List of drugs granted breakthrough therapy designation

Below is a list of drugs granted breakthrough therapy designation (BTD) by the FDA.

Drugs may be listed more than once as BTD can be awarded for multiple indications.

2020

DrugManufacturerIndication
AvapritinibBlueprint Medicines Corpmetastatic gastrointestinal stromal tumor
TepezzaHorizon Therapeuticsthyroid eye disease
NintedanibBoehringer Ingelheimchronic fibrosing interstitial lung diseases
IpilimumabBristol-Myers Squibbhepatocellular carcinoma
NivolumabBristol-Myers Squibbhepatocellular carcinoma
SelumetinibAstraZenecaneurofibromatosis type 1
MitomycinUrogen Pharmaupper tract urothelial cancer
TucatinibSeattle Geneticsadvanced unresectable or metastatic HER2-positive breast cancer
PemigatinibIncyte Corpmetastatic cholangiocarcinoma with a fibroblast growth factor receptor 2 (FGFR2) fusion
TrodelvyImmunomedicsmetastatic triple-negative breast cancer
CapmatinibNovartismetastatic non-small cell lung cancer
SelpercatinibLoxo Oncologymetastatic RET fusion-positive non-small cell lung cancer
RipretinibDeciphera Pharmaceuticalsadvanced gastrointestinal stromal tumor
ArtesunateAmivas LLCsevere malaria
BevacizumabGenentechmetastatic hepatocellular carcinoma
AtezolizumabGenentechmetastatic hepatocellular carcinoma
InebilizumabViela Bioneuromyelitis optica spectrum disorder
FostemsavirViiv Healthcare Comultidrug-resistant HIV-1
MonjuviMorphoSysrelapsed or refractory diffuse large B-cell lymphoma
EsketamineJanssenmajor depressive disorder with acute suicidal ideation or behavior
BlenrepGlaxoSmithKlinerefractory multiple myeloma
EnspryngGenentechneuromyelitis optica spectrum disorder
PralsetinibBlueprint Medicines CorpRET fusion-positive non-small cell lung cancer

2019

DrugManufacturerIndication
PsilocybinUsona Institutemajor depressive disorder[1]
B38M (JNJ‐4528) Legend Biotech/Janssen multiple myeloma
Rilonacept Kiniska Pharmaceuticals recurrent pericarditis
Inmazeb Regeneron Ebola Virus
Olorofim F2G invasive mold infections
Nintedanib Boehringer Ingelheim interstitial lung disease
Niraparib Janssen castration-resistant prostate cancer
Cobimetinib Memorial Sloan Kettering histiocytic neoplasms
Tepotinib Merck metastatic non-small cell lung
Ansuvimab Ridgeback Biotherapeutics Ebola Virus
Capmatinib Novartis metastatic non-small cell lung cancer
Nirogacestat SpringWorks Therapeutics refractory desmoid tumors
Bempegaldesleukin Nektar Therapeutics melanoma
Peginterferon Lambda Eiger Pharmaceuticals hepatitis delta virus infection
Acalabrutinib AstraZeneca chronic lymphocytic leukemia
Trilaciclib G1 Therapeutics small-cell lung cancer
Nedosiran Dicerna Pharmaceuticals primary hyperoxaluria
Pembrolizumab Merck hepatocellular carcinoma
Avexitide Eiger BioPharmaceuticals post-bariatric hypoglycemia
Copanlisib Bayer marginal zone lymphoma
LN-145 Iovance Biotherapeutics cervical cancer
Trastuzumab deruxtecan Daiichi Sankyo HER2-positive breast cancer
SER-109 Seres Therapeutics C. difficile infection
I.V. Artesunate La Jolla Pharmaceutical malaria
Elafibranor Genfit primary biliary cholangitis
Inebilizumab Viela Bio neuromyelitis optica spectrum disorder
Bentracimab PhaseBio Pharmaceuticals reversal agent for ticagrelor
Selumetinib AstraZeneca/Merck pediatric neurofibromatosis type 1
AXS-05 Axsome Therapeutics major depressive disorder
ivosidenib Agios Pharmaceuticals acute myeloid leukemia
Venetoclax Abbvie chronic lymphocytic leukemia
AT-GAA Amicus Therapeutics Pompe disease
Pralsentinib Blueprint Medicines non-small cell lung cancer
Seladelpar CymaBay Therapeutics primary biliary cholangitis
CP101 Finch Therapeutics C. difficile infection
Nirsevimab AstraZeneca respiratory syncytial virus
Kadcyla Genentech HER2-positive breast cancer
Umbralisib TG Therapeutics marginal-zone lymphoma
V114 Merck pneumococcal disease
Zanubrutinib BeiGene USA mantle cell lymphoma
Crizanlizumab Novartis sickle cell disease
Encorafenib Array BioPharma metastatic colorectal cancer

