dimethyl fumarate
Trade name: tecfidera
Approved
Mar 27, 2013
Dimethyl fumarate (DMF) is the methyl ester of fumaric acid and is named after the earth smoke plant. Dimethyl fumarate combined with three other fumaric acid esters (FAEs) is solely licensed in Germany as an oral therapy for psoriasis. Since 2013, it has been approved by the U.S. Food and Drug Administration (FDA) as a treatment option for adults with relapsing multiple sclerosis. In 2017, an oral formulation of dimethyl fumarate was approved for medical use in the European Union as a treatment for moderate-to-severe plaque psoriasis. Dimethyl fumarate is thought to have immunomodulatory properties without causing significant immunosuppression. — Wikipedia
Clinical trial activity
74 trials · 54 clinical orgs · 21 marketing orgs
Earliest trial started Oct 1, 2004 (NCT00168701)
Timeline
2000s
2010s
- Mar 27, 2013
Biogen-IDEC — Earliest FDA Approval
- Mar 27, 2013
Biogen-IDEC — NDA Organization
- Mar 27, 2013
Biogen — Marketing Organization
- Nov 9, 2018
Shilpa Medicare Ltd. — Marketing Organization
- Nov 16, 2018
Accord Research — Marketing Organization
- Nov 21, 2018
Zydus Discovery DMCC — Marketing Organization
- Dec 11, 2018
Lupin — Marketing Organization
- Jan 22, 2019
TWi Biotechnology, Inc. — Marketing Organization
- Oct 7, 2019
Glenmark Pharmaceuticals — Marketing Organization
2020s
- Aug 17, 2020
Mylan — Marketing Organization
- Sep 24, 2020
Amneal Pharmaceuticals — Marketing Organization
- Sep 24, 2020
Cipla — Marketing Organization
- Sep 24, 2020
Hetero Labs Ltd — Marketing Organization
- Sep 24, 2020
MSN Laboratories — Marketing Organization
- Sep 24, 2020
Alkem Labs Ltd — Marketing Organization
- Mar 26, 2021
Sola Pharms — Marketing Organization
- Mar 26, 2021
Pharmathen S.A. — Marketing Organization
- Dec 21, 2021
Sawai Pharmaceutical — Marketing Organization
- Oct 18, 2022
Prinston Inc — Marketing Organization
- Dec 22, 2022
Aurobindo Pharma — Marketing Organization
- Jun 26, 2024
Macleods Pharmaceuticals, Ltd — Marketing Organization
- Jan 6, 2025
Torrent Pharmaceuticals Limited — Marketing Organization
Indications
Approved for
Studied for
- Adrenoleukodystrophy · Phase 2/Phase 3
- Alzheimer Disease · Phase 2
- Arthritis, Psoriatic · Phase 2
- Arthritis, Rheumatoid · Phase 2
- Cerebral Hemorrhage · Phase 2
- Cognition Disorders · Phase 2
- Diabetes Mellitus, Type 2 · Phase 2/Phase 3
- Glioblastoma · Phase 1
- Gliosarcoma · Phase 1
- Healthy Volunteers · Phase 3
- Hypertension, Pulmonary · Phase 1
- Inflammation · Phase 4
- Intracranial Aneurysm · Phase 4
- Ischemic Stroke · Phase 2
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 1
- Lymphoma, Large B-Cell, Diffuse · Phase 4
- Lymphoma, T-Cell, Cutaneous · Phase 2
- Macular Degeneration · Phase 2
- Multiple Sclerosis, Chronic Progressive · Phase 3
- Multiple Sclerosis, Relapsing-Remitting · Phase 4
- Polymorphism, Genetic · Phase 2/Phase 3
- Psoriasis · Phase 4
- Renal Insufficiency, Chronic · Phase 2/Phase 3
- Scleroderma, Systemic · Phase 1
