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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 29 of 34
SubstanceIntended useStatusDesignated
adenovirus associated viral vector serotype 4 containing the human RPE65 gene
EU/3/07/486
Treatment of retinitis pigmentosa Active (positive) 14 Nov 2007
Interferon gamma
EU/3/07/491
Treatment of idiopathic pulmonary fibrosis Active (positive) 29 Oct 2007
human autologous bone-forming cells derived from bone marrow stem cells
EU/3/07/490
Treatment of non-traumatic osteonecrosis Withdrawn 29 Oct 2007
ciclosporin
EU/3/07/489
3 clinical trials →
Treatment of herpes simplex virus stromal keratitis Withdrawn 29 Oct 2007
methotrexate
EU/3/07/495
97 clinical trials →
Treatment of acute lymphoblastic leukaemia Active (positive) 24 Oct 2007
Isofagomine tartrate
EU/3/07/493
Treatment of Gaucher disease Withdrawn 23 Oct 2007
alvocidib
EU/3/07/485
Treatment of chronic lymphocytic leukaemia Active (positive) 23 Oct 2007
4-[3,5-Bis(trimethylsilyl)benzamido] benzoic acid
EU/3/07/497
Treatment of hepatocellular carcinoma Withdrawn 22 Oct 2007
Mercaptopurine
EU/3/07/496 · now authorised as Loulla
15 clinical trials →
Treatment of acute lymphoblastic leukaemia Active (positive) 22 Oct 2007
Iodine (131I) chlorotoxin
EU/3/07/492
Treatment of glioma Withdrawn 22 Oct 2007
adenovirus associated viral vector serotype 4 containing the human RPE65 gene
EU/3/07/484
Treatment of Leber's congenital amaurosis Active (positive) 22 Oct 2007
amonafide L-malate
EU/3/07/483
Treatment of acute myeloid leukaemia Withdrawn 22 Oct 2007
ciclosporin
EU/3/07/455
3 clinical trials →
Prevention of corneal graft rejection Withdrawn 22 Oct 2007
sulfonated monophosphorylated mannose oligosaccharide
EU/3/07/482
Treatment of hepatocellular carcinoma Withdrawn 14 Sep 2007
R-salbutamol sulfate
EU/3/07/481
Treatment of cutaneus forms of lupus erythromatosus Active (positive) 14 Sep 2007
naptumomab estafenatox
EU/3/07/480
Treatment of renal-cell carcinoma Active (positive) 14 Sep 2007
N-adamantanyl-N'-Geranyl-ethylenediamine
EU/3/07/479
Treatment of tuberculosis Active (positive) 14 Sep 2007
N-(2-amino-phenyl)-4-[(4-pyridin-3-yl-pyrimidin-2-ylamino)-methyl] benzamide (mocetinostat)
EU/3/07/478
Treatment of Hodgkin's lymphoma Withdrawn 14 Sep 2007
4-Amino-1-[5-O-[(2R,4S)-2-oxido-4-(4-pyridinyl)-1,3,2-dioxaphosphorinan-2-yl]-รŸ-D-arabinofuranosyl]-2(1H)-pyrimidinone
EU/3/07/477
Treatment of hepatocellular carcinoma Active (positive) 14 Sep 2007
5'-O-(trans-9"-octadecenoyl)-1-รŸ-D-arabinofuranosyl cytosine
EU/3/07/476
Treatment of acute myeloid leukaemia Active (positive) 14 Sep 2007
alginate oligosaccharide (G-block) fragment
EU/3/07/475
Treatment of cystic fibrosis Active (positive) 14 Sep 2007
alpha-1 proteinase inhibitor
EU/3/07/474
Treatment of cystic fibrosis Withdrawn 14 Sep 2007
aviptadil
EU/3/07/473
Treatment of sarcoidosis Active (positive) 14 Sep 2007
Cyclo {{(E,Z)-(2S,3R,4R)-3-hydroxy-4-methyl-2-(methylamino)nona-6,8-dienoyl}-L-2-aminobutyryl-N-methyl-glycyl-N-methyl-L-leucyl-L-valyl-N-methyl-L-leucyl-L-alaโ€ฆ
EU/3/07/472
Treatment of chronic non-infectious uveitis Withdrawn 14 Sep 2007
human coagulation factor X
EU/3/07/471 · now authorised as Coagadex
Treatment of hereditary factor X deficiency Active (positive) 14 Sep 2007
human heterologous liver cells
EU/3/07/470 · now authorised as Heparesc
