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What is Orphan Drug Designation

Under the Orphan Drug Act and associated regulations (21 CFR §316), the FDA may designate a drug or biological product as an “orphan drug” if it is intended to treat, diagnose or prevent a “rare disease or condition” (affecting fewer than 200,000 persons in the U.S., or if >200,000, the drug is unlikely to be profitable). 
Benefits of designation include:

  • Eligibility for tax credits for qualified clinical testing. 
  • Potential waiver of certain FDA user fees.
  • Eligibility for seven years of market exclusivity post-approval in the U.S. when applicable. 

📝 Eligibility Criteria & Key Considerations

Before submitting, sponsors should check:

  • The drug (or biologic) is for a rare disease/condition (i.e., fewer than 200,000 persons in the U.S., or a disease affecting >200,000 but for which the costs of developing and making the drug would not be recoverable). 
  • The drug is intended for that indication (treatment, diagnosis or prevention). 
  • If the same drug is already approved for the same condition, then there must be a “clinically superior” rationale for the new use. 
  • The designation request should preferably be submitted before filing for marketing approval (e.g., NDA or BLA) though it can be at various stages. 

🇺🇸 Submission Routes

You may submit the orphan designation request via one of three methods: 

  1. Through the CDER NextGen Portal (for electronic submission)
  2. Emailing the required information to orphan@fda.hhs.gov (if submitting electronically)
  3. Mailing hard-copy documents to:

    Office of Orphan Products Development  
    Attention: Orphan Drug Designation Program  
    Food and Drug Administration  
    WO32-5295  
    10903 New Hampshire Avenue  
    Silver Spring, MD 20993-0002
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If you send via email, encrypted/secure email is strongly recommended for proprietary or confidential info. 

📄 What to Include: Required Information

Under the regulations (21 CFR §316.20) and FDA guidance, a request must contain certain content.

Key required elements include:

  • Statement that you are requesting orphan‐drug designation and specify the disease/condition. 
  • Sponsor’s name, address, contact person. 
  • The drug’s name (generic, trade, or a meaningful descriptive name if neither exists). 
  • Description of the rare disease or condition and the proposed use of the drug. 
  • Description of the drug: active moiety, structural features, physical/chemical/biological properties. 
  • If the drug is the same as an already approved drug for the same condition, explanation of why it may be clinically superior. 
  • Summary of regulatory status and marketing history (if any). 
  • Documentation demonstrating that the disease affects fewer than 200,000 persons or meets the >200,000 but unrecoverable cost test. 
  • Supporting authoritative references (literature) for the disease prevalence, the drug’s rationale, etc. 

Also note that the request should be complete; the FDA may issue a deficiency letter if required information is missing. 

📋 Useful Form and Resources

  • The FDA provides Form FDA 4035 – Orphan Drug Designation Request Form to assist sponsors. 
  • Guidance document: “Designating an Orphan Product: Drugs and Biological Products”
  • FAQs for orphan drug designation requests. 

🕒 What to Expect After Submission

  • The FDA will acknowledge receipt of the submission. 
  • The FDA reviews the request and may issue a deficiency letter if the submission lacks required information. 
  • If approved, the FDA sends a designation letter. If not eligible, a denial letter is sent. 
  • Once designated, the sponsor is eligible for the orphan incentives described above.

🧠 Practical Tips for Sponsors

  • Submit early: Getting orphan designation before filing for approval is advisable.
  • Prepare strong data: Demonstrate the rarity of the disease, the rationale for the drug, and, if necessary, clinical superiority.
  • Use Form 4035: Helps ensure you include all required information.
  • Ensure secure communications: Especially if submitting proprietary/trade-secret information by email.
  • Track your submission: If emailed, use read receipt or confirmation; if mailed, consider tracking.
  • Avoid missing data: A complete submission reduces risk of deficiency and delays.
  • Keep copies: Retain full documentation of your submission for your records.
  • Plan ahead for review: Orphan designation does not mean approval — it is a parallel regulatory process.

 

🧾 FDA Orphan Drug Designation Request – Submission Checklist

It follows FDA’s 21 CFR §316.20 requirements and the Form FDA 4035 structure.

Sponsor Name: ___________________________________________
Drug Name / Code: _________________________________________
Proposed Indication (Rare Disease/Condition): ________________
Date of Submission: ______________________________________
Contact Person: __________________________________________
Email / Phone: ___________________________________________

🧩 Section 1: Administrative Information

ItemNotes / Attached?
Cover Letter stating “Request for Orphan Drug Designation” 
Completed Form FDA 4035 (Orphan Drug Designation Request Form) 
Sponsor name, address, and authorized contact person 
Statement identifying the drug and proposed rare disease/condition 
Signature of responsible official 

⚗️ Section 2: Description of the Drug

ItemNotes / Attached?
Generic / Trade name (or descriptive name if none) 
Active ingredient(s) description (chemical/biological) 
Structural formula / molecular details (if applicable) 
Physical, chemical, or biological properties summary 
Manufacturing and source details (brief summary) 

🧬 Section 3: Description of the Disease or Condition

ItemNotes / Attached?
Name of rare disease or condition 
Description of clinical features and severity 
Epidemiology summary and prevalence/incidence data 
Data showing <200,000 patients in the U.S. OR cost recovery analysis (if >200,000) 
References and literature citations for prevalence estimate 

💊 Section 4: Scientific Rationale for Use

ItemNotes / Attached?
Description of the drug’s proposed mechanism of action 
Summary of preclinical data or clinical experience (if available) 
Rationale for use in the specific rare condition 
References or study reports supporting rationale 

🧪 Section 5: Regulatory and Market History

ItemNotes / Attached?
Current development stage (Preclinical / IND / NDA / BLA) 
Regulatory status in the U.S. and other countries 
Marketing status (if approved for other indications) 
Summary of related orphan designations (if applicable) 

⚖️ Section 6: Same Drug / Clinical Superiority Justification

(Complete only if a similar drug is already approved for the same indication.)

ItemNotes / Attached?
Name of existing approved drug 
Statement addressing “sameness” of the drug 
Explanation of clinical superiority (greater efficacy, safety, or major contribution to patient care) 
Supporting evidence or references 

📚 Section 7: Supporting Documentation

ItemNotes / Attached?
Copies of key references or literature used 
List of all attachments (Annexes A, B, C…) 
Table of contents for the entire submission 
Electronic copy (PDF) prepared for email/CDER NextGen submission 

📤 Section 8: Submission Details

ItemNotes / Attached?
Electronic submission via CDER NextGen Portal (preferred) 
OR Email submission to orphan@fda.hhs.gov (encrypted) 
OR Hard-copy submission mailed to FDA OOPD address 
Confirmation of transmission / mailing receipt retained 

🕒 Post-Submission Follow-Up

TaskNotes
Await FDA acknowledgment (email/letter) 
Respond promptly to any deficiency letters 
Record FDA designation number once assigned 
File final designation letter in sponsor’s regulatory archive 

🧾 References & Guidance Documents

🗂️ Sponsor Notes

Use this checklist internally before submission to ensure completeness and compliance with FDA OOPD requirements. Incomplete or missing elements may result in a deficiency letter or delayed review.

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