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European Union · EMA · Rare diseases

EU orphan designations

Every medicine the European Commission has designated as an orphan medicine for a rare disease, on the EMA's recommendation, with its current status.

Source: European Medicines Agency, orphan designations data (reproduced with acknowledgement of the source). Synced 27 Sep 2026
3,310Orphan designations listed
2,205Currently active
125Designated in the last 12 months
1,069Withdrawn or expired
Maintained by Sreepriya Prasannan
MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany HSE Spark Ignite 2026 โ€” Top 14 finalist
Compiled from EMA orphan designation records ยท Last verified ยท Editorial standards
01

All orphan designations, newest first

3,310 designations · page 18 of 34
SubstanceIntended useStatusDesignated
Combretastatin A1 diphosphate
EU/3/15/1587
Treatment of acute myeloid leukaemia Active (positive) 14 Dec 2015
recombinant human nerve growth factor (cenegermin)
EU/3/15/1586 · now authorised as Oxervate
Treatment of neurotrophic keratitis Active (positive) 14 Dec 2015
sirolimus
EU/3/15/1585
32 clinical trials →
Treatment of beta thalassaemia intermedia and major Active (positive) 14 Dec 2015
variant of recombinant human fibroblast growth factor 19
EU/3/15/1584
Treatment of primary sclerosing cholangitis Withdrawn 14 Dec 2015
2-amino-2-[2-[2-chloro-4-[[3-(phenylmethoxy)phenyl]thio]phenyl]ethyl]-1,3-propanediol hydrochloride
EU/3/15/1583
Prevention of graft-versus-host disease Withdrawn 14 Dec 2015
Magrolimab
EU/3/15/1582
2 clinical trials →
Treatment of acute myeloid leukaemia Withdrawn 11 Nov 2015
sodium phenylbutyrate
EU/3/15/1581
Treatment of pyruvate dehydrogenase complex deficiency Active (positive) 11 Nov 2015
N-[5-(3,5-difluorobenzyl)-1H-indazol-3-yl]-4-(4 methylpiperazin-1-yl)-2-(tetrahydro-2H-pyran-4-ylamino) benzamide (entrectinib)
EU/3/15/1580
Treatment of neuroblastoma Withdrawn 11 Nov 2015
autologous T cells transduced with retroviral vector encoding an anti-CD19 CD28/CD3-zeta chimeric antigen receptor (axicabtagene ciloleucel)
EU/3/15/1579 · now authorised as Yescarta
Treatment of follicular lymphoma Active (positive) 11 Nov 2015
adenovirus associated viral vector serotype 8 containing the human CNGB3 gene
EU/3/15/1578
Treatment of achromatopsia caused by mutations in the CNGB3 gene Active (positive) 11 Nov 2015
adenovirus associated viral vector serotype 5 containing the human RPE65 gene
EU/3/15/1577
Treatment of Leber's congenital amaurosis Active (positive) 11 Nov 2015
xevinapant
EU/3/15/1576
Treatment of ovarian cancer Withdrawn 11 Nov 2015
humanised fusion protein consisting of extracellular domain of CD24 linked to IgG1 Fc domain
EU/3/15/1575
Prevention of graft-versus-host disease Withdrawn 11 Nov 2015
4'-[(2-butyl-4-oxo-1,3-diazaspiro[4.4]non-1-en-3-yl)methyl]-N-(4,5-dimethyl-3-isoxazolyl)-2'-(ethoxymethyl)-[1,1'-biphenyl]-2-sulfonamide
EU/3/15/1574
Treatment of focal segmental glomerulosclerosis Active (positive) 11 Nov 2015
adeno-associated viral vector serotype 8 encoding the human ATP7B gene under the control of the human alpha-1 antitrypsin promoter
EU/3/15/1573
Treatment of Wilson's disease Active (positive) 11 Nov 2015
