Author(s): Prabhat Varshney, Prem Saini

Email(s): ,

DOI: 10.5958/0974-360X.2020.00529.6   

Address: Prabhat Varshney*, Prem Saini*
School of Pharmacy, Lingaya’s Vidyapeeth Faridabad, Haryana-121002, India.
*Corresponding Author

Published In:   Volume - 13,      Issue - 6,     Year - 2020

Diroximel fumarate (DRF) is an oral disease-modifying agent indicated for the treatment of relapsing-remitting multiple sclerosis (RRMS), which is taken twice a day. In EVOLVE-MS-1, Phase 3, a two-year safety study evaluating DRF in patients with RRMS, it is shown that the occurrence of flushing and gastrointestinal treatment-emergent adverse events is comparatively low. This results in a low rate of discontinuation due to treatment-emergent adverse events as compared to dimethyl fumarate (DMF). Monomethyl fumarate (MMF) is a common active metabolite of DMF and DRF. This active metabolite is responsible for the mechanism of actions of the drugs since it crossed the blood-brain barrier. Methanol is the primary metabolite of DMF metabolism but a minor metabolite of DRF metabolism, which results in a lower risk of gastrointestinal symptoms. Both DMF and DRF show similar Tmax and Cmax, which indicate similarity in the efficacy of both the drugs. Therefore, DRF has a similar safety and efficacy profile but better tolerability of treatment-emergent adverse events when compared to DMF. This article provides an updated overview of the pharmacological, therapeutic efficacy, and tolerability of DRF.

Cite this article:
Prabhat Varshney, Prem Saini. An Overview of DRF in the treatment of Multiple Sclerosis. Research J. Pharm. and Tech 2020; 13(6): 2992-2996. doi: 10.5958/0974-360X.2020.00529.6

Prabhat Varshney, Prem Saini. An Overview of DRF in the treatment of Multiple Sclerosis. Research J. Pharm. and Tech 2020; 13(6): 2992-2996. doi: 10.5958/0974-360X.2020.00529.6   Available on:

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