Official Launch
China’s Largest NPP Procurement Program
      Orphan, Pediatric and Clinical Urgent

From permit to patients in 90 days — connecting 89 Top hospitals and 95% of rare disease patients across China.

Global Access, Local Impact — Fast-Track Orphan Drug Entry into China

 

ACA Pharma – 2026 NPP Group Procurement List

150 + Items, All Cash Payment, Urgently Needed

The ACA NPP Group Procurement Program connects EU and U.S. approved orphan and clinically urgent drugs with China’s pediatric and rare disease hospital network. The list includes 2 most urgent drugs, a 2025–2026 detailed procurement list, and the full 2025 EMA orphan drug master list for reference.

Most Urgent Requests (Top Priority for Immediate Procurement)

Company / Manufacturer Product Name Generic Name Indication / Use Status in China Procurement Plan / Remarks
Exelixis Inc. CABOMETYX® (cabozantinib) Cabozantinib – multi-kinase inhibitor (MET, VEGFR2, AXL) Advanced renal cell carcinoma; thyroid cancer Not registered Very strong demand — starting at 3,000 units in Year 1, scaling to 20,000–40,000 units over 5 years.
Cycle Pharmaceuticals Ltd. NITYR® (nitisinone) Nitisinone – 4-hydroxyphenylpyruvate dioxygenase inhibitor Tyrosinemia Type I / pediatric use Not registered Most urgent pediatric request — existing alternatives discontinued or unaffordable; hospitals ready for direct NPP procurement.

New & Priority Drugs – 2025 Approvals

Product Name Generic / Mechanism Manufacturer Indication Approval Year
Sephience® Sepiapterin / cofactor therapy PTC Therapeutics Pancreatic Cancer 2025
Ziihera® Zanidatamab / bispecific HER2 antibody Jazz Pharmaceuticals Biliary Carcinoma 2025
Casgevy® Exagamglogen Autotemcel / CRISPR gene therapy Vertex Pharmaceuticals Beta-Thalassemia and Sickle Cell Disease 2025
Komzifti® (ziftomenib) Menin inhibitor Kura Oncology / Kyowa Kirin Relapsed / Refractory NPM1-mutated AML 2025
Kygevvi® (doxecitine + doxribtimine) Pyrimidine nucleoside combination UCB Thymidine Kinase 2 Deficiency (TK2d) 2025
Forzinity® (elamipretide hydrochloride) Mitochondrial cardiolipin binder Stealth BioTherapeutics Barth Syndrome 2025
Palsonify® (paltusotine) Somatostatin receptor agonist Crinetics Pharmaceuticals Acromegaly 2025
Inluriyo® (imlunestrant) Estrogen receptor antagonist Eli Lilly and Company ER+, HER2–, ESR1-mutated Metastatic Breast Cancer 2025
Xtrenbo® (denosumab-qbde) RANKL inhibitor (biosimilar to Xgeva) Gedeon Richter / Hikma Pharmaceuticals Giant Cell Tumor of Bone, Bone Metastases 2025
Jascayd® (nerandomilast) Phosphodiesterase 4 (PDE4) inhibitor Boehringer Ingelheim Idiopathic Pulmonary Fibrosis 2025
Epioxa® (riboflavin 5’-phosphate) Corneal cross-linking therapy Glaukos Corporation Keratoconus (ophthalmic use) 2025
Ferabright® (ferumoxytol) Iron-based MRI contrast agent Azurity Pharmaceuticals Brain MRI Contrast Imaging 2025
Qivigy® (immune globulin IV, human-kthm) Intravenous immunoglobulin (IVIG) Kedrion Biopharma Primary Immunodeficiency 2025

EMA Orphan Drugs 2025 Master List (Simplified Overview)