[2]

2018

DrugManufacturerIndication
PsilocybinCOMPASS Pathwaystreatment resistant depression[3][4]
Satralizumab Genentech neuromyelitis optica spectrum disorder
Olipudase Alfa Sanofi/Genzyme rare inherited disorders
Lonafarib Eiger BioPharmaceuticals Hutchinson-Gilford progeria syndrome
Eltrombopag Novartis thrombocytopenia
Galcanezumab Eli Lilly episodic cluster headache
Brentuximab Seattle Genetics anaplastic large-cell lymphoma
NGX-101 NeuroRx bipolar depression
Mitomycin C UroGen Pharma urothelial cancer
Myrcludex MYR Pharma hepatitis delta
Belumosudil Kadmon Holdings graft-versus-host disease
Selpercatinib Loxo Oncology thyroid cancer/
Selpercatinib Loxo Oncology non-small cell lung cancer
Rucaparib Clovis Oncology castration-resistant prostate cancer
PF-06482077 Pfizer pneumonia
Vocacapsaicin Concentric Analgesics pain relief
Tezepelumab AstraZeneca/Amgen asthma
Ritlecitinib Pfizer alopecia areata
Danyelza Y-mAbs Therapeutics neuroblastoma
Omalizumab Genentech severe allergic reactions
Encorafenib Array BioPharma/Eli Lilly colorectal cancer
Quizartinib Daiichi Sankyo acute myeloid leukemia
Pembrolizumab Merck endometrial carcinoma
Lenvatinib Eisai endometrial carcinoma
Bevacizumab Genentech hepatocellular carcinoma
Atezolizumab Genentech hepatocellular carcinoma
AMT-601 uniQure hemophilia B
HTX-011 Heron Therapeutics Postoperative Pain
Ribociclib Novartis breast cancer
Tagraxofusp Stemline Therapeutics blastic plasmacytoid dendritic cell neoplasm
Crizotinib Pfizer anaplastic large cell lymphoma
Crizotinib Pfizer small-cell lung cancer
Tafamidis meglumine Foldrx Pharmaceuticals cardiomyopathy
Lenti-D Bluebird bio cerebral adrenoleukodystrophy
Tafamidis Pfizer transthyretin cardiomyopathy
Pitolisant Harmony Biosciences narcolepsy
Trikafta Vertex Pharmaceuticals cystic fibrosis
Narsoplimab Omeros Corporation thrombotic microangiopathy
Trumenba Pfizer meningococcal disease
Emicizumab Genentech hemophilia
Ketamine Johnson & Johnson depression
Amikacin Insmed mycobacterial lung disease
Sodium thiosulfate Fennec Pharmaceuticals hepatoblastoma
Enfortumab vedotin Astellas Pharma metastatic urothelial carcinoma
Nesolicaftor Proteostasis Therapeutics cystic fibrosis
Erdafitinib Janssen urothelial carcinoma
Lumasiran Alnylam Pharmaceuticals primary hyperoxaluria
Lumacaftor/ivacaftor Vertex Pharmaceuticals cystic fibrosis
Sutimlimab Bioverativ cold agglutinin disease
Avasopasem manganese Galera Therapeutics oral mucositis
Nivolumab Bristol Myers Squibb renal cell carcinoma
Ipilimumab Bristol Myers Squibb renal cell carcinoma
SPK-8011 Spark Therapeutics hemophilia A
Abrocitinib Pfizer atopic dermatitis
Ipilimumab Bristol Myers Squibb metastatic colorectal cancer
Nivolumab Bristom Myers Squibb metastatic colorectal cancer
Zuranolone Sage Therapeutics major depressive disorder
Fenfluramine Zogenix seizures associated with Dravet syndrome
Patisiran Alnylam Pharmaceuticals hereditary transthyretin-mediated amyloidosis
Balovaptan Hoffman-La Roche autism spectrum disorder
Kisquali Femara Co-Pack Novartis HR-positive, HER2- negative breast cancer
Upadacitinib AbbVie atopic dermatitis
Lenvatinib + Pembrolizumab Merck/Eisai metastatic renal cell carcinoma
Voxelotor Global Blood Therapeutics sickle cell disease
Maribavir Shire Cytomegalovirus infection
Eltrombopag Novartis severe aplastic anemia
Emapalumab Swedish Orphan Biovitrum hemophagocytic lymphohistiocytosis
Venetoclax AbbVie chronic lymphocytic leukemia

