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.
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.
Multiple Sclerosis Center of Northeastern New York, Latham, New York, United States
Research Site, Zaporizhzhia, Ukraine
Research Site 1, Pleven, Bulgaria
Research Site 2, Pleven, Bulgaria
Research Site, Leipzig, Saxony, Germany
Danish Multiple Sclerosis Center, Department of neurology, Copenhagen, Denmark
Fondation Ophtalmique Adolphe de Rothschild, Paris, France
Savannah Neurology Specialists, Savannah, Georgia, United States
Northshore University, Evanston, Illinois, United States
Washington university, Saint Louis, Missouri, United States
UC San Diego Moores Cancer Center, La Jolla, California, United States
Fredrik Piehl, Stockholm, Sweden
South Älvsborg Hospital, Borås, Sweden
Falun Hospital, Falun, Sweden
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
EvergreenHealth MS Center, Kirkland, Washington, United States
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