From HandWiki - Reading time: 8 min
Below is a list of drugs granted breakthrough therapy designation (BTD) by the Food and Drug Administration (FDA).
Drugs may be listed more than once as BTD can be awarded for multiple indications.
| Drug | Manufacturer | Indication |
|---|---|---|
| Avapritinib | Blueprint Medicines Corp | metastatic gastrointestinal stromal tumor |
| Tepezza | Horizon Therapeutics | thyroid eye disease |
| Nintedanib | Boehringer Ingelheim | chronic fibrosing interstitial lung diseases |
| Ipilimumab | Bristol-Myers Squibb | hepatocellular carcinoma |
| Nivolumab | Bristol-Myers Squibb | hepatocellular carcinoma |
| Selumetinib | AstraZeneca | neurofibromatosis type 1 |
| Mitomycin | Urogen Pharma | upper tract urothelial cancer |
| Tucatinib | Seattle Genetics | advanced unresectable or metastatic HER2-positive breast cancer |
| Pemigatinib | Incyte Corp | metastatic cholangiocarcinoma with a fibroblast growth factor receptor 2 (FGFR2) fusion |
| Trodelvy | Immunomedics | metastatic triple-negative breast cancer |
| Capmatinib | Novartis | metastatic non-small cell lung cancer |
| Selpercatinib | Loxo Oncology | metastatic RET fusion-positive non-small cell lung cancer |
| Ripretinib | Deciphera Pharmaceuticals | advanced gastrointestinal stromal tumor |
| Artesunate | Amivas LLC | severe malaria |
| Bevacizumab | Genentech | metastatic hepatocellular carcinoma |
| Atezolizumab | Genentech | metastatic hepatocellular carcinoma |
| Inebilizumab | Viela Bio | neuromyelitis optica spectrum disorder |
| Fostemsavir | Viiv Healthcare Co | multidrug-resistant HIV-1 |
| Monjuvi | MorphoSys | relapsed or refractory diffuse large B-cell lymphoma |
| Esketamine | Janssen | major depressive disorder with acute suicidal ideation or behavior[1] |
| Blenrep | GlaxoSmithKline | refractory multiple myeloma |
| Enspryng | Genentech | neuromyelitis optica spectrum disorder |
| Pralsetinib | Blueprint Medicines Corp | RET fusion-positive non-small cell lung cancer |
D-PLEX 100 || PolyPid Ltd|| Prevention of Surgical Site Infections (SSI)
| Drug | Manufacturer | Indication |
|---|---|---|
| Psilocybin | Usona Institute | major depressive disorder[2] |
| 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 cancer |
| 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 BioPharmaceuticals | 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 | Clostridioides 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 | Clostridioides 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 |
| Drug | Manufacturer | Indication |
|---|---|---|
| Tezacaftor/ivacaftor[1] | Vertex Pharmaceuticals | cystic fibrosis |
| Durvalumab[1] | AstraZeneca UK | unresectable Stage III non-small cell lung cancer (NSCLC) |
| Ibalizumab-uiyk[1] | Theratechnologies | human immunodeficiency virus type 1 (HIV-1) infection |
| Brentuximab vedotin[1] | Seattle Genetics | Hodgkin lymphoma |
| Ipilimumab[1] | Bristol-Myers Squibb | renal cell carcinoma |
| Nivolumab[1] | Bristol-Myers Squibb | renal cell carcinoma |
| Burosumab-twza[1] | Kyowa Hakko Kirin | X-linked hypophosphatemia |
| Osimertinib[1] | AstraZeneca | metastatic non-small cell lung cancer |
| Dabrafenib[1] | Novartis Pharmaceuticals | melanoma with BRAF V600E or V600K mutations |
| Trametinib[1] | Novartis Pharmaceuticals | melanoma with BRAF V600E or V600K mutations |
| Dabrafenib[1] | Novartis Pharmaceuticals | anaplastic thyroid cancer (ATC) with BRAF V600E mutation |
| Trametinib[1] | Novartis Pharmaceuticals | anaplastic thyroid cancer (ATC) with BRAF V600E mutation |
| Fingolimod[1] | Novartis Pharmaceuticals | multiple sclerosis |
| Rituximab[1] | Genentech | pemphigus vulgaris |
| Venetoclax[1] | AbbVie | chronic lymphocytic leukemia |
| Pembrolizumab[1] | Merck Sharp & Dohme | mediastinal large B-cell lymphoma |
