Dimethyl fumarate: clinical use

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Dimethyl fumarate: clinical use. Dimethyl fumarate activates the nuclear-related factor 2 transcriptional pathway. Fully referenced neurology checklist.

Mode of action

  • Dimethyl fumarate activates the nuclear-related factor 2 transcriptional pathway
  • This inhibits the entrance of neutrophils into the central nervous system

Dosing

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Precautions

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Indications to stop treatment

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Risk factors for relapse after switching from Natalizumab

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Predictors of clinical response

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Acronym

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References

  1. Torkildsen Ø, Myhr KM, Bø L. Disease-modifying treatments for multiple sclerosis – a review of approved medications. Eur J Neurol 2016; 23(Suppl 1):18-27.
  2. Hutchinson M, Fox RJ, Hardova E, et al. Efficacy and safety of BG-12 (dimethyl fumarate) and other disease-modifying therapies for relapsing-remitting multiple sclerosis: a systematic review and mixed treatment comparison. Curr Med Res Opin 2014; 30:613-627.
  3. Gold R, Kappos L, Arnold DL, et al. Placebo-controlled phase 3 study of oral BG-12 for relapsing multiple sclerosis. NEJM 2012; 367:1098–1107.
  4. Fox RJ, Miller DH, Phillips JT, et al. Placebo-controlled phase 3 study of oral BG-12 or glatiramer in multiple sclerosis. NEJM 2012; 367:1087–1097.
  5. Radick L, Mehr SR. The latest innovations in the drug pipeline for multiple sclerosis. Am Health Drug Benefits 2015; 8:448-453.
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