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Dimethyl Fumarate

Alias: DMF Dimethylfumarate Dimethyl Fumarate
Cat No.:V13644 Purity: ≥98%
Dimethyl Fumarate(DMF, trade namesTecfidera;Skilarence),the methyl ester of fumaric acid, is a potent,orally bioactive and brain-penetrant immunomodulator and Nrf2activator.
Dimethyl Fumarate
Dimethyl Fumarate Chemical Structure CAS No.: 624-49-7
Product category: Nrf2
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Dimethyl Fumarate:

  • Dimethyl fumarate D6
  • Dimethyl fumarate-d2 (dimethyl fumarate-d2)
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Dimethyl Fumarate (DMF, trade names Tecfidera; Skilarence), the methyl ester of fumaric acid, is a potent, orally bioactive and brain-penetrant immunomodulator and Nrf2 activator. It has been approved by the U.S. FDA for the treatment of relapsing multiple sclerosis and by the European Medicines Agency (EMA) for managing moderate-to-severe plaque psoriasis.

Biological Activity I Assay Protocols (From Reference)
Targets
Nrf2
ln Vitro
Dimethyl fumarate (DMF; 20–200 μM; 24 hours) significantly lowers SGC-7901, HT29, HCT116, and CT26 viability [1]. In CT26 cells, dimethyl fumarate (DMF; 100 μM; 3–24 hours) dramatically activates p38, ERK, and JNK[1]. By decreasing inflammatory transduction pathways involving GSH depletion, raising ROS, and stimulating MAPK-mediated signaling, dimethyl fumarate acts [1]. By lowering the expression of MHC class II, CD80, and CD86, as well as the synthesis of inflammatory cytokines (IL-12 and IL-6), dimethyl fumarate prevents dendritic cell (DC) development. Dimethyl fumarate reduces DC maturation and cumulative Th1 and Th17 cell secretion by blocking NF-κB and ERK1/2-MSK1 signaling. Dimethyl fumarate also impairs p65 nuclear translocation and phosphorylation [2]. Dimethyl fumarate (DMF), an immunological antioxidant response cell viability assay [1]
ln Vivo
Dimethyl fumarate (DMF; 50 mg/kg; daily; for 7 days) administration was demonstrated to upregulate Nrf2-regulated cytoprotective genes' mRNA and protein levels and to reduce 6-OHDA-induced C57BL striae. Eight-week-old male C57BL/6 mice serve as an animal model for body oxidation [4].
Cell Assay
Cell Viability Assay[1]
Cell Types: SGC-7901, HT29, HCT116 and CT26 Cell
Tested Concentrations: 20 μM, 50 μM, 100 μM, 200 μM incubation Modulators and inducers, inhibiting HIV replication and neurotoxin release [3].
Incubation Duration: 24 hrs (hours)
Experimental Results: diminished cell viability in SGC-7901, HT29, HCT116 and CT26 cancer cells.

