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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 33 of 34
SubstanceIntended useStatusDesignated
Humanized anti-KSA monoclonal antibody - human interleukin-2-fusion protein
EU/3/02/097
Treatment of renal-cell carcinoma Withdrawn 22 Mar 2002
TGF-รŸ2-specific phosphorothioate antisense oligodeoxynucleotide
EU/3/02/091
Treatment of high-grade glioma Active (positive) 22 Mar 2002
Iodine (131I) chimeric IgG monoclonal antibody cG250
EU/3/02/095
Treatment of renal-cell carcinoma Withdrawn 19 Mar 2002
chimeric IgG monoclonal antibody cG250 (girentuximab)
EU/3/02/094
Treatment of renal-cell carcinoma Withdrawn 19 Mar 2002
Human transferrin conjugated to mutant diptheria toxin
EU/3/02/090
Treatment of glioma Withdrawn 19 Mar 2002
GM-CSF receptor antagonist
EU/3/02/089
Treatment of juvenile myelomonocytic leukaemia Withdrawn 18 Mar 2002
nitisinone
EU/3/02/096
Treatment of alkaptonuria Withdrawn 13 Mar 2002
beclomethasone 17, 21-dipropionate
EU/3/02/093 · now authorised as orBec
Treatment of intestinal graft-versus-host disease Active (positive) 13 Mar 2002
4-(3,5-Bis(hydroxy-phenyl)-1,2,4) triazol-1-yl) benzoic acid
EU/3/02/092
Treatment of chronic iron overload requiring chelation therapy Expired 13 Mar 2002
porfimer sodium
EU/3/02/086
Treatment of high-grade dysplasia in Barrett's oesophagus Withdrawn 6 Mar 2002
carmustine
EU/3/02/085
Treatment of glioma Withdrawn 5 Mar 2002
Colistimethate sodium
EU/3/02/088
3 clinical trials →
Treatment of Pseudomonas aeruginosa lung infection (including colonisation) in cystic fibrosis Withdrawn 19 Feb 2002
eflornithine hydrochloride
EU/3/02/087
6 clinical trials →
Treatment of familial adenomatous polyposis (FAP) Withdrawn 19 Feb 2002
azacitidine
EU/3/01/084
127 clinical trials →
Treatment of myelodysplastic syndromes Expired 6 Feb 2002
adenovirus-mediated herpes-simplex-virus thymidine-kinase (HKSV-tk) gene
EU/3/01/083 · now authorised as Cerepro; Cerepro; Cerepro
Treatment of high-grade glioma with subsequent use of ganciclovir sodium Active (positive) 6 Feb 2002
2-Chloro-9-[2-deoxy-2-fluoro-รŸ-D-arabinofuranosyl]adenine
EU/3/01/082
Treatment of acute lymphoblastic leukaemia Expired 5 Feb 2002
Fumagillin
EU/3/01/081
Treatment of diarrhoea associated with intestinal microsporidial infection Withdrawn 5 Feb 2002
human engineered monoclonal antibody specific for transforming growth factor รŸ1
EU/3/01/080
Treatment of systemic sclerosis Withdrawn 4 Feb 2002
sinapultide;Dipalmitoylphosphatidylcholine;palmitoyloleoyl phosphatidylglycerol;palmitic acid
EU/3/01/079
Treatment of acute lung Injury Active (positive) 4 Feb 2002
ibritumomab tiuxetan
-
Treatment of B-cell non-Hodgkin`s lymphoma Negative 1 Feb 2002
thalidomide
EU/3/01/068
12 clinical trials →
Treatment of multiple myeloma Withdrawn 19 Dec 2001
[Gly2]-recombinant human glucagon-like peptide
EU/3/01/077
Treatment of short bowel syndrome Active (positive) 12 Dec 2001
Iduronate-2-sulfatase
EU/3/01/078
Treatment of mucopolysaccharidosis type II (Hunter's syndrome) Expired 11 Dec 2001
