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Navigating Peptide Therapeutics Europe Approval: A Comprehensive Guide by W Xiao·2025·Cited by 284—Aquipta®(atogepant) was approved by the EMA in August 2023. It is also the first and only once-daily oral calcitonin gene-related peptide 

:Pepaxti has been granted Marketing Authorization in the European Union

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Executive Summary

EU by W Xiao·2025·Cited by 284—Aquipta®(atogepant) was approved by the EMA in August 2023. It is also the first and only once-daily oral calcitonin gene-related peptide 

The landscape of peptide therapeutics in Europe is dynamic, with regulatory bodies like the European Medicines Agency (EMA) playing a crucial role in the approval process for innovative drugs. As of recent data, there are approximately 60-70 approved peptide drugs in major markets including the US, Europe, and Japan, with a significant number, over 150, in active clinical development. This growing pipeline underscores the increasing importance of understanding the regulatory pathways for bringing these complex molecules to patients.

The European regulatory framework for medicinal products defines a peptide intended to diagnose, prevent, or treat disease as a medicinal product under EU law. This classification necessitates rigorous evaluation of safety, efficacy, and quality. The EMA's new guideline for synthetic peptides, which became effective in 2026, is actively reshaping the European market for these therapeutics. This guideline addresses specific aspects regarding the manufacturing process, characterisation, specifications, and analytical control for synthetic peptides, providing a clearer roadmap for developers.

Key Regulatory Milestones and Approvals

The journey of peptide therapeutics Europe approval involves navigating specific guidelines and demonstrating compliance. For instance, the European Quality Guidelines for Synthetic Peptides and related drugs are critical for ensuring product consistency and patient safety. Historically, the European Union has seen a steady influx of approved peptide drugs. Between 2012 and 2014, several peptide therapeutics received approval within the European Union or the United States, or both. More recently, Aquipta® (atogepant) was approved by the EMA in August 2023, marking a significant development as the first and only once-daily oral calcitonin gene-related peptide therapy.

The EMA peptide guidance is a cornerstone for developers. This framework, often referred to as the EMA peptide guideline 2024, is the first EU-wide system for how synthetic peptides must be characterized, controlled, and justified. This comprehensive approach ensures that drugs entering the market meet the highest standards.

Trends in Peptide Drug Development and Approval

The Europe peptide therapeutics industry held a significant share in 2025, a trend supported by established pharmaceutical companies. The market is projected for substantial growth, with the Europe peptide therapeutics drugs market expected to reach USD 11562.36 million in 2024 and grow at a compound annual growth rate (CAGR) of 10.0% from 2024 to 2031. This growth is fueled by advancements in delivery systems and the increasing recognition of peptides' therapeutic potential.

While many peptide drugs are administered via injection, there's a notable trend towards developing oral formulations. However, the European Medicines Agency noted that as of 2025, only three orally delivered peptides have received approval in the EU, highlighting the persistent challenges in achieving oral bioavailability for these molecules.

Specific Approvals and Their Significance

Several drugs have recently gained European market authorization. Pepaxti has been granted Marketing Authorization in the European Union, including the EEA-countries Iceland, Lichtenstein, and Norway. Furthermore, UCB's TK2d therapy Kygevvi was approved by the European Commission on March 31, 2026. In another notable instance, Dupixent (dupilumab) was approved in the EU for the treatment of moderate-to-severe atopic dermatitis in young children with CSU.

The development of pepTIDEs and oligonucleotide therapeutics is also a significant area of focus. The TIDES Europe conference is a key platform for discussing the potential of these therapeutics in treating conditions with unmet medical needs, noting their recent approval surge and unique position.

Expertise and Experience in Peptide Therapeutics

The development and manufacturing of peptide therapeutics require specialized expertise. The Guideline on the Development and Manufacture of Synthetic Peptides by the EMA is a testament to the intricate nature of these processes. Companies involved in this field often collaborate with manufacturing experts and biotech innovators to advance these complex drugs. The European Peptide Drug Summit 2026 serves as a vital hub for such professionals to connect and drive progress in peptide therapeutics.

The European regulatory environment is robust, ensuring that therapeutic peptide products meet stringent quality and safety standards before reaching patients. As the field continues to evolve, staying abreast of EMA guidelines and recent approvals is paramount for success in the peptide therapeutics Europe approval landscape.

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by Y Zhang·2020·Cited by 72—As of 2020, over 70therapeutic peptideproducts have beenapprovedas new chemical entities in the United States,Europe, and Japan, and more 
European Peptide Drug Summit 2026 | Register Now
Uncover oligonucleotidetherapeutics' potential for treating conditions with no current therapies, noting their recentapprovalsurge and unique position 
Dupixent approved in the EU for young children with CSU. The European Commission has approved Dupixent (dupilumab) for the treatment of moderate-to-severe 

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