Evidence map›Paper›PMID 39386278›Full record

ArticleCanada communicable disease report = Releve des maladies transmissibles au Canada2024

Large scale analysis of the SARS-CoV-2 main protease reveals marginal presence of nirmatrelvir-resistant SARS-CoV-2 Omicron mutants in Ontario, Canada, December 2021-September 2023.

Venkata Duvvuri, Fatima Shire, Sandra Isabel, Thomas Braukmann, Shawn Clark, Alex Marchand-Austin, Alireza Eshaghi, Hina Bandukwala, Nobish Varghese, Ye Li and 12 more

Abstract read
In one paragraph

Article in Canada communicable disease report = Releve des maladies transmissibles au Canada, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. A Novel Fluorescence Polarization Binding Assay for the Main Protease (MACS pharmacology & translational science · 2025
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Venkata DuvvuriPublic Health Ontario, Toronto, ON.
Fatima ShirePublic Health Ontario, Toronto, ON.
Sandra IsabelPublic Health Ontario, Toronto, ON.
Thomas BraukmannPublic Health Ontario, Toronto, ON.
Shawn ClarkPublic Health Ontario, Toronto, ON.
Alex Marchand-AustinPublic Health Ontario, Toronto, ON.
Alireza EshaghiPublic Health Ontario, Toronto, ON.
Hina BandukwalaPublic Health Ontario, Toronto, ON.
Nobish VarghesePublic Health Ontario, Toronto, ON.
Ye LiPublic Health Ontario, Toronto, ON.
Karthikeyan SivaramanPublic Health Ontario, Toronto, ON.
Hadia HussainPublic Health Ontario, Toronto, ON.
Kirby CroninPublic Health Ontario, Toronto, ON.
Ashleigh SullivanPublic Health Ontario, Toronto, ON.
Aimin LiPublic Health Ontario, Toronto, ON.
Austin ZygmuntPublic Health Ontario, Toronto, ON.
Karam RamotarPublic Health Ontario, Toronto, ON.
Julianne KusPublic Health Ontario, Toronto, ON.
Maan HassoPublic Health Ontario, Toronto, ON.
Antoine CorbeilPublic Health Ontario, Toronto, ON.
Jonathan GubbayPublic Health Ontario, Toronto, ON.
Samir PatelPublic Health Ontario, Toronto, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In response to the COVID-19 pandemic, a new oral antiviral called nirmatrelvir-ritonavir (Paxlovid Objectives: To survey the prevalence, relevance and temporal patterns of M Methods: A total of 93,082 M Results: A declining trend was observed in non-synonymous mutations of M Conclusion: The observations suggest that, as of September 2023, no significant or widespread resistance to nirmatrelvir has developed among SARS-CoV-2 Omicron variants in Ontario. This study highlights the importance of creating automated monitoring systems to track the emergence of nirmatrelvir-resistant mutations within the SARS-CoV-2 virus, utilizing genomic data generated in real-time.

Indexed as

genomic surveillancein vitro resistant mutationsmain protease gene (Mpro)nirmatrelvir-ritonavirOmicronOntarioPaxlovidSARS-CoV-2

Identifiers

PMID39386278
PMCPMC11464099

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.