Product Name Generic / Chemical Manufacturer Indication Approval Year
Voxzogo® Vosoritid BioMarin Europe Achondroplasia 2021
Strimvelis® Autologous CD34+ ADA cells Fondazione Telethon ADA-SCID 2016
Kimmtrak® Tebentafusp Immunocore Uveal Melanoma 2022
Imcivree® Setmelanotide Rhythm Pharmaceuticals Leptin Receptor Deficiency Obesity 2021
Lamzede® Velmanase alfa Chiesi Farmaceutici Alpha-Mannosidosis 2018
Qalsody® Tofersen Biogen Amyotrophic Lateral Sclerosis 2024
Takhzyro® Lanadelumab Takeda Hereditary Angioedema 2018
Upstaza® Eladocagen Exuparvovec PTC Therapeutics AADC Deficiency 2022
Imcivree® Setmelanotide Rhythm Pharmaceuticals Bardet–Biedl Syndrome 2022
Casgevy® Exagamglogen Autotemcel Vertex Beta-Thalassemia 2024
Reblozyl® Luspatercept Bristol Myers Squibb Beta-Thalassemia Anemia 2020
Ziihera® Zanidatamab Jazz Pharmaceuticals Biliary Carcinoma 2025
Cresemba® Isavuconazole Basilea Pharmaceutica Invasive Aspergillosis 2015
Agamree® Vamorolon Santhera Duchenne Muscular Dystrophy 2023
Sephience® Sepiapterin PTC Therapeutics Pancreatic Cancer 2025
Vykat XR Diazoxide choline Soleno Therapeutics Prader-Willi Syndrome 2023
Duvyzat Givinostat Italfarmaco SpA Duchenne Muscular Dystrophy 2023
YUTREPIA Treprostinil United Therapeutics Corp. Pulmonary Arterial Hypertension 2022
Relacorilant Relacorilant Corcept Therapeutics Platinum-resistant Ovarian Cancer 2023
Revumenib Revumenib citrate Syndax Pharmaceuticals Acute Leukemia 2023
Papzimeos Zopapogene Imadenovec Precigen Inc. Recurrent Respiratory Papillomatosis 2024
Bempedoic Acid Bempedoic Acid Esperion Therapeutics Hyperlipidemia 2020
HERNICORE Condoliase Seikagaku Corp. Lumbar Disc Herniation 2018
Evkeeza Evinacumab Regeneron Pharmaceuticals Homozygous Familial Hypercholesterolemia 2021
WIDAPLIK Telmisartan + Amlodipine + Indapamide George Medicines Pty Ltd Hypertension 2024
Skysona® Elivaldogene autotemcel bluebird bio Cerebral Adrenoleukodystrophy 2021
Zynteglo® Betibeglogene autotemcel bluebird bio Transfusion-dependent β-thalassemia 2022
Libmeldy® Atidarsagene autotemcel Orchard Therapeutics Metachromatic Leukodystrophy 2020
Hemgenix® Etranacogene dezaparvovec CSL Behring Hemophilia B 2022
Roctavian® Valoctocogene roxaparvovec BioMarin Hemophilia A 2023
Luxturna® Voretigene neparvovec Novartis / Spark Therapeutics Inherited Retinal Dystrophy (RPE65 mutation) 2018
Brineura® Cerliponase alfa BioMarin CLN2 Batten Disease 2017
Orkambi® Ivacaftor + Lumacaftor Vertex Pharmaceuticals Cystic Fibrosis (F508del mutation) 2015
Symkevi® Tezacaftor + Ivacaftor Vertex Pharmaceuticals Cystic Fibrosis 2018
Trikafta® Elexacaftor + Tezacaftor + Ivacaftor Vertex Pharmaceuticals Cystic Fibrosis (F508del homozygous) 2020
Nexviadyme® Avapritamide alfa Sanofi Genzyme Pompe Disease 2022
Elaprase® Idursulfase Takeda Hunter Syndrome (MPS II) 2007
