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Table 1 Oral anti-inflammatory agents for relapsing-remitting multiple sclerosis (RRMS).

From: Recent developments in multiple sclerosis therapeutics

Agent

Proposed mechanisms of action

Stage of development*

Fingolimod (FTY 720)

Binds sphingosine-1-phosphate on T cells preventing circulation and CNS entry

Phase III for RRMS

Cladribine

Selectively depletes B and T cells by causing DNA damage

Phase III for RRMS and CIS

Laquinimod

Shifts T cells from TH1 (pro-inflammatory) to TH2 (anti-inflammatory)

Phase III

Teriflunomide

Shifts T cells from TH1 (pro-inflammatory) to TH2 (anti-inflammatory); Blocks pyrimidine and reproduction of rapidly dividing B and T cells

Phase III for RRMS and CIS

BG00012 (dimethyl fumarate)

Antioxidant

Phase III

  1. *compiled from clinicaltrials.gov
  2. CIS, clinically isolated syndrome; CNS, central nervous system