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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 19 of 34
SubstanceIntended useStatusDesignated
recombinant human mesencephalic astrocyte-derived neurotrophic factor
EU/3/15/1486
Treatment of retinitis pigmentosa Active (positive) 24 Apr 2015
sodium 2-hydroxylinoleate
EU/3/15/1485
Treatment of neuroblastoma Active (positive) 24 Apr 2015
nitric oxide
EU/3/15/1484
4 clinical trials →
Treatment of cystic fibrosis Withdrawn 24 Apr 2015
xenon
EU/3/15/1483
2 clinical trials →
Treatment of perinatal asphyxia Active (positive) 24 Apr 2015
adeno-associated viral vector serotype 5 containing the human CHM gene
EU/3/15/1482
Treatment of choroideraemia Active (positive) 24 Apr 2015
phenol, 4-[2-(aminomethyl)-4-thiazolyl]-2,6-bis(1,1-dimethylethyl) monohydrochloride
EU/3/15/1481
Treatment of Huntingtonโ€™s disease Withdrawn 24 Apr 2015
rintatolimod
EU/3/15/1480
Treatment of Ebola virus disease Active (positive) 24 Apr 2015
recombinant monoclonal IgG1 antibody against T-cell immune response cDNA 7
EU/3/15/1479
Prevention of graft rejection following solid organ transplantation Active (positive) 24 Apr 2015
Human reovirus type 3 Dearing strain
EU/3/15/1477
Treatment of pancreatic cancer Active (positive) 24 Apr 2015
1-(4-(N-glycylamido)phenyl)-3-trifluoromethyl-5-(phenanthren-2-yl)-pyrazole-hydrochloride
EU/3/15/1476
Treatment of tularaemia Active (positive) 24 Apr 2015
1-(4-(N-glycylamido)phenyl)-3-trifluoromethyl-5-(phenanthren-2-yl)-pyrazole-hydrochloride
EU/3/15/1475
Treatment of cryptococcosis Active (positive) 24 Apr 2015
Ecothiopate iodide
EU/3/15/1474
Treatment of Stargardt's disease Withdrawn 24 Apr 2015
lenalidomide
EU/3/15/1473
167 clinical trials →
Treatment of marginal zone lymphoma Withdrawn 24 Apr 2015
fluciclovine (18F)
EU/3/15/1472
Diagnosis of glioma Active (positive) 24 Apr 2015
trientine tetrahydrochloride
EU/3/15/1471
Treatment of Wilson's disease Withdrawn 19 Mar 2015
5,10,15,20-tetrakis(2,6-difluoro-3-N-methylsulfamoylphenyl)bacteriochlorin (redaporfin)
EU/3/15/1470
Treatment of biliary tract cancer Active (positive) 19 Mar 2015
Human reovirus type 3 Dearing strain
EU/3/15/1469
Treatment of ovarian cancer Active (positive) 19 Mar 2015
adeno-associated viral vector serotype 9 containing the human glucocerebrosidase gene
EU/3/15/1468
Treatment of Gaucher disease Withdrawn 19 Mar 2015
ex-vivo-expanded autologous human keratinocytes containing epidermal stem cells transduced with a COL17A1-encoding retroviral vector
EU/3/15/1467
Treatment of epidermolysis bullosa Active (positive) 19 Mar 2015
ex-vivo-expanded autologous human keratinocytes containing epidermal stem cells transduced with a COL7A1-encoding retroviral vector
EU/3/15/1466
Treatment of epidermolysis bullosa Active (positive) 19 Mar 2015
ex-vivo-expanded autologous human keratinocytes containing epidermal stem cells transduced with a LAMB3-encoding retroviral vector
EU/3/15/1465
Treatment of epidermolysis bullosa Active (positive) 19 Mar 2015
