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Italfarmaco

Drugmaker with rare disease work · based in Milan, Italy · founded 1938 · italfarmaco.com

Italfarmaco works on 6 rare diseases we track, including Acromegaly, Becker Muscular Dystrophy and 4 more. It has 6 active clinical trials, and all of them are looking for volunteers now. It also has 1 FDA-approved rare disease drug.

Italfarmaco is a private, family-owned pharmaceutical company founded in Milan in 1938 and still controlled by the De Santis family.

Italfarmaco pipeline

Each row lists the diseases Italfarmaco is studying at that stage, from the ones closest to approval down to the earliest work.

Approved
Drugs the FDA has approved.
Phase 3
Large studies, usually the last step before a company asks the FDA for approval.

Duchenne Muscular Dystrophy 2 trials recruiting · Polycythemia Vera recruiting

Phase 2
Mid-size studies that check whether a drug works and at what dose.
Other studies
Studies with no phase listed, such as registries and natural history studies.

Duchenne Muscular Dystrophy 2 trials recruiting

Italfarmaco clinical trials

These are Italfarmaco trials for the rare diseases we track, from ClinicalTrials.gov. Statuses there can lag behind company news, so confirm with the study team before you plan around one.

6 trials looking for volunteers now

Looking for volunteersPhase 3Updated a few months agoNCT05933057

Efficacy, Safety and Tolerability of Givinostat in Non-ambulant Patients With Duchenne Muscular Dystrophy

Tests Givinostat, Placebo

For Duchenne Muscular Dystrophy

This is a randomised, double-blind, placebo-controlled, multicentre study to evaluate the efficacy, safety, and tolerability of givinostat in non-ambulant male paediatric (aged 9 to \<18 years) patients with DMD. 138 patients will be randomised 2:1 to givinostat or placebo and will be treated for 18 months. * Planned screening duration: approximately 4 weeks (±14 days) * Planned treatment duration: 18 months (approximately 72 weeks) * Planned follow-up duration: 4 weeks (±7 days) (for patients not participating in the long-term safety study) * Total duration of study participation: up to 83 weeks (ie, 20-21 months)

Ages 9 Years - 17 Years29 locations
View full study
Looking for volunteersUpdated a few months agoNCT07127978

A Study Evaluating the Real-World Experience of Givinostat in Patients With Duchenne Muscular Dystrophy

For Duchene Muscular Dystrophy

This is a prospective observational study conducted to evaluate safety, tolerability, and functional outcomes of patients with DMD newly initiating oral givinostat or having started therapy within 6 months as part of routine clinical care in the US. The study has a planned maximum duration of 5 years for the first enrolled patients, including a 24-month enrollment period and a minimum of 2 years of follow-up.

Ages 6 Years+9 locations
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Looking for volunteersPhase 3No updates in a whileNCT06093672

Study on Efficacy and Safety of Givinostat Versus Hydroxyurea in Patients With Polycythemia Vera

Tests Givinostat, Hydroxyurea

For Polycythemia Vera

The goal of this clinical trial is to compare the efficacy and safety of givinostat to hydroxyurea in Jak2V617F-positive high risk polycythemia vera patients.

Ages 18 Years+90 locations
View full study
Looking for volunteersPhase 2/3No updates in a whileNCT03373968

Givinostat in Duchenne's Muscular Dystrophy Long-term Safety and Tolerability Study

Tests Givinostat

For Duchenne Muscular Dystrophy

This is an open label, long-term safety, tolerability, and efficacy study of GIVINOSTAT in all DMD (Duchenne's muscular dystrophy) patients who have been previously treated in one of the GIVINOSTAT studies.

Ages 7 Years+39 locations
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Looking for volunteersPhase 2Hasn't posted an update in over a yearNCT06769633

Pharmacokinetics and Safety of Givinostat in DMD Patients Ages From at Least 2 Years to Less Then 6 Years Old

Tests Givinostat Hydrochloride, Givinostat Hydrochloride - Cohort 2

For Duchenne Muscular Dystrophy

This is a Phase 2 Open-label (Core Phase Plus Extension Phase) With 2 Cohorts Study to Assess the Pharmacokinetics and Safety of Givinostat in younger DMD Patients. * Planned screening duration: approximately 4 weeks * Planned Core Treatment duration: approximately 48 weeks * Planned Extension Treatment duration: approximately 96 weeks * Planned Follow Up duration: approximately 4 weeks (± 7 days) * Total duration of study participation: up to 151 weeks (ie, 37-38 months)

Ages 2 Years - 6 Years9 locations
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Looking for volunteersHasn't posted an update in over a yearNCT06925269

DMD Voice: Qualitative Interviews With Patients and Caregivers

For Duchenne Muscular Dystrophy (DMD)

The purpose of this study is to understand DMD functional losses or abilities and their association with independence and quality of life from the perspective of individuals with DMD and/or and their caregivers. This is a qualitative interview study in which individuals with DMD and/or their caregivers will be asked to participate in a semi-structured, approximately 60- minute interview. Interviews will focus on functional abilities and independence. Caregivers and boys with DMD will be interviewed. This study includes no treatment nor intervention; however, some participants are being treated by a drug that is approved in the U.S. and the U.K. and under investigation in other geographies.

