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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 23 of 34
SubstanceIntended useStatusDesignated
allogeneic motor neuron progenitor cells derived from human embryonic stem cells
EU/3/12/1088
Treatment of 5q spinal muscular atrophy Active (positive) 24 Jan 2013
recombinant modified human growth hormone
EU/3/12/1087 · now authorised as Ngenla
Treatment of growth hormone deficiency Active (positive) 24 Jan 2013
eflornithine
EU/3/12/1086 · now authorised as Flynpovi
6 clinical trials →
Treatment of familial adenomatous polyposis (FAP) Active (positive) 24 Jan 2013
voclosporin
EU/3/12/1085
2 clinical trials →
Treatment of non-infectious uveitis Active (positive) 6 Dec 2012
Erdosteine
EU/3/12/1084
2 clinical trials →
Treatment of lead toxicity Active (positive) 6 Dec 2012
Humanised single-chain monoclonal antibody against CD37 (otlertuzumab)
EU/3/12/1083
Treatment chronic lymphocytic leukaemia Withdrawn 6 Dec 2012
triheptanoin
EU/3/12/1082
Treatment of long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency Withdrawn 6 Dec 2012
triheptanoin
EU/3/12/1081
Treatment of very-long-chain 3-hydroxyacyl-CoA-dehydrogenase deficiency Withdrawn 6 Dec 2012
4-(4-{[2-(4-Chlorophenyl)-4,4-dimethylcyclohex-1-en-1-yl]methyl}piperazin-1-yl)-N-({3-nitro-4-[(tetrahydro-2H-pyran-4-ylmethyl)amino]phenyl}sulfonyl)-2-(1H-pyrโ€ฆ
EU/3/12/1080
Treatment of chronic lymphocytic leukaemia Withdrawn 6 Dec 2012
artesunate
EU/3/12/1079
5 clinical trials →
Treatment of malaria Active (positive) 6 Dec 2012
exon 55 specific phosphorothioate oligonucleotide
EU/3/12/1078
Treatment of Duchenne muscular dystrophy Active (positive) 6 Dec 2012
exon 52 specific phosphorothioate oligonucleotide
EU/3/12/1077
Treatment of Duchenne muscular dystrophy Active (positive) 6 Dec 2012
allopurinol sodium
EU/3/12/1076
7 clinical trials →
Treatment of perinatal asphyxia Active (positive) 6 Dec 2012
Cyclo(-gamma-aminobutyryl-L-phenylalanyl-L-tryptophanyl-D-tryptophanyl-L-lysyl-L-threonyl-L phenylalanyl-N-3-carboxypropyl)-glycine amide, acetate salt
EU/3/12/1075
Treatment of acromegaly Active (positive) 6 Dec 2012
alisertib
EU/3/12/1074
3 clinical trials →
Treatment of peripheral T-cell lymphoma (nodal, other extranodal and leukaemic/disseminated) Withdrawn 6 Dec 2012
Maytansinoid-conjugated human monoclonal antibody against mesothelin (anetumab ravtansine)
EU/3/12/1073
Treatment of malignant mesothelioma Withdrawn 6 Dec 2012
17-(Dimethylaminoethylamino)-17-demethoxygeldanamycin
EU/3/12/1007
Treatment of retinitis pigmentosa Withdrawn 28 Nov 2012
Doxorubicin
EU/3/12/1006
126 clinical trials →
Treatment of glioma Withdrawn 28 Nov 2012
Encapsulated human retinal pigment epithelial cell line transfected with plasmid vector expressing human ciliary neurotropic factor
EU/3/12/1072
Treatment of macular telangiectasia type 2 Active (positive) 8 Nov 2012
canakinumab
EU/3/12/1071
Treatment of tumour-necrosis-factor-receptor-associated periodic syndrome Withdrawn 8 Nov 2012
recombinant human dyskerin
EU/3/12/1070
Treatment of dyskeratosis congenita Active (positive) 8 Nov 2012
adeno-associated viral vector encoding an inducible short hairpin RNA targeting claudin-5
EU/3/12/1069
Treatment of retinitis pigmentosa Withdrawn 8 Nov 2012
Melarsoprol
EU/3/12/1068
Treatment of African trypanosomiasis Active (positive) 8 Nov 2012
Erdosteine
EU/3/12/1067
2 clinical trials →
