The main protease (3CL M
pro
) from severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2), the virus that causes COVID-19, is an essential enzyme for
viral replication with no human counterpart, making it an attractive drug target. To
date, no small-molecule clinical drugs are available that specifically inhibit
SARS-CoV-2 M
pro
. To aid rational drug design, we determined a neutron
structure of M
pro
in complex with the α-ketoamide inhibitor telaprevir
at near-physiological (22 °C) temperature. We directly observed protonation states
in the inhibitor complex and compared them with those in the ligand-free
M
pro
, revealing modulation of the active-site protonation states upon
telaprevir binding. We suggest that binding of other α-ketoamide covalent
inhibitors can lead to the same protonation state changes in the M
pro
active
site. Thus, by studying the protonation state changes induced by inhibitors, we provide
crucial insights to help guide rational drug design, allowing precise tailoring of
inhibitors to manipulate the electrostatic environment of SARS-CoV-2
M
pro
.