[5]


2017

[6]

DrugManufacturerIndication
NivolumabBristol-Myers Squibburothelial carcinoma
RibociclibNovartisHR-positive, HER2-negative breast cancer
PembrolizumabMerckHodgkin Lymphoma
AvelumabEMD Seronometastatic Merkel cell carcinoma
NiraparibTesarorecurrent ovarian cancer responsive to platinum-based chemotherapy
OcrelizumabGenentechmultiple sclerosis
DupilumabRegeneron Pharmaceuticalsatopic dermatitis
PalbociclibPfizerHR-positive, HER2-negative breast cancer
ValbenazineNeurocrine Biosciencestardive dyskinesia
Cerliponase alphaBioMarintripeptidyl peptidase 1 (TPP1) deficiency
MidostaurinNovartisFLT3-positive acute myeloid leukemia
BrigatinibAriad PharmaceuticalsALK-positive non-small cell lung cancer
DurvalumabAstraZenecametastatic urothelial carcinoma
Kisqali-Femara Co-packNovartisbreast cancer
RibaxamaseSynthetic Biologicsantibiotic resistance / c. diff
Midomafetamine (Ecstasy)Multidisciplinary Association for Psychedelic Studiesposttraumatic stress disorder[7][8]


2016

DrugManufacturerIndication
Elbasvir/grazoprevirMerckHepatitis C
PalbociclibPfizerHR-positive, HER2-negative breast cancer
CrizotinibPF PrismROS-1-positive NSCLC
VenetoclaxAbbVieCLL with 17p deletion
CabozantinibExelixisrenal cell carcinoma
PimavanserinAcadia PharmaceuticalsParkinson's disease-related psychosis
Lenvatinib mesylateEisairenal cell carcinoma
NivolumabBristol-Myers SquibbHodgkin lymphoma
AtezolizumabGenentechurothelial carcinoma
Lumacaftor/ivacaftorVertex Pharmaceuticalscystic fibrosis with CFTR F508del
CanakinumabNovartisFamilial mediterranean fever
CanakinumabNovartisHyper-IgD syndrome
CanakinumabNovartisTNF receptor associated periodic syndrome
AtezolizumabGenentechmetastatic NSCLC
OlaratumabEli Lillysoft-tissue sarcoma
PembrolizumabMerckmetastatic NSCLC
NivolumabBristol-Myers Squibbhead and neck cancer
DaratumumabJanssenmultiple myeloma
OliceridineTrevenaAnalgesia and pain management
RucaparibClovis OncologyBRCA-mutated ovarian cancer
Silver diamine fluorideElevate Oral Careearly childhood caries


