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Table 6 All ODs with MA for the paediatric population

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

Medicine name

Active substance

Indication

Age range

Authorisation date

Status

Fabrazyme

Agalsidase beta

Fabry disease (galactosidase-A deficiency)

8 years and older

03/08/2001

End of marketing exclusivity

Replagal

Agalsidase alpha

Fabry disease (galactosidase-A deficiency)

7 years and older

03/08/2001

Authorised under exceptional circumstance, end of marketing exclusivity

Glivec

Imatinib

Chronic myeloid leukaemia

> 1 and >2 years

07/11/2001

Withdrawn OD status

Tracleer

Bosentan monohydrate

Pulmonary arterial hypertension (PAH)

2 years and older

15/05/2002

Authorised

Zavesca

Miglustat

Niemann-Pick type-C disease

Children* and adults

20/11/2002

Authorised

Carbaglu

Carglumic acid

Hyperammonaemia due to - N-acetylglutamate-synthase (NAGS) primary deficiency

As early as the first day of life

24/01/2003

Authorised, end of marketing exclusivity for NAGS

- isovaleric acidaemia

- methymalonic acidaemia

- propionic acidaemia

Aldurazyme

Laronidase

Mucopolysaccharidosis I (alpha-L-iduronidase deficiency)

Children* and adults

10/06/2003

Authorised under exceptional circumstance, end of marketing exclusivity

Busilvex

Busulfan

Conditioning treatment prior to conventional haematopoietic progenitor cell transplantation (HPCT)

Newborn and older

09/07/2003

End of marketing exclusivity

Lysodren

Mitotane

Advanced adrenal cortical carcinoma

Children** and adults

28/04/2004

Authorised

Pedea

Ibuprofen

Patent ductus arteriosus

Premature newborns

29/07/2004

Authorised

Wilzin

Zinc

Wilson’s disease

One year and older

13/10/2004

Authorised

Xagrid

Anagrelide

Essential thrombocythaemia

Children** and adults

16/11/2004

Authorised under exceptional circumstances

Orfadin

Nitisinone

Hereditary tyrosinaemia type 1 (HT-1)

Children* and adults

21/02/2005

Authorised

Revatio

Sildenafil

Pulmonary arterial hypertension

one year and older

28/10/2005

Authorised

Naglazyme

Galsulfase

Mucopolysaccharidosis VI (N-acetylgalactosamine-4-sulfatase deficiency; Maroteaux-Lamy syndrome)

Children* and adults

24/01/2006

Authorised under exceptional circumstances

Myozyme

Alglucosidase alpha

Pompe disease (acid-α-glucosidase deficiency)

Children of all ages and adults

29/03/2006

Authorised

Evoltra

Clofarabine

Acute lymphoblastic leukaemia

1-21 years

29/05/2006

Authorised under exceptional circumstances

Exjade

Deferasirox

Beta thalassaemia major with iron overload

2 years and older

28/08/2006

Authorised

Diacomit

Stiripentol

Severe myoclonic epilepsy in infancy (SMEI, Dravet's syndrome)

3 years and older

04/01/2007

Conditional approval

Elaprase

Idursulfase

Hunter syndrome (mucopolysaccharidosis II)

5 years and older

08/01/2007

Authorised under exceptional circumstances

Inovelon

Rufinamide

Lennox-Gastaut syndrome

4 years and older

16/01/2007

Authorised

Cystadane

Betaine anhydrous

Homocystinuria

Children* and adults

15/02/2007

Authorised

Soliris

Eculizumab

Paroxysmal nocturnal haemoglobinuria (PNH) and atypical haemolytic uremic syndrome (aHUS)

Children* and adults

20/06/2007

Authorised

Siklos

Hydroxycarbamide

Sickle-cell syndrome

2 years and older

29/06/2007

Authorised

Increlex

Mecasermin

Primary insulin-like-growth-factor-1 deficiency (primary IGFD)

2 to 18 years

03/08/2007

Authorised under exceptional circumstances

Atriance

Nelarabine

Acute lymphoblastic leukaemia (T-ALL) and T-cell lymphoblastic lymphoma (T-LBL)

Children* and adults

22/08/2007

Authorised under exceptional circumstances

Kuvan

Sapropterin dihydrochloride

Phenylketonuria (PKU) and tetrahydrobiopterin (BH4) deficiency

4 years and older

02/12/2008

Authorised

Mepact

Mifamurtide

Osteosarcoma

2 to 30 years

06/03/2009

Authorised

Peyona

Caffeine citrate

Primary apnoea

Premature newborns

02/07/2009

Authorised

Mozobil

Plerixafor

Lymphoma and multiple myeloma

Children** and adults

31/07/2009

Authorised

Cayston

Aztreonam lysine

Cystic fibrosis (CF)

6 years and older

21/09/2009

Authorised

Ilaris

Canakinumab

Cryopyrin-Associated Periodic Syndromes (CAPS), and Systemic Juvenile Idiopathic Arthritis (SJIA)

2 years and older

23/10/2009

Authorised under exceptional circumstances, withdrawn OD status

Tepadina

Thiotepa

Allogeneic or autologous haematopoietic progenitor cell transplantation (HPCT)

Children* and adults

15/03/2010

Authorised

Vpriv

Velaglucerase alpha

Type-1 Gaucher disease

>2 years

26/08/2010

Authorised

Tobi Podhaler

Tobramycin

Cystic fibrosis

6 years and older

20/07/2011

Authorised

Votubia

Everolimus

Subependymal giant-cell astrocytoma (SEGA) associated with tuberous-sclerosis complex (TSC)

3 years and older

02/09/2011

Conditional approval

Xaluprine

6-Mercaptopurine monohydrate

Acute lymphoblastic leukaemia (ALL)

Children* and adults

09/03/2012

Authorised

Kalydeco

Ivacaftor

Cystic fibrosis (CF) with G551D mutation in the CFTR gene

6 years and older

23/07/2012

Authorised

Novothirteen

Catridecacog

Congenital factor-XIII-A-subunit deficiency

6 years and above

03/09/2012

Withdrawn OD status

Procysbi

Mercaptamine bitartrate

Nephropathic cystinosis

Children* and adults

06/09/2013

Authorised

Orphacol

Cholic acid

Inborn errors in primary bile-acid synthesis due to 3-hydroxy-5-C27-steroid oxidoreductase deficiency or 4-3-oxosteroid-5-reductase deficiency

One month and older

12/09/2013

Authorised under exceptional circumstances

Defitelio

Defibrotide

Severe hepatic veno-occlusive disease (VOD) in haematopoietic stem-cell transplantation (HSCT) therapy

One month and older

18/10/2013

Authorised under exceptional circumstances

  1. *Age range not specified in SmPC.
  2. **Not contraindicated in children, however the SmPC mentions a special warning (such as “The effects of medicinal product on children and adolescents have not been studied” or “limited information on the use in children”).