| Ipilimumab[1] | Bristol-Myers Squibb | metastatic colorectal cancer |
| Nivolumab[1] | Bristol-Myers Squibb | metastatic colorectal cancer |
| Ribociclib[1] | Novartis Pharmaceuticals | breast cancer |
| Tafenoquine[1] | GlaxoSmithKline | Plasmodium vivax malaria |
| Iobenguane i 131[1] | Progenics Pharmaceuticals | pheochromocytoma or paraganglioma |
| Lumacaftor/ivacaftor[1] | Vertex Pharmaceuticals | cystic fibrosis |
| Mogamulizumab-kpkc[1] | Kyowa Hakko Kirin | mycosis fungoides (MF) or Sézary syndrome (SS) |
| Patisiran[1] | Alnylam Pharmaceuticals | hereditary transthyretin-mediated amyloidosis |
| Cenegermin-bkbj[1] | Dompe Farmaceutici | neurotrophic keratitis |
| Lanadelumab-flyo[1] | Takeda Pharmaceuticals | hereditary angioedema |
| Cemiplimab-rwlc[1] | Regeneron Pharmaceuticals | cutaneous squamous cell carcinoma |
| Amikacin liposome inhalation suspension[1] | Insmed | mycobacterial lung disease |
| Emicizumab-kxwh[1] | Genentech | hemophilia |
| Lorlatinib[1] | Pfizer | anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer |
| Brentuximab vedotin[1] | Seattle Genetics | anaplastic large-cell lymphoma |
| Eltrombopag[1] | Novartis Pharmaceuticals | severe aplastic anemia |
| Emapalumab-lzsg[1] | Swedish Orphan Biovitrum | hemophagocytic lymphohistiocytosis |
| Venetoclax[1] | AbbVie | acute myeloid leukemia |
| Larotrectinib[1] | Bayer Healthcare | solid tumors that have a neurotrophic receptor tyrosine kinase (NTRK) gene fusion |
| Larotrectinib[1] | Bayer Healthcare | solid tumors that have a neurotrophic receptor tyrosine kinase (NTRK) gene fusion |
| Amifampridine[1] | Catalyst Pharmaceuticals | Lambert-Eaton myasthenic syndrome |
| Pembrolizumab[1] | Merck Sharp & Dohme | Merkel cell carcinoma |
| Tagraxofusp-erzs[1] | Stemline Therapeutics | blastic plasmacytoid dendritic cell neoplasm |
| Psilocybin | COMPASS Pathways | treatment resistant depression[4][5] |
| Satralizumab | Genentech | neuromyelitis optica spectrum disorder[citation needed] |
| Olipudase alfa | Sanofi/Genzyme | rare inherited disorders[citation needed] |
| Lonafarib | Eiger BioPharmaceuticals | Hutchinson-Gilford progeria syndrome[citation needed] |
| Eltrombopag | Novartis | thrombocytopenia[citation needed] |
| Galcanezumab | Eli Lilly | episodic cluster headache[citation needed] |
| NRX-101 (Cyclurad) | NRx Pharmaceuticals | bipolar depression with suicidal ideation[6] |
| Mitomycin C | UroGen Pharma | urothelial cancer[citation needed] |
| Myrcludex | MYR Pharma | hepatitis delta[citation needed] |
| Belumosudil | Kadmon Holdings | graft-versus-host disease[citation needed] |
| Selpercatinib | Loxo Oncology | |
| Selpercatinib | Loxo Oncology | Non-small cell lung cancer[citation needed] |
| Rucaparib | Clovis Oncology | castration-resistant prostate cancer[citation needed] |
| PF-06482077 | Pfizer | |
| Vocacapsaicin | Concentric Analgesics | |
| Tezepelumab | AstraZeneca/Amgen | |
| Ritlecitinib | Pfizer | alopecia areata[citation needed] |
| Danyelza | Y-mAbs Therapeutics | |
| Omalizumab | Genentech | severe allergic reactions[citation needed] |
| Encorafenib | Array BioPharma/Eli Lilly | colorectal cancer[citation needed] |
| Quizartinib | Daiichi Sankyo | acute myeloid leukemia[citation needed] |
| Pembrolizumab | Merck | endometrial carcinoma[citation needed] |
| Lenvatinib | Eisai | endometrial carcinoma[citation needed] |
| Bevacizumab | Genentech | hepatocellular carcinoma[citation needed] |
| Atezolizumab | Genentech | hepatocellular carcinoma[citation needed] |
| AMT-601 | uniQure | hemophilia B[citation needed] |
| HTX-011 | Heron Therapeutics | Postoperative Pain[citation needed] |
| Crizotinib | Pfizer | anaplastic large cell lymphoma[citation needed] |
| Crizotinib | Pfizer | small-cell lung cancer[citation needed] |
