4,5,6)
A166Yresistance possibleYes6Clinical TE RAS (6)
Q168A
Q168E
Q168F
Q168G
Q168H0.40.7xlikely susceptible6
Q168I
Q168Kunfitresistance possibleYes5,3,6Clinical TE RAV (5,3)
Q168L6.913xresistance likelyYes4,6Clinical TE RAV (4,6)
Q168N
Q168R3054xresistance likelyYes4,5,6,3Clinical TE RAV (4,5,6,3)50% (4)
Q168T
Q168V
Q168Y
V170I
V170L
V170M
L175M
Q178R
D186Lresistance possibleYes6Clinical TE RAS (6)
D186Rresistance possibleYes6Clinical TE RAS (6)
A294V
I366Vresistance possibleYes6Clinical TE RAS (6)
K26R+Q168R
V36M+R155K
Q41R+A156T
Q41R+Q168R
Q41R+V170I
Q41R+V55I
Q41T+V170I
T54S+V170I
T54A+V55A
T54S+V55I
V55I+V170I
Y56H+A156Gunfit6
Y56H+S166Aunfit6
Y56H+S166Tunfit6
Y56H+Q168Kunfit6
Y56H+Q168Lunfit6
Y56H+Q168R7601100-1387xresistance likelyYes2,4,6Clinical VF RAV (3)
Y56H+Q168A
Y56H+Q168V
Q80R+ A 166T29.854xresistance likely6
Q80R+V170I
C134R+A156T
R155K+A156T
S166A+Q168Kunfit
S166A+Q168Lunfit
S166A+Q168Runfit
Q168H+A156V
Y56H+S155A+Q168Kunfit
Y56H+S155A+Q168Lunfit
Y56H+S155A+Q168Runfit
1. Kwo PY et al.  EASL 2016 http://www.natap.org/2016/EASL/EASL_40.htm
2. Ng et al.   [Abstract 636]. -CROI. Boston, 2014 http://www.croiconference.org/sites/all/abstracts/636.pdf
3 Ng et al. EASL 2016.  Abstract THU-240.   http://www.natap.org/2016/EASL/EASL_123.htm
4. Krishnan P, et al. 2017. Journal of Hepatology 66: S500. http://natap.org/2017/EASL/EASL_18.htm
5. Kwo PY, et al. 2017. Journal of Hepatology 67: 263-71
6. FDA Microbiology Review https://www.accessdata.fda.gov/drugsatfda_docs/nda/2017/209394Orig1s000MicroR.pdf

Grazoprevir

MutationEC50 (nM)Fold-shiftPhenotypeClinical RASReferenceComments
WT (3a_S52)5.851xlikely susceptible 1Q168Q is 20x vs. Gt1a, exceed projected clinical exposure,
K26R
L36W
Q41H
Q41K
Q41L
Q41R2.1xlikely susceptible 2
F43L
F43S
F43Y
T47I1.4xlikely susceptible 2
T54A
T54S
V55A
V55I
Y56H417xresistance possible 1
Y56N
Q80R
Q80K
V107I
D110N1.1xlikely susceptible 2
S122A
S122C
S122F
S122P
S122R
S122T
S122Y
L132V
L132I
C134R1.1xlikely susceptible 2
R155C
R155K0.4xlikely susceptible 2
R155G
R155M
R155T
R155W
A156G
A156P
A156S
A156T16xresistance likely 2
A156V22xresistance likely 2
V158I
S166A
A166T
A166S1.2xlikely susceptible 2
A166Y
Q168A
Q168E
Q168F
Q168G
Q168H0.6xlikely susceptible
Q168I
Q168K
Q168L
Q168N
Q168R23.44xlikely susceptible 1,3
Q168T
Q168V
Q168Y
V170I
V170L
V170M
L175M
Q178R29.35xresistance possible 1
D186L
D186R
A294V
I366V
K26R+Q168R
V36M+R155K
Q41R+A156T22xresistance likely2
Q41R+Q168R15xresistance likely2
Q41R+V170I
Q41R+V55I
Q41T+V170I
T54S+V170I
T54A+V55A
T54S+V55I
V55I+V170I
Y56H+A156G
Y56H+S166A
Y56H+S166T
Y56H+Q168K
Y56H+Q168L
Y56H+Q168R
Y56H+Q168A
Y56H+Q168V
Q80R+ A 166T
Q80R+V170I
C134R+A156T16xresistance likely2
R155K+A156T11xresistance likely2
S166A+Q168K
S166A+Q168L
S166A+Q168R
Q168H+A156V50xresistance likely2
Y56H+S155A+Q168K
Y56H+S155A+Q168L
Y56H+S155A+Q168R
1. Zapatier Product Label (Canada)
2. FDA Vosevi Microbiology Reviews 209195Orig1s000MicroR
3. Foster et al. 2017  PMID: 29473975 DOI: 10.1002/hep.29852