autologous T cells transduced with retroviral vector encoding an anti-CD19 CD28/CD3-zeta chimeric antigen receptor (axicabtagene ciloleucel)
EU/3/15/1572
Treatment of chronic lymphocytic leukaemia / small lymphocytic lymphoma Withdrawn 11 Nov 2015
autologous T cells transduced with retroviral vector encoding an anti-CD19 CD28/CD3-zeta chimeric antigen receptor (axicabtagene ciloleucel)
EU/3/15/1571
Treatment of acute lymphoblastic leukaemia Withdrawn 11 Nov 2015
azacitidine
EU/3/15/1570
127 clinical trials →
Treatment of nasopharyngeal carcinoma Withdrawn 11 Nov 2015
pentetrazol
EU/3/15/1569
Treatment of idiopathic hypersomnia Withdrawn 11 Nov 2015
interferon alfa-n3
EU/3/15/1568
Treatment of Middle East respiratory syndrome Active (positive) 11 Nov 2015
recombinant human interleukin-3 truncated diphtheria toxin fusion protein
EU/3/15/1567 · now authorised as Elzonris
Treatment of blastic plasmacytoid dendritic cell neoplasm Active (positive) 11 Nov 2015
sialic acid (also known as aceneuramic acid)
EU/3/12/972
Treatment of GNE myopathy Withdrawn 16 Oct 2015
autologous human peripheral blood Vdelta1+ T lymphocytes activated in vitro by cytokine and monoclonal antibody treatment
EU/3/15/1566
Treatment of chronic lymphocytic leukaemia / small lymphocytic lymphoma Active (positive) 9 Oct 2015
2-Chloro-N6-(3-iodobenzyl)adenosine-5'-N-methyluronamide (namodenoson)
EU/3/15/1565
Treatment of hepatocellular carcinoma Active (positive) 9 Oct 2015
Dronabinol;cannabidiol
EU/3/15/1564
3 clinical trials →
Treatment of glioma Withdrawn 9 Oct 2015
recombinant human interleukin-3 truncated diphtheria toxin fusion protein
EU/3/15/1563
Treatment of acute myeloid leukaemia Active (positive) 9 Oct 2015
staphylococcus aureus protein A
EU/3/15/1562
Treatment of immune thrombocytopenia Active (positive) 9 Oct 2015
ataluren
EU/3/15/1561
Treatment of aniridia Withdrawn 9 Oct 2015
N-(2-((4Z,7Z,10Z,13Z,16Z,19Z)-docosa-4,7,10,13,16,19-hexaenamido)ethyl)-2-hydroxybenzamideย (edasalonexent)
EU/3/15/1560
Treatment of Duchenne muscular dystrophy Withdrawn 9 Oct 2015
2-(2-chlorophenyl)-4-[3-(dimethylamino)phenyl]-5-methyl-1H-pyrazolo[4,3-C]pyridine-3,6(2H,5H)-dione
EU/3/15/1559
Treatment of systemic sclerosis Active (positive) 9 Oct 2015
three chimeric human/murine monoclonal antibodies against the Ebola (Zaire) surface glycoprotein (porgaviximab)
EU/3/15/1558
Treatment for Ebola virus disease Withdrawn 9 Oct 2015
sirolimus
EU/3/15/1557
32 clinical trials →
Treatment of tuberous sclerosis Active (positive) 9 Oct 2015
recombinant adeno-associated viral vector expressing the human CNGA3 gene
EU/3/15/1556
Treatment of achromatopsia caused by mutations in the CNGA3 gene Active (positive) 9 Oct 2015
synthetic hepcidin
EU/3/15/1555
Treatment of beta thalassaemia intermedia and major Withdrawn 9 Oct 2015
nimodipine
EU/3/15/1554
2 clinical trials →
Treatment of aneurysmal subarachnoid haemorrhage Active (positive) 9 Oct 2015
autologous T cells transduced with retroviral vector encoding an anti-CD19 CD28/CD3-zeta chimeric antigen receptor (axicabtagene ciloleucel)
EU/3/15/1553 · now authorised as Yescarta
Treatment of primary mediastinal large B-cell lymphoma Active (positive) 9 Oct 2015
autologous T cells transduced with retroviral vector encoding an anti-CD19 CD28/CD3-zeta chimeric antigen receptor (axicabtagene ciloleucel)
