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. 2021 Aug 30;51(4):1791–1799. doi: 10.3906/sag-2012-355

Table 2.

Distribution of ATC-1 groups based on the biotechnological and small-molecule status of drugs in rare disease applications.

ATC-1 code Biotechnological drugs Small-molecule drugs
n, (%) Mean age ± SD The most frequent drug, (%) n, (%) Mean age ± SD The most frequent drug, (%)
A 103, (6.0) 9.1 ± 3.7# Elosulfase alfa, (89.3) 454, (16.2) 5.0±4.5 Sapropterin, (42.5)
B 92, (5.4) 8.8 ± 5.2 Coagulation factor VIIa, (32.6) 242, (8.7) 9.2±4.9 Iloprost, (59.1)
C - - - 219, (7.8) 8.2±5.3 Bosentan, (33.8)
D - - - 73, (2.6) 4.5±3.3 Isotretinoin, (95.9)
G - - - 161, (5.8) 8.6±5.4 Sildenafil, (54.0)
H 172, (10.1) 9.3 ± 4.3 Somatropin, (99.4) 100, (3.6) 9.2±5.2 Hydrocortisone, (28.0)
J 60, (3.5) 8.6 ± 5.7# Intravenous immunoglobulin, (86.7) 216, (7.7) 6.4±5.2 Valganciclovir, (37.5)
L 1248, (73.2) 9.8 ± 5.0 Canakinumab, (20.8) 923, (33.0) 10.0±4.9 Mycophenolate, (29.6)
M 12, (0.7) 12.6 ± 5.0# Denosumab, (100,0) 128, (4.6) 8.8±3.8 Ataluren, (35.2)
N - - - 68, (2.4) 9.2±4.9 Trihexyphenidyl, (22.1)
P - - - 16, (0.6) 1.9±3.6 Pyrimethamine, (100.0)
R 13, (0.8) 9.3 ± 5.9 Omalizumab, (53.8) 52, (1.9) 7.9±5.1 Mannitol, (51.9)
S - - - 3, (0.1) 11.3±9.1 Dexamethasone, (66.7)
V - - - 126, (4.5) 6.6±5.5 Calcium folinate, (52.4)
Others* 4, (0.2) 10.5 ± 4.8 - 16, (0.6) 7.5±6.0 -
Total 1704, (100.0) 9.7 ± 4.9# Canakinumab, (15.3) 2797, (100.0) 8.1±5.3 Mycophenolate, (9.8)

A, Alimentary tract and metabolism; B, Blood and blood-forming organs; C, Cardiovascular system; D, Dermatological; G, Genito urinary system and sex hormones; H, Systemic hormonal preparations, excl. sex hormones and insulins; J, Antiinfectives for systemic use; L, Antineoplastic and immunomodulating agents; M, Musculoskeletal system; N, Nervous system; P, Antiparasitic products, insecticides, and repellents; R, Respiratory system; S, Sensory organs; V, Various; *, Applications that have no defined ATC code. # p < 0.05 biotechnological vs. conventional drugs group.