Octavalent Pseudomonas aeruginosa O-polysaccharide-toxin A conjugate
EU/3/01/076
Prevention of Pseudomonas aeruginosa infections in patients with cystic fibrosis Withdrawn 11 Dec 2001
Denileukin diftitox
EU/3/01/075
Treatment of cutaneous T-cell lymphoma Active (positive) 11 Dec 2001
Halofuginone hydrobromide
EU/3/01/074
Treatment of systemic sclerosis Withdrawn 11 Dec 2001
stiripentol
EU/3/01/071
Treatment of severe myoclonic epilepsy in infancy Expired 6 Dec 2001
recombinant human monoclonal antibody to hsp90
EU/3/01/073
Treatment of invasive fungal infections Withdrawn 5 Dec 2001
apomorphine
EU/3/01/072
Treatment of off-periods in Parkinson's disease not responding to other oral treatment Withdrawn 5 Dec 2001
celecoxib
EU/3/01/070
23 clinical trials →
Treatment of familial adenomatous polyposis (FAP) Withdrawn 21 Nov 2001
Deoxyribose phosphorothioate (5'-tct-ccc-agc-gtg-cgc-cat-3')
EU/3/01/063
Treatment of chronic lymphocytic leukaemia Withdrawn 21 Nov 2001
phenylephrine hydrochloride
EU/3/01/069
12 clinical trials →
Treatment of ileal pouch anal anastomosis (IPAA) related faecal incontinence Active (positive) 20 Nov 2001
thalidomide
EU/3/01/067
12 clinical trials →
Treatment of multiple myeloma Withdrawn 20 Nov 2001
thalidomide
EU/3/01/066
12 clinical trials →
Treatment of erythema nodosum leprosum (ENL) or type II lepra reactions Withdrawn 20 Nov 2001
Deoxyribose phosphorothioate (5'-tct-ccc-agc-gtg-cgc-cat-3')
EU/3/01/065
Treatment of multiple myeloma Withdrawn 20 Nov 2001
abetimus sodium
EU/3/01/064
Treatment of lupus nephritis Withdrawn 20 Nov 2001
idebenone
EU/3/01/062
2 clinical trials →
Treatment of Friedreich's ataxia Active (positive) 20 Nov 2001
imatinib mesilate
EU/3/01/061
32 clinical trials →
Treatment of malignant gastrointestinal stromal tumours Expired 20 Nov 2001
dexrazoxane
EU/3/01/059
8 clinical trials →
Treatment of anthracycline extravasations Expired 19 Sep 2001
repertaxin L-lysine salt
EU/3/01/058
Prevention of delayed graft function in organ transplant Active (positive) 19 Sep 2001
Porcine lung surfactant
EU/3/01/057
Treatment of acute lung Injury Withdrawn 19 Sep 2001
sinapultide;Dipalmitoylphosphatidylcholine;palmitoyloleoyl phosphatidylglycerol;palmitic acid
EU/3/01/054
Treatment of meconium aspiration syndrome Withdrawn 19 Sep 2001
cladribine
EU/3/01/055
7 clinical trials →
Treatment of indolent non-Hodgkin's lymphoma Expired 18 Sep 2001
beraprost sodium
EU/3/01/053
Treatment of pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension Withdrawn 18 Sep 2001
pemetrexed disodium
EU/3/01/060
228 clinical trials →
Treatment of malignant mesothelioma Withdrawn 17 Sep 2001
seocalcitol
EU/3/01/052
Treatment of hepatocellular carcinoma Withdrawn 31 Jul 2001
1,3-Propanedisulfonic acid, disodium salt
EU/3/01/051 · now authorised as Kiacta; Kiacta
Treatment of systemic secondary amyloidosis Active (positive) 31 Jul 2001
zinc acetate dihydrate
EU/3/01/050
Treatment of Wilson's disease Expired 31 Jul 2001
ziconotide
EU/3/01/048
2 clinical trials →
Treatment of chronic pain requiring intraspinal analgesia Expired 9 Jul 2001
