Tecfidera (dimethyl fumarate) vs Zeposia (ozanimod)

Tecfidera (dimethyl fumarate) vs Zeposia (ozanimod)

Tecfidera (dimethyl fumarate) is an oral medication for multiple sclerosis that works by activating the Nrf2 pathway, which may help protect against oxidative stress and inflammation in the central nervous system. Zeposia (ozanimod) is another oral option that functions as a sphingosine 1-phosphate receptor modulator, trapping certain white blood cells in lymph nodes, which may reduce their ability to cause central nervous system damage. When deciding between the two, patients should consider differences in their mechanisms of action, side effect profiles, and any pre-existing health conditions they may have, as well as consult with their healthcare provider to determine the most appropriate treatment for their specific case of multiple sclerosis.

Difference between Tecfidera and Zeposia

Metric Tecfidera (dimethyl fumarate) Zeposia (ozanimod)
Generic name Dimethyl fumarate Ozanimod
Indications Relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease Relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease; Ulcerative colitis
Mechanism of action Activates the nuclear factor (erythroid-derived 2)-like 2 (Nrf2) pathway, which is involved in the cellular response to oxidative stress Sphingosine 1-phosphate receptor modulator, which traps lymphocytes in lymph nodes, reducing the number of lymphocytes in peripheral blood
Brand names Tecfidera Zeposia
Administrative route Oral Oral
Side effects Flushing, abdominal pain, diarrhea, nausea Upper respiratory infection, elevated liver enzymes, orthostatic hypotension, hypertension, urinary tract infection
Contraindications Known hypersensitivity to dimethyl fumarate or any of the excipients in the formulation Patients who in the last 6 months have had a myocardial infarction, unstable angina, stroke, transient ischemic attack, decompensated heart failure requiring hospitalization, or Class III/IV heart failure; Patients with a history of hypersensitivity to ozanimod or any of the excipients in the formulation
Drug class Fumaric acid ester Sphingosine 1-phosphate receptor modulator
Manufacturer Biogen Bristol Myers Squibb

Efficacy

Tecfidera (Dimethyl Fumarate) Efficacy in Multiple Sclerosis

Tecfidera (dimethyl fumarate) is an oral medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. The efficacy of Tecfidera in MS has been demonstrated in several clinical trials. These studies have shown that Tecfidera can reduce the rate of relapses, slow the progression of disability, and decrease the number of new or enlarging brain lesions as seen on MRI scans. Specifically, the DEFINE and CONFIRM phase 3 clinical trials reported significant reductions in annualized relapse rates and improvements in other measures of disease activity compared to placebo.

Zeposia (Ozanimod) Efficacy in Multiple Sclerosis

Zeposia (ozanimod) is another oral medication that has been approved by the FDA for the treatment of relapsing forms of multiple sclerosis, including clinically isolated syndrome, relapsing-remitting MS, and active secondary progressive disease. The efficacy of Zeposia in managing MS was evaluated in the SUNBEAM and RADIANCE part B clinical trials. These studies showed that Zeposia significantly reduced the annualized relapse rate compared to interferon beta-1a, a commonly used MS medication. Additionally, Zeposia was associated with a reduction in the number of new or enlarging brain lesions on MRI and slowed the progression of disability.

Comparative Efficacy of Tecfidera and Zeposia

When comparing the efficacy of Tecfidera and Zeposia, it is important to consider that direct head-to-head trials have not been conducted. However, both medications have demonstrated effectiveness in reducing relapse rates and managing disease progression in their respective clinical trials. The choice between Tecfidera and Zeposia may depend on individual patient factors, including side effect profiles, dosing convenience, and specific patient health considerations. Healthcare providers take these factors into account when recommending a treatment plan for MS patients.

Conclusion

Both Tecfidera and Zeposia have shown to be effective in the treatment of relapsing forms of multiple sclerosis, which is a chronic, often disabling disease that attacks the central nervous system. While both drugs work through different mechanisms of action, their efficacy in reducing relapse rates and slowing disease progression provides valuable options for patients and clinicians managing this complex condition. Continued research and long-term data will further elucidate the impact of these medications on the MS disease course and patient quality of life.

Regulatory Agency Approvals

Tecfidera
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Zeposia
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia

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If Tecfidera or Zeposia are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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