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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 27 of 34
SubstanceIntended useStatusDesignated
patupilone
EU/3/09/688
Treatment of fallopian tube cancer Withdrawn 5 Nov 2009
patupilone
EU/3/09/687
Treatment of primary peritoneal cancer Withdrawn 5 Nov 2009
cholic acid
EU/3/09/683
Treatment of inborn errors in primary bile acid synthesis responsive to treatment with cholic acid Withdrawn 29 Oct 2009
Masitinib mesilate
EU/3/09/684 · now authorised as Masican; Masiviera
2 clinical trials →
Treatment of pancreatic cancer Active (positive) 28 Oct 2009
anti-EphA2 monoclonal antibody conjugated to maleimidocaproyl monomethylauristatin phenylalanine
EU/3/09/682
Treatment of ovarian cancer Withdrawn 28 Oct 2009
5'-O-(trans-9''-octadecenoyl)-1-beta-D-2'-deoxy-2',2'-difluorocytidine
EU/3/09/680
Treatment of pancreatic cancer Withdrawn 28 Oct 2009
4-Benzyl-2-naphtalen-1-yl-1,2,4-thiadiazolidine-3,5-dione
EU/3/09/679
Treatment of progressive supranuclear palsy Withdrawn 28 Oct 2009
sequence-modified recombinant human factor VIIa
EU/3/09/675
Treatment of haemophilia A Withdrawn 9 Oct 2009
recombinant human serum amyloid P
EU/3/09/674
Prevention of scarring post glaucoma filtration surgery Withdrawn 9 Oct 2009
recombinant antibody construct against human CD30 and CD16A
EU/3/09/673
Treatment of Hodgkin's lymphoma Active (positive) 9 Oct 2009
dextran sulfate
EU/3/09/669
Prevention of graft rejection during pancreatic islet transplantation Active (positive) 9 Oct 2009
hydroxychloroquine sulfate
EU/3/17/1963
28 clinical trials →
Treatment of LIPIN1 disease Active (positive) 8 Oct 2009
recombinant self-complementary adeno-associated viral vector serotype 9 containing the human CLN3 gene
EU/3/16/1806
Treatment of neuronal ceroid lipofuscinosis Withdrawn 8 Oct 2009
beloranib
EU/3/15/1530
Treatment of craniopharyngioma Withdrawn 8 Oct 2009
Glucagon
EU/3/14/1342
2 clinical trials →
Treatment of congenital hyperinsulinism Active (positive) 8 Oct 2009
human heterologous liver cells
EU/3/10/818 · now authorised as Heparesc
Treatment of citrullinaemia type 1 Active (positive) 8 Oct 2009
N-[(2S)-2,3-dihydroxypropyl]-3-[(2-fluoro-4-iodophenyl)amino]isonicotinamide hydrochloride
EU/3/09/685
Treatment of pancreatic cancer Withdrawn 8 Oct 2009
6-chloro-2,3,4,9-tetrahydro-1H-carbazole-1-carboxamideย (selisistat)
EU/3/09/681
Treatment of Huntingtonโ€™s disease Active (positive) 8 Oct 2009
EU/3/09/678
Treatment of soft tissue sarcoma Withdrawn 8 Oct 2009
Human tumour necrosis factor alpha-derived peptide Cys-Gly-Gln-Arg-Glu-Thr-Pro-Glu-Gly-Ala-Glu-Ala-Lys-Pro-Trp-Tyr-Cys
EU/3/09/677
Treatment of acute lung Injury Active (positive) 8 Oct 2009
sequence-modified recombinant human factor VIIa
EU/3/09/676
Treatment of haemophilia B Withdrawn 8 Oct 2009
Pomalidomide
EU/3/09/672
64 clinical trials →
Treatment of multiple myeloma Expired 8 Oct 2009
pasireotide
EU/3/09/671
Treatment of Cushing's disease Expired 8 Oct 2009
pasireotide
EU/3/09/670
Treatment of acromegaly Expired 8 Oct 2009
human C1 inhibitor
EU/3/09/668
Treatment of angioedema caused by C1 inhibitor deficiency Withdrawn 8 Oct 2009
expanded human allogeneic mesenchymal adult stem cells extracted from adipose tissue (darvadstrocel)
EU/3/09/667
Treatment of anal fistula Withdrawn 8 Oct 2009
Eicosapentaenoic acid
