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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 28 of 34
SubstanceIntended useStatusDesignated
5-(Ethylsulfonyl)-2-(naphthalen-2-yl)benzo[d]oxazole (ezutromid)
EU/3/08/591
Treatment of Duchenne muscular dystrophy Withdrawn 4 Dec 2008
N2'-Deacetyl-N2'-[4-methyl-4-(oxobuthyldithio)-1-oxopentyl]-maytansine-chimerized anti-CD138 IgG4 monoclonal antibody
EU/3/08/593
Treatment of multiple myeloma Withdrawn 3 Dec 2008
recombinant human ADAMTS-13
EU/3/08/588 · now authorised as Adzynma
Treatment of thrombotic thrombocytopenic purpura Active (positive) 3 Dec 2008
cenersen
EU/3/08/587
Treatment of chronic lymphocytic leukaemia Active (positive) 3 Dec 2008
RNA, [P-deoxy-P-(dimethylamino)] (2',3'-dideoxy-2',3'-imino-2',3'-seco) (2'aโ†’5') (C-m5U-C-C-A-A-C-A-m5U-C-A-A-G-G-A-A-G-A-m5U-G-G-C-A-m5U-m5U-m5U-C-m5U-A-G), Pโ€ฆ
EU/3/08/586 · now authorised as Exondys
Treatment of Duchenne muscular dystrophy Active (positive) 3 Dec 2008
daunorubicin
EU/3/08/585
43 clinical trials →
Treatment of acute myeloid leukaemia Active (positive) 3 Dec 2008
palifosfamide
EU/3/08/584
Treatment of soft tissue sarcoma Withdrawn 3 Dec 2008
gadodiamide
EU/3/08/583
Treatment of glioma Active (positive) 3 Dec 2008
autologous urothelial and smooth muscle cells
EU/3/08/574
Treatment of spinal cord injury Withdrawn 8 Nov 2008
recombinant human heparan-N-sulfatase
EU/3/08/582
Treatment of mucopolysaccharidosis, type IIIA (Sanfilippo A syndrome) Withdrawn 7 Nov 2008
ofatumumab
EU/3/08/581
11 clinical trials →
Treatment of chronic lymphocytic leukaemia Withdrawn 7 Nov 2008
filgrastim
EU/3/08/580
14 clinical trials →
Treatment of spinal cord injury Active (positive) 7 Nov 2008
ex-vivo-expanded autologous human corneal epithelium-containing stem cells
EU/3/08/579 · now authorised as Holoclar
Corneal lesions, with associated corneal (limbal) stem cell deficiency, due to ocular burns Active (positive) 7 Nov 2008
cysteamine hydrochloride
EU/3/08/578 · now authorised as Cystadrops
Treatment of cystinosis Active (positive) 7 Nov 2008
carglumic acid
EU/3/08/577
2 clinical trials →
Treatment of propionic acidaemia Expired 7 Nov 2008
carglumic acid
EU/3/08/576
2 clinical trials →
Treatment of methylmalonic acidaemia Expired 7 Nov 2008
carglumic acid
EU/3/08/575
2 clinical trials →
Treatment of isovaleric acidaemia Expired 7 Nov 2008
adeno-associated viral vector containing the human alpha-sarcoglycan gene
EU/3/08/573
Treatment of alpha-sarcoglycanopathy Withdrawn 7 Nov 2008
(R)-3-(4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl)-3-cyclopentylpropanenitrile phosphate
EU/3/08/572
Treatment of chronic idiopathic myelofibrosis Withdrawn 7 Nov 2008
Levofloxacin hemihydrate
EU/3/08/566
10 clinical trials →
Treatment of cystic fibrosis Withdrawn 23 Sep 2008
avian polyclonal IgY antibody
EU/3/08/564
Treatment of cystic fibrosis Active (positive) 23 Sep 2008
recombinant human minibody against complement component C5
EU/3/08/571
Treatment of atypical haemolytic uraemic syndrome (aHUS) Withdrawn 22 Sep 2008
recombinant human CXCL8 mutant
EU/3/08/570
Prevention of delayed graft function after solid organ transplantation Active (positive) 22 Sep 2008
pegylated L-asparaginase
EU/3/08/569
Treatment of acute lymphoblastic leukaemia Active (positive) 22 Sep 2008
