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Table 4 Waiver conditions of ‘adults only’ OD

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 PIP for remaining population

Arzerra (ofatumumab)

No

No

CW

Chronic lymphocytic leukaemia (birth to <18y)

Class waiver

NA

Imnovid (pomalidomide)

No

No

CW

Multiple myeloma (birth to <18y)

Class waiver

NA

Jakavi (ruxolitinib)

No

No

CW

Myeolofibrosis (birth to <18y)

Class waiver

NA

Thalidomide Celgene (thalidomide)

No

No

CW

Multiple myeloma (birth to <18y )

Class waiver

NA

Afinitor (everolimus)

No

No

PSW

Renal cell carcinoma and pancreatic neuroendocrine tumour (birth to <18y)

Condition occurs only in adult populations

NA

Esbriet (pirfenidone)

No

No

PSW

Idiopathic Pulmonary Fibrosis (birth to <18y)

Condition occurs only in adult populations

NA

Nexavar § (Sorafenib)

No

No

PSW

Differentiated thyroid cancer (birth to <18y)

No significant therapeutic benefit over existing treatments for paediatric patients.

NA

Revlimid (lenalidomide)

No

No

PSW

Multiple myeloma and myelodysplastic syndromes (birth to <18 y)

Likely unsafe

NA

Torisel (temsirolimus)

No

No

PSW

For the treatment of mantle-cell lymphoma for all subsets of the paediatric

Condition occurs only in adult populations

NA

Bosulif (bosutinib)

No

No

PW

Chronic myeloid leukaemia (birth to <10 y)

Condition occurs only in adult populations

December 2016

Tasigna (Nilotinib)

No

No

PW

Gastro-intestinal stromal tumour (0-18y) and chronic myeloid leukaemia (0-1y)

No significant therapeutic benefit

September 2015

Volibris (ambrisentan)

No

No

PW

Pulmonary arterial hypertension (0-1y)

Likely unsafe

December 2016

  1. *Intended for the paediatric population at time of ODD (yes/no).
  2. †Paediatric use specified on SmPC at time of MA.
  3. PIP decision granted by EMA: CW: Class Waiver , PSW: product specific waiver; PW: partial waiver; NA: Not applicable.
  4. §Product was authorised before 2007, however the MAH applied 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.