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Breakthrough Therapies

The Breakthrough Therapies chart is an interactive database of all publicly announced Breakthrough Therapy Designations (BTDs) since the program’s inception in 2012. As of March 2026, the U.S. Food and Drug Administration (FDA) reported it has received 1622 BTD requests, granted 634 BTDs, and approved 374 Breakthrough Therapy designated products. 

The chart is updated regularly and includes information about each designation including the drug name or investigational code name, the drug sponsor, the date of the designation’s public disclosure, the indication granted BTD, and the current status of the designation.  

Click here to learn more about the history of Breakthrough Therapies.  

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Trade Name (Agent)

Sponsor

Date of BT Designation Disclosure

Approval Date

Indication

Category

Trade Name (Agent): 125I-evuzamitide; AT-01

Sponsor: Attralus, Inc.

Date of BT Designation Disclosure: 8/5/2024

Indication: Diagnostic imaging agent for positron emission tomography (PET) imaging in patients with suspected or known cardiac amyloidosis

Category: Other

Trade Name (Agent): 212Pb-dotamate; 212Pb-DOTAMTATE, SAR447873

Sponsor: RadioMedix and Orano Med

Date of BT Designation Disclosure: 1/12/2024

Indication: Treatment of adult patients with unresectable or metastatic progressive somatostatin receptor (SSTR) expressing gastroenteropancreatic neuroendocrine tumors (GEP-NETs) who have not previously received peptide receptor radioligand therapy (PRRT).

Category: Cancer

Trade Name (Agent): ABECMA (idecabtagene vicleucel); bb2121; ide-cel

Sponsor: Bristol Myers Squibb/Bluebird Bio

Date of BT Designation Disclosure: 11/15/2017

Approval Date: 3/26/2021

Indication: Adult patients with relapsed or refractory multiple myeloma

Category: Cancer

Trade Name (Agent): ABRYSVO (respiratory syncytial virus vaccine); RSVpreF; PF-06482077

Sponsor: Pfizer

Date of BT Designation Disclosure: 3/2/2022

Approval Date: 8/21/2023

Indication: Vaccine for the prevention of RSV-associated lower respiratory tract illness in infants from birth up to six months of age by active immunization of pregnant women.

Category: Infectious Disease

Trade Name (Agent): ABRYSVO (respiratory syncytial virus vaccine); RSVpreF; PF-06928316

Sponsor: Pfizer

Date of BT Designation Disclosure: 3/24/2022

Approval Date: 5/31/2023

Indication: Vaccine for the prevention of lower respiratory tract disease caused by RSV in individuals 60 years of age or older.

Category: Infectious Disease

Trade Name (Agent): ACTEMRA (tocilizumab); BAT1806

Sponsor: GENENTECH INC

Date of BT Designation Disclosure: 6/10/2015

Approval Date: 3/4/2021

Indication: Systemic scerlosis

Category: Cardio/pulmonary

Trade Name (Agent): ACTEMRA (tocilizumab); BAT1806

Sponsor: GENENTECH INC

Date of BT Designation Disclosure: 10/5/2016

Approval Date: 5/22/2017

Indication: Adult patients with giant cell arteritis (GCA)

Category: Rare Inherited Disorders

Trade Name (Agent): ADAKVEO (crizanlizumab-tmca); SEG101

Sponsor: Novartis

Date of BT Designation Disclosure: 1/8/2019

Approval Date: 11/15/2019

Indication: To reduce the frequency of vasoocclusive crises in adults and pediatric patients aged 16 years and older with sickle cell disease

Category: Rare Inherited Disorders

Trade Name (Agent): ADCETRIS (brentuximab vedotin (+ chemo)); SGN-35

Sponsor: SEATTLE GENETICS INC

Date of BT Designation Disclosure: 10/15/2017

Approval Date: 3/20/2018

Indication: Treatment for adult patients with previously untreated Stage III or IV classical Hodgkin Lymphoma in combination with chemotherapy

Category: Cancer

Trade Name (Agent): ADCETRIS (brentuximab vedotin (+ cyclophosphamide, doxorubicin, and prednisone)); SGN-35

Sponsor: SEATTLE GENETICS INC

Date of BT Designation Disclosure: 11/15/2018

Approval Date: 11/16/2018

Indication: Adult patients with previously untreated systemic anaplastic large cell lymphoma or other CD30-expressing peripheral T-cell lymphomas (PTCL) in combination with cyclophosphamide, doxorubicin, and prednisone