autologous adipose tissue-derived stromal vascular fraction cells
EU/3/15/1464
Treatment of systemic sclerosis Active (positive) 19 Mar 2015
Melphalan flufenamide
EU/3/15/1463
Treatment of plasma cell myeloma Withdrawn 19 Mar 2015
sodium 3-[(4aR,6R,7R,7aS)-7-hydroxy-2-oxido-2-sulfanylidene-4a,6,7,7a-tetrahydro-4H-furo [3,2-d][1,3,2] dioxaphosphinin-6-yl]-2-bromo-6-phenyl-5H-imidazo[1,2-aโ€ฆ
EU/3/15/1462
Treatment of retinitis pigmentosa Active (positive) 19 Mar 2015
recombinant human monoclonal antibody binding to vascular adhesion protein-1
EU/3/15/1461
Treatment of primary sclerosing cholangitis Active (positive) 19 Mar 2015
lenvatinib
EU/3/15/1460
124 clinical trials →
Treatment of hepatocellular carcinoma Withdrawn 19 Mar 2015
Enoxacin
EU/3/15/1459
Treatment of amyotrophic lateral sclerosis Active (positive) 19 Mar 2015
Humanised anti-folate receptor 1 monoclonal antibody conjugated to maytansinoid DM4
EU/3/15/1458 · now authorised as Elahere
Treatment of ovarian cancer Active (positive) 19 Mar 2015
[5-(5-chloro-1H-pyrrolo[2,3-b]pyridin-3-ylmethyl)-pyridin-2-yl]-(6-trifluoromethyl-pyridin-3-ylmethyl)-amine hydrochloride
EU/3/15/1457 · now authorised as Turalio
Treatment of tenosynovial giant cell tumour, localised and diffuse type Withdrawn 19 Mar 2015
recombinant human club cell 10 KDa protein
EU/3/15/1456
Prevention of bronchopulmonary dysplasia Active (positive) 19 Mar 2015
Human plasma-derived alpha-1 proteinase inhibitor
EU/3/15/1455
Treatment of graft-versus-host disease Active (positive) 19 Mar 2015
6-ethoxy-7-methoxy-2-(2-methylsulfanylphenyl)-3,1-benzoxazin-4-one
EU/3/15/1454
Treatment of Netherton syndrome Active (positive) 19 Mar 2015
chimeric 2'-O-(2-methoxyethyl) modified oligonucleotide targeted to huntingtin RNA
EU/3/15/1453
Treatment of Huntingtonโ€™s disease Active (positive) 19 Mar 2015
tideglusib
EU/3/15/1452
3 clinical trials →
Treatment of fragile X syndrome Withdrawn 19 Mar 2015
5'-ASCSASTSCSASGSTSCSTSGSASUSASASGSCSTSA-3' (lademirsen)
EU/3/15/1451
Treatment of Alport syndrome Withdrawn 19 Mar 2015
Gallium (68Ga)-edotreotide
EU/3/15/1450 · now authorised as SomaKit TOC
Diagnosis of gastro-entero-pancreatic neuroendocrine tumours Active (positive) 19 Mar 2015
allogeneic CD4+ and CD8+ T lymphocytes ex vivo incubated with synthetic peptides of the viral antigens of cytomegalovirus, adenovirus and Epstein-Barr virus
EU/3/15/1440
Treatment of Epstein-Barr virus infection following haematopoietic stem cell transplantation Active (positive) 19 Mar 2015
allogeneic CD4+ and CD8+ T lymphocytes ex vivo incubated with synthetic peptides of the viral antigens of cytomegalovirus, adenovirus and Epstein-Barr virus
EU/3/15/1438
Treatment of adenovirus infection following haematopoietic stem cell transplantation Active (positive) 19 Mar 2015
nalbuphine hydrochloride
-
5 clinical trials →
Treatment of uraemic pruritus Negative 27 Feb 2015
myriocin
EU/3/15/1449
Treatment of retinitis pigmentosa Active (positive) 12 Feb 2015
505 amino acid protein, corresponding to amino acids 2-506 of the wild type human histidyl-tRNA synthetase
