PKLR pyruvate kinase L/R

For mitapivat, etavopivat: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.

• FDA pediatric target list: no · PKLR is not on the list

  Rule: Target is on FDA's Pediatric Molecular Target List (relevant targets). Source: FDA Pediatric Molecular Target List (Listed as February 2026 on the FDA Pediatric Oncology page; the file served is 9.7.22_the_relevant_molecular_target_list.xlsx, whose Summary of Changes sheet is headed 'SEPTEMBER 2022 UPDATE' (footnote date 2022-09-01)), 2026-11-11
• EU paediatric investigation plan: yes · EMA/PE/0000232761 (etavopivat, Treatment of beta-thalassaemia intermedia and major | alpha-thalassaemia intermedia and major): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), 15 Apr 2025; EMA/PE/0000238074 (Mitapivat, Treatment of thalassaemia): PM: decision on the application for modification of an agreed PIP, 27 Nov 2024; EMEA-002924-PIP02-23 (etavopivat, Treatment of sickle cell disease): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), 6 May 2024; EMEA-002684-PIP01-19-M01 (Mitapivat, Treatment of pyruvate kinase deficiency): PM: decision on the application for modification of an agreed PIP, 31 Jan 2022; +1 more

  Rule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA data download (dated snapshot), 2026-11-11
• EU orphan designation: yes · EU/3/24/2999 positive 13 Dec 2024: Treatment of sickle cell disease; EU/3/23/2889 positive 12 Jan 2024: Treatment of thalassaemia intermedia and major; EU/3/23/2827 positive 13 Oct 2023: Treatment of thalassaemia intermedia and major; EU/3/20/2270 positive 22 Apr 2020: Treatment of pyruvate kinase deficiency

  Rule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA data download (dated snapshot), 2026-11-11
• Authorised in the EU: yes · Pyrukynd: authorised since 9 Nov 2022, orphan medicine

  Rule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA EPAR Pyrukynd, 2026-11-11
• FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the link

  Rule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
• FDA pediatric oncology approval: no · FDA's table lists no pediatric approval of mitapivat, etavopivat

  Rule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-12
• Registered studies open to children: yes · 15 interventional studies of mitapivat, etavopivat include patients under 18; 11 are recruiting, not yet recruiting or active

  Rule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-12

Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs

Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.