How are life-saving drugs discovered?
Join DNDi researcher and series host Fanny Escudié to learn more about how scientists are using the most advanced technologies to improve the lives of millions of neglected patients around the world.
Episode 5
Moonshot: How to unlock the power of crowdsourced science to prepare for future coronavirus pandemics
How do we design a medicine for a virus that does not yet exist? How can we develop an antiviral drug candidate against a future disease of pandemic potential even before the pandemic strikes?
These questions are critical. COVID-19 is estimated to have caused the death of 7 million people worldwide. There is a 22-28% chance of another similar deadly zoonotic pandemic in the next decade, according to modelling studies from the Center for Global Development.
To tackle this pandemic preparedness challenge, researchers from an international initiative called COVID Moonshot and its sister organization, the ASAP Consortium, have used an innovative approach: open science combined with crowdsourcing to conduct drug discovery at a massive, global scale.
The approach proved highly successful, and their efforts led to the development of one of the most advanced open science molecules, called ASAP-0017445, which is now entering pre-clinical testing.
What is a ‘broad-spectrum’ antiviral, and how does it work?
‘Historically, most pandemics have been caused by airborne viruses, mainly influenza and coronaviruses. This is why it is important to invest now in the development of medicines that can treat viral diseases with pandemic potential,’ explained Peter Sjö, Head of the Drug Discovery Programme at DNDi.
Antiviral drugs that are effective against an existing pathogen may not work against new viral strains that emerge due to mutations. This is why researchers focus on developing ‘broad spectrum’ antivirals that are already effective against several existing viruses of the same viral family, ensuring a higher probability they will also work against future variants in the viral family that are caused by mutations.
In 2020, when the COVID-19 pandemic started, scientists identified a promising target: a protein called ‘protease’ that all coronaviruses need in order to replicate.
Even though this protease varies slightly from one coronavirus strain to another, it functions in the same way. It acts like a pair of scissors, cutting long proteins into smaller pieces that the virus needs to replicate and multiply.
This protease has a cavity with a specific shape on its surface. Scientists call it a ‘cleavage site.’ A molecule with the exact shape that would allow it to tightly fit and naturally lock itself into this cavity – like two pieces of a puzzle, or a key fitting into a lock – would thus inhibit (or block) the protease activity, stopping the virus from replicating. The better the fit in the cavity, the more efficient the molecule would be.
Crowdsourcing the design of a new molecule
In early 2020, scientists at the Diamond Light Source laboratory in Oxford examined how the main protease of SARS-CoV-2 would bind to small molecules called ‘fragments’. They exposed the main protease to hundreds of these fragments, observing how some naturally bound to various sub-pockets within the protease’s larger cleavage site. Employing a technique called crystallography, the researchers could determine which fragments attached to the cavity, and precisely where and how each one binds.
But fragment binding alone is not enough to inhibit protease activity.
Scientists needed to find ways to link several of these fragments together and merge them into a larger molecule with the appropriate 3D shape matching the larger binding pocket – a complex, daunting task.
So, in March 2020, they put all their data online. A researcher from Weizmann Institute then published a tweet, calling on the community of medicinal chemists from all over the world to submit designs of molecules built from these fragments.
As the world entered lockdowns, hundreds of researchers were willing to help and spontaneously joined this collaborative effort, now named the COVID-19 Moonshot. The scale of this massively crowdsourced drug discovery effort was unprecedented.
‘We expected a few hundred submissions. We got more than 18.000,’ wrote Ed Griffen, Technical Director at MedChemica, recalling the early days of Moonshot. ‘Social media allowed us to share progress in real time with the widest possible community of researchers. Artificial intelligence enabled us to work faster on the molecular designs.’
The molecules proposed by the community – those that could be relatively easily synthetized and manufactured, at least – were soon tested at Diamond Light Source laboratory to see how strongly they bind to the protease.
‘To design the molecule with the best shape is a bit like trying hundreds of thousands of keys in a lock until you find one that fits. That’s why this collaborative approach was so successful,’ explained Annette von Delft, Head of Anti-Infectives at the Centre of Medicines Discovery, Nuffield Department of Medicine at the University of Oxford, and partner of the Moonshot initiative.
Building on the results from fragment merging, one compound, named DNDi-6510, was designed and progressed into advanced safety and pharmacokinetic studies. It ultimately failed due to unexpected, late-stage findings – attrition is very common in early-stage drug discovery, with approximately 90% of new pre-clinical drug candidates never reaching clinical studies. But researchers quickly found a solution: the molecular structure was redesigned, and a backup molecule from the same candidate series as DNDi-6510 passed all the tests and continues to progress.
