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Table 2 List and description of identified variables for orphan drugs authorised in Spain from 2006 to 2021

From: ODs with a positive TPR conclusion, not subject to a conditional approval, and approved without requiring a PASS would be more likely to be reimbursed in Spain

Commercial name

P&R status

Therapeutic Area

Existence of therapeutic alternatives

Rarity of disease

Outcome

Safety

Type of population

TPR conclusion

Conditional approval

Nexavar®

Reimbursed

Oncologic

Yes

Rare

Survival

No

Other

Positive

No

Soliris®

Reimbursed

Oncologic

Yes

Rare

Other

No

Other

Positive

No

Vpriv®

Reimbursed

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Tobi Podhaler®

Rejected

Other

Yes

Rare

Other

No

Other

Negative

No

Votubia®

Reimbursed

Oncologic

No

Rare

Other

No

Other

Positive

No

Vyndaqel®

Reimbursed

Other

No

Ultra-rare

Other

Yes

Other

Positive

No

Xaluprine®

Under P&R decision process

Oncologic

Yes

Rare

Other

No

Other

Not published

No

Bronchitol®

Rejected

Other

Yes

Rare

Other

No

Other

Negative

No

Signifor®

Reimbursed

Other

Yes

Rare

Other

No

Other

Positive

No

Kalydeco®

Reimbursed

Other

No

Rare

Other

No

Other

Positive

No

Revestive®

Reimbursed

Other

No

Ultra-rare

Other

Yes

Other

Positive

No

Dacogen®

Reimbursed

Oncologic

Yes

Rare

Survival

No

Other

Positive

No

Adcetris®

Reimbursed

Oncologic

Yes

Ultra-rare

Survival

No

Other

Positive

Yes

NexoBrid®

Rejected

Other

No

Rare

Other

Yes

Other

Negative

No

Iclusig®

Reimbursed

Oncologic

No

Rare

Other

Yes

Other

Positive

No

Imnovid®

Reimbursed

Oncologic

Yes

Rare

Survival

Yes

Other

Positive

No

Procysbi®

Rejected

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Orphacol®

Reimbursed

Other

No

Ultra-rare

Survival

No

Other

Positive

No

Opsumit®

Reimbursed

Other

Yes

Ultra-rare

Survival

No

Other

Positive

No

Sirturo®

Rejected

Other

Yes

Rare

Other

No

Other

Positive

Yes

Cometriq®

Rejected

Oncologic

Yes

Ultra-rare

Survival

No

Other

Positive

Yes

Adempas®

Reimbursed

Other

No

Ultra-rare

Other

No

Other

Positive

No

Granupas®

Rejected

Other

No

Rare

Other

No

Other

Negative

No

Deltyba®

Reimbursed

Other

Yes

Rare

Other

No

Other

Positive

Yes

Vimizim®

Rejected

Other

No

Ultra-rare

Other

Yes

Other

Negative

No

Sylvant®

Reimbursed

Oncologic

No

Rare

Other

Yes

Other

Positive

No

Gazyvaro®

Reimbursed

Oncologic

Yes

Rare

Survival

No

Other

Positive

No

Translarna®

Rejected

Other

No

Rare

Other

No

Other

Negative

Yes

Scenesse®

Rejected

Other

No

Ultra-rare

Other

No

Other

Negative

No

Cerdelga®

Reimbursed

Other

Yes

Rare

Other

Yes

Other

Positive

No

Holoclar®

Rejected

Other

No

Rare

Other

No

Other

Positive

Yes

Strensiq®

Rejected

Other

No

Ultra-rare

Other

No

Paediatric

Positive

No

Farydak®

Rejected

Oncologic

Yes

Rare

Survival

No

Other

Negative

No

Kanuma®

Reimbursed

Other

No

Ultra-rare

Survival

Yes

Other

Positive

No

Raxone®

Rejected

Other

No

Rare

Other

No

Other

Negative

No

Cresemba®

Reimbursed

Other

Yes

Ultra-rare

Survival

No

Other

Positive

No

Kyprolis®

Reimbursed

Oncologic

Yes

Rare

Survival

No

Other

Positive

No

Blincyto®

Rejected

Oncologic

Yes

Rare

Survival

Yes

Other

Negative

No

Ravicti®

Reimbursed

Other

Yes

Rare

Other

Yes

Other

Positive

No

Wakix®

Reimbursed

Other

Yes

Rare

Other

Yes

Other

Negative

No

Idelvion®

Reimbursed

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Alprolix®

Reimbursed

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Darzalex®

Reimbursed

Oncologic

Yes

Rare

Survival

No

Other

Positive

No

Galafold®

Reimbursed

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Onivyde pegylated®

Reimbursed

Oncologic

Yes

Rare

Survival

No

Other

Positive

No

Ninlaro®

Rejected

Oncologic

Yes

Rare

Survival

No

Other

Negative

Yes

SomaKit TOC®

Reimbursed

Other

Yes

Rare

Other

No

Other

Positive

No

Ocaliva®

Reimbursed

Other

No

Ultra-rare

Other

No

Other

Positive

Yes

Cystadrops®

Rejected

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Ledaga®

Rejected

Oncologic

Yes

Rare

Other

No

Other

Positive

No

Chenodeoxycholic acid Leadiant®

Reimbursed

Other

No

Ultra-rare

Other

No

Other

Positive

No

Natpar®

Rejected

Other

No

Ultra-rare

Other

No

Other

Positive

Yes

Qarziba®

Under P&R decision process

Oncologic

Yes

Rare

Other

Yes

Other

Not published

No

Spinraza®

Reimbursed

Other

No

Ultra-rare

Survival

No

Other

Positive

No

Brineura®

Under P&R decision process

Other

No

Ultra-rare

Other

