US

United States of America

US

North America

Regulatory Overview

United States of America is regulated by the Food and Drug Administration (FDA). The country has 2 documented regulatory pathways for accessing unapproved or unlicensed medicines, covering named patient programs, compassionate use schemes, and special access arrangements.

Regulatory Authority

Food and Drug Administration (FDA)

Regulatory Pathways (2)

Emergency Investigational New Drug application for life-threatening situations requiring immediate treatment where there is no time to submit a formal IND. FDA may authorize treatment by telephone.

Application Form: Emergency IND Request (telephone/fax)
Legal Basis: 21 CFR 312.310
Eligibility: Serious or life-threatening condition with no locally registered alternative
Reference: FDA Emergency IND Guidance

FDA program allowing patients with serious or immediately life-threatening conditions to access investigational drugs, biologics, or medical devices outside of clinical trials.

Application Form: FDA Form 3926 (Individual Patient IND)
Legal Basis: 21 CFR Part 312 Subpart I
Eligibility: Serious or life-threatening condition with no locally registered alternative
Reference: FDA Expanded Access Guidance

Drugs Available (268)

DrugAccess RouteStatusLead Time
alglucosidase alfa———
cytarabine———
eliglustat———
furosemide———
eribulin mesylate———
Digoxin Immune Fab———
Sucralfate———
Dorzolamide———
Pravastatin———
Temsirolimus———
Memantine———
propranolol———
Berotralstat———
Everolimus———
Ursodeoxycholic acid———
tamoxifen citrate———
atropine sulfate———
mitapivat———
metoprolol———
carbamazepine———
ruxolitinib———
Corticosteroids———
Melphalan———
mycophenolate mofetil———
Epoprostenol———
Fludarabine———
fitusiran———
Sodium Phenylbutyrate———
etanercept———
mavorixafor———
Denosumab———
dapsone———
Tofacitinib———
mavacamten———
diethylcarbamazine———
mannose———
minoxidil———
Hydroxychloroquine———
cyclophosphamide———
Anakinra———
bosentan———
bimatoprost———
testosterone———
Artificial tears———
Rho(D) immune globulin———
Baclofen———
Dexrazoxane———
Vigabatrin———
Clobazam———
triheptanoin———
Beremagene geperpavec———
C1 esterase inhibitor (human)———
loncastuximab tesirine———
phacoemulsification surgery———
fosdenopterin———
melatonin———
amiodarone———
Total Parenteral Nutrition———
acoramidisStandard Marketing AuthorizationApproved—
olezarsenStandard Marketing AuthorizationApproved—
imetelstatStandard Marketing AuthorizationApproved—
tovorafenibStandard Marketing AuthorizationApproved—
remestemcel-LStandard Marketing AuthorizationApproved—
fidanacogene elaparvovecStandard Marketing AuthorizationApproved—
marstacimabStandard Marketing AuthorizationApproved—
vanzacaftor/tezacaftor/deutivacaftorStandard Marketing AuthorizationApproved—
garadacimabStandard Marketing AuthorizationApproved—
mirdametinibStandard Marketing AuthorizationApproved—
vimseltinibStandard Marketing AuthorizationApproved—
treosulfanStandard Marketing AuthorizationApproved—
chenodiolStandard Marketing AuthorizationApproved—
diazoxide cholineStandard Marketing AuthorizationApproved—
Growth hormone (somatropin)———
ascorbic acid———
hormone replacement therapy (estrogen/progesterone)———
Busulfan———
Digoxin———
Bimekizumab-bkzx———
Interferon-gamma———
Romidepsin———
Interferon gamma-1b———
collagenase clostridium histolyticum———
Crizotinib———
physical therapy and orthotic management———
Retinoids (Tretinoin)———