Western Blot Analysis [1]
Cell Types: CT26 cancer cells
Tested Concentrations: 100 μM
Incubation Duration: 3 hrs (hours), 6 hrs (hours), 12 hrs (hours), 24 hrs (hours)
Experimental Results: JNK, p38 and ERK were Dramatically activated in CT26 cells after 3 to 24 hrs (hours) of treatment .
Animal Protocol
Animal/Disease Models: Male C57BL/6 mice (8weeks old)[4]
Doses: 50 mg/kg
Route of Administration: po (oral gavage); daily; for 7 days
Experimental Results:Was shown to upregulate mRNA and protein levels of Nrf2 and Nrf2-regulated cytoprotective genes.
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Once ingested, dimethyl fumarate is rapidly hydrolyzed by esterases to form monomethyl fumarate (MMF). Therefore, there is a negligible amount of dimethyl fumarate in the body, and all pharmacokinetic information is quantified with MMF. The time to maximum concentration (tmax) of MMF ranges between 2 and 2.5 hours. In patients with multiple sclerosis given 240 mg of dimethyl fumarate two times a day with food, the Cmax and AUC were 1.87 mg/L and 8.21 mg⋅hr/L, respectively. High-fat, high-calorie meals decrease the Cmax of MMF by 40% and cause a tmax delay from 2 hours to 5.5 hours; however, these changes are not considered clinically significant.
The main route of elimination of dimethyl fumarate is by CO2 exhalation, which accounts for 60% of the dose. The other minor routes of elimination are through the kidney (16% of the dose) and feces (1% of the dose). Trace amounts of unchanged monomethyl fumarate (the active metabolite of dimethyl fumarate) are present in urine.
In healthy people, monomethyl fumarate (MMF) has a variable volume of distribution of 53 to 73 litres.
Monomethyl fumarate (MMF), the active metabolite of dimethyl fumarate, has a rapid clearance. Its apparent clearance (Cl/F) appears to be dose-independent.
After oral administration of Tecfidera, dimethyl fumarate undergoes rapid presystemic hydrolysis by esterases and is converted to its active metabolite, monomethyl fumarate (MMF). Dimethyl fumarate is not quantifiable in plasma following oral administration of Tecfidera. Therefore all pharmacokinetic analyses related to Tecfidera were performed with plasma MMF concentrations. ... The median Tmax of MMF is 2-2.5 hours. The peak plasma concentration (Cmax) and overall exposure (AUC) increased approximately dose proportionally in the dose range studied (120 mg to 360 mg). Following administration of Tecfidera 240 mg twice a day with food, the mean Cmax of MMF was 1.87 mg/L and AUC was 8.21 mg.hr/L in MS patients.
Exhalation of CO2 is the primary route of elimination, accounting for approximately 60% of the Tecfidera dose. Renal and fecal elimination are minor routes of elimination, accounting for 16% and 1% of the dose respectively. Trace amounts of unchanged monomethyl fumarate (MMF) were present in urine.
The apparent volume of distribution of monomethyl fumarate (MMF) varies between 53 and 73 L in healthy subjects. Human plasma protein binding of MMF is 27-45% and independent of concentration. /Monomethyl fumarate, active metabolite/
Metabolism / Metabolites
Dimethyl fumarate is quickly hydrolyzed by esterases in the gastrointestinal tract, tissues, and blood to form monomethyl fumarate (MMF), its active metabolite. MMF then undergoes subsequent metabolism through the tricarboxylic acid (TCA) cycle. The main metabolites of dimethyl fumarate are MMF, glucose, citric, and fumaric acid. Cytochrome P450 (CYP) enzymes do not participate in the metabolism of dimethyl fumarate.
In humans, Tecfidera is extensively metabolized by esterases, which are ubiquitous in the gastrointestinal tract, blood and tissues, before it reaches the systemic circulation. Further metabolism occurs through the tricarboxylic acid (TCA) cycle, with no involvement of the cytochrome P450 (CYP) system. A single 240 mg (14)C-dimethyl fumarate dose study identified monomethyl fumarate, fumaric and citric acid, and glucose as the major metabolites in plasma. The downstream metabolism of fumaric and citric acid occurs through the TCA cycle, with exhalation of CO2 serving as a primary route of elimination. Less than 0.1% of the dose is excreted as unchanged dimethyl fumarate in urine.
In humans, dimethyl fumarate is extensively metabolized by esterases, which are ubiquitous in the gastrointestinal tract, blood, and tissues, before it reaches the systemic circulation. Further metabolism of monomethyl fumarate (MMF) occurs through the tricarboxylic acid (TCA) cycle, with no involvement of the cytochrome P450 (CYP) system. MMF, fumaric and citric acid, and glucose are the major metabolites in plasma.
Biological Half-Life
The dimethyl fumarate metabolite monomethyl fumarate (MMF) has a short half-life of about 1 hour. MMF does not accumulate after repeated doses of dimethyl fumarate.
The terminal half-life of monomethyl fumarate (MMF) is approximately 1 hour and no circulating MMF is present at 24 hours in the majority of individuals. /Monomethyl fumarate, active metabolite/
Toxicity/Toxicokinetics
Toxicity Summary
IDENTIFICATION AND USE: Dimethyl fumarate is a white to off-white powder formulated into delayed release capsules. It is used for the treatment of patients with relapsing forms of multiple sclerosis. Dimethyl fumarate is also used as a biocide to kill molds that may cause products such as furniture or shoes to deteriorate during storage or transportation in a humid climate. Placed in "Desiccant" sachets inside the furniture or footwear boxes, dimethyl fumarate evaporates and impregnates the product, protecting it from molds. HUMAN EXPOSURE AND TOXICITY: When used as a biocide, dimethyl fumarate has caused painful dermatitis. The fact that in serious cases the dermatitis is particularly difficult to treat adds to the damage. Dimethyl fumarate also has toxicity related to its use as a treatment for multiple sclerosis. A patient with multiple sclerosis who was being treated with dimethyl fumarate developed progressive multifocal leukoencephalopathy (PML), and later died. The patient who died was not taking any other drugs that affect the immune system or drugs that are thought to be associated with PML. Patients taking dimethyl fumarate should be advised to contact their clinician if they develop any symptoms that may be suggestive of PML. Treatment with dimethyl fumarate should not be initiated in patients with signs and symptoms of a serious infection. Dimethyl fumarate was clastogenic in the in vitro chromosomal aberration assay in human peripheral blood lymphocytes in the absence of metabolic activation. ANIMAL STUDIES: Acute toxicity studies were performed in mice and rats using oral and intraperitoneal routes. In mice, reduced motility, ataxia, dyspnea, cyanosis, muscular hypotonia were observed at oral doses as low as 681 mg/kg. Ataxia and hypopnea were observed at i.p. doses as low as 464 mg/kg. In rats, ataxia, muscular hypotonia, inhibited respiratory rate and motility were noted at oral doses as low as 2610 mg/kg. Reduced food intake and decreased body weight gain were seen at 1470 and 2150 mg/kg, respectively. Ataxia, muscular hypotonia, reduced motility and respiratory rate were also observed at intraperitoneal doses as low as 681 mg/kg. Dyspnea (825 mg/kg); tremor, pilo-erection (1000 mg/kg); abdominal positioning (1470 mg/kg) were also noted. In these studies, the kidneys, forestomach and liver were identified as target organs. In mice, oral administration of dimethyl fumarate (25, 75, 200, and 400 mg/kg/day) for up to two years resulted in an increase in nonglandular stomach (forestomach) and kidney tumors: squamous cell carcinomas and papillomas of the forestomach in males and females at 200 and 400 mg/kg/day; leiomyosarcomas of the forestomach at 400 mg/kg/day in males and females; renal tubular adenomas and carcinomas at 200 and 400 mg/kg/day in males; and renal tubule adenomas at 400 mg/kg/day in females. In rats, oral administration of dimethyl fumarate (25, 50, 100, and 150 mg/kg/day) for up to two years resulted in increases in squamous cell carcinomas and papillomas of the forestomach at all doses tested in males and females, and in testicular interstitial (Leydig) cell adenomas at 100 and 150 mg/kg/day. In rats administered dimethyl fumarate orally (25, 100, 250 mg/kg/day) throughout organogenesis, embryo fetal toxicity (reduced fetal body weight and delayed ossification) were observed at the highest dose tested. This dose also produced evidence of maternal toxicity (reduced body weight). Oral administration of dimethyl fumarate (25, 100, and 250 mg/kg/day) to rats throughout organogenesis and lactation resulted in increased lethality, persistent reductions in body weight, delayed sexual maturation (male and female pups), and reduced testicular weight at the highest dose tested. Neurobehavioral impairment was observed at all doses. In rabbits administered dimethyl fumarate orally (25, 75, and 150 mg/kg/day) throughout organogenesis, embryo lethality and decreased maternal body weight were observed at the highest dose tested. In male rats, oral administration of dimethyl fumarate (75, 250, and 375 mg/kg/day) prior to and throughout the mating period had no effect on fertility; however, increases in non-motile sperm were observed at the mid and high doses. In female rats, oral administration of dimethyl fumarate (20, 100, and 250 mg/kg/day) prior to and during mating and continuing to gestation day 7 caused disruption of the estrous cycle and increases in embryo lethality at the highest dose tested. Testicular toxicity (germinal epithelial degeneration, atrophy, hypospermia, and/or hyperplasia) was observed at clinically relevant doses in mice, rats, and dogs in subchronic and chronic oral toxicity studies of dimethyl fumarate. Dimethyl fumarate was not mutagenic in the in vitro bacterial reverse mutation (Ames) assay, and it was not clastogenic in the in vivo micronucleus assay in the rat.
Toxicity Data
LC (mouse) > 3,100 mg/m3/10min
Interactions
The bioreductive antitumor agent, mitomycin C (MMC), requires activation by reductive enzymes like NAD(P)H:quinone oxidoreductase 1 (NQO1). ...A novel approach /was used/ to increase MMC efficacy by selectively inducing NQO1 in tumor cells in vivo. CD-1 nude mice were implanted with HCT116 cells, and fed control diet or diet containing 0.3% of the NQO1 inducer, dimethyl fumarate (DMF). The mice were then treated with saline, 2.0, 3.5 or 2.0 mg/kg MMC and dicoumarol, an NQO1 inhibitor. The DMF diet increased NQO1 activity by 2.5-fold in the tumors, but had no effect in marrow cells. Mice given control diet/2.0 mg/kg MMC had tumors with the same volume as control mice; however, mice given DMF diet/2.0 mg/kg MMC had significantly smaller tumors. Tumor volumes in mice given DMF/2.0 mg/kg MMC were similar to those in mice given control diet/3.5 mg/kg MMC. Tumor inhibition was partially reversed in mice given DMF/2.0 mg/kg MMC and dicoumarol. DMF diet/2.0 mg/kg MMC treatment did not increase myelosuppression and did not produce any organ toxicity. These results provide strong evidence that dietary inducers of NQO1 can increase the antitumor activity of bioreductive agents like MMC without increasing toxicity.
NQO1 is a reductive enzyme that is important for the activation of many bioreductive agents and is a target for an enzyme-directed approach to cancer therapy. It can be selectively induced in many tumor types by a number of compounds including dimethyl fumarate... . RH1 (2,5-diaziridinyl-3-(hydroxymethyl)- 6-methyl-1,4-benzoquinone) is a new bioreductive agent currently in clinical trials. ... HCT116 human colon cancer cells and T47D human breast cancer cells were incubated with or without dimethyl fumarate or sulforaphane followed by mitomycin C or RH1 treatment, and cytotoxic activity was measured by a clonogenic (HCT116) or MTT assay (T47D). Dimethyl fumarate and sulforaphane treatment increased NQO1 activity by 1.4- to 2.8-fold and resulted in a significant enhancement of the antitumor activity of mitomycin C, but not of RH1. This appeared to be due to the presence of a sufficient constitutive level of NQO1 activity in the tumor cells to fully activate the RH1. Mice were implanted with HL60 human promyelocytic leukemia cells, which have low levels of NQO1 activity. The mice were fed control or dimethyl fumarate-containing diet and were treated with RH1. NQO1 activity in the tumors increased but RH1 produced no antitumor activity in mice fed control or dimethyl fumarate diet. This is consistent with a narrow window of NQO1 activity between no RH1 activation and maximum RH1 activation. This study suggests that selective induction of NQO1 in tumor cells is not likely to be an effective strategy for enhancing the antitumor activity of RH1...
... The effects of butylated hydroxyanisole (BHA) /were/ compared with those of other inducers of DT-diaphorase. Rats were dosed with BHA, butylated hydroxytoluene (BHT), ethoxyquin (EQ), dimethyl fumarate (DMF) or disulfiram (DIS) and then challenged with a toxic dose of the naphthoquinones. All the inducers protected against the hemolytic anemia induced by 2-methyl-1,4-naphthoquinone in rats, with BHA, BHT and EQ being somewhat more effective than DMF and DIS. A similar order of activity was recorded in the relative ability of these substances to increase hepatic activities of DT-diaphorase, consistent with a role for this enzyme in facilitating conjugation and excretion of this naphthoquinone. In contrast, all the compounds increased the hemolytic activity of 2-hydroxy-1,4-naphthoquinone. DMF and DIS were significantly more effective in this regard than BHA, BHT and EQ. DMF and DIS also caused a much greater increase in levels of DT-diaphorase in the intestine, suggesting that 2-hydroxy-1,4-naphthoquinone is activated by this enzyme in the gut. BHA, BHT and EQ had no effect on the nephrotoxicity of 2-hydroxy-1,4-naphthoquinone, but the severity of the renal lesions was decreased in rats pre-treated with DMF and DIS. The results of the present experiments show that modulation of tissue levels of DT-diaphorase may not only alter the severity of naphthoquinone toxicity in vivo, but may also change the relative toxicity of these substances to different target organs.
DT-diaphorase is a two-electron reducing enzyme that activates the bioreductive anti-tumour agent, mitomycin C (MMC). Cell lines having elevated levels of DT-diaphorase are generally more sensitive to MMC. ... DT-diaphorase can be induced in human tumor cells by a number of compounds, including 1,2-dithiole-3-thione. ... This study ... investigated whether induction of DT-diaphorase could enhance the cytotoxic activity of MMC in six human tumor cell lines representing four tumor types. DT-diaphorase was induced by many dietary inducers, including ... dimethyl fumarate ... .The cytotoxicity of MMC was significantly increased in four tumor lines with the increase ranging from 1.4- to threefold. In contrast, MMC activity was not increased in SK-MEL-28 human melanoma cells and AGS human gastric cancer cells, cell lines that have high base levels of DT-diaphorase activity. Toxicity to normal human marrow cells was increased by 50% when MMC was combined with 1,2-dithiole-3-thione, but this increase was small in comparison with the threefold increase in cytotoxicity to tumor cells. ...
For more Interactions (Complete) data for DIMETHYL FUMARATE (9 total), please visit the HSDB record page.
Non-Human Toxicity Values
LD50 Rat oral 2240 mg/kg
LD50 Rabbit dermal 1259 mg/kg
References