Treatment of ornithine-transcarbamylase deficiency Active (positive) 14 Sep 2007
ciprofloxacin
EU/3/07/469
11 clinical trials →
Treatment of cystic fibrosis Withdrawn 3 Aug 2007
dihydroartemisinin;piperaquine
EU/3/07/468
5 clinical trials →
Treatment of malaria Withdrawn 3 Aug 2007
eltrombopag olamine
EU/3/07/467
14 clinical trials →
Treatment of idiopathic thrombocytopenic purpura Withdrawn 3 Aug 2007
Human plasminogen
EU/3/07/461
Treatment of ligneous conjunctivitis Active (positive) 3 Aug 2007
L-threo-3,4-dihydroxyphenylserine
EU/3/07/466
Treatment of orthostatic hypotension in patients with multiple system atrophy Withdrawn 2 Aug 2007
L-threo-3,4-dihydroxyphenylserine
EU/3/07/465
Treatment of orthostatic hypotension in patients with pure autonomic failure Withdrawn 2 Aug 2007
panobinostat lactate
EU/3/07/464
Treatment of cutaneous T-cell lymphoma Withdrawn 2 Aug 2007
pyridoxalated hemoglobin polyoxyethylene
EU/3/07/463
Treatment of cardiogenic shock Active (positive) 2 Aug 2007
recombinant human soluble Fc-gamma receptor II b
EU/3/07/462
Treatment of idiopathic thrombocytopenic purpura Withdrawn 2 Aug 2007
arsenic trioxide
EU/3/07/460
11 clinical trials →
Treatment of acute myeloid leukaemia Withdrawn 2 Aug 2007
1-{3-[3-(4-Chlorophenyl)propoxy]propyl}piperidine, hydrochloride
EU/3/07/459 · now authorised as Wakix
Treatment of narcolepsy Active (positive) 10 Jul 2007
Fampridine
EU/3/07/458
2 clinical trials →
Treatment of Guillain-Barrรฉ syndrome Withdrawn 10 Jul 2007
Lusupultide
EU/3/07/457
Treatment of aspiration pneumonitis requiring intubation and mechanical ventilation Withdrawn 10 Jul 2007
rilonacept
EU/3/07/456
Treatment of cryopirin-associated periodic syndromes Withdrawn 10 Jul 2007
recombinant adeno-associated viral vector containing human acid alfa-glucosidase-gene
EU/3/07/454
Treatment of glycogen storage disease type II (Pompe's disease) Withdrawn 9 Jul 2007
R-1-[2,3-dihydro-2-oxo-1-pivaloylmethyl-5-(2-pyridyl)-1 H-1,4-benzodiazepin-3-yl]-3-(3-methylaminophenyl)urea (netazepide)
EU/3/07/452
Treatment of gastric carcinoid Active (positive) 14 Jun 2007
recombinant fusion protein consisting of human coagulation factor IX attached to the Fc domain of human IgG1
EU/3/07/453 · now authorised as Alprolix
Treatment of haemophilia B (congenital factor IX deficiency) Active (positive) 8 Jun 2007
cisplatin
EU/3/07/451
473 clinical trials →
Treatment of pancreatic cancer Active (positive) 8 Jun 2007
5(S)-(2'-hydroxy ethoxy)-20(S)-Camptothecin
EU/3/07/450
Treatment of osteosarcoma Withdrawn 8 Jun 2007
everolimus
EU/3/07/449
53 clinical trials →
Treatment of renal-cell carcinoma Withdrawn 5 Jun 2007
talactoferrinum alfa
EU/3/07/448
Treatment of renal-cell carcinoma Active (positive) 5 Jun 2007
antisense oligonucleotide (TATCCGGAGGGCTCGCCATGCTGCT)
EU/3/07/445
Prevention of corneal graft rejection Active (positive) 17 Apr 2007
nilotinib hydrochloride monohydrate
EU/3/07/447
12 clinical trials →
Treatment of gastrointestinal stromal tumours Withdrawn 13 Apr 2007
autologous CD34+ cells transfected with lentiviral vector containing the human arylsulfatase A cDNA
EU/3/07/446 · now authorised as Libmeldy
treatment of metachromatic leukodystrophy Active (positive) 13 Apr 2007
pralatrexate
EU/3/07/444 · now authorised as Folotyn; Folotyn
3 clinical trials →
Treatment of peripheral T-cell lymphoma (nodal, other extranodal and leukaemic/disseminated) Active (positive) 13 Apr 2007
