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. 2024 Sep 16;58(6):1214–1232. doi: 10.1007/s43441-024-00693-8

Table 1.

Summary of Included Products and Key Characteristics

Product Name (Brand) INN Drug or Biologic Indication Rare Disease Gene Therapy FDA EMA
Date of Approval (Gray if Not FDA Approved in Study Period) Orphan Designation Priority Review Date of Authorization (Gray if Not EMA Approved in Study Period) Orphan Designation Accelerated Assessment
Camzyos [20] mavacamten Drug Adults with (NYHA) class II-III obstructive hypertrophic cardiomyopathy (HCM) Yes No 4/28/2022 Yes Yes
Amvuttra [21, 22] vutisiran Drug Polyneuropathy of hereditary transthyretin-mediated amyloidosis in adults Yes No 6/13/2022 Yes No 9/15/2022 Yes No
Pyrukynd [23, 24] mitapivat Drug Hemolytic anemia in adults with pyruvate kinase (PK) deficiency Yes No 2/17/2022 Yes Yes 11/9/2022 Yes No
Enjaymo [25, 26] sutimlimab Drug Hemolysis in adults with cold agglutinin disease (CAD) Yes No 2/4/2022 Yes Yes 11/15/2022 Yes no
Nextstellis [27] etonorgestrel and estetrol Drug Females of reproductive potential to prevent pregnancy No No 4/15/2021 No No
Nulibry [28, 29] fosdenopterin Drug Molybdenum cofactor deficiency (MoCD) Type A Yes No 2/26/2021 Yes Yes 9/15/2022 Yes No
Imcivree [30, 31] setmelanotide Drug Obesity due to proopiomelanocortin (POMC) or proprotein convertase subtilisin/kexin type 1 (PCSK1) deficiency Yes No 11/25/2020 Yes Yes 7/16/2021 Yes No
Zokinvy [32, 33] lonafarnib Drug Processing-deficient Progeroid Laminopathies with either heterozygous LMNA mutation with progerin-like protein accumulation or ZMPSTE24 mutations Yes No 11/20/2020 Yes Yes 7/18/2022 Yes No
Dojolvi [34] triheptanoin Drug Pediatric and adult patients with long-chain fatty acid oxidation disorders (LC-FAOD) Yes No 6/30/2020 Yes No
Pretomanid/Dovprela [35, 36] pretomanid Drug Pulmonary extensively drug resistant (XDR) or treatment-intolerant or nonresponsive multidrug-resistant (MDR) tuberculosis (TB) No No 8/14/2019 Yes Yes 7/31/2020 Yes No
Vyondys 53 [37] golodirsen Drug Duchenne muscular dystrophy (DMD) with amenable to exon 53 skipping Yes No 12/12/2019 Yes Yes
Egaten [38] triclabendazole Drug Fascioliasis in patients 6 years of age and older No No 2/13/2019 Yes Yes
Skysona [39] elivaldogene autotemcel Biologic Boys 4–17 years of age with early, active cerebral adrenoleukodystrophy (CALD) Yes Yes 16-Sep-22 Yes Yes
Zynteglo [40] betibeglogene autotemce Biologic ß-thalassemia Yes Yes 19-Aug-22 Yes Yes
Rethymic [41] allogeneic processed thymus tissue–agdc Biologic Congenital athymia Yes No 10/8/2021 Yes Yes
Ryplazim [42] plasminogen, human-tvmh Biologic Plasminogen deficiency type 1 (hypoplasminogenemi) Yes No 6/4/2021 Yes Yes
Xembify [43] immune globulin subcutaneous human-klhw Biologic Primary Humoral Immunodeficiency (PI) in patients 2 years of age and older Yes No 7/3/2019 No No
Zolgensma [44, 45] Onasemnogene abeparvovec Biologic Spinal muscular atrophy (SMA) with bi-allelic mutations in the survival motor neuron 1 (SMN1) gene Yes Yes 5/24/2019 Yes Yes 5/18/2020 Yes No
Asceniv [46] mmune globulin intravenous, human – slra Biologic Primary humoral immunodeficiency in adults and adolescents (12 to 17 years of age) Yes No 4/1/2019 No No
Esperoct [47, 48] turoctocog alfa pegol Biologic Adults and children with hemophilia A Yes No 2/19/2019 No No 6/20/2019 No No
Mycapssa [49] betibeglogene autotemce Drug Adult patients with acromegaly who have responded to and tolerated treatment with somatostatin analogues Yes No 12/2/2022 Yes No
Roctavian [50] valoctocogene roxaparvovec Biologic Severe haemophilia A (congenital factor VIII deficiency) in adult patients without a history of factor VIII inhibitors and without detectable antibodies to adeno-associated virus serotype 5 (AAV5)., Yes Yes 6/23/2022 Yes No
Upstaza [51] eladocagene exuparvovec Biologic L amino acid decarboxylase (AADC) deficiency with a severe phenotype Yes Yes 5/19/2022 Yes No
Voraxaze [52] glucarpedase Biologic Adults and children (aged 28 days and older) with delayed methotrexate elimination or at risk of methotrexate toxicity No No 11/11/2021 Yes No
Lydisilka [53] drospirenone and estestrol Drug Oral contraception No No 3/25/2021 Yes No
Libmeldy [54] atidarsagene autotemcel Biologic Metachromatic leukodystrophy (MLD) characterized by biallelic mutations in the arysulfatase A (ARSA) gene Yes Yes 10/15/2020 Yes No
Idefirix [55] imlifidase Biologic Highly sensitised adult kidney transplant patients with positive crossmatch against an available deceased donor Yes No 6/25/2020 Yes No
Cufence [56] trientine dihydrochloride Drug Wilson’s disease in patients intolerant to D-Penicillamine therapy Yes No 5/29/2019 Yes No