EU/3/22/2603 - orphan designation for treatment of resistance to thyroid hormone type beta

tiratricol

Overview

This medicine was designated as an orphan medicine for the treatment of resistance to thyroid hormone type beta in the European Union on 13 April 2022.

This means that the developer will receive scientific and regulatory support from EMA to advance their medicine to the stage where they can apply for a marketing authorisation.

Orphan designation does not mean the medicine is available or authorised for use. All medicines, including designated orphan medicines, must be authorised before they can be marketed and made available to patients in the EU.

During the medicine's development, doctors may be able to enrol patients in clinical trials investigating the medicine. For information on ongoing clinical trials in the EU, see:

• EU Clinical Trials Register
• gov

How the medicine is expected to work

This medicine belongs to the class of thyromimetics.

Thyroid hormones play a key role in metabolic regulation in the body and regulate gene expression in almost all cells. T3 is a thyroid hormone that exerts its activity by binding to receptors in the cell nucleus. In people with RTH-β, one of these receptors (the beta receptor) does not work properly, meaning T3 cannot bind to it and exert its normal effect on the cell. Tiratricol is a close structural analogue to T3 and works in the same way but is thought to have a higher affinity for the abnormal beta receptor, which is expected to enable it to regulate the cell function in the same way as T3 would.

Based on description provided by sponsor

Stage of development at time of orphan designation

At the time of submission of the application for orphan designation:

• The effects of the medicine had been evaluated in patients with RTH-β in previously published case reports.
• No clinical trials with the medicine in patients with resistance to thyroid hormone type beta (RTH-β) had been started.

More information on how potential new medicines are tested during their development is available on Authorisation of medicines.

About orphan designation

Medicines intended for rare diseases can be granted an orphan designation during their development.

The orphan designation allows the developer to benefit from:

• scientific and regulatory support to advance their medicine to the stage where they can request marketing authorisation;
• market exclusivity once the medicine is on the market.

To qualify for orphan designation, a medicine must meet a number of criteria:

• it must be intended for the treatment, prevention or diagnosis of a disease that is life-threatening or chronically debilitating;
• the prevalence of the condition in the EU must not be more than 5 in 10,000 or it must be unlikely that marketing of the medicine would generate sufficient returns to justify the investment needed for its development;
• there are no satisfactory alternative methods for the diagnosis, prevention or treatment of the condition or, if such a method exists, the medicine is of significant benefit to those affected by the condition.

EMA's Committee for Orphan Medicinal Products (COMP) is responsible for issuing opinions on applications for orphan designations.

The Agency sends the COMP opinion to the European Commission, which is responsible for granting the orphan designation. The full list of orphan designations is available in the Community register of orphan medicinal products for human use.

For more information, see:

• Orphan designation: Overview
• Rare diseases, orphan medicines - Getting the facts straight

Key facts

• Active substance:
  tiratricol
• Intended use:
  Treatment of resistance to thyroid hormone type beta
• Orphan designation status:
  Positive
• EU designation number:
  EU/3/22/2603
• Date of designation:
  13/04/2022
• Sponsor:

  Rare Thyroid Therapeutics International AB; Klara Norra Kyrkogata 26; Stockholms Domkyrkofors.; 111 22 Stockholm; Stockholm Lan; Sweden; E-mail: [e-mail]