Non-oncologic orphan drug approvals across the world: Types of evidence required and time to approval

1:1
With over 300 million people affected by rare diseases, timely access to effective therapies is critical. Despite strong alignment in regulatory expectations, patients in many regions face years of delays highlighting the need for improved international coordination.

IRDiRC shares a new publication developed by its Regulatory Scientific Committee (RSC): “Non-oncologic orphan drug approvals across the world: Types of evidence required and time to approval”.

With over 300 million people affected by rare diseases, timely access to effective therapies is critical. Despite strong alignment in regulatory expectations, patients in many regions face years of delays highlighting the need for improved international coordination. By examining 53 orphan medicines approved between 2021–2022 across six key regulatory regions, the study underscores persistent delays in worldwide access to innovative rare disease therapies.

Key Insights

  • Significant approval delays — Average 3-year gap between first and subsequent approvals.
  • Limited global submissions — 99% approved in two or more regions, but few filed broadly across all major jurisdictions.
  • Aligned evidence requirements — 69% of approvals relied on identical or highly similar evidence packages.
  • Streamlined data needs — Most products were authorized based on a single adequate and well-controlled study with supporting evidence.
  • Clear opportunity for acceleration — Findings reinforce the value of collaborative regulatory models to reduce global timelines.

Year of publication

2025

ISBN

41207528

Source

IRDiRC

Author

Anne R Pariser, Violeta Stoyanova-Beninska, Oxana Iliach, Reda Jundi, Kerry Jo Lee, Hanako Morikawa, Samantha Parker, Caroline Pothet, Marco Rizzi, Julienne Vaillancourt, Ana Hidalgo-Simon

You might also be interested in

July 24 @ 3:00 pm - 4:00 pm
This webinar will present a theoretical framework for situating ethics across research activities. The framework will then be brought to life through a relevant case study discussion, giving participants a concrete reference point for the episodes ahead.
This 2026 country report outlines the policy, research, care and support landscape for rare diseases in Poland.
Held in Riga on 9–10 June, the workshop brought National Mirror Group experts, researchers, clinicians and policymakers together to exchange practical lessons on how national rare disease registries can better support research and alignment across countries.
ERDERA (the European Rare Diseases Research Alliance) has opened its Clinical Trial Call to support multinational early-phase clinical trials in rare diseases. The call will fund studies designed to generate robust clinical evidence, strengthen regulatory readiness and make rare disease trials more feasible across countries.