Elafin
EU/3/07/443
Treatment of pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension Active (positive) 20 Mar 2007
enzastaurin hydrochloride
EU/3/07/442
Treatment of diffuse large B-cell lymphoma Withdrawn 20 Mar 2007
hydrocortisone
EU/3/07/441
18 clinical trials →
Treatment of adrenal insufficiency Withdrawn 20 Mar 2007
recombinant adeno-associated viral vector containing human alpha-1 antitrypsin gene
EU/3/07/440
Treatment of congenital alpha-1 antitrypsin deficiency Active (positive) 20 Mar 2007
recombinant human monoclonal antibody to human IL-1beta of the IgG1/K class
EU/3/07/439
Treatment of cryopirin-associated periodic syndromes (FCUS, MWS, and NOMID) Withdrawn 20 Mar 2007
zanolimumab
EU/3/07/438
Treatment of peripheral T-cell lymphoma (nodal, other extranodal and leukaemic/disseminated) Active (positive) 20 Mar 2007
idebenone
EU/3/07/437 · now authorised as Puldysa
2 clinical trials →
Treatment of Duchenne muscular dystrophy Active (positive) 20 Mar 2007
eptacog alfa (activated)
EU/3/07/436
Treatment of post-neonatal intracerebral haemorrhage Withdrawn 20 Mar 2007
N-3[[4-(aminoiminomethyl)benzoyl]amino]propyl]-1-[[2,4โ€”dichloro-3-[[2,4-dimethyl-8-quinolinyl)oxy]methyl]phenyl]sulphonyl]-(2S)-2-pyrrolidinecarboxamide, di(meโ€ฆ
EU/3/04/188
Treatment of moderate and severe traumatic brain injury Active (positive) 23 Feb 2007
recombinant human C1-inhibitor
EU/3/07/435
Prevention of delayed graft function after solid organ transplantation Withdrawn 20 Feb 2007
ex-vivo cultured adult human mesenchymal stem cells
EU/3/07/432
Treatment of graft-versus-host disease Active (positive) 20 Feb 2007
artesunate
EU/3/07/430
5 clinical trials →
Treatment of malaria Active (positive) 20 Feb 2007
idebenone
EU/3/07/434
2 clinical trials →
Treatment of Leber's hereditary optic neuropathy Expired 16 Feb 2007
HLA class I/II binding tumour associated peptides (ADF-APO-CCN-GUC-K67-MET-MMP-MUC-RGS)
EU/3/07/433
Treatment of renal-cell carcinoma Withdrawn 15 Feb 2007
autologous dendritic cells pulsed with autologous tumour cell lysate
EU/3/07/431
Treatment of glioma Active (positive) 15 Feb 2007
Fenretinide
EU/3/06/427
2 clinical trials →
Treatment of soft tissue sarcoma Withdrawn 30 Jan 2007
forodesine hydrochloride
EU/3/06/428
Treatment of cutaneous T-cell lymphoma Active (positive) 29 Jan 2007
thiotepa
EU/3/06/424
11 clinical trials →
Conditioning treatment prior to haematopoietic-progenitor-cell transplantation Withdrawn 29 Jan 2007
Complement factor H
EU/3/06/425
Atypical haemolytic uraemic syndrome Withdrawn 27 Jan 2007
recombinant modified vaccinia Ankara expressing human 5T4
EU/3/06/429
Treatment of renal-cell carcinoma Active (positive) 26 Jan 2007
Fenretinide
EU/3/06/426
2 clinical trials →
Treatment of primary malignant bone tumours Withdrawn 26 Jan 2007
tazarotene
EU/3/06/423
Treatment of congenital ichthyoses Withdrawn 18 Dec 2006
forodesine hydrochloride
EU/3/06/421
Treatment of acute lymphoblastic leukaemia Active (positive) 18 Dec 2006
paclitaxel
EU/3/06/422
400 clinical trials →
Treatment of ovarian cancer Withdrawn 17 Dec 2006
temsirolimus
EU/3/06/420
4 clinical trials →
Treatment of mantle cell lymphoma Expired 7 Nov 2006
4,7,10,13,16,19-docosahexaenoic acid
EU/3/06/412
Treatment of retinitis pigmentosa Active (positive) 4 Nov 2006
antisense oligonucleotide 5'-d[P-Thio] (CCCTG CTCCC CCCTG GCTCC)-3'
EU/3/06/416