[1]. Dimethyl fumarate induces necroptosis in colon cancer cells through GSH depletion/ROS increase/MAPKs activation pathway. Br J Pharmacol. 2015 Aug;172(15):3929-43.

[2]. Dimethyl fumarate inhibits dendritic cell maturation via nuclear factor κB (NF-κB) and extracellular signal-regulated kinase 1 and 2 (ERK1/2) and mitogen stress-activated kinase 1 (MSK1) signaling. J Biol Chem. 2012 Aug 10;287(33):28017-26.

[3]. Dimethyl fumarate, an immune modulator and inducer of the antioxidant response, suppresses HIV replication and macrophage-mediated neurotoxicity: a novel candidate for HIV neuroprotection. J Immunol. 2011 Nov 15;187(10):5015-25.

[4]. Dimethyl fumarate attenuates 6-OHDA-induced neurotoxicity in SH-SY5Y cells and in animal model of Parkinson's disease by enhancing Nrf2 activity. Neuroscience. 2015 Feb 12;286:131-40.

Additional Infomation
Therapeutic Uses
Dermatologic Agents; Immunosuppressive Agents; Radiation-Sensitizing Agents
/CLINICAL TRIALS/ ClinicalTrials.gov is a registry and results database of publicly and privately supported clinical studies of human participants conducted around the world. The Web site is maintained by the National Library of Medicine (NLM) and the National Institutes of Health(NIH). Each ClinicalTrials.gov record presents summary information about a study protocol and includes the following: Disease or condition; Intervention (for example, the medical product, behavior, or procedure being studied); Title, description, and design of the study; Requirements for participation (eligibility criteria); Locations where the study is being conducted; Contact information for the study locations; and Links to relevant information on other health Web sites, such as NLM's MedlinePlus for patient health information and PubMed for citations and abstracts for scholarly articles in the field of medicine. Dimethyl fumarate is included in the database.
Tecfidera is indicated for the treatment of patients with relapsing forms of multiple sclerosis. /Included in US product label/
EXPL THER Mixtures of fumaric acid esters (FAE) are used as an oral systemic treatment for moderate to severe psoriasis. Large clinical studies with dimethylfumarate (DMF) monotherapy are scarce. The objective of this study is to assess the effectiveness and long-term safety of high-dose DMF monotherapy in moderate to severe psoriasis. A prospective single-blinded follow-up study was performed in a cohort of patients treated with DMF. Patients were followed-up at fixed intervals. Assessment of consecutive photographs was performed by two observers. Primary outcome was a change in static physician global assessment (PGA) score. Safety outcome was defined as incidences of (serious) adverse events. A total of 176 patients with moderate to severe psoriasis were treated with DMF for a median duration of 28 months. The median daily maintenance dosage of 480 mg was reached after a median of 8 months. Psoriasis activity decreased significantly by 1.7 out of five points. A total of 152 patients reported one or more adverse events, such as gastrointestinal complaints and flushing. High-dose DMF monotherapy is an effective and safe treatment option in moderate to severe psoriasis. It can be suggested that 50% of all patients may benefit from high-dose DMF monotherapy. KEYWORDS: Dimethylfumurate; high dose; monotherapy; prospective study; psoriasis
Drug Warnings
A patient with multiple sclerosis who was being treated with dimethyl fumarate developed progressive multifocal leukoencephalopathy (PML), and later died. The patient who died was not taking any other drugs that affect the immune system or drugs that are thought to be associated with PML. Patients taking dimethyl fumarate should be advised to contact their clinician if they develop any symptoms that may be suggestive of PML. Symptoms of PML are diverse, progress over days to weeks, and include the following: progressive weakness on one side of the body or clumsiness of limbs; disturbance of vision; and changes in thinking, memory and orientation, leading to confusion and personality changes. The progression of deficits can lead to severe disability or death. Dimethyl fumarate should be discontinued immediately at the first sign or symptom suggestive of PML and an appropriate diagnostic evaluation should be performed. Lymphocyte counts should be monitored in dimethyl fumarate-treated patients according to approved labeling.
Dimethyl fumarate may decrease lymphocyte counts. In placebo-controlled clinical trials, mean lymphocyte counts decreased by approximately 30% during the first year of treatment with the drug and remained stable thereafter. Mean lymphocyte counts improved 4 weeks following discontinuance of the drug, but did not return to baseline values. Dimethyl fumarate has not been studied in patients with preexisting low lymphocyte counts. Prior to initiation of dimethyl fumarate, a recent (i.e., within 6 months) complete blood cell (CBC) count should be available to identify patients with preexisting low lymphocyte counts. A CBC should also be obtained annually during therapy and as clinically indicated. In patients with serious infections, withholding dimethyl fumarate treatment should be considered until the infection has resolved.
During post marketing experience, hypersensitivity reactions have been reported, including rare reports of anaphylaxis and angioedema in patients treated with Tecfidera. Signs and symptoms have included difficulty breathing, urticaria, and swelling of the throat and tongue.
Treatment with Tecfidera should not be initiated in patients with signs and symptoms of a serious infection. Decreases in lymphocyte counts observed in patients treated with Tecfidera in clinical trials were not associated with increased frequencies of infections. However, due to the potential risk of infections in patients who develop sustained lymphopenia, patients should be instructed to report symptoms of infection to their physician. For patients with signs and symptoms of serious infections, interrupting treatment with Tecfidera should be considered, until the infection(s) resolves.
For more Drug Warnings (Complete) data for DIMETHYL FUMARATE (14 total), please visit the HSDB record page.
Pharmacodynamics
The physiological effects of dimethyl fumarate on the body are not well understood. It has anti-inflammatory and cytoprotective effects, likely involved in its actions in multiple sclerosis (MS) patients. Dimethyl fumarate does not cause clinically significant QT interval prolongation. However, cases of progressive multifocal leukoencephalopathy, serious opportunistic infections, lymphopenia and liver injury have been reported in MS patients treated with this drug. Dimethyl fumarate may also cause anaphylaxis and angioedema.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C6H8O4
Molecular Weight
144.12
Exact Mass
144.042
Elemental Analysis
C, 50.00; H, 5.60; O, 44.40
CAS #
624-49-7
Related CAS #
Dimethyl fumarate-d6;66487-95-4;Dimethyl fumarate-d2;23057-98-9
PubChem CID
637568
Appearance
White to off-white solid
Density
1.1±0.1 g/cm3
Boiling Point
193.0±0.0 °C at 760 mmHg
Melting Point
102-106 °C(lit.)
Flash Point
91.1±0.0 °C
Vapour Pressure
0.5±0.3 mmHg at 25°C
Index of Refraction
1.435
Source
Endogenous Metabolite
LogP
0.62
Hydrogen Bond Donor Count
0
Hydrogen Bond Acceptor Count
4
Rotatable Bond Count
4
Heavy Atom Count
10
Complexity
141
Defined Atom Stereocenter Count
0
SMILES
O(C([H])([H])[H])C(/C(/[H])=C(\[H])/C(=O)OC([H])([H])[H])=O
InChi Key
LDCRTTXIJACKKU-ONEGZZNKSA-N
InChi Code
InChI=1S/C6H8O4/c1-9-5(7)3-4-6(8)10-2/h3-4H,1-2H3/b4-3+
Chemical Name
But-2-enedioic acid dimethyl ester
Synonyms
DMF Dimethylfumarate Dimethyl Fumarate
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO : ~41.67 mg/mL (~289.11 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.08 mg/mL (14.43 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2.08 mg/mL (14.43 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

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Solubility in Formulation 3: ≥ 2.08 mg/mL (14.43 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


Solubility in Formulation 4: 2 mg/mL (13.88 mM) in PBS (add these co-solvents sequentially from left to right, and one by one), clear solution; with ultrasonication (<60°C).

