Non-oncology orphan drug development: Productivity and probability of success

Samantha Parker1, Jida El Hajjar2, Anneliene H Jonker3

  • 1International Rare Diseases Research Consortium, Paris, France; Italfarmaco SpA, Milan, Italy.

Drug Discovery Today
|December 4, 2025
PubMed

Insights

Developing treatments for rare diseases (RDs) remains challenging. This study found biologics have higher approval rates, while gene therapies and smaller sponsors face hurdles in orphan drug development.

Area of Science:

  • Pharmacology
  • Biotechnology
  • Drug Development

Background:

  • Over 6000 rare diseases (RDs) affect 300 million globally, with limited approved treatments.
  • Orphan drug designations (ODDs) have increased, yet treatment scarcity persists.
  • Non-oncology orphan drugs face significant development and approval challenges.

Purpose of the Study:

  • To analyze the 7-8 year outcomes of non-oncology orphan drugs (ODs) designated by the FDA and EMA in 2017.
  • To identify factors influencing the success of orphan drug development.
  • To pinpoint drivers and gaps in the orphan drug pipeline.

Main Methods:

  • Analysis of 292 non-oncology orphan drug designations from 2017.
  • Evaluation of therapeutic modalities, sponsor size, and funding.
  • Assessment of development phase transition success rates.

Main Results:

  • Biologics demonstrated higher approval rates compared to other modalities.
  • Gene therapies exhibited lower phase transition success rates.
  • Smaller companies and academic institutions showed reduced success rates in development.

Conclusions:

  • Therapeutic modality, sponsor size, and funding significantly impact orphan drug development success.
  • Gaps exist in translating designations into approved treatments, particularly for gene therapies and smaller entities.
  • Sustained, multi-stakeholder investment is crucial for advancing rare disease therapies.

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