Treatment of acute myeloid leukaemia Active (positive) 3 Nov 2006
ciclosporin
EU/3/06/415
3 clinical trials →
Prevention of rejection for corneal transplant Withdrawn 3 Nov 2006
catumaxomab
EU/3/06/414
Treatment of gastric cancer Active (positive) 3 Nov 2006
Budesonide
EU/3/06/413
11 clinical trials →
Treatment of graft-versus-host disease Active (positive) 3 Nov 2006
paclitaxel
EU/3/06/419
400 clinical trials →
Treatment of pancreatic cancer Active (positive) 31 Oct 2006
recombinant fusion protein consisting of the extracellular portion of CD95 fused to the Fc part of a human IgG1 molecule
EU/3/06/411
Prevention of graft-versus-host disease Withdrawn 31 Oct 2006
human cytomegalovirus immunoglobulin
EU/3/06/408
Prevention of congenital cytomegalovirus infection following primary cytomegalovirus infection Active (positive) 31 Oct 2006
heparin-binding epidermal growth factor-like growth factor, amino acids 74-148
EU/3/06/407
Prevention of necrotising enterocolitis Active (positive) 31 Oct 2006
Iodine (131I) anti-tenascin monoclonal antibody 81C6
EU/3/06/418
Treatment of glioma Withdrawn 30 Oct 2006
human interleukin-2 (glycosylated tetrasaccharide, glycosylated trisaccharide and non-glycosylated)
EU/3/06/417
Treatment of renal-cell carcinoma Active (positive) 27 Oct 2006
doxorubicin hydrochloride
EU/3/06/410
126 clinical trials →
Treatment of soft tissue sarcoma Active (positive) 27 Oct 2006
L-asparaginase encapsulated in erythrocytes
EU/3/06/409 · now authorised as Graspa; Graspa
Treatment of acute lymphoblastic leukaemia Active (positive) 27 Oct 2006
genetically modified allogenic (human) tumor cells for the expression of IL-7, GM-CSF, CD80 and CD154, in fixed combination with a DNA-based double stem loop iโ€ฆ
EU/3/06/405
7 clinical trials →
Treatment of renal-cell carcinoma Active (positive) 23 Oct 2006
adenoviral vector containing human p53 gene
EU/3/06/404 · now authorised as Advexin; Advexin
Treatment of Li Fraumeni Syndrome Active (positive) 23 Oct 2006
5-(2,6-Difluoro-phenoxy)-3(R,S)-{2(S)-[2(S)-(3-methoxycarbonyl-2(S)-{3-methyl-2(S)-[(quinoline-2-carbonyl)-amino]-butyrylamino}-propionylamino)-3-methyl-butyryโ€ฆ
EU/3/06/403
Treatment of neonatal brain injury Withdrawn 23 Oct 2006
capsaicin
-
10 clinical trials →
Treatment of painful HIV-associated neuropathy Negative 21 Sep 2006
tramadol hydrochloride
-
8 clinical trials →
Treatment of painful HIV-associated neuropathy Negative 21 Sep 2006
opebacan
EU/3/06/402
Treatment of meningococcal disease Withdrawn 28 Aug 2006
N-methyl D-(2,3,4,5,6-pentahydroxy-hexyl)-ammonium; 2-(3,5-dichloro-phenyl)-benzoxazole-6-carboxylate (tafamidis)
EU/3/06/401
Treatment of familial amyloid polyneuropathy Expired 28 Aug 2006
Metastable technetium 99 [99mTc] demogastrin 2
EU/3/06/400
Diagnosis of medullary thyroid carcinoma Active (positive) 28 Aug 2006
mecasermin rinfabate
EU/3/06/399
Prevention of retinopathy of prematurity in neonates of less than 32 weeks of gestational age Active (positive) 28 Aug 2006
H-Val-Ile-Val-Lys-Leu-Ile-Pro-Ser-Thr-Ser-Ser-Ala-Val-Asp-Thr-Pro-Tyr-Leu-Asp-Ile-Thr-Tyr-His-Phe-Val-Ala-Gln-Arg-Leu-Pro-Leu-OH
EU/3/06/398
Treatment of myasthenia gravis Withdrawn 28 Aug 2006
cholest-4-en-3-one, oxime
EU/3/06/397
Treatment of amyotrophic lateral sclerosis Withdrawn 28 Aug 2006

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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.