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Diroximel fumarate · Vumerity

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Multiple Sclerosis (label: adults; clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive...)

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Partial signal

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Competitive landscape

44 competitors in this universe: 3 direct rivals (same mechanism and indication), 0 same-class, 41 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Diroximel Fumarate (Vumerity): this drugApprovedSmall moleculeNrf2 pathway (fumaric acid ester)
BafiertamApprovedSmall moleculeNrf2 pathway (fumaric acid ester)
Dimethyl Fumarate (Tecfidera)ApprovedSmall moleculeNrf2 pathway (fumaric acid ester)
DRFApprovedSmall moleculeNrf2 pathway (fumaric acid ester)
Aldesleukin (Proleukin)ApprovedRecombinant Cytokine (il-2)Interleukin-2 receptor (IL-2R)
AlemtuzumabApprovedMonoclonal antibodyCD52
Cladribine (MAVENCLAD®)ApprovedSmall moleculeAdenosine deaminase-resistant purine analog, DNA synthesis machinery in lymphocytes
CopaxoneApprovedPeptideMyelin basic protein-mimetic immunomodulation
Fampridine (Ampyra / Fampyra)ApprovedSmall moleculePotassium Channel Blocker, Voltage-gated potassium channel (Kv), Voltage-gated potassium channels (Kv1/Shaker/KCNA family)
Fingolimod (Gilenya)ApprovedSmall moleculeSphingosine 1-phosphate receptor (S1PR, specifically S1P1), S1P receptor, Sphingosine-1-phosphate receptors (S1P1, S1P3, S1P4, S1P5)
Interferon Beta-1a (Avonex)ApprovedBiologic (subtype unspecified)Type I Interferon receptor (IFNAR)
Interferon Beta-1bApprovedBiologic (subtype unspecified)Interferon beta receptor (type I IFN signaling), Type I interferon receptor
Interferon-Beta1ApprovedBiologic (subtype unspecified)Type I interferon receptor
MayzentApprovedSmall moleculeS1P receptor
Natalizumab (Tysabri)ApprovedMonoclonal antibodyα4 integrin
OcrelizumabApprovedMonoclonal antibodyCD20

…and 29 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(3 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (1)
December 2026 (1)
Phase 1Peripheral Artery Disease, Peripheral Vascular Diseases, Peripheral Arterial Disease, Peripheral Arterial Occlusive DiseaseRecruiting
Est. primary completion 2026-12 · NCT06319339 · CT.gov ↗
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2027 (1)
January 2027 (1)
Early phase / not applicableSchizophrenia DisordersRecruiting
Est. primary completion 2027-01-20 · NCT06957808 · CT.gov ↗
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2034 (1)
July 2034 (1)
Phase 3Multiple SclerosisNot yet recruiting
Est. primary completion 2034-07-28 · NCT07483632 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (4)
Phase 1 (3)
Early phase / not applicable (1)
Used as active comparator (1)
Appears in other studies (2)