N'-(5-chloro-2-hydroxy-3-methylbenzylidene)-2,4-dihydroxybenzhydrazide
EU/3/08/568
Treatment of partial deep dermal and full-thickness burns Active (positive) 22 Sep 2008
Miltefosine
EU/3/08/567
Treatment of cutaneous T-cell lymphoma Active (positive) 22 Sep 2008
drotrecogin alfa (activated)
EU/3/08/565
Treatment of acute respiratory distress syndrome (ARDS) Withdrawn 22 Sep 2008
4-[[[4-(4-Chlorophenoxy)phenyl]sulfonyl]-methyl]tetrahydro-N-hydroxy-2H-pyran-4-carboxamide
-
Prevention of graft rejection after liver transplantation Negative 10 Sep 2008
recombinant derivative of C3 transferase
EU/3/08/563
Treatment of traumatic spinal cord injury Active (positive) 5 Sep 2008
topotecan hydrochloride
EU/3/08/562
46 clinical trials →
Treatment of glioma Active (positive) 5 Sep 2008
Donor lymphocyte preparation depleted of functional alloreactive T-cells
EU/3/08/561 · now authorised as Luxceptar
Prevention of graft-versus-host disease Withdrawn 5 Sep 2008
EU/3/08/560
Treatment of moderate and severe closed traumatic brain injury Active (positive) 5 Sep 2008
Bosentan
EU/3/08/559
3 clinical trials →
Treatment of idiopathic pulmonary fibrosis Withdrawn 5 Sep 2008
yttrium (90Y) edotreotide
EU/3/08/589
Treatment of gastro-entero-pancreatic neuroendocrine tumours Withdrawn 4 Aug 2008
sapacitabine
EU/3/08/558
Treatment of acute myeloid leukaemia Active (positive) 10 Jul 2008
beraprost sodium
EU/3/08/554
Treatment of pulmonary arterial hypertension Withdrawn 10 Jul 2008
sapacitabine
EU/3/08/557
Treatment of myelodysplastic syndromes Active (positive) 8 Jul 2008
sapacitabine
EU/3/08/557
Treatment of myelodysplastic syndromes Active (positive) 8 Jul 2008
N-(2,4-di-tert-butyl-5-hydroxyphenyl)-1,4-dihydro-4-oxoquinoline-3-carboxamide (ivacaftor)
EU/3/08/556
Treatment of cystic fibrosis Expired 8 Jul 2008
vincristine sulfate liposomes
EU/3/08/555
Treatment of acute lymphoblastic leukaemia Withdrawn 8 Jul 2008
pegylated recombinant factor VIIa
EU/3/08/551
Treatment of haemophilia A Withdrawn 4 Jun 2008
recombinant fusion protein of circulary-permuted IL-4 and pseudomonas exotoxin A, [IL-4(38-37)-PE38KDEL]
EU/3/08/553
Treatment of glioma Active (positive) 3 Jun 2008
pegylated recombinant factor VIIa
EU/3/08/552
Treatment of haemophilia B Withdrawn 3 Jun 2008
nimotuzumab
EU/3/08/550
30 clinical trials →
Treatment of pancreatic cancer Active (positive) 3 Jun 2008
NGR-human tumour necrosis factor
EU/3/08/549 · now authorised as Zafiride
Treatment of malignant mesothelioma Active (positive) 3 Jun 2008
carfilzomib
EU/3/08/548
46 clinical trials →
Treatment of multiple myeloma Expired 3 Jun 2008
anti-von Willebrand aptamer
EU/3/08/547
Treatment of thrombotic thrombocytopenic purpura Withdrawn 3 Jun 2008
EU/3/08/546
Treatment of congenital alpha-1 antitrypsin deficiency Active (positive) 3 Jun 2008
EU/3/08/545
Treatment of congenital erythropoietic porphyria Active (positive) 8 May 2008
omigapil maleate
EU/3/08/544
Treatment of congenital muscular dystrophy with merosin (laminin alpha 2) deficiency Withdrawn 8 May 2008
sarsasapogenin
EU/3/08/543
Treatment of amyotrophic lateral sclerosis Withdrawn 8 May 2008
ribonucleotide reductase R2 specific phosphorothioate oligonucleotide
EU/3/08/542
Treatment of acute myeloid leukaemia Active (positive) 8 May 2008
[Nle4, D-Phe7]-alfa-melanocyte stimulating hormone (afamelanotide)