Category: Cancer

Trade Name (Agent): ADCETRIS (brentuximab vedotin); SGN-35

Sponsor: SEATTLE GENETICS INC

Date of BT Designation Disclosure: 10/2/2017

Approval Date: 11/9/2017

Indication: Patients with primary cutaneous anaplastic large cell lymphoma or CD30-expressing mycosis fungoides who have received prior systemic therapy

Category: Cancer

Trade Name (Agent): admilparant; BMS-986278

Sponsor: Bristol-Myers Squibb

Date of BT Designation Disclosure: 10/24/2023

Indication: A potential first-in-class oral lysophosphatidic acid receptor 1 (LPA1) antagonist for the treatment of progressive pulmonary fibrosis (PPF)

Category: Cardio/pulmonary

Trade Name (Agent): adrabetadex; VTS-270

Sponsor: Mandos

Date of BT Designation Disclosure: 1/6/2016

Indication: Niemann-Pick Type C1 Disease (NPC)

Category: Rare Inherited Disorders

Trade Name (Agent): ADSTILADRIN (nadofaragene firadenovec-vncg); rAd-IFN/Syn3

Sponsor: Ferring Pharmaceuticals, Inc.

Date of BT Designation Disclosure: 5/9/2018

Approval Date: 12/16/2022

Indication: Treatment of high-grade, Bacillus Calmette-Guérin (BCG) unresponsive, non-muscle invasive bladder cancer (NMIBC)

Category: Cancer

Trade Name (Agent): AFX3772 (formerly ASP3772); GSK-5101955

Sponsor: GlaxoSmithKline

Date of BT Designation Disclosure: 7/13/2021

Indication: Vaccine candidate targeting Streptococcus pneumoniae designed to offer both B-cell (antibody) and T-cell immune protection.

Category: Infectious Disease

Trade Name (Agent): ALECENSA (alectinib); CH5424802; AF802

Sponsor: Hoffmann La Roche Inc.

Date of BT Designation Disclosure: 6/15/2013

Approval Date: 12/11/2015

Indication: Patients with anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer (NSCLC) who have progressed on or are intolerant to crizotinib

Category: Cancer

Trade Name (Agent): ALECENSA (alectinib); CH5424802; AF802

Sponsor: Hoffmann La Roche Inc.

Date of BT Designation Disclosure: 9/23/2013

Approval Date: 11/6/2017

Indication: Adult patients with advanced ALK-positive non-small cell lung cancer (NSCLC) who have not received prior treatment with an ALK inhibitor

Category: Cancer

Trade Name (Agent): ALIQOPA (copanlisib); BAY 80-6946

Sponsor: Bayer

Date of BT Designation Disclosure: 5/30/2019

Indication: Adults patients with relapsed marginal zone lymphoma (MZL) who have received at least 2 prior therapies

Category: Cancer

Trade Name (Agent): ALTUVIIIO (efanesoctocog alfa); BIVV001

Sponsor: Sanofi & Sobi

Date of BT Designation Disclosure: 5/13/2022

Approval Date: 2/21/2023

Indication: Treatment of people with hemophilia A.

Category: Hematology

Trade Name (Agent): ALUNBRIG (brigatinib); AP-26113

Sponsor: Takeda

Date of BT Designation Disclosure: 10/1/2014

Approval Date: 4/28/2017

Indication: For the treatment of patients with ALK-positive NSCLC whose tumors are resistant to crizotinib.

Category: Cancer

Trade Name (Agent): ANDEXXA (andexanet alfa; coagulation factor xa (recombinant), inactivated-zhzo); PRT-4445

Sponsor: Portola Pharmaceuticals, Inc.

Date of BT Designation Disclosure: 11/25/2013

Approval Date: 5/3/2018

Indication: Patients treated with rivaroxaban and apixaban when reversal of anticoagulation is needed due to life-threatening or uncontrolled bleeding

Category: Cardio/pulmonary

Trade Name (Agent): ANKTIVA (nogapendekin alfa inbakicept-pmln); N-803

Sponsor: Altor Bioscience LLC/Immunitybio

Date of BT Designation Disclosure: 12/1/2019

Approval Date: 4/22/2024

Indication: In combination with BCG for the treatment of patients with BCG unresponsive non muscle invasive bladder cancer with carcinoma in situ.

Category: Cancer

Trade Name (Agent): APRETUDE (cabotegravir); GSK-1265744; GSK-744

Sponsor: Viiv Healthcare Co.

Date of BT Designation Disclosure: 11/17/2020

Approval Date: 12/20/2021

Indication: HIV-1 pre-exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 infection in at-risk adults and pediatric patients 12 to less than 18 years of age weighing at least 35 kg.