Solubility in Formulation 5: 7.5 mg/mL (52.04 mM) in 50% PEG300 50% Saline (add these co-solvents sequentially from left to right, and one by one), suspension solution; with ultrasonication.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 6.9387 mL 34.6933 mL 69.3866 mL
5 mM 1.3877 mL 6.9387 mL 13.8773 mL
10 mM 0.6939 mL 3.4693 mL 6.9387 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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Clinical Trial Information
Examining the Risk of Skin Cancer in Multiple Sclerosis Patients Using Fingolimod: a Population-Based Study
CTID: NCT06705608
Phase:    Status: Completed
Date: 2024-11-26
Effects of Dimethyl Fumarate on Cognitive Performance and Brain Abnormalities in Multiple Sclerosis.
CTID: NCT05811949
Phase:    Status: Completed
Date: 2024-10-15
A Study to Evaluate Long-Term Safety of Vumerity and Tecfidera in Participants With Multiple Sclerosis (MS)
CTID: NCT05767736
Phase:    Status: Active, not recruiting
Date: 2024-09-27
Phase 3 Efficacy and Safety Study of BG00012 in Pediatric Subjects With Relapsing-remitting Multiple Sclerosis (RRMS)
CTID: NCT02283853
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-19
A Study of Dimethyl Fumarate (DMF) in Relapsing Forms of Multiple Sclerosis (RMS) Participants in China
CTID: NCT05658484
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-09-05
View More

Dimethyl Fumarate in Adrenomyeloneuropathy
CTID: NCT06513533
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-07-25


