Tegomil fumarate

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Tegomil fumarate
Clinical data
Trade namesRiulvy
Routes of
administration
By mouth
ATC code
Legal status
Legal status
Identifiers
  • dimethyl 3,6,9-trioxaundecane-1,11-diyl di((2E)-but-2-enedioate)
CAS Number
PubChem CID
ChemSpider
UNII
KEGG
ChEMBL
E number{{#property:P628}}
CompTox Dashboard (EPA)
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Chemical and physical data
FormulaC18H26O11
Molar mass418.395 g·mol−1
3D model (JSmol)
  • COC(=O)/C=C/C(=O)OCCOCCOCCOCCOC(=O)/C=C/C(=O)OC
  • InChI=1S/C18H26O11/c1-23-15(19)3-5-17(21)28-13-11-26-9-7-25-8-10-27-12-14-29-18(22)6-4-16(20)24-2/h3-6H,7-14H2,1-2H3/b5-3+,6-4+
  • Key:XBRIIHOHDRTZMQ-GGWOSOGESA-N

Tegomil fumarate sold under the brand name Riulvy, is a medication used for the treatment of relapsing remitting multiple sclerosis.[1] It is taken by mouth.[1]

The mechanism of action of tegomil fumarate is not fully understood but it is thought to act via its main active metabolite monomethyl fumarate.[1] This metabolite activates the NRF2 transcriptional pathway, which reduces inflammation and modulates the activity of immune cells, thereby protecting the cells of the central nervous system from damage.[1]

Tegomil fumarate was authorized for medical use in the European Union in July 2025.[2]

Medical uses

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Tegomil fumarate is indicated for the treatment of people aged thirteen years of age and older with relapsing remitting multiple sclerosis.[1]

Society and culture

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In May 2025, the Committee for Medicinal Products for Human Use of the European Medicines Agency adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Riulvy, intended for the treatment of adults and children from 13 years of age with relapsing remitting multiple sclerosis.[1] The applicant for this medicinal product is Neuraxpharm Pharmaceuticals, S.L.[1] Riulvy is a hybrid medicine of Tecfidera, which has been authorized in the EU since January 2014.[1] Riulvy contains a different active substance but acts via the same active metabolite as Tecfidera, monomethyl fumarate.[1] Tegomil fumarate was authorized for medical use in the European Union in July 2025.[1][2]

Names

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Tegomil fumarate is the international nonproprietary name.[3]

References

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  1. ^ a b c d e f g h i j k Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value). Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  2. ^ a b c Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
  3. ^ Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).

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