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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 30 of 34
SubstanceIntended useStatusDesignated
cardiotrophin-1
EU/3/06/396
Prevention of the ischemia/reperfusion injury associated with solid organ transplantation Active (positive) 28 Aug 2006
aviptadil
EU/3/06/395
Treatment of acute lung Injury Active (positive) 28 Aug 2006
autologous tumour-derived immunoglobulin idiotype coupled to keyhole limpet hemocyanin
EU/3/06/394 · now authorised as Lympreva
Treatment of follicular lymphoma Active (positive) 28 Aug 2006
human monoclonal antibody against inhibitory killer cell lg-like receptors (1-7 F9)
EU/3/06/392
Treatment of acute myeloid leukaemia Withdrawn 28 Aug 2006
amphotericin B
EU/3/06/391
2 clinical trials →
Prevention of pulmonary fungal infection in patients deemed at risk Withdrawn 28 Aug 2006
4-Amino-(6R,S)-5,6,7,8-tetrahydro-L-biopterin dihydrochloride (ronopterin)
EU/3/06/390
Treatment of moderate and severe traumatic brain injury Active (positive) 28 Aug 2006
Lestaurtinib
EU/3/06/389
Treatment of acute myeloid leukaemia Withdrawn 25 Jul 2006
becatecarin
EU/3/06/388
Treatment of cancers of the biliary tree Withdrawn 25 Jul 2006
amikacin sulfate
EU/3/06/387
5 clinical trials →
Treatment of Pseudomonas aeruginosa lung infection in cystic fibrosis Active (positive) 25 Jul 2006
4-[123I] Iodo-L-phenylalanine
EU/3/06/386
Diagnosis of glioma Active (positive) 25 Jul 2006
2-(4-(Diethylamino) phenyl)-6-methyl-2H-benzo[d][1,2,3] triazol-5-amine
EU/3/06/385
Treatment of Duchenne muscular dystrophy Withdrawn 25 Jul 2006
Human telomerase reverse transcriptase peptide (611-626) (tertomotide)
EU/3/06/384
Treatment of pancreatic cancer Withdrawn 25 Jul 2006
autologous CD34+ cells transduced with retroviral vector containing the human gp91 (phox) gene
EU/3/06/393
Treatment of chronic granulomatous disease Withdrawn 13 Jul 2006
siplizumab
EU/3/06/383
2 clinical trials →
Treatment of T-cell and NK-cell neoplasms Withdrawn 29 Jun 2006
pazopanib hydrochloride
EU/3/06/382
9 clinical trials →
Treatment of renal-cell carcinoma Withdrawn 29 Jun 2006
human monoclonal antibody against Pseudomonas aeruginosa serotype O11 (Panobacumab)
EU/3/06/381
Treatment of pneumonia caused by serotype O11 Pseudomonas aeruginosa Active (positive) 29 Jun 2006
Diphenylcyclopropenone
EU/3/06/380
Treatment of alopecia universalis Withdrawn 29 Jun 2006
Diphenylcyclopropenone
EU/3/06/379
Treatment of alopecia totalis Withdrawn 29 Jun 2006
mecasermin rinfabate
EU/3/06/378
Treatment of primary insulin-like growth factor-1 deficiency due to molecular or genetic defects Withdrawn 20 Jun 2006
mecasermin rinfabate
EU/3/06/377
Treatment of growth hormone (GH) gene deletion who have developed neutralizing antibodies to GH Withdrawn 20 Jun 2006
decitabine
EU/3/06/370
51 clinical trials →
Treatment of acute myeloid leukaemia Active (positive) 8 Jun 2006
recombinant P-selectin glycoprotein immunoglobulin
EU/3/06/376
Prevention of post transplantation graft dysfunction Active (positive) 22 May 2006
nilotinib
EU/3/06/375
12 clinical trials →
Treatment of chronic myeloid leukaemia Expired 22 May 2006
Methoxsalen
EU/3/06/374
Treatment of graft-versus-host disease Active (positive) 22 May 2006
Mecasermin
EU/3/06/373
Treatment of primary insulin-like growth factor-1 deficiency due to molecular or genetic defects Expired 22 May 2006