EU/3/08/541
Treatment of erythropoietic protoporphyria Expired 8 May 2008
omigapil maleate
EU/3/08/540
Treatment of congenital muscular dystrophy with collagen VI deficiency Withdrawn 8 May 2008
amrubicin hydrochloride
EU/3/08/538
4 clinical trials →
Treatment of small cell lung cancer Withdrawn 2 Apr 2008
ammonium tetrathiomolybdate
EU/3/08/539
Treatment of Wilson's disease Active (positive) 1 Apr 2008
Humanised monoclonal antibody to the folate receptor alpha
EU/3/08/535
Treatment of ovarian cancer Withdrawn 1 Apr 2008
allogeneic human umbilical cord tissue-derived cells
EU/3/08/534
Treatment of retinitis pigmentosa Withdrawn 1 Apr 2008
recombinant human monoclonal antibody against transforming growth factor beta-1, 2 and 3
EU/3/08/533
Treatment of idiopathic pulmonary fibrosis Withdrawn 1 Apr 2008
filgrastim
EU/3/08/532
14 clinical trials →
Treatment of amyotrophic lateral sclerosis Active (positive) 1 Apr 2008
ascorbic acid
EU/3/08/531
2 clinical trials →
Treatment of Charcot-Marie-Tooth disease type 1A Active (positive) 1 Apr 2008
autologous urothelial and smooth muscle cells
EU/3/08/537
Treatment of spina bifida Withdrawn 18 Mar 2008
chimeric antibody to mesothelin
EU/3/08/536
Treatment of pancreatic cancer Withdrawn 17 Mar 2008
recombinant human monoclonal antibody to human IL-1beta of the IgG1/K class
EU/3/08/527
Treatment of systemic-onset juvenile idiopathic arthritis Withdrawn 5 Feb 2008
heterologous human adult liver derivedย stem cells
EU/3/08/530
Treatment of ornithinine transcarbamylase deficiency Active (positive) 4 Feb 2008
tretazicar
EU/3/08/529
Treatment of visceral leishmaniasis Active (positive) 4 Feb 2008
Lumiliximab
EU/3/08/528
Treatment chronic lymphocytic leukaemia Withdrawn 3 Feb 2008
(R)-2-Methyl-6-nitro-2-{4-[4-(4-trifluoromethoxyphenoxy)piperidin-1-yl]phenoxymethyl}-2,3-dihydroimidazo[2,1-b]oxazole (delamanid)
EU/3/07/524
Treatment of tuberculosis Expired 2 Feb 2008
N- (2-Amino-phenyl)-4-[(4-pyridin-3-yl-pyrimidin-2-ylamino)-methyl] benzamide (mocetinostat)
EU/3/07/526
Treatment of acute myeloid leukaemia Withdrawn 31 Jan 2008
Iodine (131I) iobenguane
EU/3/07/525
Treatment of neuroblastoma Active (positive) 31 Jan 2008
Lutetium (177Lu)-N-[(4,7,10-Tricarboxymethyl-1,4,7,10-tetraazacyclododec-1-yl)acetyl]-D-phenylalanyl-L-cysteinyl-L-tyrosyl-D-tryptophanyl-L-lysyl-L-threoninyl-โ€ฆ
EU/3/07/523 · now authorised as Lutathera
Treatment of gastro-entero-pancreatic neuroendocrine tumours Active (positive) 31 Jan 2008
(Manganese, dichloro [(4aR, 13aR, 17aR, 21aR)-1, 2, 3, 4, 4a, 5, 6, 12, 13, 13a, 14, 15, 16, 17, 17a, 18, 19, 20, 21, 21a-eicosahydro-11, 7-nitrilo-7H-dibenzo[โ€ฆ
EU/3/07/522
Prevention of oral mucositis in head and neck cancer patients undergoing radiation therapy Active (positive) 31 Jan 2008
Human-papilloma-virus-type-16 E6;E7 synthetic long peptides
EU/3/07/520
Treatment of epithelial neoplasia of the vulva positive for human papilloma virus Active (positive) 20 Dec 2007
Methyl 4,6-diamino-2-[1-(2-fluorobenzyl)-1H-pyrazolo[3,4-b]pyridine-3-yl]-5-pyrimidinyl(methyl)carbamate (riociguat)ย ย 
EU/3/07/518
Treatment of pulmonary arterial hypertension Withdrawn 20 Dec 2007
N-[4-(3-amino-1H-indazol-4 yl)phenyl]-N'-(2-fluoro-5-methylphenyl) urea
EU/3/07/517
Treatment of hepatocellular carcinoma Withdrawn 20 Dec 2007