EU/3/15/1448
treatment of facioscapulohumeral muscular dystrophy Withdrawn 12 Feb 2015
olaratumab
EU/3/15/1447
Treatment of soft tissue sarcoma Withdrawn 12 Feb 2015
N-(3-(4-(3-(diisobutylamino)propyl)piperazin-1-yl)propyl)-1H-benzo[d]imidazol-2-amine disulfate salt
EU/3/15/1446
Treatment of progressive supranuclear palsy Active (positive) 12 Feb 2015
ulocuplumab
EU/3/15/1445
Treatment of acute myeloid leukaemia Withdrawn 12 Feb 2015
Mazindol
EU/3/15/1444
Treatment of narcolepsy Withdrawn 12 Feb 2015
recombinant human glutamate oxaloacetate transaminase 1
EU/3/15/1443
Treatment of glioma Withdrawn 12 Feb 2015
fibrinogen-coated albumin spheres
EU/3/15/1442
Treatment of Ebola virus disease Active (positive) 12 Feb 2015
5-hydroxymethyl-2-furfural
EU/3/15/1441
Treatment of sickle cell disease Withdrawn 12 Feb 2015
allogeneic CD4+ and CD8+ T lymphocytes ex vivo incubated with synthetic peptides of the viral antigens of cytomegalovirus, adenovirus and Epstein-Barr virus
EU/3/15/1439
Treatment of cytomegalovirus infection following haematopoietic stem cell transplantation Active (positive) 12 Feb 2015
alvocidib
EU/3/15/1437
Treatment of acute myeloid leukaemia Active (positive) 12 Feb 2015
Lactobacillus reuteri
EU/3/15/1436
Prevention of necrotising enterocolitis Active (positive) 12 Feb 2015
nitroglycerin
EU/3/15/1435
6 clinical trials →
Treatment of systemic sclerosis Active (positive) 12 Feb 2015
chimeric group B adenovirus (11p/3) with deletions in the E3 and E4 regionsย (enadenotucirev)
EU/3/15/1434
Treatment of ovarian cancer Withdrawn 12 Feb 2015
sevuparin sodium
EU/3/15/1433
Treatment of sickle cell disease Active (positive) 12 Feb 2015
2'-O-methyl phosphorothioate RNA oligonucleotide, 5'-m5CUGm5CUGm5CUGm5CUGm5CUGm5CUGm5CUG-3'
EU/3/15/1432
Treatment of Huntingtonโ€™s disease Active (positive) 12 Feb 2015
3-[2-(4-carbamimidoyl-phenylcarbamoyl)-5-methoxy-4-vinyl-phenyl]-6-(cyclopropylmethyl-carbamoyl)-pyridine-2-carboxylic acid (avoralstat)
EU/3/15/1431
Treatment of hereditary angioedema Withdrawn 12 Feb 2015
adeno-associated viral vector serotype 8 containing the human factor-VII gene
EU/3/14/1430
Treatment of congenital factor VII deficiency Active (positive) 15 Jan 2015
N-methyl-4-({4-[({3-methyl(methylsulfonyl)aminopyrazin-2-yl}methyl)amino]-5-(trifluoromethyl)pyrimidin-2-yl}amino)benzamide hydrochloride (defactinib)
EU/3/14/1429
Treatment of ovarian cancer Active (positive) 15 Jan 2015
sodium valproate fNor
EU/3/14/1428
Treatment of Wolfram syndrome Active (positive) 15 Jan 2015
recombinant human alkaline phosphatase
EU/3/14/1427
Treatment of hypophosphatasia Active (positive) 15 Jan 2015
allogeneic peripheral blood mononuclear cells induced to an early apoptotic state
EU/3/14/1426
Prevention of graft-versus-host disease Withdrawn 15 Jan 2015
ceftriaxone
EU/3/14/1425
6 clinical trials →
Treatment of spinocerebellar ataxia Active (positive) 15 Jan 2015
Humanised Fc engineered monoclonal antibody against CD19 (tafasitamab)
EU/3/14/1424 · now authorised as Minjuvi