Long-Term Analysis of DImethyl Fumarate, to Slow the Growth of Areas of Geographic Atrophy
CTID: NCT04292080
Phase: Phase 2    Status: Recruiting
Date: 2024-07-03
Pregnancy Exposure Registry for Vumerity (Diroximel Fumarate)
CTID: NCT05658497
Phase:    Status: Recruiting
Date: 2024-06-24
A Study of Efficacy and Safety of M2951 in Participants With Relapsing Multiple Sclerosis
CTID: NCT02975349
Phase: Phase 2    Status: Terminated
Date: 2024-04-26
IMCY-0141 Safety and Efficacy in Multiple Sclerosis - ISEMIS Study
CTID: NCT05417269
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-03-08
Randomised Evaluation of COVID-19 Therapy
CTID: NCT04381936
Phase: Phase 3    Status: Recruiting
Date: 2024-01-05
Dimethyl Fumarate for the Treatment of Intracerebral Hemorrhage
CTID: NCT04890379
Phase: Phase 2    Status: Withdrawn
Date: 2023-10-25
Combination of the Immune Modulator Dimethyl Fumarate With Intraarterial Treatment in Acute Ischemic Stroke
CTID: NCT04891497
Phase: Phase 2    Status: Withdrawn
Date: 2023-10-25
Impact of an Immune Modulator Dimethyl Fumarate on Acute Ischemic Stroke
CTID: NCT04890353
Phase: Phase 1/Phase 2    Status: Terminated
Date: 2023-10-25
Real World Analysis on Lymphocyte Reconstitution After Lymphopenia in Participants Treated by Tecfidera
CTID: NCT04756687
Phase:    Status: Completed
Date: 2023-10-23
Effectiveness and Safety of Generic Delayed-Release Dimethyl Fumarate (Sclera® or Marovarex ®, Hikma) in Routine Medical Practice in the Treatment of Relapsing-Remitting Multiple Sclerosis in MENA Region
CTID: NCT04468165
Phase:    Status: Completed
Date: 2023-09-22
Efficacy and Safety of BG00012 in MS
CTID: NCT00168701
Phase: Phase 2    Status: Completed
Date: 2023-08-28
Alternate Dosing Regimens of BG00012 in Healthy Volunteers
CTID: NCT01281111
Phase: Phase 1    Status: Completed
Date: 2023-08-23
Dimethyl Fumarate (DMF, Tecfidera®) Persistence in RR-MS Patients Included in the French Patient Support Program OroSEP
CTID: NCT04221191
Phase:    Status: Completed
Date: 2023-08-01
Dimethyl Fumarate Treatment for Intracranial Unruptured Aneurysms.
CTID: NCT05959759
Phase: Phase 4    Status: Not yet recruiting
Date: 2023-07-25
Study to Evaluate the Efficacy and Safety of Dimethyl Fumarate (Tecfidera) and Peginterferon Beta-1a (Plegridy) for the Treatment of Relapsing-Remitting Multiple Sclerosis in Pediatric Participants
CTID: NCT03870763
Phase: Phase 3    Status: Terminated
Date: 2023-06-15
Dimethyl Fumarate (DMF) Observational Study
CTID: NCT02047097
Phase:    Status: Completed
Date: 2023-05-24
Study on Therapy With Dimethylfumarate (DMF) in Patients With Cutaneous T Cell Lymphoma (CTCL)
CTID: NCT02546440
Phase: Phase 2    Status: Completed
Date: 2023-03-31
Comparative Bioavailability of BAFIERTAM™ (Monomethyl Fumarate) and Tecfidera® (Dimethyl Fumarate) in Healthy Subjects
CTID: NCT04570670
Phase: Phase 1    Status: Completed
Date: 2022-12-30
Relationship Between Oral DMT Burden and Adherence in MS
CTID: NCT04676204
Phase:    Status: Enrolling by invitation
Date: 2022-08-31
Biogen Multiple Sclerosis Pregnancy Exposure Registry
CTID: NCT01911767
Phase:    Status: Completed
Date: 2022-06-21
Combination of the Immune Modulator Dimethyl Fumarate With Alteplase in Acute Ischemic Stroke
CTID: NCT04890366
Phase: Phase 1/Phase 2    Status: Unknown status
Date: 2022-06-06
Assessment of Tecfidera® in Radiologically Isolated Syndrome (RIS)
CTID: NCT02739542
Phase: Phase 4    Status: Completed
Date: 2022-05-11
Dimethyl Fumarate (DMF) in Systemic Sclerosis-Associated Pulmonary Arterial Hypertension
CTID: NCT02981082
Phase: Phase 1    Status: Terminated
Date: 2022-03-17
RItuximab Versus FUmarate in Newly Diagnosed Multiple Sclerosis.
CTID: NCT02746744
Phase: Phase 3    Status: Completed
Date: 2021-10-12
Tecfidera and the Gut Microbiota
CTID: NCT02471560
Phase: Phase 4    Status: Completed
Date: 2021-09-05
Study to Assess Resource Utilization and Quality of Life of Patients With RRMS Treated With Tecfidera in Greece
CTID: NCT03101735
Phase:    Status: Completed
Date: 2021-07-28
Teriflunomide Tecfidera LMCE
CTID: NCT03526224
Phase:    Status: Completed
Date: 2021-01-06
BG00012 Monotherapy Safety and Efficacy Extension Study in Multiple Sclerosis (MS)
CTID: NCT00835770
Phase: Phase 3    Status: Completed
Date: 2020-12-31
Dimethyl Fumarate Treatment of Primary Progressive Multiple Sclerosis
CTID: NCT02959658
Phase: Phase 2    Status: Completed
Date: 2020-12-24
A Tolerability Study of ALKS 8700 in Subjects With Relapsing Remitting Multiple Sclerosis (RRMS) EVOLVE-MS-2
CTID: NCT03093324
Phase: Phase 3    Status: Completed
Date: 2020-07-14
Study of Montelukast on Gastrointestinal Tolerability in Patients With Relapsing Forms of Multiple Sclerosis Receiving Tecfidera
CTID: NCT02410278
Phase: Phase 4    Status: Completed
Date: 2020-03-31
A Study Evaluating the Effectiveness of Tecfidera (Dimethyl Fumarate) on Multiple Sclerosis (MS) Disease Activity and Patient-Reported Outcomes
CTID: NCT01930708
Phase: Phase 4    Status: Completed
Date: 2020-03-19
Study to Compare GI Tolerability Following Oral Administration of Bafiertam™ or Tecfidera to Healthy Volunteers
CTID: NCT04022473
Phase: Phase 1    Status: Completed
Date: 2020-01-18
Extension Study of BG00012 in Pediatric Subjects With Relapsing Remitting Multiple Sclerosis (RRMS)
CTID: NCT02555215
Phase: Phase 3    Status: Completed
Date: 2019-11-22
Fingolimod Versus Dimethyl-fumarate in Multiple Sclerosis
CTID: NCT03345940
Phase: Phase 4    Status: Terminated
Date: 2019-10-31
Dimethylfumarate (DMF) in Relapsed/Refractory CLL/SLL
CTID: NCT02784834
Phase: Phase 1    Status: Terminated
Date: 2019-09-19
A Study to Assess the Efficacy of Risankizumab Compared to FUMADERM® in Subjects With Moderate to Severe Plaque Psoriasis Who Are Naïve to and Candidates for Systemic Therapy
CTID: NCT03255382
Phase: Phase 3    Status: Completed
Date: 2019-09-13
Dimethyl Fumarate, Temozolomide, and Radiation Therapy in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
CTID: NCT02337426
Phase: Phase 1    Status: Completed
Date: 2019-06-28
Effect of BG00012 on Lymphocyte Subsets and Immunoglobulins in Subjects With Relapsing Remitting Multiple Sclerosis (RRMS).
CTID: NCT02525874
Phase: Phase 3    Status: Completed
Date: 2019-06-27
Monitoring of Patients Followed for a Multiple Sclerosis and Treated by Dimethyl-fumarate
CTID: NCT02901106
Phase: Phase 4    Status: Terminated
Date: 2019-01-09
An Efficacy and Safety Study of BG00012 (Dimethyl Fumarate) in Asian Subjects With Relapsing Remitting Multiple Sclerosis (RRMS)
CTID: NCT01838668
Phase: Phase 3    Status: Completed
Date: 2018-11-20
Investigation of the Effect of Dimethyl Fumarate on T Cells in Patients With Relapsing Remitting Multiple Sclerosis
CTID: NCT02461069
Phase: Phase 4    Status: Completed
Date: 2018-10-11
Tecfidera and MRI for Brain Energy in MS
CTID: NCT02644083
Phase:    Status: Terminated
Date: 2018-08-29
Investigating Indirect Mechanism of Neuroprotection of Tecfidera® (Dimethyl Fumarate) in RRMS and Progressive Patients
CTID: NCT03092544
Phase: Phase 4    Status: Unknown status
Date: 2018-03-22
Patient Real-world Clinical, Neurological, Tolerability, and Safety Outcomes for Tecfidera® and Rebif®
CTID: NCT02823951
Phase:    Status: Completed
Date: 2018-03-01
A 24-Hour Pharmacokinetic Determination of BG00012 After Single-Day Oral Administration in Subjects With MS
CTID: NCT00837785
Phase: Phase 1    Status: Completed
Date: 2018-02-15
Study of the Effect of BG00012 on MRI Lesions and Pharmacokinetics in Pediatric Subjects With RRMS
CTID: NCT02410200
Phase: Phase 2    Status: Completed