- Sleep Apnea, Obstructive · Phase 2
- Sleep Apnea Syndromes · Phase 2
Mechanism of action
- Kelch-like ECH-associated protein 1INHIBITOR
KEAP1 inhibitor
Alykylates Keap1 to prevent interaction with Nrf2 (PMID: 22732183, PMID: 23709213, PMID: 18618599)
Approval history
- approvedMar 27, 2013
Chemistry & pharmacology
SMILES
COC(=O)/C=C/C(=O)OC- Mol. weight
- 144.13 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaDimethyl fumarate ↗
- ChEMBLCHEMBL589586 ↗
- ChEMBLCHEMBL2107333 ↗
Also known as
- 1,2-bis(methoxycarbonyl)-trans-ethylene
- 1,2-bis(methoxycarbonyl)-trans-ethylene
- azl-0211089
- azl-0211089
- bg00012
- bg00012
- bg-12
- boletic acid dimethyl ester
- dimethyl (e) butenedioate
- dimethyl fumar
- dimethyl fumar
- dimethylfumarate
- dimethylfumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl fumarate
- dimethyl trans-ethylenedicarboxylate
- dimethyl trans-ethylenedicarboxylate
- (e)-but-2-enedioic acid dimethyl ester
- (e)-but-2-enedioic acid dimethyl ester
- fp187
- fumaric acid, dimethyl ester
- fumaric acid, dimethyl ester
- las41008
- lasw1835
- methyl fumarate
- tecfidera
- tecfidera
- tecfidera
- tecfidera
- trans-1,2-ethylenedicarboxylic acid dimethyl ester
- trans-1,2-ethylenedicarboxylic acid dimethyl ester
- trans-butenedioic acid dimethyl ester
- trans-butenedioic acid dimethyl ester
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07258394 | Phase 3 | Dec 31, 2025 | Nanjing Medical University, Qilu Pharmaceutical Co., Ltd. |
| NCT07138833 | Phase 4 | Sep 30, 2025 | Qilu Pharmaceutical Co., Ltd. |
| NCT07189325 | Phase 3 | Sep 30, 2025 | University of Montpellier |
| NCT06850597 | Phase 2 | Oct 28, 2024 | Medical University of Lodz |
| NCT06513533 | Phase 2/Phase 3 (Phase 3) | Apr 23, 2024 | Onofre, Aurora Pujol, M.D., Spanish Clinical Research Network, Universidad Carlos III Madrid, University of Barcelona |
| NCT05959759 | Phase 4 | Jul 31, 2023 | Capital Medical University, Henan Provincal People's Hospital |
| NCT05658484 | Phase 4 | Apr 13, 2023 | Biogen |
| NCT05417269 | Phase 1/Phase 2 (Phase 2) | Apr 12, 2022 | ARENSIA EXPLORATORY MEDICINE, ImCyse |
| NCT04891497 | Phase 2 | Jun 1, 2021 | Capital Medical University |
| NCT04890353 | Phase 2 | Jun 1, 2021 | Capital Medical University |
| NCT04890379 | Phase 2 | Jun 1, 2021 | Capital Medical University |
| NCT04890366 | Phase 2 | Jun 1, 2021 | Capital Medical University |
| NCT04292080 | Phase 2 | Apr 1, 2020 | Assistance Publique - Hôpitaux de Paris |
| NCT04263610 | Phase 4 | Sep 4, 2019 | Almirall |
| NCT04022473 | Phase 1 | Jul 7, 2019 | Banner Life Sciences LLC, BioPharma Services |
| NCT03870763 | Phase 3 | Mar 19, 2019 | Biogen |
| NCT03262363 | Phase 2/Phase 3 (Phase 3) | Aug 1, 2018 | Unidad de Investigacion Medica en Enfermedades Renales |
| NCT03255382 | Phase 3 | Aug 22, 2017 | AbbVie |
| NCT02901106 | Phase 4 | May 23, 2017 | Adolphe Rothschild Ophtalmologic Foundation |
| NCT03345940 | Phase 4 | Apr 30, 2017 | Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta, Patient-Centered Outcomes Research Institute, University of Genoa |