Treatment of diffuse large B-cell lymphoma Active (positive) 15 Jan 2015
synthetic signal peptide of human mucin-1 (amino acids 1-21)
EU/3/14/1423
Treatment of plasma cell myeloma Active (positive) 15 Jan 2015
chimeric fusion protein of recombinant human alpha-N-acetylglucosaminidase and human insulin-like growth factor 2 (tralesinidase alfa)
EU/3/14/1422
Treatment of mucopolysaccharidosis type IIIB Active (positive) 15 Jan 2015
ponatinib hydrochloride
EU/3/14/1421
11 clinical trials →
Treatment of gastrointestinal stromal tumours Withdrawn 15 Jan 2015
emtricitabine
EU/3/14/1420
6 clinical trials →
Treatment of Aicardi-Goutiรจres syndrome Active (positive) 15 Jan 2015
tenofovir disoproxil fumarate
EU/3/14/1419
4 clinical trials →
Treatment of Aicardi-Goutiรจres syndrome Active (positive) 15 Jan 2015
A lentiviral vector pseudotyped by the New-Jersey serotype of the vesicular stomatitis virus G protein encoding an antigen derived from the Tax, HBZ, p12I and โ€ฆ
EU/3/14/1418
Treatment of adult T-cell leukaemia/lymphoma Active (positive) 15 Jan 2015
A lentiviral vector pseudotyped by the Indiana serotype of the vesicular stomatitis virus G protein encoding an antigen derived from the Tax, HBZ, p12I and p30โ€ฆ
EU/3/14/1417
Treatment of adult T-cell leukaemia/lymphoma Active (positive) 15 Jan 2015
chimeric monoclonal antibody to O-acetyl-GD2 antigen
EU/3/14/1416
Treatment of neuroblastoma Active (positive) 15 Jan 2015
adenoviral vector serotype 5 containing the vascular endothelial growth factor D isoform (preprocessed short form) from a CMV promoter
EU/3/14/1415
Treatment of placental insufficiency Active (positive) 15 Jan 2015
sodium thiosulfate
EU/3/14/1414
5 clinical trials →
Treatment for calciphylaxis Active (positive) 15 Jan 2015
allogeneic, umbilical cord blood-derived, ex vivo-expanded, haematopoietic CD133+ cells;allogeneic, umbilical cord blood-derived, non-expanded, haematopoietic โ€ฆ
EU/3/14/1413
Treatment of acute myeloid leukaemia Withdrawn 15 Jan 2015
Herpes simplex type 1 virus containing cellular B-myb gene as tumour-specific promoter
EU/3/14/1412
Treatment of pancreatic cancer Active (positive) 15 Jan 2015
pentosan polysulfate sodium
EU/3/14/1411
3 clinical trials →
Treatment of interstitial cystitis Withdrawn 15 Jan 2015
recombinant human aspartylglucosaminidase
EU/3/14/1410
Treatment of aspartylglucosaminuria Withdrawn 15 Jan 2015
pegylated recombinant arginine deiminase (pegargiminase)
EU/3/14/1409
Treatment of malignant mesothelioma Active (positive) 15 Jan 2015
5,5'-(4-(trifluromethyl)benzylazanediyl)bis(methylene)diquinolin-8-ol
EU/3/14/1408
Treatment of glioma Active (positive) 16 Dec 2014
allogeneic adipose-derived adult mesenchymal stem cells contained in a fibrin-based bioengineered dermis
EU/3/14/1407
Treatment of epidermolysis bullosa Active (positive) 16 Dec 2014
chenodeoxycholic acid
EU/3/14/1406 · now authorised as Chenodeoxycholic acid Leadiant (previously Chenodeoxycholic acid sigma-tau)
Treatment of inborn errors in primary bile acid synthesis Active (positive) 16 Dec 2014