Treatment of mercury toxicity Active (positive) 8 Nov 2012
tafamidis
EU/3/12/1066 · now authorised as Vyndaqel
Treatment of senile systemic amyloidosis Active (positive) 8 Nov 2012
synthetic double-stranded siRNA oligonucleotide directed against claudin-5 complexed with polyethyleneimine
EU/3/12/1065
Treatment of glioma Withdrawn 8 Nov 2012
alisertib
EU/3/12/1064
3 clinical trials →
Treatment of ovarian cancer Withdrawn 8 Nov 2012
panobinostat
EU/3/12/1063
Treatment of multiple myeloma Expired 8 Nov 2012
chimeric monoclonal antibody against GD2
EU/3/12/1062 · now authorised as Qarziba (previously Dinutuximab beta EUSA and Dinutuximab beta Apeiron)
Treatment of neuroblastoma Active (positive) 8 Nov 2012
tralokinumab
EU/3/12/1061
2 clinical trials →
Treatment of idiopathic pulmonary fibrosis Withdrawn 8 Nov 2012
Ixazomib
EU/3/12/1060
6 clinical trials →
Treatment of systemic light chain amyloidosis Withdrawn 8 Nov 2012
milciclib maleate
EU/3/12/1059
Treatment of malignant thymoma Withdrawn 8 Nov 2012
IL-12-secreting dendritic cells, loaded with autologous tumour lysate
EU/3/12/1058
Treatment of glioma Active (positive) 8 Nov 2012
naloxone hydrochloride dihydrate
EU/3/12/1057
2 clinical trials →
Treatment of cutaneous T-cell lymphoma Active (positive) 8 Nov 2012
liposomal daunorubicin
EU/3/12/1056
Treatment of acute myeloid leukaemia Withdrawn 10 Oct 2012
belinostat
EU/3/12/1055
2 clinical trials →
Treatment of peripheral T-cell lymphoma (nodal, other extranodal and leukaemic/disseminated) Active (positive) 10 Oct 2012
obinutuzumab
EU/3/12/1054
88 clinical trials →
Treatment of chronic lymphocytic leukaemia Active (positive) 10 Oct 2012
lurbinectedin
EU/3/12/1053
17 clinical trials →
Treatment of ovarian cancer Active (positive) 10 Oct 2012
Humanised monoclonal IgG4 antibody against tissue-factor-pathway inhibitor (concizumab)
EU/3/12/1052
Treatment of haemophilia A Withdrawn 10 Oct 2012
recombinant human lecithin cholesterol acyltransferase
EU/3/12/1051
Treatment of lecithin-cholesterol-acyltransferase deficiency Withdrawn 10 Oct 2012
[2-Cyano-3-cyclopropyl-3-hydroxy-N-(3-methyl-4-trifluoromethylphenyl)prop-2-enamide]
EU/3/12/1050
Treatment of traumatic spinal cord injury Active (positive) 10 Oct 2012
rucaparib
EU/3/12/1049
4 clinical trials →
Treatment of ovarian cancer Withdrawn 10 Oct 2012
mixture of two allogeneic human pancreatic cancer cell lines stably transduced with a retroviral vector encoding the murine alpha-(1,3)-galactosyltransferase gโ€ฆ
EU/3/12/1048
Treatment of pancreatic cancer Withdrawn 10 Oct 2012
Asp-Arg-Val-Tyr-Ile-His-Pro
EU/3/12/1047
Treatment of acute lung Injury Withdrawn 10 Oct 2012
Mavoglurantย 
EU/3/12/1046
Treatment of fragile X syndrome Withdrawn 10 Oct 2012
alpha-1 proteinase inhibitor
EU/3/12/1045
Treatment of cystic fibrosis Active (positive) 10 Oct 2012
trans-4-[4-[5-[[6-(trifluoromethyl)-3-pyridinyl]amino]-2-pyridinyl]phenyl] cyclohexane acetic acid sodium salt
EU/3/12/1036
Treatment of familial chylomicronaemia syndrome (type-I hyperlipoproteinaemia) Withdrawn 14 Sep 2012
folic acid
EU/3/12/1044
4 clinical trials →
Diagnosis of positive folate-receptor status in ovarian cancer Withdrawn 10 Sep 2012
N-[4-[[(2-amino-3,4-dihydro-4-oxo-6-pteridinyl)methyl]amino]benzoyl]-D-gamma-glutamyl-(2S)-2-amino-beta-alanyl-L-alpha-aspartyl-L-cysteine (etarfolatide)
EU/3/12/1043 · now authorised as Folcepri
Diagnosis of positive folate-receptor status in ovarian cancer Withdrawn 10 Sep 2012