Date: 2017-10-23
Proof-of-concept Study of Forward Pharma (FP)187 in Patients With Mild/Moderate Psoriatic Arthritis
CTID: NCT02475304
Phase: Phase 2    Status: Withdrawn
Date: 2017-10-05
Study of Utilization Patterns of Dimethyl Fumarate in Germany
CTID: NCT02969304
Phase:    Status: Completed
Date: 2017-07-19
Vaccination Response in Tecfidera-Treated Versus Interferon-Treated Participants With Relapsing Forms of Multiple Sclerosis.
CTID: NCT02097849
Phase: Phase 2    Status: Completed
Date: 2017-06-02
Dimethyl Fumarate for Obstructive Sleep Apnea
CTID: NCT02438137
Phase: Phase 2    Status: Completed
Date: 2017-05-31
Study to Evaluate Whether a Medication Event Monitoring System (MEMS) Can Improve Adherence to Tecfidera Treatment in Multiple Sclerosis Patients.
CTID: NCT02343159
Phase: Phase 4    Status: Terminated
Date: 2017-05-16
Tecfidera Slow-Titration Study
CTID: NCT02428231
Phase: Phase 3    Status: Terminated
Date: 2017-05-05
Study Assessing Cognition in Relapsing Remitting Multiple Sclerosis (RRMS) Patients Treated With BG00012
CTID: NCT02579681
Phase: Phase 3    Status: Completed
Date: 2017-04-27
BG00012 and Delay of Disability Progression in Secondary Progressive Multiple Sclerosis
CTID: NCT02430532
Phase: Phase 3    Status: Terminated
Date: 2017-04-26
Gastrointestinal Tolerability Study Of Dimethyl Fumarate In Participants With Relapsing-Remitting Multiple Sclerosis In Germany
CTID: NCT02125604
Phase: Phase 4    Status: Completed
Date: 2017-04-18
Phase 4 Gastrointestinal Tolerability Study of Dimethyl Fumarate in Patients With Relapsing Forms of Multiple Sclerosis in the United States
CTID: NCT01873417
Phase: Phase 4    Status: Completed
Date: 2017-03-21
BG00012 Phase 2 Combination Study in Participants With Multiple Sclerosis
CTID: NCT01156311
Phase: Phase 2    Status: Completed
Date: 2017-03-21
Phase 4 Study of Effect of Aspirin on Flushing in Dimethyl Fumarate-Treated Participants With Relapsing-Remitting Multiple Sclerosis
CTID: NCT02090413
Phase: Phase 4    Status: Completed
Date: 2016-12-28
Impact of Tecfidera on Gut Microbiota
CTID: NCT02736279
Phase:    Status: Unknown status
Date: 2016-11-04
Tecfidera Diffusion Tensor Imaging
CTID: NCT02686684
Phase:    Status: Completed
Date: 2016-10-26
Restoring Glutathione Synthesis With Tecfidera: An in Vivo H-MRS Single-Arm Study at 7T in Patients With RR MS
CTID: NCT02218879
Phase:    Status: Terminated
Date: 2016-09-05
Tecfidera Lymphocyte Chart Review
CTID: NCT02519413
Phase:    Status: Completed
Date: 2016-08-26
Efficacy Study on Dimethyl Fumarate to Treat Moderate to Severe Plaque Psoriasis
CTID: NCT01815723
Phase: Phase 3    Status: Withdrawn
Date: 2016-08-09
Effectiveness of DMF and Its Impact on PROs in Suboptimal GA Responders With RMS
CTID: NCT01903291
Phase:    Status: Completed
Date: 2016-07-25
Mechanisms of Action of Dimethyl Fumarate (Tecfidera) in Relapsing MS
CTID: NCT02675413
Phase: Phase 4    Status: Withdrawn
Date: 2016-07-20
Effect of Aspirin Pretreatment or Slow Dose Titration on Flushing and Gastrointestinal Events in Healthy Volunteers Receiving Delayed-release Dimethyl Fumarate
CTID: NCT01568112
Phase: Phase 3    Status: Completed
Date: 2016-06-13
Real-world Outcomes on Tecfidera (BG00012, Dimethyl Fuma
An open-label, randomized, Phase IV study, to assess the efficacy and safety of tildrakizumab in patients with moderate to severe chronic plaque psoriasis who are non-responders to dimethyl fumarate therapy
CTID: null
Phase: Phase 4    Status: Ongoing, GB - no longer in EU/EEA, Completed
Date: 2019-07-26
A Randomized, Double-Blind, Double-Dummy, Placebo-Controlled, 3-
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Not Authorised
Date: 2019-07-08
An Open Label, Multi-Center, 24 Week, Exploratory Study to Assess the Efficacy and Safety of Skilarence® (Dimethyl Fumarate) in Patients with Moderate Plaque Psoriasis
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA, Completed
Date: 2019-05-22
Disease modifying therapies withdrawal in inactive Secondary Progressive Multiple Sclerosis patients older than 50 years
CTID: null
Phase: Phase 3    Status: Trial now transitioned
Date: 2018-07-27
An open-label clinical study to evaluate the long-term efficacy and tolerability of treatment with dimethyl fumarate (DMF) in adults with chronic plaque psoriasis (Study DIMESKIN 2).
CTID: null
Phase: Phase 3    Status: Completed
Date: 2018-03-12
Effectiveness and safety of Dimethylfumarate in patients with Palmoplantar Pustulosis – a 24-week, open label, phase II trial
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2017-12-22
A phase 4 trial comparing the efficacy of subcutaneous injections of brodalumab to oral administrations of fumaric acid esters in adults with moderate to severe plaque psoriasis
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-10-30
MultipleMS – Multiple-omics approach to accelerate personalised medicine in a prospective cohort of newly diagnosed MS and CIS patients.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2017-09-29
A Phase 3 Study in Subjects with Relapsing Remitting Multiple Sclerosis to Evaluate the Tolerability of ALKS 8700 and Dimethyl Fumarate
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-09-22
A multicentric randomized PRAGmatic trial to compare the effectiveness of fingolimod versus dimethyl-fumarate on patient overall disease experience in relapsing remitting Multiple Sclerosis:
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2017-09-14
Open clinical study to assess long-term efficacy and safety of dimethyl fumarate in adults with moderate to severe chronic plaque psoriasis in real practice (DIMESKIN 1 Trial)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-09-13
A Randomized, Controlled, Multicenter, Open Label Study with Blinded Assessment of the Efficacy of the Humanized Anti-IL-23p19 Risankizumab Compared to FUMADERM® in Subjects with Moderate to Severe Plaque Psoriasis Who are Naïve to and Candidates for Systemic Therapy
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-06-19
COMBAT-MS (COMparison Between All immunoTherapies for Multiple Sclerosis)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-05-22
A Randomized, Double-Blind, Placebo-Controlled Phase II Study of M2951 with a Parallel, Open-Label, Active Control Group (Tecfidera), in Patients with Relapsing Multiple Sclerosis to Evaluate Efficacy, Safety, Tolerability, Pharmacokinetics, and Biological Activity.
CTID: null
Phase: Phase 2    Status: Ongoing, Prematurely Ended, Completed
Date: 2017-02-16
Dimethyl fumarate treatment of primary progressive multiple sclerosis
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-09-12
A Multicenter Extension Study to Determine the Long-Term Safety and Efficacy of BG00012 in Pediatric Subjects With Relapsing-Remitting Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2016-06-17
RItuximab versus FUmarate in Newly Diagnosed Multiple Sclerosis – RIFUND-MS
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-12-18
An Open-Label Study to Assess the Effects of BG00012 on Lymphocyte Subsets in Subjects With Relapsing-Remitting Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-12-17
A 24-Week Multicenter, Randomized, Open-Label, Parallel Group Study Comparing the Efficacy and Safety of Ixekizumab to Fumaric Acid Esters and Methotrexate in Patients with Moderate-to-Severe Plaque Psoriasis who are Naive to Systemic Treatment
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-12-09
A Randomized, Placebo-Controlled, Parallel-Group Study in Pediatric Subjects Ages 10 Through 17 Years to Evaluate the Efficacy and Safety of BG00012 for the Treatment of Relapsing-Remitting Forms of Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2015-09-09