Ages 10 Years+1 location
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FDA-approved drugs from Italfarmaco

From the openFDA database. Tap a drug for side effects, dosing and help paying.

Duvyzat givinostat

For Duchenne Muscular Dystrophy. Approved Mar 21, 2024. Taken by mouth.

More about Italfarmaco

It is larger than most people in the rare disease world realize: more than 3,800 employees, operations in over 90 countries, six manufacturing plants across Italy, Spain, Chile, and Brazil, and consolidated sales above EUR 1.1 billion in 2024, most of it from established medicines in women's health, cardiology, neurology, and hospital products. Francesco Di Marco, formerly of Boehringer Ingelheim and Amgen, became CEO in January 2026.

In the United States the company operates through ITF Therapeutics, a rare disease affiliate set up in January 2024 in Concord, Massachusetts.

What put Italfarmaco on the map for patients is Duvyzat (givinostat), approved by the FDA on March 21, 2024 for Duchenne muscular dystrophy in patients 6 and older. Givinostat was discovered in Italfarmaco's own labs in collaboration with the Italian Telethon foundation and Duchenne Parent Project Italy, and it differs from most Duchenne drugs in one important way: it does not depend on which dystrophin mutation a boy has.

It works by blocking enzymes called histone deacetylases (HDACs), which become overactive in Duchenne muscle and drive the inflammation, scarring, and fat replacement that follow the loss of dystrophin. In the Phase 3 EPIDYS trial, boys taking givinostat with steroids declined more slowly on a four-stair climb test over 18 months than boys on placebo, and MRI showed less muscle replaced by fat.

Keep reading about Italfarmaco

Long-term follow-up presented in 2026 from 225 patients in the open-label extension found a median age at loss of ambulation of 17.3 years, compared with roughly 11 to 13 years in natural history studies. The main side effects to watch are low platelet counts, diarrhea, and raised triglycerides, so regular blood tests are part of treatment.

Duvyzat is also approved in the United Kingdom (December 2024) and, conditionally for ambulant patients, in the European Union (June 2025); Health Canada granted priority review in June 2026, and JCR Pharmaceuticals licensed Japanese rights in December 2025.

The Duchenne program is still expanding. The Phase 3 ULYSSES trial (NCT05933057) is testing givinostat in boys and young men who can no longer walk, with results expected around 2028, and a Phase 2 study is establishing dosing for children ages 2 to 5. A U.S. registry called PROVIDUS is tracking 300 patients on the drug in real-world use.

Outside Duchenne, givinostat is in a Phase 3 trial (GIV-IN PV, NCT06093672) against hydroxyurea in high-risk polycythemia vera, a rare blood cancer driven by the JAK2 mutation, where the drug holds FDA Fast Track designation. Italfarmaco also lists Becker muscular dystrophy and ALS among its rare disease programs, though a Phase 2 Becker study finished in 2021 and no new trial has been registered in either condition.

Where Italfarmaco trials take place

The trials above run at 177 study sites in 20 countries. Tap a country to see its states, cities and hospitals.

United States
34▼
Italy
31▼
United Kingdom
17▼
France
14▼
Germany
11▼
Spain
11▼
Netherlands
8▼
Canada
7▼
Serbia
7▼
Poland
5▼
Israel
5▼
Belgium
4▼

Rare diseases Italfarmaco works on

Each disease page lists every open trial, not only Italfarmaco's, plus approved treatments.

Acromegaly

Acromegaly is a rare hormonal disorder caused by excessive growth hormone production, typically from a pituitary adenoma, resulting in abnormal growth of hands, feet, and facial features.

How common: About 50 to 70 people per million, according to NORD, with 3 to 11 new cases per million people each year

Becker Muscular Dystrophy

Becker Muscular Dystrophy (BMD) is an X-linked inherited muscular dystrophy caused by mutations in the dystrophin gene that produce a partially functional dystrophin protein.

How common: Approximately 1 to 5 per 100,000 males; about 1/3 to 1/2 the prevalence of Duchenne Muscular Dystrophy

Duchenne Muscular Dystrophy

Duchenne muscular dystrophy is an X-linked genetic disorder causing progressive muscle weakness and degeneration, beginning in early childhood.

How common: 1 in 3,500 to 5,000 male births

Hodgkin Lymphoma

Hodgkin lymphoma is a cancer of the lymphatic system characterized by the presence of abnormal Reed-Sternberg cells.

How common: About 8,500 new cases per year in the U.S.; approximately 2.6 per 100,000 people

Multiple Myeloma

Multiple myeloma is a cancer of plasma cells, the white blood cells that make antibodies.

How common: About 36,000 new US diagnoses expected in 2026 and roughly 203,000 people living with it, which puts myeloma right at the edge of the US rare disease threshold; it is 1.7% of all new cancers (NCI SEER)

Polycythemia Vera

Polycythemia Vera is a myeloproliferative neoplasm in which bone marrow produces too many red blood cells, leading to thick blood that carries oxygen less effectively and increases clot risk.

How common: Approximately 44-57 cases per million people; median age of diagnosis is 65 years

Where to get support

Patient groups can explain a diagnosis, point you to specialists and tell you about trials before they open. Italfarmaco's own site is italfarmaco.com, and our help paying for treatment page lists drugmaker programs and charity funds.

Questions about Italfarmaco