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Table 1 Application characteristics of NDAs and BLAs included in the systematic review

From: A systematic review of real-world evidence (RWE) supportive of new drug and biologic license application approvals in rare diseases

Therapy– Generic

(US Brand name)

Approved Indication

Epidemiology of Disease

NDA/BLA

Review Type

Approval date

Elivaldogene autotemcel (Skysona) [20]

Early cerebral adrenoleukodystrophy (CALD)

US prevalence: 35–40% of the 1:20,000 males affected with X-ALD

BLA

Priority

Sept 16, 2022*

Vutrisiran (Amvuttra) [21]

Polyneuropathy (PN) of hereditary transthyretin mediated (hATTR) amyloidosis in adults

US incidence: 1/100,000 in U.S. Caucasians;

US prevalence of hATTR-PN: 100 to 2,500 individuals

NDA

Standard

Jun 13, 2022

Vosoritide (Voxzogo) [22]

Increase in linear growth in children with achondroplasia ages 5 and older with open epiphyses

Global incidence: 1 in 25,000 births

NDA

Priority

Nov 19, 2021*

Allogeneic processed thymus tissue- agdc (Rethymic) [23]

Immune reconstitution in pediatric patients with congenital athymia

US incidence: 20 newborns p.a.

BLA

Priority

Oct 8, 2021

Fosdenopterin (Nulibry) [24]

Molybdenum cofactor deficiency (MoCD) type A

US prevalence: 45 to 54 patients, all under 10 years of age;

US incidence: 0.24–0.29 per 100,000 infants [25]

NDA

Priority

Feb 26, 2021

Lonafarnib (Zokinvy) [26]

Hutchinson-Gilford progeria syndrome (HGPS) and processing deficient progeroid laminopathies (PL)

HGPS

Global incidence: 1 in 4 million births;

Global prevalence: 1 in 20 million

PL

US prevalence: 1 in 25 million.

NDA

Priority

Nov 20, 2020

Viltolarsen (Viltepso) [27]

Duchenne muscular dystrophy

Global incidence: 1 in 5,000 live male births;

US prevalence: 16 cases per 100,000 live male births

NDA

Priority

Aug 12, 2020*

Risdiplam (Evrysdi) [28]

Spinal muscular atrophy

Global incidence: 8.5 to 10.3 per 100,000 live births

NDA

Priority

Aug 7, 2020

Triheptanoin (Dojolvi) [29]

A source of calories and fatty acids in the treatment of long-chain fatty acid oxidation disorders (LC-FAOD)

US, Germany, Australia incidence: 1 in 9,300 individuals

NDA

Standard

Jun 30, 2020

Pretomanid Tablet (Pretomanid) [30]

Pulmonary extensively drug-resistant (XDR) and treatment-intolerant/nonresponsive (TI/NR) multidrug-resistant (MDR) tuberculosis in adults

US reported cases in 2020 [31]:

MDR-TB: 56 cases;

XDR TB: 1 case

NDA

Priority

Aug 14, 2019

Onasemnogene abeparvovec-xioi (Zolgensma) [32]

Spinal muscular atrophy (SMA)

SMA type 1 global incidence: 1 in 10,000 live births;

Global prevalence: 1–2 per 100,000

BLA

Priority

May 24, 2019

Triclabendazole (Egaten) [33]

Fascioliasis

Global prevalence: 2.4 to 17 million individuals

NDA

Priority

Feb 13, 2019

Stiripentol (Diacomit) [34]

Dravet syndrome

US incidence: 1 in 40,000 infants [35]

NDA

Priority

Aug 20, 2018

Fish oil triglycerides inj. Emulsion (Omegaven) [36]

Parenteral nutrition-associated cholestasis (PNAC)

Global incidence: 28.2% In children who received PN for > = 14 days

NDA

Priority

Jul 27, 2018

Burosumab (Crysvita) [37]

X-linked hypophosphatemia (XLH)

Global incidence: 1 in 20,000 live births;

US prevalence: 3,000 pediatric and 12,000 adult patients

BLA

Priority

Apr 17, 2018

Voretigene neparvovec (Luxturna) [38]

Biallelic RPE65 mutation-associated retinal dystrophy

US prevalence: 1,000 to 2,000 individuals [39]

BLA

Priority

Dec 19, 2017

Emicizumab-kxwh (Hemlibra) [40]

Hemophilia A (congenital factor VIII deficiency)

US incidence:20,000 live births;

Global incidence: 400,000 live births

BLA

Priority

Nov 16, 2017

Vestronidase alfa-vjbk (Mepsevii) [41]

Mucopolysaccharidosis type 7 (MPS VII)

Global prevalence: 1 in 250,000

BLA

Priority

Nov 15, 2017

Cerliponase alfa (Brineura) [42]

Neuronal ceroid lipofuscinosis type 2 (CLN2)

US & Europe incidence: 0.56-4 pts per 100,000 live births

BLA

Priority

Apr 27, 2017

Thiotepa (Tepadina) [43]

Class 3 β-thalassemia

Global incidence: 100,000 children p.a.

NDA

Standard

Jan 26, 2017

  1. BLA, biologic license application; NDA, new Drug Application; US, United States
  2. *Accelerated approval