Vimizim® Elosulfase alfa BioMarin Morquio A Syndrome (MPS IVA) 2014
Myalept® Metreleptin Amryt Pharma Generalized Lipodystrophy 2018
Uplizna® Inebilizumab Horizon Therapeutics Neuromyelitis Optica Spectrum Disorder 2022
Soliris® Eculizumab Alexion Pharmaceuticals Paroxysmal Nocturnal Hemoglobinuria (PNH) 2007
Ultomiris® Ravulizumab Alexion Pharmaceuticals PNH / aHUS 2019
Bylvay® Odevixibat Albireo Pharma Progressive Familial Intrahepatic Cholestasis 2021
Livmarli® Maralixibat Mirum Pharmaceuticals Alagille Syndrome (Cholestasis) 2022
Orladeyo® Berotralstat BioCryst Pharmaceuticals Hereditary Angioedema (Prophylaxis) 2021
Adcetris® Brentuximab vedotin Takeda / Seagen Hodgkin Lymphoma / ALCL 2012
Blincyto® Blinatumomab Amgen Acute Lymphoblastic Leukemia 2015
Kymriah® Tisagenlecleucel Novartis B-cell Acute Lymphoblastic Leukemia / DLBCL 2018
Yescarta® Axicabtagene ciloleucel Gilead / Kite Pharma Large B-cell Lymphoma / Follicular Lymphoma 2018
Carvykti® Ciltacabtagene autoleucel Janssen / Legend Biotech Multiple Myeloma 2022
Abecma® Idecabtagene vicleucel Bristol Myers Squibb / 2seventy bio Multiple Myeloma 2021
Tecartus® Brexucabtagene autoleucel Gilead / Kite Pharma Mantle Cell Lymphoma 2020
Breyanzi® Lisocabtagene maraleucel Bristol Myers Squibb Diffuse Large B-cell Lymphoma 2021
Besponsa® Inotuzumab ozogamicin Pfizer Relapsed / Refractory ALL 2017
Polivy® Polatuzumab vedotin Roche / Genentech Diffuse Large B-cell Lymphoma 2019
Monjuvi® Tafasitamab Incyte / MorphoSys Relapsed / Refractory DLBCL 2021
Copiktra® Duvelisib Verastem Oncology Chronic Lymphocytic Leukemia / Follicular Lymphoma 2019
Calquence® Acalabrutinib AstraZeneca Chronic Lymphocytic Leukemia 2020
Brukinsa® Zanubrutinib BeiGene Waldenström Macroglobulinemia / CLL 2021
Imbruvica® Ibrutinib AbbVie / Janssen B-cell Malignancies 2014
Venclexta® Venetoclax AbbVie / Roche CLL / AML 2016
Tibsovo® Ivosidenib Servier AML / IDH1-mutant Cholangiocarcinoma 2019
Idhifa® Enasidenib Bristol Myers Squibb Relapsed / Refractory AML (IDH2-mutant) 2018
Rydapt® Midostaurin Novartis AML (FLT3-mutant) 2017
Besremi® Ropeginterferon alfa-2b AOP Orphan Pharmaceuticals Polycythemia Vera 2019
Scemblix® Asciminib Novartis Chronic Myeloid Leukemia 2022
Rydapt® Midostaurin Novartis AML (FLT3-mutant) 2017
Jakafi® Ruxolitinib Incyte Corporation Myelofibrosis / Polycythemia Vera 2012
Opzelura® Ruxolitinib cream Incyte Corporation Atopic Dermatitis / Vitiligo 2022
Reblozyl® Luspatercept Bristol Myers Squibb Myelodysplastic Syndromes / β-thalassemia anemia 2020
Vabysmo® Faricimab Roche / Genentech Wet Age-related Macular Degeneration 2022
Susvimo® Ranibizumab Port Delivery System Roche / Genentech Wet AMD / Diabetic Retinopathy 2021
Beovu® Brolucizumab Novartis Wet AMD 2020