thalidomide
EU/3/01/047
12 clinical trials →
Treatment of multiple myeloma Withdrawn 9 Jul 2001
thalidomide
EU/3/01/046
12 clinical trials →
Treatment of graft-versus-host disease Withdrawn 9 Jul 2001
Betaine anhydrous
EU/3/01/045
Treatment of homocystinuria Withdrawn 9 Jul 2001
human alpha1-proteinase inhibitor
EU/3/01/044
Treatment of emphysema secondary to congenital alpha-1 antitrypsin deficiency Active (positive) 9 Jul 2001
human Milk Fat Globule 1;yttrium (90Y) human milk fat globule 1 - S p isothiocyanatobenzyl-diethylenetriaminepentaacetic acid
EU/3/01/043
Treatment of ovarian cancer Withdrawn 30 May 2001
human engineered monoclonal antibody specific for transforming growth factor ฮฒ2
EU/3/01/042
Prevention of scarring in glaucoma filtration surgical procedures Withdrawn 30 May 2001
recombinant human alpha-1 antitrypsin
EU/3/01/041
Treatment of emphysema secondary to congenital alpha-1 antitrypsin deficiency Withdrawn 30 May 2001
Fomepizole
EU/3/01/040
Treatment of methanol poisoning Withdrawn 30 May 2001
Ecteinascidin 743 (trabectedin)
EU/3/01/039
Treatment of soft tissue sarcoma Expired 30 May 2001
retroviral gamma c cDNA containing vector
EU/3/01/038
Treatment of severe combined immunodeficiency (SCID)-Xl Disease Active (positive) 30 May 2001
recombinant human C1-inhibitor
EU/3/01/036
Treatment of angioedema caused by C1 inhibitor deficiency Withdrawn 11 May 2001
Humanised anti-HM1.24 monoclonal antibody
EU/3/01/037
Treatment of multiple myeloma Withdrawn 10 May 2001
levodopa;carbidopa
EU/3/01/035
2 clinical trials →
Treatment of advanced idiopathic Parkinson's disease with severe motor fluctuations Withdrawn 10 May 2001
gusperimus trihydrochloride
EU/3/01/034 · now authorised as Spanidin; Spanidin
Treatment of Wegener's granulomatosis Active (positive) 29 Mar 2001
ranpirnase
EU/3/01/033
Treatment of malignant mesothelioma Withdrawn 29 Mar 2001
arsenic trioxide
EU/3/01/032
11 clinical trials →
Treatment of multiple myeloma Withdrawn 29 Mar 2001
arsenic trioxide
EU/3/01/031
11 clinical trials →
Treatment of myelodysplastic syndromes Withdrawn 29 Mar 2001
8-cyclopentyl-1, 3-dipropylxanthine
EU/3/01/030
Treatment of cystic fibrosis Withdrawn 29 Mar 2001
ribavirin
EU/3/01/029
Treatment of adenovirus infection in immunocompromised patients Withdrawn 8 Mar 2001
Ibuprofen
EU/3/01/027
22 clinical trials →
Patent ductus arteriosus in premature neonates of less than 34 weeks of gestational age Withdrawn 6 Mar 2001
Inolimomab
EU/3/01/028
Treatment of graft-versus-host disease Active (positive) 5 Mar 2001
N-acetylgalactosamine 4-sulfatase
EU/3/01/025
Treatment of mucopolysaccharidosis VI (Maroteaux-Lamy syndrome) Expired 15 Feb 2001
pegvisomant
EU/3/01/023
Treatment of acromegaly Expired 15 Feb 2001
laronidase
EU/3/01/022
Treatment of mucopolysaccharidosis type I Expired 15 Feb 2001
imatinib mesilate
EU/3/01/021
32 clinical trials →
Treatment of chronic myeloid leukaemia Expired 15 Feb 2001
Ibuprofen
EU/3/01/020
22 clinical trials →
Treatment of patent ductus arteriosus Expired 15 Feb 2001