A 3-year open-label, exploratory, single arm study to describe long term changes in the visual system of patients with relapsing remitting multiple sclerosis (RRMS) on oral dimethyl fumarate
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2015-08-07
A Phase IV, interventional, multicenteR, double-blind, randomized, placebo-controlled study tO explore the onset of efficacy on Magnetic resonance disease activity of BG00012 (dimethyl fumarate) in Patients with relapsing-remitTing Multiple Sclerosis (PROMPT)
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2015-06-24
Phase IIA Study on therapy with the NF-kB inhibiting and apoptosis inducing drug dimethylfumarate (DMF) in Patients with Cutaneous T cell lymphoma.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2015-06-17
A Multicenter, Treatment-Blind Phase 3b Study to Evaluate Whether 6-Week Up-Titration in Tecfidera® Dose is Effective in Reducing the Incidence of Gastrointestinal Adverse Events in Patients with Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2015-06-10
Open-Label, Multicenter, Multiple-Dose Study of the Effect of BG00012 on MRI Lesions and Pharmacokinetics in Pediatric Subjects With Relapsing-Remitting Multiple Sclerosis Aged 10 to 17 Years
CTID: null
Phase: Phase 2    Status: Completed
Date: 2015-06-01
A 24-week, multicenter, exploratory, two arm study to assess the effect of Dimethyl fumarate on Immune-Modulatory Action on T cells in patients with relapsing remitting Multiple Sclerosis
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-05-13
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy and Safety of BG00012 in Delaying Disability Progression in Subjects With Secondary Progressive Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2015-03-25
A 24-week, randomized, controlled, multicenter, open-label study with blinded assessment of the efficacy of subcutaneous secukinumab compared to Fumaderm® in adults with moderate to severe plaque psoriasis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2015-03-13
A Multicenter, Open-Label Study to Evaluate Fatigue in Subjects With Relapsing Remitting Multiple Sclerosis During Treatment With Tecfidera® (Dimethyl Fumarate) Gastro-Resistant Hard Capsule
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2015-03-05
Open-Label, Randomized, Multicenter, Multiple-Dose, Active Controlled, Parallel-Group, Efficacy and Safety Study of BG00012 in Children From 10 to Less Than 18 Years of Age With Relapsing-Remitting Multiple Sclerosis, With Optional Open-Label Extension
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Ongoing, GB - no longer in EU/EEA, Completed
Date: 2014-06-05
A Multicenter, Open-Label, Single-Arm Study to Evaluate Gastrointestinal Tolerability in Subjects with Relapsing-Remitting Multiple Sclerosis Receiving Dimethyl Fumarate (TOLERATE)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-05-06
A Phase 4, Randomized, Double-Blind Study with a Safety Extension Period to Evaluate the Effect of Aspirin on Flushing Events in Subjects with Relapsing-Remitting Multiple Sclerosis Treated with Tecfidera™ (dimethyl fumarate) delayed-release capsules (ASSURE)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-05-02
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Efficacy and Safety Study of BG00012 in Subjects From the Asia Pacific Region and Other Countries With Relapsing-Remitting Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2014-04-28
A Multicenter, Open-Label Study Evaluating the Effectiveness of Oral Tecfidera™ (Dimethyl Fumarate) on MS Disease Activity and Patient-Reported Outcomes in Subjects with Relapsing-Remitting Multiple Sclerosis in the Real World Setting (PROTEC)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-04-07
ROLE OF ENDOTHELIAL INFLAMMATION IN DEMYELINATING DISEASES OF THE CENTRAL NERVOUS SYSTEM
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-03-28
A randomized, double blind, placebo-controlled, proof-of-concept study of FP187 in patients with mild to moderate Psoriatic Arthritis
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2014-02-10
Hematopoietic Stem Cell Therapy for Patients with Inflammatory Multiple Sclerosis Failing Alternate Approved Therapy: A Randomized Study
CTID: null
Phase: Phase 2    Status: Completed
Date: 2013-11-04
A randomised, double blind, double dummy, active comparator and placebo controlled confirmative non-inferiority trial of FP187 compared to Fumaderm in moderate to severe plaque psoriasis
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2013-10-11
Single country study assessing cognition in Relapsing Remitting Multiple Sclerosis patients treated with BG00012
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-06-11
A multi-center, randomized, double-blind, three-arm, 16 week, adaptive phase III clinical study to investigate the efficacy and safety of LAS41008 vs LASW1835 and vs Placebo in patients with moderate to severe plaque psoriasis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2012-12-10
A 2:1 randomized, double-blinded, placebo-controlled study to evaluate the efficacy and safety of Fumaderm® in young patients aged 10 to 17 years with moderate to severe psoriasis vulgaris (KIFUderm study).
CTID: null
Phase: Phase 3    Status: Completed
Date: 2012-10-22
Treatment of therapy resistant Alopecia areata with fumaric acid esters (Fumaderm® and Fumaderm initial®) – an open, single center, non-randomized, pilot study with 40 patients
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2011-08-22
BOSTRIP
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-08-02
A randomised, double blind, placebo controlled efficacy and safety trial of different doses/dose regimens of FP187 compared to placebo in moderate to severe plaque psoriasis.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2010-08-12
Topoproteome-Analysis of Psoriasis under Fumarate-Treatment.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-02-22
A Phase 2a, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of BG00012 when given with Methotrexate to Subjects with Active Rheumatoid Arthritis who have had an Inadequate Response to Coventional Disease-Modifying Anti-rheumatic Drug Therapy
CTID: null
Phase: Phase 2    Status: Completed
Date: 2009-01-29
A Dose-Blind, Multicenter, Extension Study to Determine the Long-Term Safety and Efficacy of Two Doses of BG00012 Monotherapy in Subjects with Relapsing-Remitting Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-01-22
A Randomized, Multicenter, Placebo-Controlled and Active Reference (Glatiramer Acetate) Comparison Study to Evaluate the Efficacy and Safety of BG00012 in Subjects With Relapsing-Remitting Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-04-13
A Randomized, Multicenter, Double-Blind, Placebo-Controlled, Dose-Comparison Study to Determine the Efficacy and Safety of BG00012 in Subjects with Relapsing-Remitting Multiple Sclerosis
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2007-03-02
Monozentrische, offene Therapiestudie zur Behandlung von Psoriasis-Patienten ab vollendetem 18. Lebensjahr mit Fumaderm® in Kombination mit einer UVB-Therapie (311 nm) im intraindividuellen Halbseitenvergleich
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2006-11-15
Double-Blind, Placebo-Controlled, Dose-Ranging Study to Determine the Efficacy and Safety of BG00012 in Subjects with Relapsing-Remitting Multiple Sclerosis.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2004-09-10

