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Fumaric Acid

7 benefits mapped to clinical evidence across supplements.

Benefit Evidence

Psoriasis improvement

GI/flushing side effects

2,074 people

Psoriasis improvement +50%

GI side effects common

PASI-76% with calcipotriol

2,074 people

Skin improvement, ~50%

T-cell shift, no morphology

DLQI -5.9, PASI75 37.5%

1,641 people
Skin repair
Moderate

Skin clearance +76%

QoL improved +46%

Lower FAE dose -24%

1,043 people

Improved mood, DLQI −5.9

Better life impact, +36%

Skin benefit, GI AEs

805 people

Gut bacteria+constipation

Diarrhoea↓, growth↑

SCFA↓, harmful E. coli↓

480 people

Cholesterol/ApoB down

FMD unchanged

65 people

Research sources

Skin appearance (10)
  1. Efficacy and safety of fumaric acid esters in young patients aged 10-17 years with moderate-to-severe plaque psoriasis: a randomized, double-blinded, placebo-controlled trial

    PubMed ID: 33332574

    Pediatric RCT showed substantial PASI75 and PGA improvements, consistent with clearer skin.

  2. Fumaric acid therapy in psoriasis: a double-blind comparison between fumaric acid compound therapy and monotherapy with dimethylfumaric acid ester

    PubMed ID: 2394301

    Psoriasis trials report marked clinical improvement, which implies improved skin clarity.

  3. [Fumaric acid therapy in psoriasis; a double-blind, placebo-controlled study]

    PubMed ID: 2263264

    Placebo-controlled benefit in psoriasis supports improved skin appearance.

  4. Antipsoriatic effect of fumaric acid derivatives. Results of a multicenter double-blind study in 100 patients

    PubMed ID: 8188891

    Multicenter RCT showed superiority over placebo for skin outcomes.

  5. Topical calcipotriol plus oral fumaric acid is more effective and faster acting than oral fumaric acid monotherapy in the treatment of severe chronic plaque psoriasis vulgaris

    PubMed ID: 12145434

    Combination therapy with calcipotriol produced substantially greater PASI improvements (better skin clarity).

  6. Long-term safety and effectiveness of high-dose dimethylfumarate in the treatment of moderate to severe psoriasis: a prospective single-blinded follow-up study

    PubMed ID: 26088405

    High-dose DMF improved psoriasis over long-term follow-up.

  7. Efficacy and safety of LAS41008 (dimethyl fumarate) in adults with moderate-to-severe chronic plaque psoriasis: a randomized, double-blind, Fumaderm(®) - and placebo-controlled trial (BRIDGE)

    PubMed ID: 27515097

    Phase III DMF results show clinically meaningful skin clearance (PASI improvements).

  8. Fumaric acid esters in combination with a 6-week course of narrowband ultraviolet B provides an accelerated response compared with fumaric acid esters monotherapy in patients with moderate-to-severe plaque psoriasis: a randomized prospective clinical study

    PubMed ID: 29114862

    Adding NB-UVB to FAE produced faster and greater skin improvement.

  9. Quality of life outcomes in adults with moderate-to-severe plaque psoriasis treated with dimethylfumarate (DMF): a post hoc analysis of the BRIDGE study

    PubMed ID: 31465585

    DMF significantly improved PASI and DLQI, indicating better skin clarity in many patients.

  10. Dimethyl fumarate is efficacious in severe plaque psoriasis : Post hoc analysis from the BRIDGE trial in Austria

    PubMed ID: 31591676

    Severe subgroup saw improved PGA (clear/almost clear) with DMF versus placebo.

Skin soothing (10)
  1. Efficacy and safety of LAS41008 (dimethyl fumarate) in adults with moderate-to-severe chronic plaque psoriasis: a randomized, double-blind, Fumaderm(®) - and placebo-controlled trial (BRIDGE)

    PubMed ID: 27515097

    Phase III trial: oral DMF significantly improved moderate-to-severe plaque psoriasis vs placebo.

  2. Long-term safety and effectiveness of high-dose dimethylfumarate in the treatment of moderate to severe psoriasis: a prospective single-blinded follow-up study

    PubMed ID: 26088405

    Long-term DMF therapy reduced psoriasis severity in many patients.

  3. Topical calcipotriol plus oral fumaric acid is more effective and faster acting than oral fumaric acid monotherapy in the treatment of severe chronic plaque psoriasis vulgaris

    PubMed ID: 12145434

    Large RCT: adding topical calcipotriol to FAEs produced substantially greater and faster psoriasis improvement.

  4. Antipsoriatic effect of fumaric acid derivatives. Results of a multicenter double-blind study in 100 patients

    PubMed ID: 8188891

    Large randomized trial demonstrated efficacy of fumaric acid derivatives for psoriasis.

  5. [Fumaric acid therapy in psoriasis; a double-blind, placebo-controlled study]

    PubMed ID: 2263264

    Placebo-controlled study showed significant psoriasis benefit from fumarate-containing tablets.

  6. Fumaric acid therapy in psoriasis: a double-blind comparison between fumaric acid compound therapy and monotherapy with dimethylfumaric acid ester

    PubMed ID: 2394301

    Randomized trial: fumaric acid esters produced marked psoriasis improvement in many patients.

  7. Efficacy and safety of fumaric acid esters in young patients aged 10-17 years with moderate-to-severe plaque psoriasis: a randomized, double-blinded, placebo-controlled trial

    PubMed ID: 33332574

    Pediatric RCT produced substantial PASI75 improvement versus placebo, indicating fewer flares.

  8. Dimethyl fumarate is efficacious in severe plaque psoriasis : Post hoc analysis from the BRIDGE trial in Austria

    PubMed ID: 31591676

    Severe‑patient subgroup showed improved skin clearance and QoL with DMF versus placebo.