recombinant human histone H1.3 and recombinant human N-bis-met-histone H1.3
EU/3/07/516
Treatment of acute myeloid leukaemia Active (positive) 20 Dec 2007
tegafur;gimeracil;oteracil potassium
EU/3/07/515
2 clinical trials →
Treatment of gastric cancer Withdrawn 20 Dec 2007
H-Arg-Leu-Phe-Phe-Tyr-Arg-Lys-Ser-Val-OH, acetate salt& H-Tyr-Leu-Phe-Phe-Tyr-Arg-Lys-Ser-Val-OH, acetate salt
EU/3/07/521
Treatment of TERT positive non-small cell lung cancer in HLA-A2 positive patients Active (positive) 18 Dec 2007
Maribavir
EU/3/07/519 · now authorised as Livtencity
7 clinical trials →
Prevention of cytomegalovirus disease in patients with impaired cell-mediated immunity Active (positive) 18 Dec 2007
artesunate
EU/3/07/510
5 clinical trials →
Treatment of malaria Active (positive) 7 Dec 2007
recombinant human hepatitis C monoclonal antibody against C4 region of E1
EU/3/07/503
Prevention of recurrent hepatitis C virus induced liver disease in liver transplant recipients Active (positive) 6 Dec 2007
Picoplatin
EU/3/07/502
Treatment of small cell lung cancer Withdrawn 6 Dec 2007
olaparib
EU/3/07/501
113 clinical trials →
Treatment of ovarian cancer Withdrawn 6 Dec 2007
EU/3/07/514 · now authorised as Cerdelga
Treatment of Gaucher disease Active (positive) 4 Dec 2007
3-methoxy-pregnenolone
EU/3/07/511
Treatment of spinal cord injury Active (positive) 4 Dec 2007
chelidonii radix
-
Treatment of pancreatic cancer Negative 4 Dec 2007
chimeric anti-interleukin-6 monoclonal antibody (siltuximab)
EU/3/07/508
Treatment of Castleman's disease Expired 30 Nov 2007
doxorubicin hydrochloride
EU/3/07/507
126 clinical trials →
Treatment of glioma Withdrawn 30 Nov 2007
irinotecan hydrochloride
EU/3/07/504
140 clinical trials →
Treatment of glioma Withdrawn 30 Nov 2007
(S)-2-nitro-6-(4-trifluoromethoxy)benzyloxy)-6,7-dihydro-5H-imidazo[2,1-b] [1,3] oxazine (pretomanid)
EU/3/07/513 · now authorised as Dovprela (previously Pretomanid FGK)
Treatment of tuberculosis Active (positive) 29 Nov 2007
17-(Allylamino)-17-demethoxygeldanamycin, hydroquinone hydrochloride
EU/3/07/512
Treatment of malignant gastrointestinal stromal tumours Withdrawn 29 Nov 2007
azacitidine
EU/3/07/509
127 clinical trials →
Treatment of acute myeloid leukaemia Expired 29 Nov 2007
heterologous human adult liver-derived stem cells
EU/3/07/506
Treatment of Crigler-Najjar syndrome Active (positive) 29 Nov 2007
Interferon beta
EU/3/07/505
Treatment of acute respiratory distress syndrome (ARDS) Withdrawn 29 Nov 2007
recombinant human rod-derived cone viability factor
EU/3/07/500
Treatment of retinitis pigmentosa Withdrawn 29 Nov 2007
terguride
EU/3/07/499
Treatment of pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension Active (positive) 29 Nov 2007
lenalidomide
EU/3/07/494
167 clinical trials →
Treatment of chronic lymphocytic leukaemia Withdrawn 19 Nov 2007
Polihexanide
EU/3/07/498 · now authorised as Akantior
Treatment of acanthamoeba keratitis Active (positive) 14 Nov 2007
everolimus
EU/3/07/488
53 clinical trials →
Treatment of gastro-entero-pancreatic neuroendocrine tumours Withdrawn 14 Nov 2007
4-Ethoxy-2-(piperazin-1-yl)-7-(pyridin-4-yl)-5H-pyrimido[5,4-b]indol
EU/3/07/487
Treatment of chronic lymphocytic leukaemia Active (positive) 14 Nov 2007

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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.