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Table 3 Top 25 diseases with the most designations with at least one orphan drug approval, 1983–2022

From: A comprehensive study of the rare diseases and conditions targeted by orphan drug designations and approvals over the forty years of the Orphan Drug Act

Disease

Therapeutic area

Initial orphan drug approvals

Designations

HIV infectious disease*

Infectious Diseases

23

92

Multiple myeloma

Oncology

19

130

Non-small cell lung carcinoma

Oncology

18

35

Metastatic melanoma

Oncology

16

120

Acute myeloid leukemia

Oncology

14

183

B-cell chronic lymphocytic leukemia

Oncology

12

57

Hepatocellular carcinoma

Oncology

11

89

Follicular lymphoma

Oncology

11

37

Isolated congenital growth hormone deficiency

Endocrinology

10

23

Pulmonary arterial hypertension

Vascular

9

58

Hemophilia B

Hematology

9

23

Ovarian cancer*

Oncology

8

91

Diffuse large B-cell lymphoma

Oncology

8

33

Cystic fibrosis

Pulmonology

8

108

Chronic myelogenous leukemia

Oncology

8

38

Acute lymphoblastic leukemia

Oncology

8

55

Solid organ transplant rejection

Transplant

7

49

Thyroid cancer

Oncology

7

13

Lennox–Gastaut syndrome

Neurology

7

16

Soft tissue sarcoma

Oncology

6

56

Neuroendocrine neoplasm

Oncology

6

24

Malaria

Infectious Diseases

6

28

Mantle cell lymphoma

Oncology

6

23

Homozygous familial hypercholesterolemia

Metabolism

6

16

Immune thrombocytopenic purpura

Hematology

6

22

  1. *No longer considered a rare disease by FDA as total disease prevalence is currently calculated to be greater than 200,000 affected people in the US