Evidence map›Paper›PMID 25045248›Full record

ReviewDrug design, development and therapy2014

Design of oral agents for the management of multiple sclerosis: benefit and risk assessment for dimethyl fumarate.

Jacqueline Ann Nicholas, Aaron Lee Boster, Jaime Imitola, Colleen O'Connell, Michael Karl Racke

Open access · goldAbstract readReview
In one paragraph

Review in Drug design, development and therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Redox Regulation of Nrf2 in Cisplatin-Induced Kidney Injury.Antioxidants (Basel, Switzerland) · 2023
    Review
  5. Heme Oxygenase-1 as Therapeutic Target for Diabetic Foot Ulcers.International journal of molecular sciences · 2022
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Targeting heme oxygenase-1 and carbon monoxide for therapeutic modulation of inflammation.Translational research : the journal of laboratory and clinical medicine · 2016
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jacqueline Ann NicholasDepartment of Neurology and Multiple Sclerosis Center, The Ohio State University, Columbus, OH, USA.
Aaron Lee BosterDepartment of Neurology and Multiple Sclerosis Center, The Ohio State University, Columbus, OH, USA.
Jaime ImitolaDepartment of Neurology and Multiple Sclerosis Center, The Ohio State University, Columbus, OH, USA ; Department of Neuroscience, The Ohio State University, Columbus, OH, USA.
Colleen O'ConnellDepartment of Neurology and Multiple Sclerosis Center, The Ohio State University, Columbus, OH, USA.
Michael Karl RackeDepartment of Neurology and Multiple Sclerosis Center, The Ohio State University, Columbus, OH, USA ; Department of Neuroscience, The Ohio State University, Columbus, OH, USA.
Multiple Sclerosis Center of Atlanta · USThe Ohio State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dimethyl fumarate (DMF) is the most recent oral disease-modifying therapy approved by the US Food and Drug Administration and is indicated for the treatment of relapsing forms of multiple sclerosis (MS). Prior to approval for use in MS, DMF and its active metabolite, monomethyl fumarate, had been used for decades as two of the fumaric acid esters in Fumaderm, a medication used in Europe for the treatment of psoriasis. The unique mechanism of action of DMF remains under evaluation; however, it has been shown to act through multiple pathways leading to shifts away from the Th1 proinflammatory response to the less inflammatory Th2 response. Preliminary data suggest that DMF may induce neuroprotective effects in central nervous system white matter, although further studies are needed to demonstrate these effects on inflammatory demyelination. The DMF Phase III clinical trials demonstrated its efficacy with regard to a reduction in the annualized relapse rate and reductions in new or enlarging T2 lesions and numbers of gadolinium-enhancing lesions on magnetic resonance imaging. DMF has a well-defined safety profile, given the experience with its use in the treatment of psoriasis, and more recently from the DMF clinical trials program and post-marketing era for treatment of MS. The safety profile and oral mode of administration of DMF place it as an attractive first-line therapy option for the treatment of relapsing forms of MS. Long-term observational studies will be needed to determine the effects of DMF on progression of disability in MS.

Indexed as

Drug DesignAdministration, OralDimethyl FumarateHumansImmunosuppressive AgentsMultiple SclerosisRisk AssessmentDimethyl FumarateImmunosuppressive Agentsdimethyl fumaratedisease-modifying therapymultiple sclerosisNrf2 pathwayquality of life

Identifiers

PMID25045248
PMCPMC4094574
OpenAlexW2066102114

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.