Key data for this new molecule, called ASAP-0017445, was presented in early 2025. It shows promise not only against SARS-CoV-2 but also against Middle-East respiratory syndrome (MERS) and related coronaviruses. A true ‘broad-spectrum’ antiviral, the molecule was nominated by DNDi as a pre-clinical candidate in September 2025.
‘As far as I’m aware, ASAP-0017445 is the most advanced molecule ever brought forward based on an open science approach.’
Blake Balcomb, Senior Beamline Scientist at Diamond Light Source, Oxford, UK.
Blake Balcomb, Senior Beamline Scientist at Diamond Light Source, Oxford, UK.
Why open science?
All ideas from the Moonshot project and all the data generated have been made publicly available and published online in real time. That was a key feature of the project, and it has enabled an open discussion on selecting the best designs and improving the molecule, further and faster.
This is the magic of open science, bringing thousands of minds together. It allows researchers to instantly share results and exchange ideas quickly and freely. They don’t waste time by keeping advances or failures behind closed doors – which is critical during a pandemic, when new drugs are needed fast.
The Moonshot drug discovery work ‘has been an express train on tracks we have laid down as we go. It is a way of working that none of us realized was possible,’ wrote Frank von Delft, principal beam scientist at Diamond Light Source, and other Moonshot partners, in Nature.
Their open-science work has also benefited researchers who work on other antivirals. For example, key interactions observed in Moonshot compounds contributed to the identification of another antiviral drug called ensitrelvir, that was developed and put to market by the Japanese pharmaceutical company Shionogi.
How to ensure the future antiviral medicine will be affordable and widely accessible?
From the very beginning, the goal of Moonshot and ASAP researchers has been to make sure their potential future treatment would be affordable and accessible to everyone who needs it, whatever their income or their location.
‘Antivirals have shown to be very effective in reducing risk of hospitalization and deaths during the COVID-19 pandemic, but, as for vaccines, there were serious issues around access to the drugs in low- and middle-income countries. Humanity must not repeat the same mistakes,’ said Annette von Delft.
In a pandemic emergency, lack of access to life-saving health tools costs lives. According to a modelling study published in Nature Medicine, more equitable access to vaccines during the COVID-19 pandemic could have prevented around 1.3 million deaths worldwide.
This is why, in parallel with the development of broad-spectrum antivirals, and prior to patent filing, ASAP researchers agreed on contractual commitments and safeguards to ensure that their future treatments could be simultaneously produced by multiple pharmaceutical companies in different regions of the globe – hence making sure new medicines could be quickly made available everywhere, and at the lowest sustainable price.
All these commitments are detailed in the ‘ASAP policy on intellectual property and open science disclosure’ – a document that is also public.
The path forward: being ready for the next pandemic
The goal of Moonshot and ASAP researchers is to have their broad-spectrum antiviral ‘phase II-ready,’ meaning ready to be immediately tested in patients when the next coronavirus pandemic hits. By that stage, all necessary toxicology and safety studies must be completed, and the molecule must be shown to be safe in trials in healthy volunteers.
The discovery and development of drugs for diseases of pandemic potential is long and costly, and the return on investment for a yet unknown disease is uncertain. This is why market-based, profit-driven pharmaceutical companies usually prefer to focus on other R&D areas. However, the health and social benefits of this work can be immense for everyone.
‘The cost of developing an antiviral today is extremely low compared to what we might lose if we are not prepared when the next pandemic hits,’ said Peter Sjö. ‘We are therefore calling on potential donors to join and support the clinical development of medicines to protect people from new pandemic threats.’
Learn more about crowdsourced science and DNDi’s work
- Open-science approach delivers a promising pre-clinical candidate for broad-spectrum coronavirus antiviral
- Open science discovery of potent noncovalent SARS-CoV-2 main protease inhibitors
- A white-knuckle ride of open COVID drug discovery
- Opinion: How patents can serve the common good
- ASAP Policy on Intellectual Property Management and Open Science Disclosure
- Enabling equitable and affordable access to novel therapeutics for pandemic preparedness and response via creative intellectual property agreements
- How to access crystallographic fragment screens at Diamond Light Source
Photo credits: All photos by Stuart March-DNDi, except the last photo, which is credited to DNDi.
The Drugs for Neglected Diseases initiative (DNDi) is an international non-profit research and development organization that discovers, develops, and delivers safe, effective, and affordable treatments for neglected patients.