hydrocortisone
EU/3/06/372
18 clinical trials →
Treatment of adrenal insufficiency Expired 22 May 2006
heparin (sodium)
EU/3/06/371
15 clinical trials →
Treatment of cystic fibrosis Active (positive) 22 May 2006
bilayer engineered skin composed of keratinocytes from the patient (autologous) and fibroblasts from a donor (allogeneic) embedded in a plasma matrix
EU/3/06/369
Treatment of epidermolysis bullosa Active (positive) 22 May 2006
1-Deoxygalactonojirimycin hydrochloride
EU/3/06/368
Treatment of Fabry disease Expired 22 May 2006
Parathyroid hormone (1-34) transglutaminase fusion protein fibrin matrix complex
EU/3/06/367
Treatment of solitary bone cysts Active (positive) 11 Apr 2006
tobramycin
EU/3/06/366
2 clinical trials →
Treatment of Pseudomonas aeruginosa lung infection in cystic fibrosis Withdrawn 11 Apr 2006
sorafenib tosilate
EU/3/06/364
Treatment of hepatocellular carcinoma Expired 11 Apr 2006
4-[131I] Iodo-L-phenylalanine
EU/3/06/363
Treatment of glioma Active (positive) 11 Apr 2006
human heterologous liver cells
EU/3/06/362
Treatment of acute liver failure Active (positive) 11 Apr 2006
Glutathione
EU/3/06/361
Treatment of cystic fibrosis Withdrawn 11 Apr 2006
temsirolimus
EU/3/06/365
4 clinical trials →
Treatment of renal-cell carcinoma Expired 6 Apr 2006
ciclosporin
EU/3/06/360 · now authorised as Verkazia; Vekacia; Vekacia
3 clinical trials →
Treatment of vernal keratoconjunctivitis Active (positive) 6 Apr 2006
adeno-associated viral vector containing the human calpain 3 gene
EU/3/06/359
Treatment of calpainopathy Withdrawn 6 Apr 2006
human monoclonal antibody against HLA-DR
EU/3/06/358
Treatment of multiple myeloma Withdrawn 28 Feb 2006
zosuquidar trihydrochloride
EU/3/06/355
Treatment of acute myeloid leukaemia Active (positive) 17 Feb 2006
oxalobacter formigenes strain HC-1
EU/3/06/354
Treatment of primary hyperoxaluria Active (positive) 17 Feb 2006
2'-O-methyl-phosphorothioate oligonucleotide
EU/3/06/357
Treatment of Duchenne muscular dystrophy Withdrawn 16 Feb 2006
4-Amino-5-oxo-4 (pyridinium-1-ylmethyl) proline
EU/3/06/356
Treatment of renal-cell carcinoma Active (positive) 16 Feb 2006
26 base single stranded phosphodiester DNA oligonucleotide
EU/3/06/353
Treatment of renal-cell carcinoma Withdrawn 16 Feb 2006
26 base single stranded phosphodiester DNA oligonucleotide
EU/3/06/352
Treatment of pancreatic cancer Withdrawn 16 Feb 2006
miglustat
EU/3/06/351
3 clinical trials →
Treatment of Niemann-Pick's disease, type C Expired 16 Feb 2006
alpha-1 proteinase inhibitor
EU/3/06/350
Treatment of emphysema secondary to congenital alpha-1 antitrypsin deficiency Withdrawn 16 Feb 2006
apomorphine hydrochloride
EU/3/06/349
Treatment of off-periods in Parkinson's disease not responding to oral treatment Active (positive) 16 Feb 2006
purified inactivated Japanese encephalitis SA14-4-2 virus vaccine
EU/3/05/348
Prevention of Japanese encephalitis Withdrawn 24 Jan 2006
human monoclonal antibody against HLA-DR
EU/3/05/347
Treatment of chronic lymphocytic leukaemia Withdrawn 24 Jan 2006
E. Coli heat-shock protein 70 with bovine retinal S-antigen
EU/3/05/346
Treatment of autoimmune uveitis Active (positive) 24 Jan 2006
Lentiviral vector containing the human Wiskott Aldrich Syndrome Protein gene
EU/3/05/345
Treatment of Wiskott-Aldrich syndrome Withdrawn 24 Jan 2006
