NS3 GT5

Download full data set for GT5

Asunaprevir

MutationEC50 (nM)Fold-shiftPhenotypeClinical RASReferenceComments
WT (SA13)1.71xlikely susceptible1
V36M
V36A
V36L
Q41R
F43S
T54A
V55A
Y56H
Y56F
Q80H
Q80K
Q80L
Q80M
Q80I
Q80R
V107I
T122A
T122G
T122R
T122V
R155G
R155K
R155T
R155W
A156G
A156S
A156T
A156V
A166S
D168A
D168E
D168F
D168G
D168H
D168I
D168K
D168L
D168N
D168R
D168T
D168V
D168Y
I170A
I170T
I170V
V36A+Q41R
V36A+T122N
V36M+R155K
Y56H+D168A
Y56H+D168V
T122N+D168A
Q41R+D168H
Q41R+D168A
Q41R+T122N
Q41R+D168Y
G50K+T122N
1.  Sunvepra Canadian Prodcut Monograph 2016

Not indicated in Canada

Glecaprevir

MutationEC50 (nM)Fold-shiftPhenotypeClinical RASReferenceComments
WT (SA13)0.0961xlikely susceptible1
V36M
V36A
V36L
Q41R
F43S
T54A
V55A
Y56H
Y56F
Q80H
Q80K
Q80L
Q80M
Q80I
Q80R
V107I
T122A
T122G
T122R
T122V
R155G
R155K
R155T
R155W
A156G
A156S
A156T
A156V
A166S
D168A
D168E0.4094.2xresistance likelyyes1,2Clinical VF
D168F
D168G
D168H
D168I
D168K
D168L
D168N
D168R
D168T
D168V
D168Y
I170A
I170T
I170V
V36A+Q41R
V36A+T122N
V36M+R155K
Y56H+D168A
Y56H+D168V
T122N+D168A
Q41R+D168H
Q41R+D168A
Q41R+T122N
Q41R+D168Y
G50K+T122N
1. FDA Microbiology Review https://www.accessdata.fda.gov/drugsatfda_docs/nda/2017/209394Orig1s000MicroR.pdf
2. Asselah T, et al. 2018. Journal of Hepatology 68: S39

Grazoprevir

MutationEC50 (nM)Fold-shiftPhenotypeClinical RASReferenceComments
WT (SA13)
V36M
V36A
V36L
Q41R
F43S
T54A
V55A
Y56H
Y56F
Q80H
Q80K
Q80L
Q80M
Q80I
Q80R
V107I
T122A
T122G
T122R
T122V
R155G
R155K
R155T
R155W
A156G
A156S
A156T
A156V
A166S
D168A
D168E
D168F
D168G
D168H
D168I
D168K
D168L
D168N
D168R
D168T
D168V
D168Y
I170A
I170T
I170V
V36A+Q41R
V36A+T122N
V36M+R155K
Y56H+D168A
Y56H+D168V
T122N+D168A
Q41R+D168H
Q41R+D168A
Q41R+T122N
Q41R+D168Y
G50K+T122N

Not indicated in Canada

Paritaprevir

 EC50 (nM)Fold-shiftPhenotypeClinical RASReferenceComments
WT (SA13)
V36M
V36A
V36L
Q41R
F43S
T54A
V55A
Y56H
Y56F
Q80H
Q80K
Q80L
Q80M
Q80I
Q80R
V107I
T122A
T122G
T122R
T122V
R155G
R155K
R155T
R155W
A156G
A156S
A156T
A156V
A166S
D168A
D168E
D168F
D168G
D168H
D168I
D168K
D168L
D168N
D168R
D168T
D168V
D168Y
I170A
I170T
I170V
V36A+Q41R
V36A+T122N
V36M+R155K
Y56H+D168A
Y56H+D168V
T122N+D168A
Q41R+D168H
Q41R+D168A
Q41R+T122N
Q41R+D168Y
G50K+T122N

Not indicated in Canada

Voxilaprevir

MutationEC50 (nM)Fold-shiftPhenotypeClinical RASReferenceReplication Capacity (% WT) Comments
WT (SA13)2.12 (SD 1.27)1xlikely susceptible2100 (3)mean of 16 clinical isolates
V36M
V36A
V36L
Q41Runfit2,30.9 (3)
F43S
T54A
V55A
Y56H
Y56F
Q80H
Q80K
Q80L
Q80M
Q80I
Q80R
V107I
T122Alikely susceptible2
T122Glikely susceptible2
T122R
T122Vlikely susceptible2
R155Gunfit2
R155K
R155T
R155Wunfit2
A156Gunfit2,1VOX RAS (1)
A156S1VOX RAS, >2.5x
A156Tunfit2
A156Vunfit2
A166Slikely susceptible2
D168A8.1xresistance possible3,2,146.8 (3)
D168Elikely susceptible2,1
D168F
D168G
D168H11.6xresistance likely3,2,1259 (3)
D168I
D168K2.5-20xresistance possible2,1
D168L
D168N
D168R17.8xresistance likely3,2,13.1 (3)
D168T
D168Vlikely susceptible2
D168Y13.5xresistance likely3,2,1404 (3)
I170A
I170T
I170Vlikely susceptible2
V36A+Q41Runfit2
V36A+T122Nunfit2
V36M+R155K
Y56H+D168A
Y56H+D168V
T122N+D168A2.5-20xresistance possible2
Q41R+D168H35xresistance likely3,212.6 (3)
Q41R+D168A47xresistance likely3,224.1 (3)
Q41R+T122Nunfit2
Q41R+D168Yunfit21.2 (3)
G50K+T122Nunfit2
1. Sarrazin C, et al. 2017. Gastroenterology 152: S1062
2. Dvory-Sobol H et al 2017 AASLD.  http://www.natap.org/2017/AASLD/AASLD_29.htm
3. FDA Vosevi Microbiology Reviews 209195Orig1s000MicroR