Paritaprevir

MutationEC50 (nM)Fold-shiftPhenotypeClinical RASReferenceComments
WT (3a_S52)191xresistance likely1EC50 above Cmin. L36, S166=RAS
K26R
L36W
Q41H
Q41K
Q41L
Q41R
F43L
F43S
F43Y
T47I
T54A
T54S
V55A
V55I
Y56H0.128xresistance possible
Y56N
Q80R
Q80K
V107I
D110N
S122A
S122C
S122F
S122P
S122R
S122T
S122Y
L132V
L132I
C134R
R155C
R155K
R155G
R155M
R155T
R155W
A156G
A156P
A156S
A156T
A156V
V158I
S166A
A166T
A166S
A166Y
Q168A
Q168E
Q168F
Q168G
Q168H
Q168I
Q168K
Q168L
Q168N
Q168R
Q168T
Q168V15313xresistance likely
Q168Y
V170I
V170L
V170M
L175M
Q178R
D186L
D186R
A294V
I366V
K26R+Q168R
V36M+R155K
Q41R+A156T
Q41R+Q168R
Q41R+V170I
Q41R+V55I
Q41T+V170I
T54S+V170I
T54A+V55A
T54S+V55I
V55I+V170I
Y56H+A156G
Y56H+S166A
Y56H+S166T
Y56H+Q168K
Y56H+Q168L
Y56H+Q168R
Y56H+Q168A
Y56H+Q168V18812,533xresistance likely
Q80R+ A 166T
Q80R+V170I
C134R+A156T
R155K+A156T
S166A+Q168K
S166A+Q168L
S166A+Q168R
Q168H+A156V
Y56H+S155A+Q168K
Y56H+S155A+Q168L
Y56H+S155A+Q168R
1. Viekira Pak US Product Label jan 28, 2016
2. Krishnan et al., (2015) AAC 59:979-987

Simeprevir

MutationEC50 (nM)Fold-shiftFold Shift RangePhenotypeClinical RASReferenceComments
WT (3a_S52)1xlikely susceptible1
K26R
L36W
Q41H
Q41K
Q41L
Q41R
F43L
F43S
F43Y
T47I
T54A
T54S
V55A
V55I
Y56H
Y56N
Q80R
Q80K
V107I
D110N
S122A
S122C
S122F
S122P
S122R
S122T
S122Y
L132V
L132I
C134R
R155C
R155K2xlikely susceptible1
R155G
R155M
R155T
R155W
A156G3xlikely susceptible1
A156P
A156S0.7xlikely susceptible1
A156T
A156V
V158I
S166A
A166T
A166S
A166Y
Q168A3xlikely susceptible1
Q168E0.06xlikely susceptible1
Q168F
Q168G
Q168H2xlikely susceptible1
Q168I
Q168K
Q168L
Q168N0.2xlikely susceptible1
Q168RJanuary 1, 1970
Q168T
Q168V5xresistance possible1
Q168Y
V170I
V170L
V170M
L175M
Q178R
D186L
D186R
A294V
I366V
K26R+Q168R
V36M+R155K
Q41R+A156T
Q41R+Q168R
Q41R+V170I
Q41R+V55I
Q41T+V170I
T54S+V170I
T54A+V55A
T54S+V55I
V55I+V170I
Y56H+A156G
Y56H+S166A
Y56H+S166T
Y56H+Q168K
Y56H+Q168L
Y56H+Q168R
Y56H+Q168A
Y56H+Q168V
Q80R+ A 166T
Q80R+V170I
C134R+A156T
R155K+A156T
S166A+Q168K
S166A+Q168L
S166A+Q168R
Q168H+A156V
Y56H+S155A+Q168K
Y56H+S155A+Q168L
Y56H+S155A+Q168R
1. Jensen et al. 2015.  AAC 59(12):7426-36