EU/3/09/666
Treatment of familial adenomatous polyposis (FAP) Active (positive) 8 Oct 2009
allogeneic ex-vivo-expanded umbilical-cord blood cells
EU/3/09/665
Treatment of chronic myeloid leukaemia Withdrawn 8 Oct 2009
allogeneic ex-vivo-expanded umbilical-cord blood cells
EU/3/09/664
Treatment of myelodysplastic syndromes Withdrawn 8 Oct 2009
adeno-associated viral vector containing modified U1 snRNA
EU/3/09/663
Treatment of Duchenne muscular dystrophy Withdrawn 8 Oct 2009
26 base single stranded phosphodiester DNA oligonucleotide
EU/3/09/662
Treatment of acute myeloid leukaemia Withdrawn 8 Oct 2009
alpha-1-acid glycoprotein
EU/3/03/164
Treatment of cocaine poisoning Withdrawn 8 Oct 2009
trabedersen
EU/3/09/660
Treatment of pancreatic cancer Active (positive) 24 Jul 2009
tosedostat
EU/3/09/659
Treatment of acute myeloid leukaemia Withdrawn 24 Jul 2009
tamibarotene
EU/3/09/658
Treatment of acute promyelocytic leukaemia Withdrawn 24 Jul 2009
recombinant human N-acetylgalactosamine-6-sulfatase (elosulfase alfa)
EU/3/09/657
Treatment of mucopolysaccharidosis, type IVA (Morquio A syndrome) Withdrawn 24 Jul 2009
recombinant histidine-tagged idiotype immunoglobulin Fab fragment of clonal B-cell receptors
EU/3/09/656
Treatment of diffuse large B-cell lymphoma Active (positive) 24 Jul 2009
octocog alfa
EU/3/09/655
Treatment of haemophilia A Withdrawn 24 Jul 2009
Hypothiocyanite;lactoferrin
EU/3/09/654
Treatment of cystic fibrosis Active (positive) 24 Jul 2009
Eculizumab
EU/3/09/653
12 clinical trials →
Treatment of atypical haemolytic uraemic syndrome (aHUS) Active (positive) 24 Jul 2009
ciprofloxacin
EU/3/09/652
11 clinical trials →
Treatment of cystic fibrosis Active (positive) 24 Jul 2009
ciclosporin
EU/3/09/651
3 clinical trials →
Treatment of atopic keratoconjunctivitis Active (positive) 24 Jul 2009
blinatumomab
EU/3/09/650 · now authorised as Blincyto
43 clinical trials →
Treatment of acute lymphoblastic leukaemia Active (positive) 24 Jul 2009
allogeneic ex-vivo-expanded umbilical-cord blood cells
EU/3/09/649
Treatment of Hodgkin's lymphoma Withdrawn 24 Jul 2009
afamelanotide
EU/3/09/648
Treatment of solar urticaria Active (positive) 24 Jul 2009
(S)-3'-(OH)-desazadesferrithiocin-polyether, magnesium salt (deferitazole)
EU/3/09/647
Treatment of chronic iron overload requiring chelation therapy Withdrawn 24 Jul 2009
talampanel
EU/3/09/646
Treatment of amyotrophic lateral sclerosis Withdrawn 12 Jun 2009
octreotide hydrochloride
EU/3/09/645
3 clinical trials →
Treatment of acromegaly Withdrawn 12 Jun 2009
Murine monoclonal antibody to GD2
EU/3/09/644
Treatment of neuroblastoma Withdrawn 12 Jun 2009
Desipramine chlorhydrate
EU/3/09/643
Treatment of Rett syndrome Withdrawn 12 Jun 2009
chimeric anti-interleukin-6 monoclonal antibody
EU/3/09/642
Treatment of multiple myeloma Withdrawn 12 Jun 2009
alicaforsen
EU/3/09/641
Treatment of pouchitis Active (positive) 15 May 2009
pegylated recombinant human factor IX (nonacog beta pegol)
EU/3/09/640
Treatment of haemophilia B Expired 15 May 2009
4,6,8-Trihydroxy-10-(3,7,11-trimethyldodeca-2,6,10-trienyl)-5,10-dihydrodibenzo[b,e][1,4] diazepin-11-one
EU/3/09/639
Treatment of glioma Withdrawn 15 May 2009
Humanised IgG4 monoclonal antibody to the human toll-like receptor type 2
EU/3/09/638
Prevention of ischaemia/reperfusion injury associated with solid organ transplantation Active (positive) 15 May 2009