EU/3/15/1552
Treatment of mantle cell lymphoma Withdrawn 9 Oct 2015
recombinant human IgG1 kappa light chain monoclonal antibody targeting plasma kallikreinย (lanadelumab)
EU/3/15/1551 · now authorised as Takhzyro
Treatment of hereditary angioedema Active (positive) 9 Oct 2015
3-pentylbenzeneacetic acid sodium salt
EU/3/15/1550
Treatment of idiopathic pulmonary fibrosis Withdrawn 9 Oct 2015
synthetic peptide L-cysteine, L-cysteinylglycyl-L-glutaminyl-L-arginyl-L-.alpha.-glutamyl-L-threonyl-L-prolyl-L-.alpha.-glutamylglycyl-L-alanyl-L-.alpha.-glutaโ€ฆ
EU/3/15/1549
Treatment of primary graft dysfunction following lung transplantation Active (positive) 9 Oct 2015
ovine specific immunoglobulin (Fab) fragments raised against Vipera berus veno
EU/3/15/1548
Treatment of snakebite envenomation Active (positive) 9 Oct 2015
Mazindol
EU/3/15/1547
Treatment of narcolepsy Active (positive) 9 Oct 2015
allogeneic umbilical cord blood cells treated ex vivo with 16,16-dimethyl prostaglandin E2
EU/3/15/1546
Treatment of acute lymphoblastic leukaemia Withdrawn 10 Aug 2015
CD33-directed antibody-drug conjugate consisting of an antibody conjugated to a DNA cross-linking pyrrolobenzodiazepine dimer drug (vadastuximab talirine)
EU/3/15/1545
Treatment of acute myeloid leukaemia Withdrawn 10 Aug 2015
2-(2-phenylvinyl)-4-[4- methylpiperazin-1-yl)]-6-(5-methyl-2H-pyrazol-3-yl-amino)-pyrimidine L(+) tartrate salt
EU/3/15/1544
Treatment of hepatocellular carcinoma Active (positive) 10 Aug 2015
(S)-6-hydroxy-2,5,7,8-tetramethyl-N-((R)-piperidin-3-yl)chroman-2-carboxamide hydrochloride
EU/3/15/1543
Treatment of mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes Withdrawn 10 Aug 2015
2'-deoxyguanosylyl-(3',5'-phosphoryl)-2'-deoxythymidylyl-(3',5'-phosphoryl)- 2'-deoxyguanosylyl-(3',5'-phosphoryl)-2'-deoxycytidylyl-(3',5'-phosphoryl)-2'-deoxโ€ฆ
EU/3/15/1542
Treatment of diffuse large B-cell lymphoma Withdrawn 10 Aug 2015
Ibrutinib
EU/3/15/1541
44 clinical trials →
Treatment of marginal zone lymphoma Withdrawn 10 Aug 2015
adeno-associated viral vector serotype 9 containing the human iduronate-2-sulfatase gene
EU/3/15/1540
Treatment of mucopolysaccharidosis type II (Hunter's syndrome) Withdrawn 10 Aug 2015
adeno-associated viral vector serotype 8 containing the human MTM1 gene (resamirigene bilparvovec)
EU/3/15/1539
Treatment of X-linked myotubular myopathy Active (positive) 10 Aug 2015
fosfomycin disodium;tobramycin
EU/3/15/1538
3 clinical trials →
Treatment of cystic fibrosis Active (positive) 10 Aug 2015
verucerfont
EU/3/15/1537
Treatment of congenital adrenal hyperplasia Withdrawn 10 Aug 2015
recombinant human acid ceramidase
EU/3/15/1536
Treatment of cystic fibrosis Active (positive) 10 Aug 2015
fibrinogen-coated albumin spheres
EU/3/15/1535
Treatment of acute radiation syndrome Active (positive) 10 Aug 2015
Glycyl-L-2-methylprolyl-L-glutamic acid;trofinetide
EU/3/15/1534 · now authorised as Daybu
Treatment of Rett syndrome Active (positive) 10 Aug 2015
human allogeneic bone-marrow-derived osteoblastic cells
EU/3/15/1533
Treatment of osteogenesis imperfecta Active (positive) 10 Aug 2015
insulin human
EU/3/15/1532
Treatment of short bowel syndrome Active (positive) 10 Aug 2015
Lanreotide acetate
EU/3/15/1514
5 clinical trials →