Izervay® Avacincaptad pegol Iveric Bio / Astellas Geographic Atrophy (AMD) 2023
Syfovre® Pegcetacoplan Apellis Pharmaceuticals Geographic Atrophy (AMD) 2023
Empaveli® Pegcetacoplan Apellis Pharmaceuticals Paroxysmal Nocturnal Hemoglobinuria 2021
Ultomiris® Ravulizumab Alexion Pharmaceuticals aHUS / PNH 2019
Orladeyo® Berotralstat BioCryst Pharmaceuticals Hereditary Angioedema 2021
Livmarli® Maralixibat Mirum Pharmaceuticals Alagille Syndrome / Cholestasis 2022
Bylvay® Odevixibat Albireo Pharma Progressive Familial Intrahepatic Cholestasis 2021
Elaprase® Idursulfase Takeda Hunter Syndrome (MPS II) 2007
Vimizim® Elosulfase alfa BioMarin Morquio A Syndrome (MPS IVA) 2014
Nexviadyme® Avapritamide alfa Sanofi Genzyme Pompe Disease 2022
Myozyme® Alglucosidase alfa Sanofi Genzyme Pomp Disease 2006
Naglazyme® Galsulfase BioMarin Maroteaux-Lamy Syndrome (MPS VI) 2005
Aldurazyme® Laronidase Sanofi Genzyme / BioMarin Hurler / Scheie Syndrome (MPS I) 2003
Fabrazyme® Agalsidase beta Sanofi Genzyme Fabry Disease 2001
Replagal® Agalsidase alfa Takeda Fabry Disease 2001
Elaprase® Idursulfase Takeda Hunter Syndrome (MPS II) 2007
Brineura® Cerliponase alfa BioMarin CLN2 Batten Disease 2017
Galafold® Migalasidase Amicus Therapeutics Fabry Disease (Amenable Mutations) 2016
Amondys 45® Casimersen Sarepta Therapeutics Duchenne Muscular Dystrophy (Exon 45 Skipping) 2021
Vyondys 53® Golodirsen Sarepta Therapeutics Duchenne Muscular Dystrophy (Exon 53 Skipping) 2020
Exondys 51® Eteplirsen Sarepta Therapeutics Duchenne Muscular Dystrophy (Exon 51 Skipping) 2016
Elevidys® Delandistrogene moxeparvovec Sarepta Therapeutics Duchenne Muscular Dystrophy (Gene Therapy) 2023
Spinraza® Nusinersen Biogen Spinal Muscular Atrophy (SMA) 2017
Zolgensma® Onasemnogene abeparvovec Novartis Spinal Muscular Atrophy (SMA) 2020
Evrysdi® Risdiplam Roche / Genentech Spinal Muscular Atrophy (SMA) 2021
Truseltiq® Infigratinib BridgeBio Pharma Cholangiocarcinoma (FGFR2 fusion) 2021
Pemazyre® Pemigatinib Incyte Corporation Cholangiocarcinoma (FGFR2 rearranged) 2020
Retevmo® Selpercatinib Eli Lilly RET fusion-positive Thyroid / Lung Cancer 2021
Gavreto® Pralsetinib Blueprint Medicines RET fusion-positive NSCLC / Thyroid Cancer 2021
Rozlytrek® Entrectinib Roche NTRK / ROS1-positive Solid Tumors 2020
Vitrakvi® Larotrectinib Bayer NTRK gene fusion-positive Solid Tumors 2019
Ayvakit® Avapritinib Blueprint Medicines PDGFRA exon 18 mutant GIST / Advanced SM 2020
Tabrecta® Capmatinib Novartis MET exon 14 skipping NSCLC 2021
Tepmetko® Tepotinib Merck KGaA MET exon 14 skipping NSCLC 2021
Rybrevant® Amivantamab Janssen Biotech EGFR exon 20 insertion NSCLC 2021
Lumykras® Sotorasib Amgen KRAS G12C-mutated NSCLC 2021
Krazati® Adagrasib Mirati Therapeutics KRAS G12C-mutated NSCLC 2023
Rozlytrek® Entrectinib Roche NTRK / ROS1-positive Solid Tumors 2020