  9. Quality of life outcomes in adults with moderate-to-severe plaque psoriasis treated with dimethylfumarate (DMF): a post hoc analysis of the BRIDGE study

    PubMed ID: 31465585

    Large randomized trial showed clinically meaningful improvement in skin disease (PASI and DLQI) with DMF.

  10. Fumaric acid esters in combination with a 6-week course of narrowband ultraviolet B provides an accelerated response compared with fumaric acid esters monotherapy in patients with moderate-to-severe plaque psoriasis: a randomized prospective clinical study

    PubMed ID: 29114862

    Adding NB-UVB to FAE sped and increased psoriasis improvement vs FAE alone.

Immune support (6)
  1. Fumaric acid therapy in psoriasis: a double-blind comparison between fumaric acid compound therapy and monotherapy with dimethylfumaric acid ester

    PubMed ID: 2394301

    Clinical psoriasis trials with FAEs showed efficacy and reported blood cell changes — indicates immune modulation.

  2. [Fumaric acid therapy in psoriasis; a double-blind, placebo-controlled study]

    PubMed ID: 2263264

    Fumarate tablets improved psoriasis and produced reversible lab abnormalities (immune-cell effects).

  3. Topical calcipotriol plus oral fumaric acid is more effective and faster acting than oral fumaric acid monotherapy in the treatment of severe chronic plaque psoriasis vulgaris

    PubMed ID: 12145434

    Combination therapy allowed dose-sparing of FAEs while improving PASI — consistent with immune-targeted benefit.

  4. Efficacy and safety of LAS41008 (dimethyl fumarate) in adults with moderate-to-severe chronic plaque psoriasis: a randomized, double-blind, Fumaderm(®) - and placebo-controlled trial (BRIDGE)

    PubMed ID: 27515097

    Phase III DMF demonstrated clinical benefit in an immune-mediated disease (psoriasis).

  5. Influence of medium-chain fatty acids and short-chain organic acids on jejunal morphology and intra-epithelial immune cells in weaned piglets

    PubMed ID: 26919402

    Piglet study: fumaric+lactic acids increased specific γδ T-cell populations in jejunum (local immune modulation).

  6. Quality of life outcomes in adults with moderate-to-severe plaque psoriasis treated with dimethylfumarate (DMF): a post hoc analysis of the BRIDGE study

    PubMed ID: 31465585

    Clinical benefit of DMF in psoriasis implies immunomodulatory activity; DMF is known to affect immune pathways though this trial focused on outcomes rather than mechanistic biomarkers.

Skin repair (5)
  1. Fumaric acid esters in combination with a 6-week course of narrowband ultraviolet B provides an accelerated response compared with fumaric acid esters monotherapy in patients with moderate-to-severe plaque psoriasis: a randomized prospective clinical study

    PubMed ID: 29114862

    NB-UVB added to FAEs accelerated psoriasis improvement versus FAEs alone.

  2. Topical calcipotriol plus oral fumaric acid is more effective and faster acting than oral fumaric acid monotherapy in the treatment of severe chronic plaque psoriasis vulgaris

    PubMed ID: 12145434

    Addition of topical calcipotriol to FAEs produced faster and greater psoriasis improvement (faster clinical repair).

  3. Efficacy and safety of fumaric acid esters in young patients aged 10-17 years with moderate-to-severe plaque psoriasis: a randomized, double-blinded, placebo-controlled trial

    PubMed ID: 33332574

    Pediatric RCT demonstrated faster achievement of PASI75 and PGA improvements versus placebo.

  4. Dimethyl fumarate is efficacious in severe plaque psoriasis : Post hoc analysis from the BRIDGE trial in Austria

    PubMed ID: 31591676

    Severe subgroup showed clearer skin and QoL improvement compared with placebo, consistent with accelerated repair.

  5. Quality of life outcomes in adults with moderate-to-severe plaque psoriasis treated with dimethylfumarate (DMF): a post hoc analysis of the BRIDGE study

    PubMed ID: 31465585

    Significant improvements in PASI and PGA imply faster clinical skin improvement/repair in many patients treated with DMF.

Mood balance (2)
  1. Quality of life outcomes in adults with moderate-to-severe plaque psoriasis treated with dimethylfumarate (DMF): a post hoc analysis of the BRIDGE study

    PubMed ID: 31465585

    DLQI and QoL improved substantially with DMF, indicating better patient‑reported well‑being.

  2. Efficacy and safety of fumaric acid esters in young patients aged 10-17 years with moderate-to-severe plaque psoriasis: a randomized, double-blinded, placebo-controlled trial

    PubMed ID: 33332574

    Quality‑of‑life measures improved in pediatric trial alongside skin benefit.

Gut health (2)
  1. The effect of organic acids on the control of porcine post-weaning diarrhoea

    PubMed ID: 11676629

    Weaned piglets given organic acids including fumaric acid had reduced diarrhea and improved growth versus untreated controls.

  2. Effects of dietary combinations of organic acids and medium chain fatty acids on the gastrointestinal microbial ecology and bacterial metabolites in the digestive tract of weaning piglets

    PubMed ID: 23798515

    Dietary fumaric+lactic acid altered gut bacteria and reduced harmful E. coli markers in piglet colon.

Metabolism (1)
  1. Disparate effects of adalimumab and fumaric acid esters on cardiovascular risk factors in psoriasis patients: results from a prospective, randomized, observer-blinded head-to-head trial

    PubMed ID: 32426884

    This trial directly reported reductions in total cholesterol and apolipoprotein B with FAE, demonstrating a measurable metabolic effect.

Similar by evidence

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Products with Fumaric Acid

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22 products whose verified label declares Fumaric Acid — not every bottle that mentions it in a title.