| Tafamidis meglumine | Foldrx Pharmaceuticals | |
| Lenti-D | Bluebird bio | cerebral adrenoleukodystrophy[citation needed] |
| Tafamidis | Pfizer | transthyretin cardiomyopathy[citation needed] |
| Pitolisant | Harmony Biosciences | |
| Trikafta | Vertex Pharmaceuticals | cystic fibrosis[citation needed] |
| Narsoplimab | Omeros Corporation | thrombotic microangiopathy[citation needed] |
| Trumenba | Pfizer | meningococcal disease[citation needed] |
| Esketamine | Johnson & Johnson | depression[1] |
| Sodium thiosulfate | Fennec Pharmaceuticals | |
| Enfortumab vedotin | Astellas Pharma | metastatic urothelial carcinoma[citation needed] |
| Nesolicaftor | Proteostasis Therapeutics | cystic fibrosis[citation needed] |
| Erdafitinib | Janssen | urothelial carcinoma[citation needed] |
| Lumasiran | Alnylam Pharmaceuticals | primary hyperoxaluria[citation needed] |
| Sutimlimab | Bioverativ | cold agglutinin disease[citation needed] |
| Avasopasem manganese | Galera Therapeutics | oral mucositis[citation needed] |
| SPK-8011 | Spark Therapeutics | |
| Abrocitinib | Pfizer | atopic dermatitis[citation needed] |
| Zuranolone | Sage Therapeutics | major depressive disorder[citation needed] |
| Fenfluramine | Zogenix | seizures associated with Dravet syndrome[citation needed] |
| Balovaptan | Hoffman-La Roche | autism spectrum disorder[citation needed] |
| Kisquali Femara Co-Pack | Novartis | HR-positive, HER2- negative breast cancer[citation needed] |
| Upadacitinib | AbbVie | atopic dermatitis[citation needed] |
| Lenvatinib + Pembrolizumab | Merck/Eisai | metastatic renal cell carcinoma[citation needed] |
| Voxelotor | Global Blood Therapeutics | sickle cell disease[citation needed] |
| Maribavir | Shire | Cytomegalovirus infection[citation needed] |
| Drug | Manufacturer | Indication |
|---|---|---|
| Nivolumab[1] | Bristol-Myers Squibb | urothelial carcinoma |
| Ribociclib[1] | Novartis Pharmaceuticals | HR-positive, HER2-negative breast cancer |
| Pembrolizumab[1] | Merck Sharp & Dohme | Hodgkin Lymphoma |
| Avelumab[1] | EMD Serono | metastatic Merkel cell carcinoma |
| Niraparib[1] | GlaxoSmithKline | recurrent ovarian cancer responsive to platinum-based chemotherapy |
| Ocrelizumab[1] | Genentech | multiple sclerosis |
| Dupilumab[1] | Regeneron Pharmaceuticals | atopic dermatitis |
| Palbociclib[1] | Pfizer | HR-positive, HER2-negative breast cancer |
| Valbenazine[1] | Neurocrine Biosciences | tardive dyskinesia |
| Ranibizumab[1] | Genentech | diabetic retinopathy |
| Cerliponase alfa[1] | BioMarin Pharmaceutical | tripeptidyl peptidase 1 (TPP1) deficiency |
| Midostaurin[1] | Novartis Pharmaceuticals | FLT3-positive acute myeloid leukemia |
| Brigatinib[1] | Takeda Pharmaceuticals | ALK-positive non-small cell lung cancer |
| Durvalumab[1] | AstraZeneca UK | metastatic urothelial carcinoma |
| Letrozole with Ribociclib[1] | Novartis Pharmaceuticals | breast cancer |
| Pembrolizumab[1] | Merck Sharp & Dohme | urothelial carcinoma |
| Tocilizumab[1] | Genentech | giant cell arteritis |
| Pembrolizumab[1] | Merck Sharp & Dohme | microsatellite instability-high tumors |
| Ceritinib[1] | Novartis Pharmaceuticals | anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer (NSCLC) |
| Dabrafenib[1] | Novartis Pharmaceuticals | metastatic non-small cell lung cancer with BRAF V600E mutation |
| Trametinib[1] | Novartis Pharmaceuticals | metastatic non-small cell lung cancer with BRAF V600E mutation |
| Ibrutinib[1] | Pharmacyclics | chronic graft versus host disease (cGVHD) |
| Glecaprevir/pibrentasvir[1] | AbbVie | hepatitis C |
| Cytarabine/daunorubicin[1] | Celator Pharmaceuticals | acute myeloid leukemia |
| Inotuzumab ozogamicin[1] | Wyeth Pharmaceuticals | B-cell precursor acute lymphoblastic leukemia |
