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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 34 of 34
SubstanceIntended useStatusDesignated
alpibectir;ethionamide
EU/3/25/3116
Treatment of tuberculosis Active (positive)
IgG1 trispecific monoclonal antibody against T-cell receptor CD3, B-cell maturation antigen and G protein-coupled receptor class C group 5 member D
EU/3/25/3106
Treatment of multiple myeloma Active (positive)
(R)-3-(5-dimethylcarbamoyl-pent-1-enyl)-N-(2-hydroxy-1methylethyl)benzamide
EU/3/25/3074
Treatment of fragile X syndrome Active (positive)
nipocalimab
EU/3/25/3045
12 clinical trials →
Prevention of fetal and neonatal alloimmune thrombocytopenia Active (positive)
adeno-associated viral vector serotype 3B encoding human CYP27A1
EU/3/24/2971
Treatment of inborn errors in primary bile acid synthesis Active (positive)
Humanised IgG1 monoclonal antibody against misfolded immunoglobulin G, fused with pan-amyloid-reactive peptide p5R
EU/3/24/2969
Treatment of AL amyloidosis Active (positive)
Interleukin 4 - interleukin 10 fusion protein
EU/3/24/2960
Treatment of complex regional pain syndrome Active (positive)
ulefnersen
EU/3/23/2839
Treatment of amyotrophic lateral sclerosis Active (positive)
tamoxifen citrate
EU/3/22/2635
34 clinical trials →
Treatment of neuronal ceroid lipofuscinosis Active (positive)
(6aR,10aR)-3-(1,1-dimethylheptyl)-delta8-tetrahydro-cannabinol-9-carboxylic acid
EU/3/18/2070
Treatment of dermatomyositis Withdrawn

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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.