Treatment of autosomal dominant polycystic kidney disease Active (positive) 10 Aug 2015
sarizotan hydrochloride
EU/3/15/1531
Treatment of Rett syndrome Active (positive) 28 Jul 2015
Glycyl-L-2-methylprolyl-L-glutamic acid
EU/3/15/1529
Treatment of fragile X syndrome Active (positive) 28 Jul 2015
synthetic double-stranded RNA oligonucleotide specific to hydroxyacid oxidase 1 gene
EU/3/15/1528
Treatment of primary hyperoxaluria type 1 Withdrawn 28 Jul 2015
Hydrocinnamate-[Orn-Pro-dCha-Trp-Arg]acetate
EU/3/15/1527
Treatment of amyotrophic lateral sclerosis Active (positive) 28 Jul 2015
triheptanoin
EU/3/15/1526
Treatment of carnitine palmitoyltransferase II deficiency Active (positive) 28 Jul 2015
triheptanoin
EU/3/15/1525
Treatment of mitochondrial trifunctional protein deficiency Active (positive) 28 Jul 2015
triheptanoin
EU/3/15/1524
Treatment of long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency Active (positive) 28 Jul 2015
Inecalcitol
EU/3/15/1523
Treatment of acute myeloid leukaemia Active (positive) 28 Jul 2015
Humanised IgG4 monoclonal antibody against extracellular tau
EU/3/15/1522
Treatment of progressive supranuclear palsy Active (positive) 28 Jul 2015
artesunate
EU/3/15/1521 · now authorised as Garsun
5 clinical trials →
Treatment of malaria Active (positive) 28 Jul 2015
cannabidiol
EU/3/15/1520
16 clinical trials →
Treatment of perinatal asphyxia Active (positive) 28 Jul 2015
allogeneic human adult stem cells, isolated from skeletal muscle and expanded ex vivo
EU/3/15/1519
Treatment of Duchenne muscular dystrophy Active (positive) 28 Jul 2015
adenovirus-associated viral vector serotype 2 containing the human RPE65 gene (voretigene neparvovec)
EU/3/15/1518 · now authorised as Luxturna
Treatment of retinitis pigmentosa Active (positive) 28 Jul 2015
2-((3-((4-((3-aminopropyl)amino)butyl)amino)propyl)amino)-N-((5S,5aS,8aR,9R)-9-(4-hydroxy-3,5-dimethoxyphenyl)-8-oxo-5,5a,6,8,8a,9-hexahydrofuro[3',4':6,7]naphโ€ฆ
EU/3/15/1517
Treatment of acute myeloid leukaemia Active (positive) 28 Jul 2015
modified adenovirus serotype 5/35 containing a CMV promoter-driven transgene cassette with the human transgenes for a membrane-bound CD40 ligand and full lengtโ€ฆ
EU/3/15/1516
Treatment of pancreatic cancer Active (positive) 28 Jul 2015
synthetic hypericin
EU/3/15/1515
Treatment of cutaneous T-cell lymphoma Active (positive) 28 Jul 2015
Doxorubicin
EU/3/15/1513
126 clinical trials →
Treatment of hepatoblastoma Active (positive) 28 Jul 2015
anti-H5N1 equine immunoglobulin F(ab')2 fragments
EU/3/15/1512
Treatment of avian influenza Active (positive) 28 Jul 2015
Human plasminogen
EU/3/15/1511
Treatment of plasminogen deficiency Active (positive) 28 Jul 2015
edaravone
EU/3/15/1510 · now authorised as Radicava
2 clinical trials →
Treatment of amyotrophic lateral sclerosis Active (positive) 19 Jun 2015
adeno-associated viral vector serotype 9 containing the human SMN gene (onasemnogene abeparvovec)
EU/3/15/1509 · now authorised as Zolgensma; Itvisma
Treatment of spinal muscular atrophy Active (positive) 19 Jun 2015
triheptanoin
EU/3/15/1508
Treatment of very long-chain acyl-CoA dehydrogenase deficiency Active (positive) 19 Jun 2015
3-{[2,3,5,6-tetrafluoro-3'-(trifluoromethoxy)biphenyl-4-yl]carbamoyl}thiophene-2-carboxylic acid
EU/3/15/1507