Organizations
Research & Development (54)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Biogen | For profit | 42 | 35 | 4 | 2004 |
| Capital Medical University | Academic/Hospital | 5 | 5 | 2 | 2021 |
| Almirall | For profit | 3 | 3 | 3 | 2012 |
| Banner Life Sciences LLC | For profit | 2 | 2 | 1 | 2017 |
| Forward Pharma GmbH | For profit | 2 | 2 | 2 | 2010 |
| MS Center of Northeastern New York | Academic/Hospital | 2 | 2 | 1 | 2015 |
| Qilu Pharmaceutical Co., Ltd. | For profit | 2 | 1 | 2 | 2025 |
| AbbVie | For profit | 1 | 1 | 1 | 2017 |
| Adolphe Rothschild Ophtalmologic Foundation | Academic/Hospital | 1 | 1 | 1 | 2017 |
| Alkermes | For profit | 1 | 1 | 1 | 2017 |
| ARENSIA EXPLORATORY MEDICINE | For profit | 1 | 0 | 1 | 2022 |
| Assistance Publique - Hôpitaux de Paris | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Biogen-IDEC | For profit | 1 | 0 | 1 | 2009 |
| BioPharma Services | For profit | 1 | 0 | 1 | 2019 |
| Danderyds Hospital | Academic/Hospital | 1 | 0 | 1 | 2016 |
| Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta | Academic/Hospital | 1 | 1 | 1 | 2017 |
| GB Pharma Services & Consulting S.r.l. | For profit | 1 | 0 | 1 | 2015 |
| Harrison Clinical Research | For profit | 1 | 0 | 1 | 2012 |
| Henan Provincal People's Hospital | Academic/Hospital | 1 | 0 | 1 | 2023 |
| Icahn School of Medicine at Mount Sinai | Academic/Hospital | 1 | 0 | 1 | 2015 |
Marketing (27)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Accord Research | For profit | MKTG | Nov 16, 2018 |
| Accord Research | For profit | SYN | Sep 24, 2020 |
| Alkem Labs Ltd | For profit | MKTG | Sep 24, 2020 |
| Amneal Pharmaceuticals | For profit | MKTG | Sep 24, 2020 |
| Aurobindo Pharma | For profit | MKTG | Dec 22, 2022 |
| Biogen | For profit | MKTG | Mar 27, 2013 |
| Biogen | For profit | SYN | Mar 27, 2013 |
| Biogen-IDEC | For profit | NDA | Mar 27, 2013 |
| Cipla | For profit | MKTG | Sep 24, 2020 |
| Glenmark Pharmaceuticals | For profit | MKTG | Oct 7, 2019 |
| Glenmark Pharmaceuticals | For profit | SYN | Oct 6, 2020 |
| Hetero Labs Ltd | For profit | MKTG | Sep 24, 2020 |
| Lupin | For profit | MKTG | Dec 11, 2018 |
| Lupin | For profit | SYN | Oct 6, 2020 |
| MSN Laboratories | For profit | MKTG | Sep 24, 2020 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Jun 26, 2024 |
| Mylan | For profit | MKTG | Aug 17, 2020 |
| Pharmathen S.A. | For profit | MKTG | Mar 26, 2021 |
| Prinston Inc | For profit | MKTG | Oct 18, 2022 |
| Sawai Pharmaceutical | For profit | MKTG | Dec 21, 2021 |
| Shilpa Medicare Ltd. | For profit | MKTG | Nov 9, 2018 |
| Sola Pharms | For profit | MKTG | Mar 26, 2021 |
| TWi Biotechnology, Inc. | For profit | MKTG | Jan 22, 2019 |
| TWi Biotechnology, Inc. | For profit | SYN | Oct 14, 2020 |
| Torrent Pharmaceuticals Limited | For profit | MKTG | Jan 6, 2025 |
| Zydus Discovery DMCC | For profit | MKTG | Nov 21, 2018 |
| Zydus Discovery DMCC | For profit | SYN | Sep 24, 2020 |