Bosentan
EU/3/01/019
3 clinical trials →
Treatment of pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension Expired 15 Feb 2001
recombinant human acid alpha-glucosidase
EU/3/01/018
Treatment of glycogen storage disease type II (Pompe's disease) Expired 15 Feb 2001
L-Lysine-N-Acetyl-L-Cysteinate
EU/3/01/026
Treatment of cystic fibrosis Active (positive) 14 Feb 2001
ribavirin
EU/3/01/024
Treatment of haemorrhagic fever with renal syndrome Withdrawn 14 Feb 2001
arsenic trioxide
EU/3/00/017
11 clinical trials →
Treatment of acute promyelocytic leukaemia Withdrawn 17 Jan 2001
Lusupultide
EU/3/00/016
Treatment of acute respiratory distress syndrome (ARDS) Withdrawn 17 Jan 2001
xaliproden hydrochloride
EU/3/00/015
Treatment of amyotrophic lateral sclerosis Withdrawn 17 Jan 2001
iloprost
EU/3/00/014
4 clinical trials →
Treatment of primary and of the following forms of secondary pulmonary hypertensionโ€ฆ Expired 30 Dec 2000
nitisinone
EU/3/00/012
Treatment of tyrosinaemia type 1 Expired 30 Dec 2000
busulfan
EU/3/00/011
22 clinical trials →
Conditioning treatment prior to haematopoietic-progenitor-cell transplantation Expired 30 Dec 2000
anagrelide hydrochloride
EU/3/00/010
2 clinical trials →
Treatment of essential thrombocythaemia Expired 30 Dec 2000
Ethyl Eicosapentaenoate
EU/3/00/013 · now authorised as Ethyl Eicosapent soft gelatin capsules; Ethyl Eicosapent soft gelatin capsules
Treatment of Huntingtonโ€™s disease Active (positive) 29 Dec 2000
thalidomide
EU/3/00/009
12 clinical trials →
Treatment of erythema nodosum leprosum (ENL) or type II lepra reactions Withdrawn 29 Dec 2000
arsenic trioxide
EU/3/00/008
11 clinical trials →
Treatment of acute promyelocytic leukaemia Expired 18 Oct 2000
N-carbamyl-L-glutamic acid
EU/3/00/007
Treatment of N-acetylglutamate synthetase (NAGS) deficiency Expired 18 Oct 2000
1,5-(Butylimino)-1,5-dideoxy, D-glucitol
EU/3/00/006
Treatment of Gaucher disease Expired 18 Oct 2000
gemtuzumab ozogamicin
EU/3/00/005 · now authorised as Mylotarg; Mylotarg
7 clinical trials →
Treatment of acute myeloid leukaemia Active (positive) 18 Oct 2000
Fluorouracil
EU/3/00/004
94 clinical trials →
Treatment of glioblastoma Withdrawn 18 Oct 2000
alpha-galactosidase A
EU/3/00/003
Treatment of Fabry disease Expired 8 Aug 2000
alpha-galactosidase A
EU/3/00/002
Treatment of Fabry disease Expired 8 Aug 2000
somatropin
EU/3/00/001
5 clinical trials →
AIDS wasting Withdrawn 8 Aug 2000
rinatabart sesutecan
EU/3/26/3206
Treatment of ovarian cancer Active (positive)
1-{[2-(3,6-Diazabicyclo[3.1.1]heptan-3-yl)-7-(1,3-thiazol-2-yl)-1,3-benzoxazol-4-yl]oxy}-1,1-difluoro-2-methylpropan-2-ol
EU/3/26/3202
Treatment of palmoplantar pustulosis Active (positive)
orziloben
EU/3/26/3198
Treatment of intestinal failure-associated liver disease Active (positive)
adeno-associated viral vector serotype ShH10 containing a codon-optimised human NDP gene
EU/3/25/3133
Treatment of NDP gene-related disorders Active (positive)

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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.