Covalently closed DNA plasmids coding for cytomegalovirus phosphoprotein 65 and glycoprotein B genes
EU/3/12/1042
Prevention of cytomegalovirus disease in patients with impaired cell-mediated immunity Withdrawn 9 Aug 2012
EU/3/12/1041
Treatment of primary biliary cirrhosis Active (positive) 9 Aug 2012
EU/3/12/1040 · now authorised as Bylvay
Treatment of Alagille syndrome Withdrawn 9 Aug 2012
recombinant anti-CD3-bi-single-chain-Fv-diphtheria toxin fusion protein
EU/3/12/1039
Treatment of cutaneous T-cell lymphoma Active (positive) 9 Aug 2012
recombinant anti-CD3-bi-single-chain-Fv-diphtheria toxin fusion protein
EU/3/12/1038
Treatment of peripheral T-cell lymphoma (nodal, other extranodal and leukaemic/disseminated) Active (positive) 9 Aug 2012
Elotuzumab
EU/3/12/1037
11 clinical trials →
Treatment of multiple myeloma Withdrawn 9 Aug 2012
recombinant human monoclonal antibody against activin receptor type IIB
EU/3/12/1035
Treatment of inclusion body myositis Withdrawn 9 Aug 2012
Humanised monoclonal antibody against P-selectin (crizanlizumab)
EU/3/12/1034
Treatment of sickle cell disease Withdrawn 9 Aug 2012
N-butyldeoxygalactonojirimycin
EU/3/12/1033
Treatment of Fabry disease Active (positive) 9 Aug 2012
vatreptacog alfa (activated)
EU/3/12/1032
Treatment of haemophilia B Withdrawn 9 Aug 2012
ketoconazole
EU/3/12/1031
Treatment of Cushing's syndrome Active (positive) 9 Aug 2012
vatreptacog alfa (activated)
EU/3/12/1030
Treatment of haemophilia A Withdrawn 9 Aug 2012
Humanised monoclonal antibody against epidermal-growth-factor receptor
EU/3/12/1029
Treatment of glioma Withdrawn 9 Aug 2012
EU/3/12/1028 · now authorised as Bylvay
Treatment of progressive familial intrahepatic cholestasis Active (positive) 17 Jul 2012
human apotransferrin
EU/3/12/1027
Treatment of congenital hypotransferrinaemia Active (positive) 17 Jul 2012
Hexasodium phytate
EU/3/12/1026
Treatment of calciphylaxis Active (positive) 17 Jul 2012
Metreleptin
EU/3/12/1025 · now authorised as Myalepta
5 clinical trials →
Treatment of Berardinelli-Seip syndrome Active (positive) 17 Jul 2012
Metreleptin
EU/3/12/1024 · now authorised as Myalepta
5 clinical trials →
Treatment of Lawrence syndrome Active (positive) 17 Jul 2012
Metreleptin
EU/3/12/1023 · now authorised as Myalepta
5 clinical trials →
Treatment of Barraquer-Simons syndrome Active (positive) 17 Jul 2012
Metreleptin
EU/3/12/1022 · now authorised as Myalepta
5 clinical trials →
Treatment of familial partial lipodystrophy Active (positive) 17 Jul 2012
1-[(2-Chloro-4-methoxyphenoxy)methyl]-4-[(2,6-dichlorophenoxy)methyl]benzene
EU/3/12/1021
Prevention of poliomyelitis in patients with immunodeficiencies deemed at risk Active (positive) 17 Jul 2012
recombinant human pentraxin-2
EU/3/12/1020
Treatment of idiopathic pulmonary fibrosis Active (positive) 17 Jul 2012
ramucirumab
EU/3/12/1019
30 clinical trials →
Treatment of hepatocellular carcinoma Withdrawn 4 Jul 2012
recombinant adeno-associated viral vector containing human acid alfa-glucosidase-gene
EU/3/12/1018
Treatment of glycogen storage disease type II (Pompe's disease) Active (positive) 4 Jul 2012
talarozole
EU/3/12/1017
Treatment of recessive X-linked ichthyosis Withdrawn 4 Jul 2012
16-base single-stranded peptide nucleic acid oligonucleotide linked to 7-amino acid peptide
EU/3/12/1016
Treatment of neuroblastoma Active (positive) 4 Jul 2012