Category: Infectious Disease

Trade Name (Agent): ARCALYST (rilonacept); KPL914

Sponsor: Kiniksa Pharmaceuticals UK

Date of BT Designation Disclosure: 11/20/2019

Approval Date: 3/18/2021

Indication: Treatment of recurrent pericarditis

Category: Cardio/pulmonary

Trade Name (Agent): ARIKAYCE (amikacin liposome inhalation suspension); BAY 41-6551; MAT2501

Sponsor: Insmed Inc.

Date of BT Designation Disclosure: 6/16/2014

Approval Date: 9/28/2018

Indication: Adult patients with nontuberculous mycobacterial lung disease caused by Mycobacterium avium complex.

Category: Infectious Disease

Trade Name (Agent): ARTESUNATE (artesunate); NSC-712571

Sponsor: Amivas

Date of BT Designation Disclosure: 9/11/2018

Approval Date: 5/26/2020

Indication: Severe malaria

Category: Infectious Disease

Trade Name (Agent): ARZERRA (ofatumumab); GSK-1841157

Sponsor: Novartis

Date of BT Designation Disclosure: 9/13/2013

Approval Date: 4/17/2014

Indication: Previously untreated patients with chronic lymphocytic leukemia (CLL) for whom fludarabine-based therapy is considered inappropriate.

Category: Cancer

Trade Name (Agent): atacicept; TACI-Ig; TACI-Fc 5

Sponsor: Vera Therapeutics, Inc.

Date of BT Designation Disclosure: 5/28/2024

Indication: Treatment of IgA nephropathy (IgAN).

Category: Rare Inherited Disorders

Trade Name (Agent): AUGTYRO (repotrectinib); TPX-005; BMS-986472

Sponsor: Bristol-Myers Squibb

Date of BT Designation Disclosure: 12/7/2020

Approval Date: 11/15/2023

Indication: Treatment of patients with ROS1-positive metastatic non-small cell lung cancer (NSCLC) who have not been treated with a ROS1 tyrosine kinase inhibitor (TKI-naive).

Category: Cancer

Trade Name (Agent): AUGTYRO (repotrectinib); TPX-005; BMS-986472

Sponsor: Bristol-Myers Squibb

Date of BT Designation Disclosure: 10/4/2021

Approval Date: 6/13/2024

Indication: Treatment of patients with advanced solid tumors that have an NTRK gene fusion who have progressed following treatment with one or two prior TRK tyrosine kinase inhibitors, with or without prior chemotherapy, and have no satisfactory alternative treatment options.

Category: Cancer

Trade Name (Agent): AUGTYRO (repotrectinib); TPX-005; BMS-986472

Sponsor: Bristol-Myers Squibb

Date of BT Designation Disclosure: 5/9/2022

Approval Date: 11/15/2023

Indication: Treatment of patients with ROS1-positive metastatic non-small cell lung cancer (NSCLC) who have been previously treated with one ROS1 tyrosine kinase inhibitor and who have not received prior platinum-based chemotherapy.

Category: Cancer

Trade Name (Agent): AUSTEDO (deutetrabenazine); SD-809

Sponsor: Teva Pharmaceuticals

Date of BT Designation Disclosure: 11/9/2015

Approval Date: 8/30/2017

Indication: Patients with tardive dyskinesia

Category: Neuro/Psych

Trade Name (Agent): AUVELITY (dextromethorphan-bupropion); AXS-05

Sponsor: Axsome Therapeutics, Inc.

Date of BT Designation Disclosure: 3/25/2019

Approval Date: 8/18/2022

Indication: Major Depressive Disorder (MDD)

Category: Neuro/Psych

Trade Name (Agent): AUVELITY (dextromethorphan-bupropion); AXS-05

Sponsor: Axsome Therapeutics

Date of BT Designation Disclosure: 6/26/2020

Indication: Treatment of Alzheimer's disease agitation

Category: Neuro/Psych

Trade Name (Agent): avasopasem; GC4419

Sponsor: Galera Therapeutics

Date of BT Designation Disclosure: 2/28/2018

Indication: Reduction of the duration severity and incidence of severe oral mucositis induced by radiation therapy

Category: Other

Trade Name (Agent): AVASTIN (bevacizumab (+ atezolizumab)); ABP-215

Sponsor: GENENTECH INC

Date of BT Designation Disclosure: 7/13/2018

Approval Date: 5/29/2020

Indication: In combination with atezolizumab for the first-line treatment of patients with advanced or metastatic HCC.