autologous collagen type II-specific regulatory T cells
EU/3/14/1405
Treatment of non-infectious uveitis Withdrawn 16 Dec 2014
1-(2-isopropoxyethyl)-2-thioxo-1,2,3,5-tetrahydro-pyrrolo[3,2-d] pyrimidin-4-one (verdiperstat)
EU/3/14/1404
Treatment of multiple system atrophy Active (positive) 16 Dec 2014
Plerixafor
EU/3/14/1403
Treatment of WHIM syndrome Active (positive) 16 Dec 2014
benserazide hydrochloride
EU/3/14/1402
Treatment of beta thalassaemia intermedia and major Active (positive) 16 Dec 2014
riluzole
EU/3/14/1401
7 clinical trials →
Treatment of traumatic spinal cord injury Active (positive) 16 Dec 2014
(1S,4R,5R,7S)-3,4-dibenzyl-2-oxo-6,8-dioxa-3-azabyciclo[3.2.1]octane-7-carboxylic acid-L-lysine
EU/3/14/1400
Treatment of neurotrophic keratitis Active (positive) 16 Dec 2014
edaravone
EU/3/14/1399
2 clinical trials →
Treatment of amyotrophic lateral sclerosis Active (positive) 16 Dec 2014
genetically modified serotype 5/3 adenovirus coding for granulocyte macrophage colony-stimulating factor
EU/3/14/1398
Treatment of malignant mesothelioma Withdrawn 16 Dec 2014
amikacin sulfate
EU/3/14/1397
5 clinical trials →
Treatment of Pseudomonas aeruginosa lung infection in cystic fibrosis Active (positive) 16 Dec 2014
adenovirus serotype 5 containing partial E1A deletion and an integrin-binding domain (tasadenoturev)
EU/3/14/1396
Treatment of glioma Active (positive) 16 Dec 2014
allogeneic ex vivo-generated natural killer cells from CD34+ umbilical cord blood progenitor cells
EU/3/14/1395
Treatment of acute myeloid leukaemia Active (positive) 16 Dec 2014
pegylated recombinant human hyaluronidase PH20(pegvorhyaluronidase alfa)
EU/3/14/1394
Treatment of pancreatic cancer Withdrawn 16 Dec 2014
autologous T cells transduced with retroviral vector encoding an anti-CD19 CD28/CD3 zeta chimeric antigen receptor (axicabtagene ciloleucel)
EU/3/14/1393 · now authorised as Yescarta
Treatment of diffuse large B-cell lymphoma Active (positive) 16 Dec 2014
5-bromo-N-(prop-2-yn-1-yl)-2-(1H-1,2,4-triazol-1-yl)pyrimidine-4,6-diamine
EU/3/14/1392
Treatment of Huntingtonโ€™s disease Active (positive) 16 Dec 2014
5-[8-methyl-9-(1-methylethyl)-2-(4-morpholinyl)-9H-purin-6-yl]-2-pyrimidinamine
EU/3/14/1391
Treatment of malignant mesothelioma Withdrawn 16 Dec 2014
bevacizumab
EU/3/14/1390 · now authorised as Orblid
400 clinical trials →
Treatment of hereditary haemorrhagic telangiectasia Active (positive) 16 Dec 2014
Adeno-associated viral vector serotype rh.rh.10 carrying the human N-sulfoglucosamine sulfohydrolase cDNA
EU/3/14/1389
Treatment of mucopolysaccharidosis, type IIIA (Sanfilippo A syndrome) Active (positive) 16 Dec 2014
allogeneic bone marrow derived mesenchymal cells expanded ex vivo in synthetic media
EU/3/14/1388
Prevention of graft-versus-host disease Active (positive) 16 Dec 2014
Exisulind
EU/3/14/1387
Treatment of familial cerebral cavernous malformations Active (positive) 16 Dec 2014

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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.