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Table 3 Market availability status of orphan drugs for 14 rare diseases in the U.S., EU, Japan and China

From: The availability and affordability of orphan drugs for rare diseases in China

ATC Code

Generic name (Brand name)

Indication

Year marketing authorization received

Delay of release in China (in years) Compared to the earliest time

China

U.S.a

EUa

Japana

A16AB02

Imiglucerase (Cerezyme)b P

GD

2008

1994

d

1998

14

A16AX07

Sapropterin Dihydrochloride (Kuvan)b P

PKU

2010

2007

2008

--

3

B02BD02

Human coagulation factor VIIIe

HEM

2002

-- D

--

--

--

B02BD02

Recombinant coagulation factor VIII (Kogenate FS)

2010

-- D

-- D

--

--

--

Human prothrombin complex concentrate (e, Kcentra)

2002

2013

--

--

−11

B02BD04

Coagulation factor IX ( Benefix)c

2012

1997

D, d

2009

15

B02BD05

Coagulation factor VIIa ( Novoseven)

2010

1999

D, d

2000

11

H01BA02

Desmopressin acetate spray (e, Stimste)

2001

1994

--

--

7

C02KX01

Bosentan (Tracleer)b

PAH

2011

2001

2002

2005

10

B01AC19

Beraprost sodium (Dorner)

2008

-- D

-- D

1999

9

B01AC11

Iloprost inhalational solution (Ventavis)b

2007

2004

2003

--

5

C02KX02

Ambrisentan (Volibris/Letairis)b

2010

2007

2008

2010

3

B01AC21

Treprostinil (Remodulin)b P

2014

2002

--

--

12

G04BE08

Tadalafil (Cialis® / Adcirca®)

2009

2009

d

--

0

G03XA01

Danazol e

HAE

2002

--

--

--

--

H01AC01

RDNA origin somatropin (e,Norditropin SimpleXx/Norditropin)

GHD

1999

2000

--

1997

2

H01AC01

Somatropin (Saizen)

2000

1996

--

--

4

H01AC01

Somatropin (Genotropin)

2000

1997

--

1997

3

H01AC01

Somatropin (Humatrope) P

2002

1987

--

--

15

--

Recombinant human growth hormonee

2006

--

d

--

--

L01AB01

Busulfan (Busulfex/Busilvex ) P

CML

2002

1999

2003

2006

3

L01XE01

Imatinib (e, Glivec/Gleevec)b P

2010

2001

d

2001

9

L01XE06

Dasatinib (e, Sprycel)b P

2011

2006

2006

2009

5

L01XE08

Nilotinib (Tasigna)b

2009

2007

2007

2009

2

--

Meisoindigo

2010

--

--

--

--

L01BB02

Mercaptopurine (e, Xaluprine)

ALL

2002

2014

2012

--

- 10

L01AA01

Cyclophosphamide (e, Endoxan)

2001

-- D

--

2003

- 2

L01CB02

Teniposide (e, Vumon)b P

1999

1992

--

--

7

L01XX24

Pegaspargase (e, Oncaspar)c

2013

1994

--

--

19

L01XE01

Imatinib (e, Gleevec / Glivec)

2010

2006

d

2001

9

L01XE06

Dasatinib (e, Sprycel)

2011

2006

2006

2009

5

L01DB07

Mitoxantrone HCl (e, Novantrone)b

AML

2001

1987

--

--

14

L01DB06

Idarubicin HCl (e, Zavedos/Idamycin)b P

2002

1990

--

--

12

L01BC01

Cytarabine (e, Cylocide N)

2000

--

--

2000

0

--

Homoharringtonine

2002

-- D

-- D

--

--

--

Arsenious Acid (Yitaida)

APL

2010

--

--

--

--

L01XX27

Arsenic Trioxide (e,Trisenox)b P

2008

2000

d

--

8

L01XX14

Tretinoin (e,Vesanoid) P

2002

1995

--

1995

7

--

Homoharringtonine

2002

-- D

-- D

--

--

L01XC02

Rituximab (MabThera/Rituxan)c

NHL

2000

1997

d

2001

3

L01XE05

Sorafenib (Nexavar)b P

RCC

2011

2005

2006

--

6

L01XC07

Bevacizumab (Avastin)

2012

2009

d

--

3

N07XX02

Riluzole (e, Rilutek)b P

ALS

2010

1995

d

1998

15

R07AA

Poractant alfa (Curosurf)b

PIRDS

2000

1999

--

--

1

--

Calf pulmonary surfactant (Kelisu)

2010

--

--

--

--

  1. a:Drugs were approved as an orphan drug; b:NME, new molecular entity as defined by the FDA; c:NBE, new biologic entity as defined by the FDA; D: Orphan drug designation authorized; P: The drug received FDA priority drug review. d:The drug was intended for rare diseases in Europe with European market authorization without priority designation of orphan drug in Europe; e:The drug had a generic equivalent in China