Category: Cancer

Trade Name (Agent): avexitide; EXENDIN 9-39

Sponsor: Eiger (now under Amylyx)

Date of BT Designation Disclosure: 6/17/2019

Indication: Post-bariatric hypoglycemia (PBH)

Category: Other

Trade Name (Agent): avexitide; EXENDIN 9-39

Sponsor: Eiger (now under Amylyx)

Date of BT Designation Disclosure: 8/5/2021

Indication: Treatment of congenital hyperinsulism (HI).

Category: Other

Trade Name (Agent): AVMAPKI FAKZYNJA CO-PACK (avutometinib + defactinib); VS-6766 + VS-6063

Sponsor: Verastem

Date of BT Designation Disclosure: 5/24/2021

Approval Date: 5/8/2025

Indication: Treatment of all patients with recurrent low-grade serous ovarian cancer (LGSOC) regardless of KRAS status after one or more prior lines of therapy including platinum-based chemotherapy.

Category: Cancer

Trade Name (Agent): AYVAKIT (avapritinib); BLU-285;70C366;X-720776

Sponsor: Blueprint Medicines Corp

Date of BT Designation Disclosure: 10/12/2018

Approval Date: 6/16/2021

Indication: For advanced systemic mastocytosis.

Category: Cancer

Trade Name (Agent): AYVAKIT (avapritinib); BLU-285;70C366;X-720776

Sponsor: Blueprint Medicines Corp

Date of BT Designation Disclosure: 12/23/2020

Approval Date: 5/22/2023

Indication: For treatment of moderate to severe indolent systemic mastocytosis (ISM).

Category: Cancer

Trade Name (Agent): AYVAKIT (avapritinib); BLU-285;70C366;X-720776

Sponsor: Blueprint Medicines Corp

Date of BT Designation Disclosure: 6/1/2017

Approval Date: 1/9/2020

Indication: Treatment of patients with unresectable or metastatic GIST harboring the PDGFRα D842V mutation.

Category: Cancer

Trade Name (Agent): AZEDRA (iobenguane I 131); iobenguane I 131

Sponsor: Progenics Pharmaceuticals Inc.

Date of BT Designation Disclosure: 7/26/2015

Approval Date: 7/30/2018

Indication: For the treatment of patients with iobenguane-avid metastatic and/or recurrent pheochromocytoma and paraganglioma (PPGL)

Category: Cancer

Trade Name (Agent): balovaptan; RG7314

Sponsor: Roche

Date of BT Designation Disclosure: 1/28/2018

Indication: A vasopressin 1a (V1a) receptor antagonist for patients with autism spectrum disorder (ASD)

Category: Neuro/Psych

Trade Name (Agent): BALVERSA (erdafitinib); JNJ-42756493

Sponsor: Janssen Biotech Inc.

Date of BT Designation Disclosure: 3/13/2018

Approval Date: 4/12/2019

Indication: For the treatment of adult patients with locally advanced or metastatic urothelial carcinoma.

Category: Cancer

Trade Name (Agent): BAVENCIO (avelumab (+ axitinib)); MSB0010718C

Sponsor: EMD Serono Inc.

Date of BT Designation Disclosure: 12/21/2017

Approval Date: 5/14/2019

Indication: In combination with Inlyta (axitinib) for first-line treatment of patients with advanced renal cell carcinoma (RCC)

Category: Cancer

Trade Name (Agent): BAVENCIO (avelumab); MSB0010718C

Sponsor: EMD Serono Inc.

Date of BT Designation Disclosure: 11/17/2015

Approval Date: 3/23/2017

Indication: For the treatment of patients with metastatic Merkel cell carcinoma (mMCC).

Category: Cancer

Trade Name (Agent): BAVENCIO (avelumab); MSB0010718C

Sponsor: EMD Serono Inc.

Date of BT Designation Disclosure: 3/26/2020

Approval Date: 6/30/2020

Indication: Maintenance treatment for patients with urothelial carcinoma (mUC).