Voxilaprevir

MutationEC50 (nM)Fold-shiftPhenotypeClinical RASReferenceReplication Capacity (%WT)CommentsSVR with RAV
WT (3a_S52)6.35 (SD 3.27)1xlikely susceptible 3100 (4)mean of 34 clinical isolates, 13xFC vs. GT1a
K26Rlikely susceptible 3
L36Wunfit3
Q41H
Q41K7.3resistance likelyYes4,3404 (4)clinical TE RAV 2% (4)
Q41Lunfit3
Q41R5.8xresistance possible 4,3656 (4)
F43Lunfit3
F43Sunfit3
F43Y4Clinical VF RAS, 1% (4)
T47I1.1xlikely susceptible 4
T54Alikely susceptible 3
T54Sunfit3
V55Aunfitresistance possibleYes2,3,4Clincial TE RAS 2.9% (2,4)
V55Iunfit3
Y56Hunfit3
Y56N
Q80Rlikely susceptible 3
Q80K2.5x - 20xresistance likelyYes3,4clinical VF RAV (4)
V107I
D110N2.2xlikely susceptible 4
S122Alikely susceptible 3
S122Clikely susceptible 3
S122Flikely susceptible 3
S122Punfit3
S122R
S122Tlikely susceptible 3
S122Ylikely susceptible 3
L132V
L132I
C134R1.6xlikely susceptible 4
R155C
R155K0.6xlikely susceptible 4,3
R155Gunfit3,4Clinical TE RAV 1% (4)
R155M2,4Clincial TE RAS 1.4% (2,4)
R155T
R155Wunfit3
A156G1VOX RAS (1)
A156Punfit3
A156S1>2.5x FC
A156T100xresistance likely 4,2,323.2 (4)100-381x
A156V140x resistance likely 4,2,35.9 (4)140x - >1334x
V158I
S166A
A166T
A166S0.9xlikely susceptible 4,3
A166Y
Q168A
Q168E
Q168F
Q168G
Q168H1.0xlikely susceptible 4,3
Q168I
Q168Klikely susceptible 3
Q168L
Q168N
Q168R9.4xresistance possible3,4clincial VF RAS, 1% (4)
Q168T
Q168V
Q168Y
V170I1xlikely susceptible 4,3
V170L
V170Munfit3
L175M2.5x - 20xresistance possible 3
Q178R
D186L
D186R
A294Vresistance possibleYes4clinical TE RAV (4)
I366V
K26R+Q168Rlikely susceptible3
V36M+R155K
Q41R+A156T452xresistance likely4
Q41R+Q168R60xresistance likely4
Q41R+V170I2.5x - 20xresistance possible3
Q41R+V55I2.5x - 20xresistance possible
Q41T+V170Ilikely susceptible3
T54S+V170Iunfit3
T54A+V55Aunfit3
T54S+V55Iunfit3
V55I+V170Ilikely susceptible3
Y56H+A156G
Y56H+S166A
Y56H+S166T
Y56H+Q168K
Y56H+Q168L
Y56H+Q168R>100xresistance likely3
Y56H+Q168A
Y56H+Q168V
Q80R+ A 166T
Q80R+V170Ilikely susceptible3
C134R+A156T149xresistance likely4
R155K+A156T172xresistance likely4
S166A+Q168K
S166A+Q168L
S166A+Q168R
Q168H+A156V990xresistance likely4
Y56H+S155A+Q168K
Y56H+S155A+Q168L
Y56H+S155A+Q168R
1. Sarrazin C, et al. 2017. Gastroenterology 152: S1062
2. Vosevi US Product Label 2017
3. Dvory-Sobol H et al 2017 AASLD.  http://www.natap.org/2017/AASLD/AASLD_29.htm
4. FDA Vosevi Microbiology Reviews 209195Orig1s000MicroR