MedPath

Dimethyl fumarate

Generic Name
Dimethyl fumarate
Brand Names
Tecfidera, Skilarence, Dimethyl fumarate Neuraxpharm, Dimethyl fumarate Mylan, Dimethyl fumarate Accord
Drug Type
Small Molecule
Chemical Formula
C6H8O4
CAS Number
624-49-7
Unique Ingredient Identifier
FO2303MNI2
Background

Dimethyl fumarate is an agent indicated for the treatment of relapsing forms of multiple sclerosis. The mechanism of action of dimethyl fumarate in multiple sclerosis is not well understood. It is thought to involve dimethyl fumarate degradation to its active metabolite monomethyl fumarate (MMF) then MMF up-regulates the Nuclear factor (erythroid-derived 2)-like 2 (Nrf2) pathway that is activated in response to oxidative stress. Dimethyl fumarate is marketed under the brand name Tecfidera, and it was the third oral disease-modifying agent for multiple sclerosis approved by the FDA, following fingolimod and teriflunomide. Prior to its FDA approval, dimethyl fumarate had been used in Germany for treatment of psoriasis.

Indication

Dimethyl fumarate is indicated for the treatment of relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

Associated Conditions
Clinically Isolated Syndrome (CIS), Relapsing Forms of MS, Relapsing Remitting Multiple Sclerosis (RRMS), Active Secondary Progressive Multiple Sclerosis (SPMS)

Investigating Indirect Mechanism of Neuroprotection of Tecfidera® (Dimethyl Fumarate) in RRMS and Progressive Patients

Phase 4
Conditions
Multiple Sclerosis
Interventions
First Posted Date
2017-03-28
Last Posted Date
2018-03-22
Lead Sponsor
Multiple Sclerosis Center of Northeastern New York
Target Recruit Count
57
Registration Number
NCT03092544
Locations
🇺🇸

Multiple Sclerosis Center of Northeastern New York, Latham, New York, United States

A Study of Efficacy and Safety of M2951 in Participants With Relapsing Multiple Sclerosis

Phase 2
Terminated
Conditions
Relapsing-remitting Multiple Sclerosis
Interventions
First Posted Date
2016-11-29
Last Posted Date
2025-05-14
Lead Sponsor
EMD Serono Research & Development Institute, Inc.
Target Recruit Count
267
Registration Number
NCT02975349
Locations
🇺🇦

Research Site, Zaporizhzhia, Ukraine

🇧🇬

Research Site 1, Pleven, Bulgaria

🇧🇬

Research Site 2, Pleven, Bulgaria

Study of Utilization Patterns of Dimethyl Fumarate in Germany

Completed
Conditions
Multiple Sclerosis
Interventions
First Posted Date
2016-11-21
Last Posted Date
2017-07-19
Lead Sponsor
Biogen
Target Recruit Count
930
Registration Number
NCT02969304
Locations
🇩🇪

Research Site, Leipzig, Saxony, Germany

Dimethyl Fumarate Treatment of Primary Progressive Multiple Sclerosis

Phase 2
Completed
Conditions
Primary Progressive Multiple Sclerosis
Interventions
First Posted Date
2016-11-09
Last Posted Date
2020-12-24
Lead Sponsor
Rigshospitalet, Denmark
Target Recruit Count
54
Registration Number
NCT02959658
Locations
🇩🇰

Danish Multiple Sclerosis Center, Department of neurology, Copenhagen, Denmark

Monitoring of Patients Followed for a Multiple Sclerosis and Treated by Dimethyl-fumarate

Phase 4
Terminated
Conditions
Multiple Sclerosis, Relapsing-Remitting
Interventions
First Posted Date
2016-09-15
Last Posted Date
2019-01-09
Lead Sponsor
Fondation Ophtalmologique Adolphe de Rothschild
Target Recruit Count
11
Registration Number
NCT02901106
Locations
🇫🇷

Fondation Ophtalmique Adolphe de Rothschild, Paris, France

Patient Real-world Clinical, Neurological, Tolerability, and Safety Outcomes for Tecfidera® and Rebif®

Completed
Conditions
Relapsing-remitting Multiple Sclerosis
Interventions
First Posted Date
2016-07-06
Last Posted Date
2018-03-01
Lead Sponsor
IMS HEALTH GmbH & Co. OHG
Target Recruit Count
479
Registration Number
NCT02823951
Locations
🇺🇸

Savannah Neurology Specialists, Savannah, Georgia, United States

🇺🇸

Northshore University, Evanston, Illinois, United States

🇺🇸

Washington university, Saint Louis, Missouri, United States

and more 20 locations

Dimethylfumarate (DMF) in Relapsed/Refractory CLL/SLL

Phase 1
Terminated
Conditions
Chronic Lymphocytic Leukemia
Small Lymphocytic Lymphoma
Interventions
First Posted Date
2016-05-27
Last Posted Date
2019-09-19
Lead Sponsor
Michael Choi
Target Recruit Count
2
Registration Number
NCT02784834
Locations
🇺🇸

UC San Diego Moores Cancer Center, La Jolla, California, United States

RItuximab Versus FUmarate in Newly Diagnosed Multiple Sclerosis.

Phase 3
Completed
Conditions
Multiple Sclerosis, Relapsing-Remitting
Interventions
First Posted Date
2016-04-21
Last Posted Date
2021-10-12
Lead Sponsor
Anders Svenningsson
Target Recruit Count
200
Registration Number
NCT02746744
Locations
🇸🇪

Fredrik Piehl, Stockholm, Sweden

🇸🇪

South Älvsborg Hospital, Borås, Sweden

🇸🇪

Falun Hospital, Falun, Sweden

and more 14 locations

Assessment of Tecfidera® in Radiologically Isolated Syndrome (RIS)

Phase 4
Completed
Conditions
Multiple Sclerosis (MS)
Interventions
Drug: Placebo
First Posted Date
2016-04-15
Last Posted Date
2022-05-11
Lead Sponsor
University of Texas Southwestern Medical Center
Target Recruit Count
87
Registration Number
NCT02739542
Locations
🇺🇸

Johns Hopkins University - Neurology, Baltimore, Maryland, United States

🇺🇸

Keck School of Medicine - USC - Department of Neurology, Los Angeles, California, United States

🇺🇸

Mayo Clinic Department of Neurology, Rochester, Minnesota, United States

and more 8 locations

Impact of Tecfidera on Gut Microbiota

Conditions
Multiple Sclerosis
First Posted Date
2016-04-13
Last Posted Date
2016-11-04
Lead Sponsor
Virginia Simnad
Target Recruit Count
25
Registration Number
NCT02736279
Locations
🇺🇸

EvergreenHealth MS Center, Kirkland, Washington, United States

© Copyright 2025. All Rights Reserved by MedPath