Category: Cancer

Trade Name (Agent): bemarituzumab (+ modified FOLFOX chemo); FPA-144

Sponsor: Amgen (Five Prim Therapeutics)

Date of BT Designation Disclosure: 4/19/2021

Indication: Treatment for patients with fibroblast growth factor receptor 2b (FGFR2b) overexpressing and human epidermal growth factor receptor 2 (HER2)-negative metastatic and locally advanced gastric and gastroesophageal (GEJ) adenocarcinoma in combination with modified FOLFOX6 chemotherapy

Category: Cancer

Trade Name (Agent): bempegaldesleukin + nivolumab; NKTR-214

Sponsor: Nektar Therapeutics

Date of BT Designation Disclosure: 8/23/2019

Indication: Untreated melanoma patients with either metastatic disease or who are unable to undergo surgery

Category: Cancer

Trade Name (Agent): BENLYSTA (belimumab); GSK1550188

Sponsor: GlaxoSmithKline LLC

Date of BT Designation Disclosure: 4/29/2020

Approval Date: 12/16/2020

Indication: Lupus nephritis

Category: Other

Trade Name (Agent): bentracimab; PB2452

Sponsor: SFJ Pharmaceuticals and PhaseBio Pharmaceuticals (now SERB Pharmaceuticals)

Date of BT Designation Disclosure: 4/8/2019

Indication: Reversal agent for the antiplatelet drug ticagrelor

Category: Hematology

Trade Name (Agent): BEQVEZ (fidanacogene elaparvovec-dzkt); SPK-9001; PF-06838435

Sponsor: Pfizer Inc.

Date of BT Designation Disclosure: 7/15/2016

Approval Date: 4/25/2024

Indication: Treatment of Hemophilia B.

Category: Rare Inherited Disorders

Trade Name (Agent): BESPONSA (inotuzumab ozogamicin); CMC-544

Sponsor: Wyeth Pharmaceuticals LLC

Date of BT Designation Disclosure: 10/15/2015

Approval Date: 8/17/2017

Indication: For the treatment of relapsed or refractory B-cell ALL.

Category: Cancer

Trade Name (Agent): bexicaserin; LP352

Sponsor: Longboard Pharmaceuticals, Inc.

Date of BT Designation Disclosure: 7/1/2024

Indication: For the treatment of seizures associated with Developmental and Epileptic Encephalopathies (DEEs)

Category: Neuro/Psych

Trade Name (Agent): BEXSERO (Meningococcal Group B Vaccine); rMenB+OMV

Sponsor: GlaxoSmithKline Biologicals

Date of BT Designation Disclosure: 4/1/2014

Approval Date: 1/23/2015

Indication: For use to prevent invasive disease caused by Neisseria meningitidis serogroup B in individuals 10 through 25 years of age.

Category: Infectious Disease

Trade Name (Agent): BEYFORTUS (nirsevimab-alip); MEDI8897

Sponsor: AstraZeneca (formerly MedImmune)

Date of BT Designation Disclosure: 12/3/2018

Approval Date: 7/17/2023

Indication: For the prevention of RSV lower respiratory tract disease healthy preterm infants entering their first RSV season, and children up to 24 months of age with CLD or CHD.

Category: Infectious Disease

Trade Name (Agent): BI 6727 (volasertib (combination therapy))

Sponsor: Boehringer Ingelheim Pharmaceuticals Inc

Date of BT Designation Disclosure: 9/17/2013

Indication: AML combination therapy

Category: Cancer

Trade Name (Agent): bimagrumab; BYM338

Sponsor: Novartis Pharmaceuticals Corp.

Date of BT Designation Disclosure: 8/20/2013

Indication: Sporadic inclusion body myositis (sIBM)

Category: Neuro/Psych

Trade Name (Agent): BIZENGRI (zenocutuzumab); MCLA-128

Sponsor: Merus Nv

Date of BT Designation Disclosure: 7/3/2023

Approval Date: 12/4/2024

Indication: For NRG1+ NSCLC.

Category: Cancer

Trade Name (Agent): BIZENGRI (zenocutuzumab); MCLA-128

Sponsor: Merus Nv

Date of BT Designation Disclosure: 5/17/2023

Approval Date: 12/4/2024

Indication: Treatment of patients with advanced unresectable or metastatic NRG1 fusion (NRG1+) pancreatic cancer following progression with prior systemic therapy or who have no satisfactory alternative treatment options.

Category: Cancer

Trade Name (Agent): BLENREP (belantamab mafodoton-blmf); GSK 2857916

Sponsor: GlaxoSmithKline Intellectual Property Development LTD England

Date of BT Designation Disclosure: 10/31/2017

Approval Date: 8/5/2020

Indication: For multiple myeloma patients who have failed at least 3 prior lines of therapy including an anti-CD38 antibody and are refractory to a proteasome inhibitor and an immunomodulatory agent.

Category: Cancer

Trade Name (Agent): BLINCYTO (blinatumomab); AMG103; MT103

Sponsor: Amgen Inc.

Date of BT Designation Disclosure: 6/30/2014

Approval Date: 12/3/2014

Indication: Philadelphia chromosome-negative relapsed or refractory B-precursor acute lymphoblastic leukemia (ALL).

