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Table 1 Comparison of FDA and EMA criteria for orphan drug designation

From: An international comparative analysis of public reimbursement of orphan drugs in Canadian provinces compared to European countries

FDA Criteria [10]

EMA Criteria [7]

Drugs (includes biologics) for the prevention, diagnosis, or treatment of diseases or conditions affecting fewer than 200,000 persons in the US OR

The drug must be intended for a disease that is life-threatening or chronically debilitating

 

The prevalence of the condition must not be more than 5 in 10,000; AND

Drugs that will not be profitable within 7 years following approval by the FDA

The medicine must be of significant benefit to those affected by the condition

  1. EMA, European Medicines Agency; FDA, Food and Drug Administration