Vitrakvi® Larotrectinib Bayer NTRK gene fusion-positive Solid Tumors 2019
Elahere® Mirvetuximab soravtansine ImmunoGen Folate receptor-alpha positive Ovarian Cancer 2023
Tivdak® Tisotumab vedotin Seagen / Genmab Cervical Cancer 2022
Padcev® Enfortumab vedotin Astellas / Seagen Urothelial Carcinoma 2020
Trodelvy® Sacituzumab govitecan Gilead Sciences Triple-Negative Breast Cancer 2021
Enhertu® Trastuzumab deruxtecan AstraZeneca / Daiichi Sankyo HER2-positive Breast / Gastric Cancer 2021
Margenza® Margetuximab MacroGenics HER2-positive Breast Cancer 2021
Opdivo® Nivolumab Bristol Myers Squibb Various Cancers (PD-1 inhibitor) 2015
Keytruda® Pembrolizumab Merck & Co. Various Cancers (PD-1 inhibitor) 2015
Libtayo® Cemiplimab Regeneron / Sanofi Cutaneous Squamous Cell Carcinoma 2019
Imfinzi® Durvalumab AstraZeneca NSCLC / SCLC / Bladder Cancer 2018
Bavencio® Avelumab Pfizer / Merck KGaA Merkel Cell Carcinoma / Bladder Cancer 2017
Jemperli® Dostarlimab GSK Endometrial Cancer (dMMR/MSI-H) 2022
Tecentriq® Atezolizumab Roche / Genentech NSCLC / TNBC / Bladder Cancer 2016
Tabrecta® Capmatinib Novartis NSCLC (MET exon 14 skipping) 2021
Rybrevant® Amivantamab Janssen Biotech NSCLC (EGFR exon20 insertion) 2021
Balversa® Erdafitinib Janssen Urothelial Carcinoma (FGFR2/3 alterations) 2019
Padcev® Enfortumab vedotin Seagen / Astellas Urothelial Carcinoma 2020
Trodelvy® Sacituzumab govitecan Gilead Sciences Triple-negative Breast Cancer / Urothelial Cancer 2021
Enhertu® Trastuzumab deruxtecan AstraZeneca / Daiichi Sankyo HER2-positive Breast / Gastric / Lung Cancer 2021
Margenza® Margetuximab MacroGenics HER2-positive Breast Cancer 2021
Tukysa® Tucatinib Seagen HER2-positive Breast Cancer 2020
Orserdu® Elacestrant Stemline Therapeutics ER-positive / ESR1-mutated Breast Cancer 2023
Verzenio® Abemaciclib Eli Lilly HR+/HER2- Breast Cancer 2018
Ibrance® Palbociclib Pfizer HR+/HER2- Breast Cancer 2015
Kisqali® Ribociclib Novartis HR+/HER2- Breast Cancer 2017
Lynparza® Olaparib AstraZeneca / Merck BRCA-mutated Ovarian / Breast / Pancreatic Cancer 2014
Zejula® Niraparib GSK Ovarian Cancer (Maintenance Therapy) 2017
Rubraca® Rucaparib Clovis Oncology Ovarian / Prostate Cancer 2018
Talzenna® Talazoparib Pfizer BRCA-mutated Breast / Prostate Cancer 2019
Xtandi® Enzalutamide Astellas / Pfizer Prostate Cancer 2014
Erleada® Apalutamide Janssen Biotech Prostate Cancer 2019
Nubeqa® Darolutamide Bayer Non-metastatic Castration-Resistant Prostate Cancer 2020
Pluvicto® Lutetium Lu 177 vipivotide tetraxetan Novartis PSMA-positive Metastatic Prostate Cancer 2022
Keytruda® Pembrolizumab Merck & Co. Multiple Cancers (PD-1 inhibitor) 2015
Opdivo® Nivolumab Bristol Myers Squibb Melanoma / Lung / Renal / Other Cancers 2015
Libtayo® Cemiplimab Regeneron / Sanofi Cutaneous Squamous Cell Carcinoma / NSCLC 2019
