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Table 1 Orphan drugs reimbursed in Latvia

From: Impact of orphan drugs on Latvian budget

Reimbursement Lists

Trade Name

Active Substance

Orphan Indication

Inclusion Date

Reimbursement List

Glivec*

Imatinib

Ph+ CML; Ph+ ALL; MDS/MPD; GIST; DFSP; HES and CEL

April 2013

List A (previously List C)

Nplate

Romiplostim

Idiopathic thrombocytopenic purpura (ITP)

March 2014

List B

Wilzin*

Zinc

Wilson’s disease

June 2014

Sutent*

Sunitinib

GIST

December 2014

Sprycel

Dasatinib

Ph+ CML; Ph+ ALL

October 2010

List C

Tasigna

Nilotinib

Ph+ CML

December 2010

Mozobil

Plerixafor

HSCT in patients with lymphoma and multiple myeloma

January 2015

CCUH Program

Trade Name

Active Substance

Orphan Indication

Elaprase

Idursulfase

Hunter syndrome (Mucopolysaccharidosis II – MPS II)

Myozyme

Alglucosidase alpha

Pompe disease

Aldurazyme*

Laronidase

Mucopolysaccharidosis I (MPS I)

Kuvan

Sapropterin

Hyperphenylalaninaemia (HPA) in patients with phenylketonuria (PKU) or tetrahydrobiopterin (BH4) deficiency

Cystadane

Betaine

Homocystinuria

Increlex

Mecasermin

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

Votubia

Everolimus

Renal angiomyolipoma and subependymal giant cell astrocytoma associated with tuberous sclerosis complex (TSC)

Individual Reimbursement

Trade Name

Active Substance

Orphan Indication

Revatio

Sildenafil

Pulmonary arterial hypertension (PAH)

Volibris

Ambrisentan

PAH

Tracleer*

Bosentan

PAH; systemic sclerosis

Nexavar

Sorafenib

Hepatocellular carcinoma; renal cell carcinoma; differentiated (papillary/follicular) thyroid carcinoma

Atriance

Nelarabine

T-ALL and T-LBL

Sutent*

Sunitinib

GIST

Glivec*

Imatinib

Ph+ CML; Ph+ ALL; MDS/MPD; GIST; DFSP; HES and CEL

Sprycel

Dasatinib

Ph+ CML; Ph+ ALL

Mozobil

Plerixafor

HSCT in patients with lymphoma and multiple myeloma

Arzerra

Ofatumumab

Chronic lymphocytic leukaemia (CLL)

Nplate

Romiplostim

ITP

Revolade*

Eltrombopag

ITP

Exjade

Deferasirox

Chronic iron overload due to blood transfusions in patients with beta thalassaemia major, other anaemias, and non-transfusion-dependent thalassaemia syndromes

Wilzin*

Zinc

Wilson’s disease

Cystadane

Betaine

Homocystinuria

Diacomit

Stiripentol

Dravet’s syndrome (Severe myoclonic epilepsy in infancy – SMEI)

Drugs withdrawn from the European Community register of designated orphan medicinal products

Trade Name

Active Substance

Withdrawal Date

Reason of Withdrawal

Aldurazyme

Laronidase

June 2013

End of the period of market exclusivity

Wilzin

Zinc

October 2014

Revolade

Eltrombopag

January 2012

Request of the sponsor

Sutent

Sunitinib

July 2008

Glivec

Imatinib

November 2011

End of the period of market exclusivity (for Ph+ CML)

April 2012

Request of the sponsor (for other indications)

Tracleer

Bosentan

May 2012

End of the period of market exclusivity (for PAH)

April 2014

Request of the sponsor (for systemic sclerosis)

  1. *Drugs withdrawn from the European Community register of designated orphan medicinal products