vandetanib
EU/3/05/344
3 clinical trials →
Treatment of medullary thyroid carcinoma Withdrawn 24 Jan 2006
Denufosol tetrasodium
EU/3/05/342
Treatment of cystic fibrosis Withdrawn 23 Dec 2005
Imexon
EU/3/05/341
Treatment of ovarian cancer Active (positive) 23 Dec 2005
imatinib mesilate
EU/3/05/340
32 clinical trials →
Treatment of myelodysplastic / myeloproliferative diseases Expired 23 Dec 2005
dasatinib
EU/3/05/339
26 clinical trials →
Treatment of chronic myeloid leukaemia Expired 23 Dec 2005
dasatinib
EU/3/05/338
26 clinical trials →
Treatment of acute lymphoblastic leukaemia Expired 23 Dec 2005
heparin sodium
EU/3/05/337
15 clinical trials →
Treatment of cystic fibrosis Withdrawn 23 Dec 2005
brostallicin
EU/3/05/336
Treatment of soft tissue sarcoma Withdrawn 23 Dec 2005
Human Staphylococcus aureus immunoglobulin;human Staphylococcus epidermidis polyclonal immunoglobulin
EU/3/05/335
Late onset sepsis in premature infants of less or equal than 32 weeks of gestational age Withdrawn 14 Dec 2005
eptacog alfa (activated)
EU/3/05/333
Treatment of diffuse alveolar haemorrhage Withdrawn 14 Dec 2005
1,2-Bis(methylsulphonyl)-1-(2-chloroethyl)-2-[(methylamino)carbonyl]hydrazine
EU/3/05/332
Treatment of acute myeloid leukaemia Active (positive) 14 Dec 2005
Mannitolum
EU/3/05/325
Treatment of cystic fibrosis Expired 7 Nov 2005
bacterial lipase (burlulipase)
EU/3/05/323
Treatment of malabsorption due to exocrine pancreatic enzyme insufficiency Active (positive) 7 Nov 2005
tilarginine acetate
EU/3/05/330
Treatment of cardiogenic shock Withdrawn 3 Nov 2005
Human Staphylococcus aureus immunoglobulin
EU/3/05/319
Treatment of Staphylococcus aureus bacteraemia Active (positive) 3 Nov 2005
recombinant microbial lipase
EU/3/05/331
Treatment of malabsorption due to exocrine pancreatic enzyme insufficiency Withdrawn 28 Oct 2005
Peptide 144 TGF-beta1-inhibitor (TSLDASIIWAMMQN)
EU/3/05/329
Treatment of localised scleroderma Active (positive) 28 Oct 2005
(E)-(1S,4S,10S,21R)-7-[(Z)-ethylidene]-4,21-diisopropyl-2-oxa-12,13-dithia-5,8,20,23- tetraazabicyclo[8.7.6]tricos-16-ene-3,6,9,19,22-pentone
EU/3/05/328 · now authorised as Istodax
Treatment of peripheral T-cell lymphoma (nodal, other extranodal and leukaemic/disseminated) Active (positive) 28 Oct 2005
oligonucleotide phosphorothioate (TAAACGTTATAACGTTATGACGTCAT), sodium salt
EU/3/05/327
Treatment of glioma Active (positive) 28 Oct 2005
Peptide 144 TGF-beta1-inhibitor (TSLDASIIWAMMQN)
EU/3/05/326
Treatment of systemic sclerosis Active (positive) 28 Oct 2005
levamisole hydrochloride
EU/3/05/324 · now authorised as Elmisol
Treatment of nephrotic syndrome Active (positive) 28 Oct 2005
alfimeprase
EU/3/05/322
Treatment of acute peripheral arterial occlusion Withdrawn 28 Oct 2005
(1R, 2R, 4S)-4-{(2R)-2-[(3S,6R,7E,9R,10R,12R,14S,15E,17E,19E,21S,23S,26R, 27R,34aS)-9,27-dihydroxy-10,21-dimethoxy-6,8,12,14,20,26-hexamethyl-1,5,11,28,29-pentโ€ฆ
EU/3/05/321
Treatment of primary malignant bone tumours Withdrawn 28 Oct 2005
imatinib mesilate
EU/3/05/320
32 clinical trials →
Treatment of chronic eosinophilic leukaemia and the hypereosinophilic syndrome Expired 28 Oct 2005
recombinant modified vaccinia virus Ankara expressing tuberculosis antigen 85A
EU/3/05/318
Prevention of tuberculosis disease in Bacille-Calmette-Guerin-vaccinated individuals Withdrawn 28 Oct 2005