2',3',5'-Tri-O-acetyluridine
EU/3/09/637
Treatment of 5-fluorouracil overdose Active (positive) 15 May 2009
Dexamethasone phosphate
EU/3/09/636
325 clinical trials →
Treatment of corneal graft rejection Withdrawn 15 May 2009
treprostinil diethanolamine
EU/3/09/635
Treatment of systemic sclerosis Active (positive) 15 May 2009
S-[2,3-bispalmitoyloxy-(2R)-propyl]-cysteinyl-GNNDESNISFKEK
EU/3/09/634
Treatment of pancreatic cancer Active (positive) 15 May 2009
L-asparaginase encapsulated in erythrocytes
EU/3/09/633
Treatment of pancreatic cancer Active (positive) 15 May 2009
skin equivalent graft genetically corrected with a COL7A1-encoding SIN retroviral vector
EU/3/09/630
Treatment of dystrophic epidermolysis bullosa Active (positive) 30 Apr 2009
nanobody directed towards the human A1 domain of von Willebrand factor (caplacizumab)ย 
EU/3/09/629 · now authorised as Cablivi
Treatment of thrombotic thrombocytopenic purpura Active (positive) 30 Apr 2009
Mercaptopurine
EU/3/09/628
15 clinical trials →
Treatment of acute lymphoblastic leukaemia Expired 30 Apr 2009
Lintuzumab
EU/3/09/627
Treatment of acute myeloid leukaemia Withdrawn 30 Apr 2009
adeno-associated viral vector containing porphobilinogen deaminase gene
EU/3/09/632
Treatment of acute intermittent porphyria Withdrawn 29 Apr 2009
talampanel
EU/3/09/631
Treatment of glioma Withdrawn 29 Apr 2009
Lintuzumab
EU/3/09/626
Treatment of myelodysplastic syndromes Withdrawn 29 Apr 2009
Guanabenz
EU/3/09/625
Treatment of traumatic spinal cord injury Active (positive) 29 Apr 2009
autologous Tumor-Derived gp96 Heat Shock Protein-Peptide Complex
EU/3/09/624
Treatment of glioma Active (positive) 29 Apr 2009
autologous haematopoietic stem cells transduced with lentiviral vector encoding the human beta-globin gene
EU/3/09/623
Treatment of beta thalassaemia intermedia and major Active (positive) 29 Apr 2009
(R)-3-(4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl)-3-cyclopentylpropanenitrile phosphate
EU/3/09/620
Treatment of myelofibrosis secondary to polycythaemia vera or essential thrombocythaemia Withdrawn 3 Apr 2009
N-(5-tert-Butylisoxazol-3-yl)-N'-{4-[7-(2-(morpholin-4-yl)ethoxy) imidazo[2,1-b][1,3]benzothiazol-2-yl]phenyl}urea di-hydrochloride salt
EU/3/09/622
Treatment of acute myeloid leukaemia Withdrawn 23 Mar 2009
2,2-Dimethylbutyric acid, sodium salt
EU/3/09/621
Treatment of sickle cell disease Active (positive) 18 Mar 2009
tobramycin
EU/3/09/613
2 clinical trials →
Treatment of Pseudomonas aeruginosa lung infection in cystic fibrosis Withdrawn 28 Feb 2009
allogeneic ex-vivo-expanded umbilical-cord blood cells
EU/3/09/619
Treatment of acute myeloid leukaemia Withdrawn 27 Feb 2009
allogeneic ex-vivo-expanded umbilical-cord blood cells
EU/3/09/618
Treatment of acute lymphoblastic leukaemia Withdrawn 27 Feb 2009
2,2-Dimethylbutyric acid, sodium salt
EU/3/09/617
Treatment of beta thalassaemia intermedia and major Active (positive) 27 Feb 2009
(6R)-4,5,6,7-tetrahydro-N6-propyl-2,6-benzothiazolediamine dihydrochloride monohydrate
EU/3/09/616
Treatment of amyotrophic lateral sclerosis Active (positive) 27 Feb 2009
N-terminal hexaglutamine-tagged recombinant human N-acetylgalactosamine-6-sulfate sulfatase
EU/3/09/615
Treatment of mucopolysaccharidosis, type IVA (Morquio A syndrome) Active (positive) 27 Feb 2009