Treatment of non-infectious uveitis Active (positive) 19 Jun 2015
antisense oligonucleotide directed against TGF-ฮฒ2 mRNA
EU/3/15/1506
Prevention of scarring post glaucoma filtration surgery Active (positive) 19 Jun 2015
obinutuzumab
EU/3/15/1505
88 clinical trials →
Treatment of marginal zone lymphoma Withdrawn 19 Jun 2015
obinutuzumab
EU/3/15/1504
88 clinical trials →
Treatment of follicular lymphoma Withdrawn 19 Jun 2015
allogeneic ex-vivo-expanded human umbilical cord blood-derived mesenchymal stem cells
EU/3/15/1503
Prevention of bronchopulmonary dysplasia Active (positive) 19 Jun 2015
trehalose
EU/3/15/1502
Treatment of spinocerebellar ataxia Active (positive) 19 Jun 2015
adeno-associated viral vector containing the human factor IX gene
EU/3/15/1501
Treatment of haemophilia B Withdrawn 19 Jun 2015
EU/3/15/1500 · now authorised as Hepcludex
Treatment of hepatitis delta virus infection Active (positive) 19 Jun 2015
adult human bone-marrow-derived, ex-vivo-expanded, pooled allogeneic mesenchymal stromal cells
EU/3/15/1499
Treatment of thromboangiitis obliterans (Buerger's disease) Active (positive) 21 May 2015
2-(7-ethoxy-4-(3-fluorophenyl)-1-oxophthalazin-2(1H)-yl)-N-methyl-N-(2-methylbenzo[d]oxazol-6-yl) acetamide
EU/3/15/1498
Treatment of cystic fibrosis Withdrawn 21 May 2015
5,7-dichloro-2-dimethylaminomethyl-8-hydroxyquinoline hydrochloride
EU/3/15/1497
Treatment of Huntingtonโ€™s disease Withdrawn 21 May 2015
trehalose
EU/3/15/1496
Treatment of oculopharyngeal muscular dystrophy Active (positive) 21 May 2015
triheptanoin
EU/3/15/1495
Treatment of glucose transporter type-1 deficiency syndrome Withdrawn 21 May 2015
allopurinol sodium
EU/3/15/1493
7 clinical trials →
Treatment of perinatal asphyxia Active (positive) 21 May 2015
adeno-associated viral vector serotype 9 containing the human HGSNAT gene
EU/3/15/1491
Treatment of mucopolysaccharidosis IIIC (Sanfilippo C syndrome) Active (positive) 21 May 2015
triamcinolone acetonide
EU/3/15/1490
12 clinical trials →
Treatment of non-infectious uveitis Active (positive) 21 May 2015
Fusion proteins composed by a genetically modified cholera toxin subunit A1, peptides from the acetylcholine receptor alpha chain and a dimer of the D fragmentโ€ฆ
EU/3/15/1489
Treatment of myasthenia gravis Withdrawn 21 May 2015
{2-amino-8-[4-(pyrrolidinylcarbonyl)phenyl]-(3H-benzo[f]azepin-4-yl)}-N,N-dipropylcarboxamide
EU/3/15/1488
Treatment of ovarian cancer Withdrawn 21 May 2015
reduced oxidised N-acetyl heparin (roneparstat)
EU/3/15/1487
Treatment of plasma cell myeloma Withdrawn 21 May 2015
AASSGVSTPGSAGHDIITEQPRS
EU/3/15/1492
Treatment of Huntingtonโ€™s disease Active (positive) 12 May 2015

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How this page is built

Every row is copied from the EMA's orphan designations data, reproduced with acknowledgement of the source. Each substance links to its official EMA page.

A daily job downloads the EMA's orphan designations JSON report and lists every designation, newest first. No AI drafting and no editorial pass. See our editorial standards. The the EMA data on this page was last retrieved on 27 Sep 2026.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician โ€” our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us โ€” we correct promptly and log it.