The full list of Orphan designations (and amendments) is now available in IRIS, in the public section of the website (no need for a user account). The register is available in the Public registers and lists section of the IRIS website, and is directly accessible at this link: List of Opinions on Orphan Medicinal Product Designation. You can download the list to an Excel file; please note that the column "grounds for opinion" is only visible for individual records and is not downloadable.