Evidence map›Paper›PMID 41054231›Full record

ArticleNeurodegenerative disease management2025

Patient and healthcare provider experience of diroximel fumarate: considerations for selecting disease-modifying therapy.

Cortnee Roman, Meghan Garabedian, Virginia R Schobel, Beth Schneider, Elizabeth Luce, Jason P Mendoza, James B Lewin, Sai L Shankar

Abstract read
In one paragraph

Article in Neurodegenerative disease management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Cortnee RomanRocky Mountain Multiple Sclerosis Clinic, Salt Lake City, UT, USA.ORCID 0000-0001-7145-1640
Meghan GarabedianDepartment of Neurology, University of Pennsylvania Neuroscience Center - Neurology, Philadelphia, PA, USA.
Virginia R SchobelSpherix Global Insights, Exton, PA, USA.
Beth SchneiderMyHealthTeam, San Francisco, CA, USA.
Elizabeth LuceMyHealthTeam, San Francisco, CA, USA.
Jason P MendozaBiogen, Cambridge, MA, USA.ORCID 0000-0003-2526-5542
James B LewinBiogen, Cambridge, MA, USA.ORCID 0000-0002-2352-9113
Sai L ShankarBiogen, Cambridge, MA, USA.ORCID 0000-0003-3249-8360

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate treatment perceptions of diroximel fumarate (DRF) for relapsing multiple sclerosis (MS), with contextual data from dimethyl fumarate (DMF) users, based on patient and healthcare provider (HCP) surveys.

methodsA prospective web-based survey was conducted among MyMSTeam users aged ≥ 21 years in the United States, who provided information about their MS disease and treatment history. The Spherix HCP survey collected retrospective chart data from HCPs for patients who switched disease-modifying therapies (DMTs).

resultsOf 535 MyMSTeam respondents, 77 (14%) received DMF and 46 (9%) received DRF. DRF users reported physical and emotional benefits such as slowed disease progression, decreased relapses, and new symptom prevention, with 70% noting at least one physical benefit and 46% reporting emotional/quality of life benefits. Additionally, 83% found DRF tolerable. HCPs reported prescribing DRF due to good tolerability (58%) and a preference for oral administration (50%). The most common reasons for switching to DRF were lack of efficacy (52%) or poor tolerability (49%) of previous DMTs.

conclusionA real-world, patient-focused survey on MS treatment suggested DRF was well tolerated and associated with patient-reported physical benefits. HCP-reported reasons for selecting DRF included efficacy and tolerability issues with prior DMT.

Indexed as

Dimethyl FumarateHealth PersonnelImmunosuppressive AgentsMultiple Sclerosis, Relapsing-RemittingAdultAgedFemaleFumaratesHumansMaleMiddle AgedProspective StudiesQuality of LifeRetrospective StudiesSurveys and QuestionnairesYoung AdultDimethyl Fumaratediroximel fumarateFumaratesImmunosuppressive AgentsbenefitsMultiple sclerosispatient-reported outcomesreal-worldsurveytolerability

Identifiers

PMID41054231
PMCPMC12645850

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.