Category: Cancer

Trade Name (Agent): BLINCYTO (blinatumomab); AMG103; MT103

Sponsor: Amgen Inc.

Date of BT Designation Disclosure: 9/30/2023

Approval Date: 6/14/2024

Indication: CD19-positive Philadelphia chromosome-negative B-cell precursor acute lymphoblastic leukemia (ALL).

Category: Cancer

Trade Name (Agent): BRAFTOVI + MEKTOVI + ERBITUX (encorafenib + binimetinib + cetuximab); LGX818

Sponsor: Array BioPharma Inc.

Date of BT Designation Disclosure: 8/7/2018

Approval Date: 4/8/2020

Indication: In combination with cetuximab, for the treatment of adult patients with metastatic colorectal cancer (CRC) with a BRAF V600E mutation, as detected by an FDA-approved test, after prior therapy

Category: Cancer

Trade Name (Agent): BREYANZI (lisocabtagene maraleucel); JCAR017

Sponsor: Juno Therapeutics, A Celgene Company

Date of BT Designation Disclosure: 12/15/2016

Approval Date: 2/5/2021

Indication: For treatment of subjects with relapsed/refractory large B-cell lymphoma (including Diffuse Large B-cell Lymphoma not otherwise specified-de novo or transformed from indolent lymphoma, PMBCL and grade 3B Follicular Lymphoma).

Category: Cancer

Trade Name (Agent): BRINEURA (cerliponase alfa); BMN-190

Sponsor: BioMarin Pharmaceutical

Date of BT Designation Disclosure: 8/27/2016

Approval Date: 4/27/2017

Indication: Pediatric patients 3 years of age and older with late infantile neuronal ceroid lipofuscinosis type 2 (CLN2) also known as tripeptidyl peptidase 1 (TPP1) deficiency.

Category: Rare Inherited Disorders

Trade Name (Agent): BRINSUPRI (brensocatib); INS1007

Sponsor: Insmed Inc.

Date of BT Designation Disclosure: 6/8/2020

Approval Date: 8/12/2025

Indication: Treatment of bronchiectasis and other inflammatory diseases and of adult patients with non-cystic fibrosis bronchiectasis (NCFBE) for reducing exacerbation

Category: Rare Inherited Disorders

Trade Name (Agent): brogidirsen; NS-089/NCNP-02

Sponsor: NS Pharma

Date of BT Designation Disclosure: 7/27/2023

Indication: Investigational candidate for patients with Duchenne muscular dystrophy amenable to exon 44 skipping therapy.

Category: Neuro/Psych

Trade Name (Agent): BRUKINSA (zanubrutinib); BGB-3111

Sponsor: BeiGene USA, Inc.

Date of BT Designation Disclosure: 1/9/2019

Approval Date: 11/14/2019

Indication: For the treatment of patients with mantle cell lymphoma (MCL) who have received at least one prior therapy.

Category: Cancer

Trade Name (Agent): bulevirtide; Formerly myrcludex; approved in EU as HEPCLUDEX

Sponsor: Gilead Sciences Inc.

Date of BT Designation Disclosure: 10/23/2018

Indication: Chronic hepatitis delta (HDV) infection

Category: Infectious Disease

Trade Name (Agent): CABOMETYX (cabozantinib); XL184

Sponsor: Exelixis Inc.

Date of BT Designation Disclosure: 8/21/2015

Approval Date: 4/25/2016

Indication: Patients with advanced renal cell carcinoma (RCC) who have received prior anti-angiogenic therapy.

Category: Cancer

Trade Name (Agent): CABOMETYX (cabozantinib); XL184

Sponsor: Exelixis Inc.

Date of BT Designation Disclosure: 2/25/2021

Approval Date: 9/17/2021

Indication: Treatment for patients with differentiated thyroid cancer (DTC) that has progressed following prior therapy and who are radioactive iodine-refractory (if radioactive iodine is appropriate).

Category: Cancer

Trade Name (Agent): cadisegliatin; TTP399

Sponsor: vTv Therapeutics

Date of BT Designation Disclosure: 4/13/2021

Indication: Adjunctive therapy to insulin for the treatment of type 1 diabetes

Category: Other

Trade Name (Agent): CALQUENCE (acalabrutinib); ACP-196

Sponsor: AstraZeneca UK Ltd

Date of BT Designation Disclosure: 7/31/2017

Approval Date: 10/31/2017

Indication: For the treatment of patients with mantle cell lymphoma (MCL) who have received at least one prior therapy.