anti-CD3 mAb (SPV-T3a)-ricin A chain fusion protein;anti-CD7 mAb (WT1)-ricin A chain fusion protein
EU/3/05/317
Treatment of graft-versus-host disease Active (positive) 26 Aug 2005
2-{4-[(5,6-Diphenylpyrazin-2-yl)(isopropyl)amino]butoxy}-N-(methylsulfonyl)acetamide
EU/3/05/316
Treatment of pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension Withdrawn 26 Aug 2005
EU/3/05/315
Treatment of progressive myoclonic epilepsies Withdrawn 26 Aug 2005
(1R,2S) 6-bromo-alpha-[2-(dimethylamino)ethyl]-2-methoxy-alpha-(1-naphthyl)-beta-phenyl-3-quinolineethanol bedaquiline
EU/3/05/314
Treatment of tuberculosis Withdrawn 26 Aug 2005
autologous CD34+ cells transfected with retroviral vector containing adenosine deaminase gene
EU/3/05/313 · now authorised as Strimvelis
Treatment of severe combined immunodeficiency (SCID) due to adenosine deaminase (ADA) deficiency Active (positive) 26 Aug 2005
(1R, 2R, 4S)-4-{(2R)-2-[(3S,6R,7E,9R,10R,12R,14S,15E,17E,19E,21S,23S,26R, 27R,34aS)-9,27-dihydroxy-10,21-dimethoxy-6,8,12,14,20,26-hexamethyl-1,5,11,28,29-pentโ€ฆ
EU/3/05/312
Treatment of soft tissue sarcoma Withdrawn 26 Aug 2005
troxacitabine
EU/3/05/311
Treatment of acute myeloid leukaemia Withdrawn 26 Aug 2005
treprostinil diethanolamine
EU/3/05/310 · now authorised as Orepaxam
Treatment of pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension Active (positive) 26 Aug 2005
sodium valproate
EU/3/05/309
3 clinical trials →
Treatment of 5q spinal muscular atrophy Withdrawn 26 Aug 2005
sapropterin
EU/3/05/308
Treatment of hyperphenylalaninaemia Withdrawn 26 Aug 2005
Mecasermin
EU/3/05/307
Treatment of primary growth hormone insensitivity syndrome Active (positive) 26 Aug 2005
imatinib mesilate
EU/3/05/306
32 clinical trials →
Treatment of mastocytosis Withdrawn 26 Aug 2005
imatinib mesilate
EU/3/05/305
32 clinical trials →
Treatment of dermatofibrosarcoma protuberans Expired 26 Aug 2005
imatinib mesilate
EU/3/05/304
32 clinical trials →
Treatment of acute lymphoblastic leukaemia Expired 26 Aug 2005
human autologous mesenchymal adult stem cells extracted from adipose tissue
EU/3/05/303
Treatment of anal fistula Withdrawn 26 Aug 2005
Extract of Sorghum bicolour leaf, Pterocarpus osun stem, Piper guineense seed and Caryophylli flower
EU/3/05/302
Treatment of sickle cell disease Active (positive) 26 Aug 2005
chimeric monoclonal antibody to shiga toxin 1 and 2
EU/3/05/301
Treatment of shiga-toxin-producing bacterial infection Active (positive) 26 Aug 2005
nemorubicin hydrochloride
EU/3/05/300
Treatment of hepatocellular carcinoma Active (positive) 27 Jul 2005
4-Imino-1, 3-diazobicyclo-[3.1.0]-hexan-2-one
EU/3/05/299
Treatment of pancreatic cancer Active (positive) 27 Jul 2005
mifepristone
EU/3/05/298
3 clinical trials →
Treatment of Cushing's syndrome secondary to ectopic ACTH secretion Withdrawn 27 Jul 2005
adeno-associated viral vector containing a modified U7 snRNA gene
EU/3/05/297
Treatment of Duchenne muscular dystrophy Withdrawn 27 Jul 2005
hydrocortisone
EU/3/05/296
18 clinical trials →
Treatment of congenital adrenal hyperplasia Active (positive) 27 Jul 2005
Hepatitis C immunoglobulin
EU/3/05/295
Prevention of recurrent hepatitis C virus induced liver disease in liver transplant recipients Active (positive) 8 Jul 2005

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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.