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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)

Investigation of the Effect of Dimethyl Fumarate on T Cells in Patients With Relapsing Remitting Multiple Sclerosis

Phase 4
Completed
Conditions
Multiple Sclerosis, Relapsing-Remitting
Interventions
First Posted Date
2015-06-03
Last Posted Date
2018-10-11
Lead Sponsor
University Hospital Muenster
Target Recruit Count
67
Registration Number
NCT02461069
Locations
🇩🇪

University Hospital Muenster, Department of Neurology, Muenster, Germany

🇩🇪

Neurologische Univ.-Klinik, Heidelberg, Germany

🇩🇪

Klinik und Poliklinik für Neurologie, Universitätsklinikum Mainz, Mainz, Germany

and more 3 locations

Dimethyl Fumarate for Obstructive Sleep Apnea

Phase 2
Completed
Conditions
Obstructive Sleep Apnea
OSA
Sleep Apnea
Interventions
First Posted Date
2015-05-08
Last Posted Date
2017-05-31
Lead Sponsor
University of Michigan
Target Recruit Count
65
Registration Number
NCT02438137
Locations
🇺🇸

University of Michigan, Ann Arbor, Michigan, United States

BG00012 and Delay of Disability Progression in Secondary Progressive Multiple Sclerosis

Phase 3
Terminated
Conditions
Multiple Sclerosis, Secondary Progressive
Interventions
First Posted Date
2015-04-30
Last Posted Date
2017-04-26
Lead Sponsor
Biogen
Target Recruit Count
58
Registration Number
NCT02430532
Locations
🇸🇰

Research Site, Banska Bystrica, Slovakia

Placebo-Controlled Study of the Efficacy and Safety of BG00012 in Pediatric Subjects With Relapsing-Remitting Multiple Sclerosis (RRMS)

Phase 3
Withdrawn
Conditions
Relapsing-Remitting Multiple Sclerosis
Relapsing Forms of Multiple Sclerosis
Interventions
First Posted Date
2015-04-28
Last Posted Date
2016-04-13
Lead Sponsor
Biogen
Registration Number
NCT02428218

Tecfidera Slow-Titration Study

Phase 3
Terminated
Conditions
Multiple Sclerosis
Interventions
First Posted Date
2015-04-28
Last Posted Date
2017-05-05
Lead Sponsor
Biogen
Target Recruit Count
62
Registration Number
NCT02428231
Locations
🇮🇹

Research Site, Montichiari, Italy

Study of Montelukast on Gastrointestinal Tolerability in Patients With Relapsing Forms of Multiple Sclerosis Receiving Tecfidera

Phase 4
Completed
Conditions
Multiple Sclerosis
Interventions
First Posted Date
2015-04-07
Last Posted Date
2020-03-31
Lead Sponsor
Biogen
Target Recruit Count
102
Registration Number
NCT02410278
Locations
🇺🇸

Research Site, Madison, Wisconsin, United States

Study of the Effect of BG00012 on MRI Lesions and Pharmacokinetics in Pediatric Subjects With RRMS

Phase 2
Completed
Conditions
Multiple Sclerosis, Relapsing-Remitting
Interventions
First Posted Date
2015-04-07
Last Posted Date
2017-10-23
Lead Sponsor
Biogen
Target Recruit Count
22
Registration Number
NCT02410200
Locations
🇹🇷

Research Site, Ankara, Turkey

Study to Evaluate Whether a Medication Event Monitoring System (MEMS) Can Improve Adherence to Tecfidera Treatment in Multiple Sclerosis Patients.

Phase 4
Terminated
Conditions
Multiple Sclerosis
Interventions
Device: Medication Event Monitoring System (MEMS)
Behavioral: Adherence counseling
First Posted Date
2015-01-21
Last Posted Date
2017-05-16
Lead Sponsor
Biogen
Target Recruit Count
84
Registration Number
NCT02343159
Locations
🇺🇸

Research Site, Winchester, Virginia, United States

Dimethyl Fumarate, Temozolomide, and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma Multiforme

Phase 1
Completed
Conditions
Adult Brain Glioblastoma
Adult Giant Cell Glioblastoma
Adult Gliosarcoma
Interventions
Radiation: Radiation Therapy
First Posted Date
2015-01-13
Last Posted Date
2019-06-28
Lead Sponsor
Virginia Commonwealth University
Target Recruit Count
12
Registration Number
NCT02337426
Locations
🇺🇸

Virginia Commonwealth University/Massey Cancer Center, Richmond, Virginia, United States

Effectiveness of DMF (Dimethyl Fumarate) and Its Impact on PROs (Patient Reported Outcomes) in Treatment-Naive or Suboptimal IFN (Interferon) or GA (Glatiramer Acetate) Responders With RRMS (ImPROve)

Terminated
Conditions
Multiple Sclerosis, Relapsing-Remitting
Relapsing-Remitting Multiple Sclerosis
Interventions
First Posted Date
2014-12-23
Last Posted Date
2016-04-08
Lead Sponsor
Biogen
Target Recruit Count
24
Registration Number
NCT02323269
Locations
🇨🇦

Research Site, Montreal, Quebec, Canada

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