Yes

Other

Not published

No

Besponsa®

Reimbursed

Oncologic

No

Rare

Survival

No

Other

Positive

No

Oxervate®

Rejected

Other

No

Rare

Survival

No

Other

Negative

No

Xermelo®

Rejected

Other

Yes

Rare

Other

No

Other

Negative

No

Rydapt®

Reimbursed

Oncologic

Yes

Ultra-rare

Survival

No

Other

Positive

No

Lutathera®

Reimbursed

Other

Yes

Ultra-rare

Survival

No

Other

Positive

No

Zejula®

Reimbursed

Oncologic

Yes

Ultra-rare

Survival

No

Other

Positive

No

Jorveza®

Rejected

Other

Yes

Rare

Other

No

Other

Positive

No

Prevymis®

Reimbursed

Other

Yes

Rare

Other

No

Other

Negative

No

Crysvita®

Reimbursed

Other

No

Ultra-rare

Other

Yes

Paediatric

Positive

Yes

Alofisel®

Reimbursed

Oncologic

No

Rare

Other

No

Other

Positive

No

Lamzede®

Rejected

Other

No

Ultra-rare

Other

No

Other

negative

No

Mylotarg®

Reimbursed

Oncologic

No

Rare

Survival

No

Other

Positive

No

Amglidia®

Rejected

Other

Yes

Ultra-rare

Other

No

Paediatric

Negative

No

Tegsedi®

Reimbursed

Other

Yes

Rare

Other

No

Other

Positive

No

Verkazia®

Rejected

Other

Yes

Rare

Other

No

Paediatric

Negative

No

Myalepta®

Rejected

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Kymriah®

Reimbursed

Oncologic

Yes

Rare

Survival

Yes

Other

Positive

No

Yescarta®

Reimbursed

Oncologic

Yes

Rare

Survival

Yes

Other

Positive

No

Vyxeos®

Rejected

Oncologic

Yes

Rare

Survival

No

Other

Positive

No

Mepsevii®

Reimbursed

Other

No

Ultra-rare

Other

No

Other

Positive

No

Onpattro®

Reimbursed

Other

Yes

Rare

Other

No

Other

Positive

No

Cablivi®

Reimbursed

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Symkevi®

Reimbursed

Other

Yes

Rare

Other

No

Other

Positive

No

Takhzyro®

Reimbursed

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Luxturna®

Reimbursed

Other

No

Rare

Other

Yes

Other

Positive

No

Poteligeo®

Reimbursed

Oncologic

Yes

Rare

Survival

No

Other

Positive

No

Namuscla®

Rejected

Other

No

Rare

Other

No

Other

Negative

No

Palynziq®

Rejected

Other

No

Rare

Other

Yes

Other

Negative

No

Waylivra®

Under P&R decision process

Other

No

Ultra-rare

Other

Yes

Other

Not published

No

Trecondi®

Under P&R decision process

Oncologic

Yes

Rare

Other

No

Other

Not published

No

Epidyolex®

Reimbursed

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Xospata®

Rejected

Oncologic

No

Rare

Survival

No

Other

Negative

No

Isturisa®

Under P&R decision process

Other

Yes

Ultra-rare

Other

No

Other

Not published

No

Polivy®

Reimbursed

Oncologic

Yes

Rare

Other

Yes

Other

Positive

Yes

Givlaari®

Reimbursed

Other

Yes

Ultra-rare

Other

No

Other

Positive

No

Trepulmix®

Reimbursed

Other

Yes

Rare

Other

No

Other

Positive

No

Zolgensma®

Reimbursed

Other

Yes

Ultra-rare

Other

Yes

Paediatric

Positive

Yes

Reblozyl®

Under P&R decision process

Other

Yes

Rare

Other

No

Other

Not published

No

Daurismo®

Under P&R decision process

Oncologic

Yes

Rare

Survival

No

Other

Not published

No

Hepcludex®

Under P&R decision process

Other

No

Rare

Other

No

Other

Not published

No

Kaftrio®

Reimbursed

Other

Yes

Rare

Other

Yes

Other

Positive

No

Blenrep®

Under P&R decision process

Oncologic

Yes

Rare

Survival

No

Other

Not published

Yes

Idefirix®

Under P&R decision process

Oncologic

No

Rare

Other

Yes

Other

Not published

Yes

Adakveo®

Under P&R decision process

Other

No

Rare

Other

Yes

Other

Not published

Yes

Oxlumo®

Under P&R decision process

Other

No

Rare

Other

Yes

Other

Not published

No

Tecartus®

Under P&R decision process

Oncologic

Yes

Rare

Survival

No

Other

Not published

Yes

Libmeldy®

Under P&R decision process

Other

No

Rare

Survival

No

Paediatric

Not published

No

Fintepla®

Under P&R decision process

Other

Yes

Rare

Other

Yes

Other

Not published

No

Inrebic®

Under P&R decision process

Oncologic

Yes

Rare

Survival

Yes

Other

Not published

No

Pemazyre®

Under P&R decision process

Oncologic

No

Rare

Survival

No

Other

Not published

Yes

Evrysdi®

Under P&R decision process

Other

Yes

Rare

Survival

No

Other

Not published

No

Koselugo®

Under P&R decision process

Oncologic

No

Rare

Survival

Yes

Paediatric

Not published

Yes

Enspryng®

Under P&R decision process

Oncologic

Yes

Rare

Other

No

Other

Not published

No

Bylvay®

Under P&R decision process

Other

No

Ultra-rare

Other

No

Other

Not published

No

Minjuvi®

Under P&R decision process

Oncologic

Yes

Rare

Survival

No

Other

Not published

Yes

Aspaveli®

Under P&R decision process

Oncologic

No

Ultra-rare

Other

Yes

Other

Not published

No