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The Pharmaceutical Journal Vol 267 No 7163 p281-283
1 September 2001

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EU grants first orphan drug authorisations

The first marketing authorisations to be awarded under special European provisions for orphan medicinal products have been granted.

Two products, Fabrazyme and Replagal, both of which contain a-galactosidase-A, have been licensed to treat Fabry’s disease, a rare inherited metabolic disorder affecting fewer than 5,000 people patients across the world.

Fabry’s disease, a fat storage disorder also known as angiokeratoma corporis diffusum universale, is characterised by the absence from the body of galactosidase-A, which cleaves galactose from lipids. Deficiency of this enzyme allows lipid accumulation in many organs and prevents their proper function. Patients characteristically have burning sensations in their hands and feet exacerbated by exercise and hot weather. Heart and kidney disease is common.

Fabrazyme and Replagal have been developed independently by TKT Europe-5S AB and Genzyme BV. They were approved under the special procedures agreed last year for orphan medicines. As such, they will enjoy 10 years’ market exclusivity.

The orphan drug rules aim to promote the development of medicines for patients suffering from diseases affecting fewer than 5 per 10,000 of the EU population, where no satisfactory treatment already exists.

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