| Deutetrabenazine[1] | Teva Pharmaceuticals | tardive dyskinesia |
| Abemaciclib[1] | Eli Lilly | breast cancer |
| Acalabrutinib[1] | AstraZeneca UK | mantle cell lymphoma |
| Vemurafenib[1] | Hoffmann-La Roche | Erdheim-Chester disease with BRAF V600 mutation |
| Alectinib[1] | Hoffmann-La Roche | anaplastic lymphoma kinase (ALK)-positive, metastatic non-small cell lung cancer (NSCLC) |
| Letermovir[1] | Merck Sharp & Dohme | cytomegalovirus (CMV) infection |
| Letermovir[1] | Merck Sharp & Dohme | cytomegalovirus (CMV) infection |
| Brentuximab vedotin[1] | Seattle Genetics | anaplastic large-cell lymphoma |
| Emicizumab-kxwh[1] | Genentech | hemophilia |
| Nivolumab[1] | Bristol-Myers Squibb | melanoma |
| Ribaxamase | Synthetic Biologics | antibiotic resistance / Clostridioides difficile infection |
| Midomafetamine (Ecstasy) | Multidisciplinary Association for Psychedelic Studies | posttraumatic stress disorder[9][10] |
| Drug | Manufacturer | Indication |
|---|---|---|
| Elbasvir/grazoprevir[1] | Merck Sharp & Dohme | Hepatitis C |
| Palbociclib[1] | Pfizer | HR-positive, HER2-negative breast cancer |
| Crizotinib[1] | PF Prism | ROS-1-positive NSCLC |
| Venetoclax[1] | AbbVie | CLL with 17p deletion |
| Cabozantinib[1] | Exelixis | renal cell carcinoma |
| Pimavanserin[1] | Acadia Pharmaceuticals | Parkinson's disease-related psychosis |
| Ibrutinib[1] | Pharmacyclics | small lymphocytic lymphoma (SLL) with 17p deletion |
| Lenvatinib[1] | Eisai | renal cell carcinoma |
| Nivolumab[1] | Bristol-Myers Squibb | Hodgkin lymphoma |
| Atezolizumab[1] | Genentech | urothelial carcinoma |
| Sofosbuvir/velpatasvir[1] | Gilead Sciences | chronic hepatitis C virus (HCV) genotypes 1, 2, 3, 4, 5 or 6 infection |
| Canakinumab[1] | Novartis | Familial mediterranean fever |
| Canakinumab[1] | Novartis | Hyper-IgD syndrome |
| Canakinumab[1] | Novartis | TNF receptor associated periodic syndrome |
| Lumacaftor/ivacaftor[1] | Vertex Pharmaceuticals | cystic fibrosis with CFTR F508del |
| Atezolizumab[1] | Genentech | metastatic NSCLC |
| Olaratumab[1] | Eli Lilly | soft-tissue sarcoma |
| Pembrolizumab | Merck Sharp & Dohme | metastatic NSCLC |
| Nivolumab[1] | Bristol-Myers Squibb | head and neck cancer |
| Daratumumab[1] | Janssen | multiple myeloma |
| Daratumumab[1] | Janssen | multiple myeloma |
| Oliceridine | Trevena | Analgesia and pain management |
| Rucaparib[1] | Clovis Oncology | BRCA-mutated ovarian cancer |
| Silver diamine fluoride | Elevate Oral Care | early childhood caries |
| Drug | Manufacturer | Indication |
|---|---|---|
| Ivacaftor[1] | Vertex Pharmaceuticals | cystic fibrosis with CFTR mutation |
| Ofatumumab[1] | Novartis Pharmaceuticals | chronic lymphocytic leukemia (CLL) |
| Ceritinib[1] | Novartis Pharmaceuticals | anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer (NSCLC) |
| Idelalisib[1] | Gilead Sciences | relapsed chronic lymphocytic leukemia (CLL) |
| Ibrutinib[1] | Pharmacyclics | chronic lymphocytic leukemia (CLL) with 17p deletion |
| Eltrombopag[1] | Novartis Pharmaceuticals | aplastic anemia |
| Pembrolizumab[1] | Merck | metastatic melanoma |
| Ledipasvir/sofosbuvir[1] | Gilead Sciences | Hepatitis C |
| Pirfenidone[1] | Genentech | idiopathic pulmonary fibrosis |
| Nintedanib[1] | Boehringer Ingelheim | idiopathic pulmonary fibrosis |
| Blinatumomab[1] | Amgen | acute lymphoblastic leukemia |
| Ombitasvir/paritaprevir/ritonavir/dasabuvir[1] | AbbVie | Hepatitis C |
| Nivolumab[1] | Bristol-Myers Squibb[1] | metastatic melanoma |
| Ivacaftor[1] | Vertex Pharmaceuticals | cystic fibrosis with CFTR R117H mutation |
| Drug | Manufacturer | Indication |
|---|---|---|
| Obinutuzumab[1] | Genentech | chronic lymphocytic leukemia |
| Ibrutinib[1] | Pharmacyclics | mantle cell lymphoma |
| Sofosbuvir[1] | Gilead Sciences | Hepatitis C |