Imfinzi® Durvalumab AstraZeneca NSCLC / SCLC / Bladder Cancer 2018
Tepezza® Teprotumumab Horizon Therapeutics Thyroid Eye Disease 2021
Actemra® Tocilizumab Roche Rheumatoid Arthritis / Cytokine Release Syndrome 2009
Kevzara® Sarilumab Sanofi / Regeneron Rheumatoid Arthritis 2017
Dupixent® Dupilumab Sanofi / Regeneron Atopic Dermatitis / Asthma / CRS 2017
Fasenra® Benralizumab AstraZeneca Severe Eosinophilic Asthma 2017
Nucala® Mepolizumab GSK Eosinophilic Asthma / EGPA 2015
Cinqaero® Reslizumab Teva Pharmaceuticals Severe Asthma 2016
Ocrevus® Ocrelizumab Roche / Genentech Multiple Sclerosis 2017
Mavenclad® Cladribine Merck Group Relapsing Multiple Sclerosis 2019
Kesimpta® Ofatumumab Novartis Relapsing Multiple Sclerosis 2021
Zeposia® Ozanimod Bristol Myers Squibb Multiple Sclerosis / Ulcerative Colitis 2020
Mayzent® Siponimod Novartis Secondary Progressive Multiple Sclerosis 2019
Tysabri® Natalizumab Biogen Multiple Sclerosis / Crohn’s Disease 2006
Lemtrada® Alemtuzumab Sanofi Genzyme Multiple Sclerosis 2014
Gilenya® Fingolimod Novartis Relapsing Multiple Sclerosis 2011
Vumerity® Diroximel fumarate Biogen Relapsing Multiple Sclerosis 2020
Ozempic® Semaglutide Novo Nordisk Type 2 Diabetes Mellitus 2017
Wegovy® Semaglutide Novo Nordisk Obesity / Weight Management 2021
Mounjaro® Tirzepatide Eli Lilly Type 2 Diabetes / Obesity 2022
Insulet Omnipod 5® Automated insulin delivery system Insulet Corporation Type 1 Diabetes 2022
Leqvio® Inclisiran Novartis Hypercholesterolemia 2021
Evkeeza® Evinacumab Regeneron Homozygous Familial Hypercholesterolemia 2021
Repatha® Evolocumab Amgen Hyperlipidemia / ASCVD Risk Reduction 2015
Praluent® Alirocumab Sanofi / Regeneron Hyperlipidemia / Cardiovascular Risk 2015
Leqembi® Lecanemab Eisai / Biogen Alzheimer’s Disease 2023
Aduhelm® Aducanumab Biogen Alzheimer’s Disease 2021
Exservan® Riluzole oral film Aquestive Therapeutics Amyotrophic Lateral Sclerosis (ALS) 2019
Relyvrio® Sodium phenylbutyrate + taurursodiol Amylix Pharmaceuticals Amyotrophic Lateral Sclerosis (ALS) 2022
Radicava ORS® Edaravone oral suspension Mitsubishi Tanabe Pharma Amyotrophic Lateral Sclerosis (ALS) 2022
Skyrizi® Risankizumab AbbVie Psoriasis / Crohn’s Disease / Ulcerative Colitis 2019
Rinvoq® Upadacitinib AbbVie Rheumatoid Arthritis / UC / Atopic Dermatitis 2019
Tremfya® Guselkumab Janssen Psoriasis / Psoriatic Arthritis 2017
Ilumya® Tildrakizumab Sun Pharma Moderate-to-severe Plaque Psoriasis 2018
Cosentyx® Secukinumab Novartis Psoriasis / Psoriatic Arthritis / AS 2015
Taltz® Ixekizumab Eli Lilly Psoriasis / Psoriatic Arthritis / AS 2016
Sotyktu® Deucravacitinib Bristol Myers Squibb Moderate-to-severe Plaque Psoriasis 2022

Download Full EMA Orphan Drugs List (PDF)

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