Biological Data
  • Dimethyl fumarate and monomethyl fumarate attenuate HIV replication in human MDM. Human MDM infected with 50ng HIV (p24 ELISA, equivalent to 1.82 ± 0.22 kcpm/μL by reverse transcriptase (RT) activity assay) were treated with DMF (A) or MMF (B) over the course of infection at the indicated concentrations (1-30μM) or with 20nM of the non-nucleoside reverse transcriptase inhibitor, efavirenz (EFZ). Culture supernatants were collected every 2-3 days, as indicated, and HIV replication was quantified by RT activity. C, DMF and D, MMF cause no cytotoxicity in HIV/MDM as assessed by LDH assay of supernatants harvested at day 14 post infection. Maximum (Max) LDH release represents the soluble LDH release following cell lysis. RT curves are representative of 3-4 independent experiments, with each replicate performed on cell preparations from different donors. LDH assays represent data averaged from 3-5 individual donors. All statistical comparisons were made by one-way ANOVA plus Newman-Keuls post hoc testing, ***p<0.001 vs. EFZ.[3]. Dimethyl fumarate, an immune modulator and inducer of the antioxidant response, suppresses HIV replication and macrophage-mediated neurotoxicity: a novel candidate for HIV neuroprotection. J Immunol. 2011 Nov 15;187(10):5015-25.
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