mifepristone
EU/3/09/614
3 clinical trials →
Treatment of hypercortisolism (Cushing's syndrome) of endogenous origin Active (positive) 27 Feb 2009
exon 51 specific phosphorothioate oligonucleotide
EU/3/08/599
Treatment of Duchenne muscular dystrophy Active (positive) 27 Feb 2009
exon 44 specific phosphorothioate oligonucleotide
EU/3/08/598
Treatment of Duchenne muscular dystrophy Active (positive) 27 Feb 2009
recombinant human proinsulin
EU/3/08/612
Treatment of retinitis pigmentosa Active (positive) 11 Feb 2009
recombinant human hepatocarcinoma-intestine-pancreas;pancreatic associated protein
EU/3/08/611
Treatment of acute liver failure Active (positive) 11 Feb 2009
type I native bovine skin collagen
EU/3/08/607
Treatment of systemic sclerosis Active (positive) 9 Feb 2009
adeno-associated viral vector serotype 5 containing the human ABCA4 gene
EU/3/08/609
Treatment of Stargardt's disease Withdrawn 7 Feb 2009
Cyclopropane-1,1-dicarboxylic acid [4-(6,7-dimethoxy-quinolin-4-yloxy)-phenyl]-amide (4-fluoro-phenyl)-amide, (L)-malate salt (cabozantinib)
EU/3/08/610
Treatment of medullary thyroid carcinoma Active (positive) 6 Feb 2009
yttrium (90Y)-DOTA-radiolabelled humanized monoclonal antibody against mucin 1
EU/3/08/608
Treatment of pancreatic cancer Withdrawn 6 Feb 2009
2,3,4,5 Tetrahydro-2,8-dimethyl-5-[2-(6-methyl-3-pyridinyl)ethyl]-1H-pyrido[4,3-b]indole dihydrochloride
EU/3/08/597
Treatment of Huntingtonโ€™s disease Withdrawn 21 Jan 2009
recombinant human minibody against complement component C5 fused with RGD-motif
EU/3/08/604
Prevention of ischaemia/reperfusion injury associated with solid organ transplantation Withdrawn 20 Jan 2009
human anti-intercellular adhesion molecule-1 monoclonal antibody
EU/3/08/600
Treatment of multiple myeloma Active (positive) 20 Jan 2009
recombinant human residue 41 glutamic acid to glutamine variant of interferon alfa-2b
EU/3/08/606
Treatment of Behรงet's Disease Withdrawn 19 Jan 2009
recombinant human monoclonal antibody to human Nogo-A protein of the IgG4/kappa class (atinumab)
EU/3/08/605
Treatment of spinal cord injury Withdrawn 19 Jan 2009
pralatrexate
EU/3/08/603
3 clinical trials →
Treatment of non-papillary transitional cell carcinoma of the urinary bladder Active (positive) 19 Jan 2009
Milatuzumab
EU/3/08/602
Treatment of chronic lymphocytic leukaemia Withdrawn 19 Jan 2009
Milatuzumab
EU/3/08/601
Treatment of multiple myeloma Withdrawn 19 Jan 2009
monoclonal antibody against human CD30 covalently linked to the cytotoxin monomethylauristatin E (brentuximab vedotin)
EU/3/08/596 · now authorised as Adcetris
Treatment of Hodgkin's lymphoma Withdrawn 15 Jan 2009
murine anti-CD22 antibody variable region fused to truncated Pseudomonas exotoxin 38 ( Moxetumomab pasudotox)
EU/3/08/592
Treatment of hairy cell leukaemia Withdrawn 5 Dec 2008
2-[[3-({4-[(5-{2-[(3-Fluorophenyl)amino]-2-oxoethyl}-1H-pyrazol-3-yl)amino]-quinazolin-7-yl}oxy)propyl](ethyl)amino]ethyl dihydrogen phosphate trihydrate
EU/3/08/590
Treatment of acute myeloid leukaemia Withdrawn 5 Dec 2008
recombinant human tissue non-specific alkaline phosphatase - Fc - deca-aspartate fusion protein
EU/3/08/594 · now authorised as Strensiq
Treatment of hypophosphatasia Active (positive) 4 Dec 2008

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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.