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Multiple SclerosisSeptember 2022Summary reviewed June 2026

A Pill Cut MS Relapses in Half for Children and Teens

Researchers compared dimethyl fumarate (Tecfidera) with interferon beta-1a in children and teens with relapsing-remitting multiple sclerosis. After nearly two years, kids taking dimethyl fumarate had about half as many relapses and fewer new brain lesions on MRI scans.

What the trial was testing

The CONNECT enrolled 156 patients with multiple sclerosis. The study was sponsored by Biogen and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was a large trial designed to confirm whether the treatment works well enough for wider use. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

Children taking dimethyl fumarate had 54% fewer relapses compared to those on interferon beta-1a.

JAMA network open · 2022 · NCT02283853

These findings — that children on dimethyl fumarate had about half as many MS relapses over two years — were published in the JAMA network open and represent the headline result of the study.

Researchers tracked outcomes across 156 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with multiple sclerosis, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

Dimethyl fumarate (Tecfidera) is FDA-approved for pediatric multiple sclerosis in patients 10 years and older. This large study showed it worked better than an older treatment at preventing relapses and new brain lesions in children and teens. Talk with your child's neurologist about whether this medication is right for them.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.