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Table 2 PIP details of ODs that are authorised for use in children

From: The influence of the European paediatric regulation on marketing authorisation of orphan drugs for children

Medicine name (active substance)

Paediatric use

Paediatric investigation plan

Potential paediatric*

On label†

Decision‡

Condition and age covered by waiver

Ground for waiver

Expected date of completion §

Elaprase (idursulfase)

Yes

All

PW

Mucopolysaccharidosis II (Hunter syndrome) (Girls birth to < 18 y)

Condition does not occur in the specified paediatric subset

December 2015

Exjade¶ (deferasirox)

Yes

2

PW

Chronic iron overload requiring chelation therapy (birth to < 2 years)

No significant therapeutic benefit

June 2015

Glivec* (imatinib)

Yes

1

PW

Pulmonary arterial hypertension (PAH) (birth to <6 months)

Likely ineffective

May 2013: PIP completed

Philadelphia chromosome (BCR-ABL translocation) - positive chronic myeloid leukaemia (birth to <18 years)

No significant therapeutic benefit

Treatment of Philadelphia chromosome (BCR-ABL translocation) - positive acute lymphoblastic leukaemia (birth to < 1 year).

Condition does not occur in the specified paediatric subset

Ilaris (canakinumab)

Yes

2

PW

Juvenile idiopathic arthritis (birth to < 24 months)

Condition does not occur in the specified paediatric subset and no significant therapeutic benefit

June 2015

Cryopyrin Associated Periodic Syndromes (CAPS) including: FCAS, FCU, MWS, NOMID and CINCA* (birth to < 28 days)

No significant therapeutic benefit

Inovelon (rufinamide)

Yes

4

PW

Lennox-Gastaut syndrome (birth to < 12 months and from 4 to <18 years)

Condition does not occur in the specified paediatric subset and no significant therapeutic benefit

September 2017

Kuvan (sapropterin dihydrochloride)

Yes

4

PW

Hyperphenylalaninemia (4 to < 18 years)

No significant therapeutic benefit

January 2014

Mozobil (Plerixafor)

Yes

All

PW

Myelosuppression caused by chemotherapy to treat malignant disorders, which requires an autologous haematopoietic stem cell transplant (birth to < 12 months )

No significant therapeutic benefit

June 2017

Novothirtheen (catridecacog)

Yes

6

PW

Prevention of bleeding during surgical interventions in congenital factor XIII A-subunit deficiency and treatment of bleeding in congenital factor XIII A-subunit deficiency (birth to <18 years)

Condition does not occur in the specified paediatric subset

December 2015

For the prevention of bleeding in congenital factor XIII A-subunit deficiency (birth to <1 year)

No significant therapeutic benefit

Tobi Podhaler (tobramycin)

Yes

6

PW

Pseudomonas aeruginosa pulmonary infection/colonisation in patients with cystic fibrosis (birth to < 3 months)

Likely unsafe and no significant therapeutic benefit

September 2015

Tracleer¶ (bosentan monohydrate)

Yes

3

PW

Systemic sclerosis and of interstitial pulmonary (birth to < 18 years)

Condition does not occur in the specified paediatric subset

December 2013

Pulmonary arterial hypertension (PAH) (from 28 days to < 3 months and from 12 – 18 years)

No significant therapeutic benefit

Votubia (everolimus)

Yes

3

PW

Angiomyolipoma (birth to < 18 years)

Condition does not occur in the specified paediatric subset

March 2020

Subependymal giant cell astrocytoma and tuberous Sclerosis Complex (NA)

NA

Vpriv (velaglucerase alfa)

Yes

3

PW

Gaucher Disease, Type 2 (birth to < 18 years)

Likely ineffective

July 2015

Gaucher Disease, types 1 and 3 (from birth to < 24 months)

No significant therapeutic benefit

Xagrid¶ (anagrelide)

Yes

All

PW

Essential Thrombocythaemiaa (birth to < 6 years)

Condition does not occur in the specified paediatric subset

March 2013

Kalydeco (ivacaftor)

Yes

6

FP

NA

NA

December 2016

Orfadin¶

Yes

All

FP

NA

NA

May 2013

Revatio¶

Yes

1

FP

NA

NA

July 2014

  1. *Intended for the paediatric population at time of ODD (yes/no).
  2. †Minimum age (in years) on SmPC at time of MA. All: age range not specified and/ or no age contraindication.
  3. ‡PIP decision granted by EMA: PW: partial waiver, FP: Full investigation plan, for the entire paediatric population. NA: Not applicable.
  4. §Expected date of PIP completion for the remaining population.
  5. ¶Product was authorised before 2007 however the MAH applied for or had the intention to apply for an extension of the authorised indication. Consequently, pursuant to Article 8 of Regulation (EC) No 1901/2006, the MAH submitted a PIP.
  6. FCAS: Familial Cold Autoinflammatory Syndrome; FCU: Familial Cold Urticaria; MWS: Muckle-Wells Syndrome; NOMID: Neonatal-Onset Multisystem Inflammatory Disease; CINCA: Chronic Infantile Neurological, Cutaneous, Articular Syndrome.