Branched-Chain Amino Acids———
eculizumab———
miglustat———
GM-CSF———
Palovarotene———
Botulism Antitoxin Heptavalent (A, B, C, D, E, F, G) - (Equine)———
lonafarnib———
Betaine anhydrous———
tizanidine———
Octreotide———
oxybutynin———
Valproic Acid———
tocilizumab———
sclerostin antibody———
Immunoglobulin———
Mesalamine———
alpha-L-iduronidase———
futibatinib———
L-DOPA———
Intravenous Immunoglobulin (IVIG)———
Phenytoin———
Bisphosphonates (pamidronate)———
Metronidazole———
Nitisinone———
Human Chorionic Gonadotropin (hCG)———
Lomitapide———
treprostinil———
sirolimus———
temozolomide———
Carnitine———
brivaracetam———
Pembrolizumab———
Infliximab———
Pyridoxine———
Cibinqo———
vutrisiran———
Somatrogon-ghla———
Clomiphene Citrate———
Angiotensin-Converting Enzyme Inhibitors (Enalapril)———
Lorenzo's oil———
ivermectin———
botulinum toxin type A———
mexiletine———
Crizanlizumab———
azathioprine———
sunscreen (broad spectrum SPF 50+)———
Somatropin———
Mifepristone———
galantamine———
ambrisentan———
Deflazacort———
Brentuximab vedotin———
L-Methylfolate———
Dabrafenib———
L-carnitine———
luspatercept———
trabectedin———
eplontersen———
vamorolone———
vosoritide———
Arsenic trioxide———
cysteamine bitartrate———
Edaravone———
Tegaserod———
Vorasidenib———
rituximab———
Dapagliflozin———
allopurinol———
Carboplatin———
Topical corticosteroids———
Trametinib———
Ivosidenib———
estradiol———
delandistrogene moxeparvovec-rokl———
Erythromycin———
Erythropoietin———
coenzyme Q10———
Patisiran———
Tolvaptan———
axatilimab—Approved—
cerliponase alfa———
avalglucosidase alfa———
belumosudil———
Sodium Thiosulfate———
adalimumab———
Imiglucerase———
Amphotericin B liposomal———
ranibizumab———
Midostaurin———
Lumasiran———
Methotrexate———
Nitazoxanide———
carglumic acid———
Alendronate Sodium———
calcitriol———
doxorubicin———
Pyridostigmine———
Levetiracetam———
Cenegermin———
Acitretin———
prednisone———
efgartigimod alfa———
Hydroxyurea———
salicylic acid———
cochlear implant———
Pyridostigmine Bromide———
aflibercept———
ravulizumab———
laronidase———
Corticotropin———
Romiplostim———
Bleomycin———
hydroxycobalamin———
Pyrimethamine———
Metreleptin———
Laser photocoagulation therapy———
Sulfadiazine———
pregabalin———
riboflavin———
N-acetylcysteine———
NovoSeven———
Occupational and Physical Therapy Support———
eptinezumab———
Pamidronate———
nitroglycerin———
Sacrosidase———
Mipomersen———
ezetimibe———
Belzutifan———
bevacizumab———
Ketoconazole———
mecasermin———
celecoxib———
Biotin———
Imiquimod———
cyclosporine ophthalmic———
Growth Hormone———
Gonadotropin———
deferasirox———
Diatrizoate———
Tafamidis———
urea———
Levodopa/Carbidopa———
Lanreotide———
Olipudase alfa———
cyanocobalamin———
Eteplirsen———
Sodium Bicarbonate———
diazoxide———
baricitinib———
Azacitidine———
Cystagon———
Zoledronic Acid———
Hypertonic saline———
copper histidinate———
Clonazepam———
Zidovudine———
emollients with keratolytics———
cornstarch———
disopyramide———
asciminib———
Vinblastine———
selumetinib———
Sunitinib———
mannose-1-phosphate———
Cisplatin———
Calcipotriol———
Imatinib———
imatinib mesylate———
nimodipine———
Colchicine———
Follitropin alfa———
surgical repair———
Tamoxifen———
Tacrolimus———
Artificial tears (Hypromellose)———
Ribavirin———
Sildenafil———
sotalol———
Hematopoietic stem cell transplantation———
Tretinoin———
Timolol maleate———
Amnioreduction———
US
United States of America
ISO CodeUS
RegionNorth America
Regulatory AuthorityFood and Drug Administration (FDA)
Pathways2 documented
Drugs Available268 drug(s)