Category: Cancer

Trade Name (Agent): CALQUENCE (acalabrutinib); ACP-196

Sponsor: AstraZeneca UK Ltd

Date of BT Designation Disclosure: 8/12/2019

Approval Date: 11/21/2019

Indication: Monotherapy for treatment of adult patients with CLL

Category: Cancer

Trade Name (Agent): CAMZYOS (mavacamten); MYK-461

Sponsor: Myokardia Inc

Date of BT Designation Disclosure: 4/27/2016

Approval Date: 4/28/2022

Indication: Treatment of symptomatic obstructive hypertrophic cardiomyopathy (oHCM) in adults to improve functional capacity.

Category: Rare Inherited Disorders

Trade Name (Agent): CAMZYOS (mavacamten); MYK-461

Sponsor: Myokardia Inc

Date of BT Designation Disclosure: 7/22/2020

Approval Date: 4/28/2022

Indication: Treatment of symptomatic obstructive hypertrophic cardiomyopathy (oHCM) in adults to improve symptoms.

Category: Rare Inherited Disorders

Trade Name (Agent): CAPVAXIVE (pneumococcal 21-valent conjugate vaccine); V116

Sponsor: Merck

Date of BT Designation Disclosure: 4/14/2022

Approval Date: 6/17/2024

Indication: Vaccine for the prevention of invasive pneumococcal disease (IPD) and pneumococcal pneumonia caused by Streptococcus pneumoniae serotypes 3 6A/C 7F 8 9N 10A 11A 12F 15A 15B/C 16F 17F 19A 20 22F 23A 23B 24F 31 33F 35B in adults 18 years of age and older.

Category: Infectious Disease

Trade Name (Agent): CARVYKTI (ciltacabtagene autoleucel); JNJ-4528; LCAR-B38M CAR-T cells LCAR-B38M

Sponsor: Janssen Biotech Inc.

Date of BT Designation Disclosure: 12/6/2019

Approval Date: 2/28/2022

Indication: Patients with previously treated multiple myeloma

Category: Cancer

Trade Name (Agent): CIBINQO (abrocitinib); PF-04965842

Sponsor: Pfizer Inc.

Date of BT Designation Disclosure: 2/7/2018

Approval Date: 1/14/2022

Indication: Patients with moderate-to-severe atopic dermatitis (AD)

Category: Other

Trade Name (Agent): CMS I-NEB (colistimethate sodium powder for nebulization solution); CMS I-neb

Sponsor: Zambon

Date of BT Designation Disclosure: 4/21/2022

Indication: Treatment for the reduction in the incidence of pulmonary exacerbations in adult patients with non-cystic fibrosis bronchiectasis (NCFB) colonized with P. aeruginosa.

Category: Cardio/pulmonary

Trade Name (Agent): COSELA (trilaciclib); G1T28

Sponsor: G1 Therapeutics Inc

Date of BT Designation Disclosure: 8/1/2019

Approval Date: 2/12/2021

Indication: Reduce the frequency of chemotherapy-induced bone marrow suppression in adults receiving certain types of chemotherapy for extensive-stage (when the cancer has spread beyond the lungs) small cell lung cancer.

Category: Cancer

Trade Name (Agent): COTELLIC (cobimetinib); GDC 0973;XL 518;RG 7420;RO5514041;XL 518

Sponsor: Genentech/Roche

Date of BT Designation Disclosure: 10/3/2019

Indication: Adult patients with histiocytic neoplasms who do not harbor a BRAF V600 mutation

Category: Rare Inherited Disorders

Trade Name (Agent): CP101

Sponsor: Finch Therapeutics

Date of BT Designation Disclosure: 2/9/2019

Indication: Patients with recurrent Clostridium difficile infection

Category: Infectious Disease

Trade Name (Agent): CRENESSITY (crinecerfont); NBI-74788

Sponsor: Neurocrine Biosciences Inc.

Date of BT Designation Disclosure: 12/1/2023

Approval Date: 12/13/2024

Indication: Treatment of congenital adrenal hyperplasia

Category: Other

Trade Name (Agent): cretostimogene grenadenorepvec; CG0070

Sponsor: CG Oncology

Date of BT Designation Disclosure: 12/5/2023

Indication: Immunotherapy for treatment of high-risk BCG-unresponsive Non-Muscle Invasive Bladder Cancer (NMIBC) with carcinoma in situ with or without Ta or T1 (papillary) tumors.

Category: Cancer

Trade Name (Agent): CRS-207 + GVAX

Sponsor: Aduro

Date of BT Designation Disclosure: 7/21/2014

Indication: Pancreatic cancer

Category: Cancer

Trade Name (Agent): CRYSVITA (burosumab); KRN-23

Sponsor: Kyowa Kirin Inc.