Eculizumab
EU/3/12/1015
12 clinical trials →
Treatment of infection-associated haemolytic uraemic syndrome Withdrawn 4 Jul 2012
talarozole
EU/3/12/1014
Treatment of keratinopathic ichthyosis Withdrawn 4 Jul 2012
recombinant human interleukin-7
EU/3/12/1013
Treatment of progressive multifocal leukoencephalopathy Active (positive) 4 Jul 2012
2S, 4R ketoconazole
EU/3/12/1012
Treatment of Cushing's syndrome Active (positive) 4 Jul 2012
Levoglutamide
EU/3/12/1011 · now authorised as Xyndari
Treatment of sickle cell disease Active (positive) 4 Jul 2012
ataluren
EU/3/12/1010
Treatment of Becker muscular dystrophy Withdrawn 4 Jul 2012
givinostat
EU/3/12/1009 · now authorised as Duvyzat
Treatment of Duchenne muscular dystrophy Active (positive) 4 Jul 2012
human erythrocytes encapsulating inositol hexaphosphate
EU/3/12/1008
Treatment of sickle cell disease Active (positive) 4 Jul 2012
talarozole
EU/3/12/1005
Treatment of autosomal recessive congenital ichthyosis Withdrawn 4 Jul 2012
ramucirumab
EU/3/12/1004
30 clinical trials →
Treatment of gastric cancer Withdrawn 4 Jul 2012
Letermovir
EU/3/12/999
9 clinical trials →
Treatment of cytomegalovirus disease in patients with impaired cell-mediated immunity Withdrawn 6 Jun 2012
autologous CD34+ cells transfected with lentiviral vector containing the Wiskott-Aldrich syndrome protein gene (etuvetidigene autotemcel)
EU/3/12/998 · now authorised as Waskyra
Treatment of Wiskott-Aldrich syndrome Active (positive) 6 Jun 2012
N-Hydroxy-4-(3-methyl-2-(S)-phenyl-butyrylamino) benzamide
EU/3/12/997
Treatment of schwannoma Withdrawn 6 Jun 2012
N-Hydroxy-4-(3-methyl-2-(S)-phenyl-butyrylamino) benzamide
EU/3/12/996
Treatment of meningioma Withdrawn 6 Jun 2012
autologous haematopoietic stem cells transduced with lentiviral vector Lenti-D encoding the human ABCD1 cDNA (elivaldogene autotemcel)
EU/3/12/1003
Treatment of adrenoleukodystrophy Withdrawn 6 Jun 2012
adenovirus-associated vector containing human Fas-c gene (ofranergene obadenovec)
EU/3/12/1002
Treatment of glioma Withdrawn 6 Jun 2012
1-(4-{4-Amino-7-[1-(2-hydroxyethyl)-1H-pyrazol-4-yl]thieno[3,2-c]pyridin-3-yl}phenyl)-3-(3-fluorophenyl)urea
EU/3/12/1001
Treatment of ovarian cancer Withdrawn 6 Jun 2012
polyinosine-polycytidylic acid coupled with the polycationic polyethyleneimine
EU/3/12/1000
Treatment of pancreatic cancer Withdrawn 6 Jun 2012
yttrium (90Y)-DTPA-radiolabelled chimeric monoclonal antibody against frizzled homologue 10
EU/3/12/994
Treatment of soft tissue sarcoma Active (positive) 25 May 2012
allogeneic human dendritic cells derived from a CD34+ progenitor cell line
EU/3/12/969
Treatment of acute myeloid leukaemia Active (positive) 22 May 2012
chlormethine
EU/3/12/963 · now authorised as Ledaga
Treatment of cutaneous T-cell lymphoma Active (positive) 22 May 2012
chimeric monoclonal antibody against kappa myeloma antigen
EU/3/12/962
Treatment of multiple myeloma Withdrawn 22 May 2012
pegylated recombinant factor VIII (turoctocog alfa pegol)
EU/3/12/995
Treatment of haemophilia A Withdrawn 26 Apr 2012
N-Hydroxy-4-(3-methyl-2-(S)-phenyl-butyrylamino) benzamide
EU/3/12/993
Treatment of neurofibromatosis type 2 Active (positive) 26 Apr 2012
exon 53 specific phosphorothioate oligonucleotide
EU/3/12/992
Treatment of Duchenne muscular dystrophy Active (positive) 26 Apr 2012

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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.