2015

DrugManufacturerIndication
IbrutinibPharmacyclicsWaldenstrom’s macroglobulinemia
PalbociclibPfizerER-positive, HER2-negative breast cancer
RanibizumabGenentechdiabetic retinopathy
ivacaftorVertex Pharmaceuticalscystic fibrosis with a variety of CFTR mutations
AfliberceptRegeneron Pharmaceuticalsdiabetic retinopathy
SirolimusPF Prismlymphangioleiomyomatosis
Lumacaftor/ivacaftorVertex Pharmaceuticalscystic fibrosis with CFTR F508del mutation
Ombitasvir/paritaprevir/ritonavirAbbVieHepatitis C
Uridine triacetateWellstathereditary orotic aciduria
PembrolizumabMerckPDL-1 positive NSCLC
NivolumabBristol-Myers Squibbmetastatic NSCLC
IdarucizumabBoehringer Ingelheimreversal of dabigatran
Asfotase alfaAlexionperinatal/infantile/childhood hypophosphatasia
OsimertinibAstraZenecaEGFR-positive NSCLC
DaratumumabJanssenmultiple myeloma
NivolumabBristol-Myers Squibbadvanced renal cell carcinoma
ElotuzumabBristol-Myers Squibbmultiple myeloma
Sebelipase alfaSynagevalysosomal acid lipase deficiency
AlectinibRocheALK-mutated NSCLC
PembrolizumabMerckmetastatic melanoma
IbalizumabTaiMed BiologicsHIV-1 infection


2014

DrugManufacturerIndication
IvacaftorVertex Pharmaceuticalscystic fibrosis with CFTR mutation
OfatumumabGlaxoSmithKlinechronic lymphocytic leukemia (CLL)
CeritinibNovartisALK-positive NSCLC
IdelalisibGileadrelapsed CLL
IbrutinibPharmacyclicsCLL with 17p deletion
EltrombopagGlaxoSmithKlineaplastic anemia
PembrolizumabMerckmetastatic melanoma
Ledipasvir/sofosbuvirGileadHepatitis C
NintedanibBoehringer Ingelheimidiopathic pulmonary fibrosis
PirfenidoneGenentechidiopathic pulmonary fibrosis
BlinatumomabAmgenacute lymphoblastic leukemia
Ombitasvir/paritaprevir/ritonavirAbbVieHepatitis C
NivolumabBristol-Myers Squibbmetastatic melanoma
IvacaftorVertex Pharmaceuticalscystic fibrosis with CFTR R117H mutation

2013

DrugManufacturerIndication
ObinutuzumabGenentechchronic lymphocytic leukemia
IbrutinibPharmacyclicsmantle cell lymphoma
SofosbuvirGileadHepatitis C




References

  1. "FDA Grants Psilocybin Second Breakthrough Therapy Designation". Medscape. Retrieved 5 January 2020.
  2. Research, Center for Drug Evaluation and (2020-10-08). "Breakthrough Therapy Approvals". FDA.
  3. "COMPASS Pathways Receives FDA Breakthrough Therapy Designation for Psilocybin Therapy for Treatment-resistant Depression". www.compasspathways.com. October 23, 2018. Retrieved April 2, 2019.
  4. "FDA Puts 'Magic Mushroom' Ingredient on Fast Track for Depression Treatment". www.healthline.com. November 7, 2018. Retrieved April 2, 2019.
  5. Research, Center for Drug Evaluation and (2020-10-08). "Breakthrough Therapy Approvals". FDA.
  6. "Approval report" (PDF). www.fda.gov. Retrieved 2019-06-12.
  7. "FDA Grants Breakthrough Therapy Designation for MDMA-Assisted Psychotherapy for PTSD". maps.org. August 26, 2017. Retrieved April 2, 2019.
  8. "Ecstasy as a Remedy for PTSD? You Probably Have Some Questions". www.nytimes.com. May 1, 2018. Retrieved April 2, 2019.
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