Date of BT Designation Disclosure: 6/22/2016

Approval Date: 4/17/2018

Indication: For the treatment of XLH in pediatric patients one year of age and older.

Category: Rare Inherited Disorders

Trade Name (Agent): cytisinicline (cytisine); cytisinicline (cytisine)

Sponsor: Achieve Life Sciences

Date of BT Designation Disclosure: 7/31/2024

Indication: For nicotine e-cigarette cessation

Category: Other

Trade Name (Agent): D-cycloserine/lurasidone; NRX-101

Sponsor: NRx Pharmaceuticals

Date of BT Designation Disclosure: 11/13/2018

Indication: For treatment of Severe Bipolar Depression with Acute Suicidal Ideation & Behavior (ASIB) after initial stabilization with ketamine or other effective therapy

Category: Neuro/Psych

Trade Name (Agent): DAKLINZA (daclatasvir + asunaprevir); BMS 790052

Sponsor: Bristol-Myers Squibb Company

Date of BT Designation Disclosure: 2/3/2014

Approval Date: 2/5/2016

Indication: DCV/ASV (DUAL) combination therapy for the treatment of genotype 1b, chronic hepatitis C virus infection

Category: Infectious Disease

Trade Name (Agent): DANYELZA (naxitamab-gqgk); humanized 3F8 monoclonal antibody (hu3F8)

Sponsor: Y-mAbs Therapeutics, Inc.

Date of BT Designation Disclosure: 8/20/2018

Approval Date: 11/25/2020

Indication: Naxitamab in combination with GM-CSF, for the treatment of high-risk neuroblastoma refractory to initial therapy or with incomplete response to salvage therapy in patients > 12 months of age with persistent, refractory disease limited to bone marrow with or without evidence of concurrent bone involvement.

Category: Cancer

Trade Name (Agent): DARZALEX (daratumumab); JNJ-54767414

Sponsor: Janssen Biotech Inc.

Date of BT Designation Disclosure: 5/1/2013

Approval Date: 11/16/2015

Indication: Patients with multiple myeloma who have received at least 3 prior lines of therapy including a proteasome inhibitor and an immunomodulatory agent or are double refractory to a proteasome inhibitor and an immunomodulatory agent.

Category: Cancer

Trade Name (Agent): DARZALEX (daratumumab); JNJ-54767414

Sponsor: Janssen Biotech Inc.

Date of BT Designation Disclosure: 7/26/2016

Approval Date: 11/21/2016

Indication: Patients with multiple myeloma who have received at least one prior therapy in combination with lenalidomide and dexamethasone OR in combination with bortezomib and dexamethasone.

Category: Cancer

Trade Name (Agent): DATROWAY (datopotamab deruxtecan); Dato-DXd; DS-1062a

Sponsor: AstraZeneca & Daiichi Sankyo

Date of BT Designation Disclosure: 12/9/2024

Approval Date: 6/23/2025

Indication: For the treatment of adult patients with locally advanced or metastatic epidermal growth factor receptor-mutated (EGFR-mutated) non-small cell lung cancer (NSCLC) who have received prior systemic therapies, including an EGFR-directed therapy.

Category: Cancer

Trade Name (Agent): delpacibart etedesiran; AOC 1001; del-desiran

Sponsor: Avidity Biosciences

Date of BT Designation Disclosure: 5/14/2024

Indication: Investigational treatment for myotonic dystrophy type 1 (DM1)

Category: Rare Inherited Disorders

Trade Name (Agent): delpacibart zotadirsen; AOC-1044; del-zota

Sponsor: Avidity

Date of BT Designation Disclosure: 7/23/2025

Indication: Treatment of Duchenne muscular dystrophy amenable to exon 44 skipping (DMD44)

Category: Neuro/Psych

Trade Name (Agent): denifanstat; TVB-2640; 1399177-37-7; FASN-IN-2

Sponsor: Sagimet Biosciences Inc.

Date of BT Designation Disclosure: 10/1/2024

Indication: For treatment of noncirrhotic metabolic dysfunction-associated steatohepatitis (MASH) with moderate to advanced liver fibrosis (consistent with stages F2 to F3 fibrosis).

Category: Other

Trade Name (Agent): deuterated psilocin; CYB003

Sponsor: Cybin, Inc

Date of BT Designation Disclosure: 3/14/2024

Indication: Adjunctive treatment for major depressive disorder (MDD)

Category: Neuro/Psych