Emergency Use Authorization for remdesivir months after discovery of
COVID19 MESHD is unprecedented. Typically, decades of research and public sector funding are required to establish the mature body of foundational research requisite for efficient, targeted drug discovery and development. This work quantifies the body of research related to the biological target of remdesivir,
RNA-dependent RNA polymerase PROTEIN (
RdRp PROTEIN), or parent chemical structure, nucleoside analogs (
NcAn HGNC), through 2019, as well as NIH funding for this research from 2000 to 2019. There were 6,567
RdRp PROTEIN related publications in PubMed, including 1,263 with NIH support, and 11,073
NcAn HGNC-related publications, including 2,319 with NIH support. NIH support for
RdRp PROTEIN research comprised 2,203 Project Years with Costs of $1,875 million. NIH support for
NcAn HGNC research comprised 4,607 Project Years with Costs of $4,612 million. Research Project grants accounted for 63% and 48% of Project Years for
RdRp MESHD RdRp PROTEIN and
NcAn HGNC respectively, but only 19% and 12% of Project Costs. Analytical modeling of research maturation estimates that
RdRp PROTEIN and
NcAn HGNC research passed an established maturity threshold in 2008 and 1994 respectively. Of 97 investigational compounds targeting
RdRp PROTEIN since 1989, the three authorized for use entered clinical trials after both thresholds. This work demonstrates the scale of foundational research on the biological target and parent chemical structure of remdesivir that supported its discovery and development for
COVID19 MESHD. This work identifies $6.5 billion in NIH funding for research leading to remdesivir, underscoring the role of public sector investments in basic research and research infrastructure that underlie new drugs and the response to
emergent disease MESHD.