Busulfan is a bifunctional alkylating agent, having a selective immunosuppressive effect on bone marrow. It is not a structural analog of the nitrogen mustards. It has been used in the palliative treatment of chronic myeloid leukemia (myeloid leukemia, chronic), but although symptomatic relief is provided, no permanent remission is brought about. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), busulfan is listed as a known carcinogen.
For use in combination with cyclophosphamide as a conditioning regimen prior to allogeneic hematopoietic progenitor cell transplantation for chronic myelogenous (myeloid, myelocytic, granulocytic) leukemia (FDA has designated busulfan as an orphan drug for this use). It is also used as a component of pretransplant conditioning regimens in patients undergoing bone marrow transplantation for acute myeloid leukemia and nonmalignant diseases.
St. Jude Children's Research Hospital, Memphis, Tennessee, United States
University Hospitals Cleveland Medical Center, Seidman Cancer Center, Case Comprehensive Cancer Center, Cleveland, Ohio, United States
Johns Hopkins Hospital, Baltimore, Maryland, United States
Washington University in St. Louis, Saint Louis, Missouri, United States
British Columbia Children's Hospital, Vancouver, British Columbia, Canada
M D Anderson Cancer Center, Houston, Texas, United States
Columbia University Irving Medical Center, New York, New York, United States
Washington University School of Medicine, Saint Louis, Missouri, United States
Seoul National University Hospital, Seoul, Daehangno, Jongno-gu, Korea, Republic of
Seoul National University Hospital, Seoul, Daehangno, Jongno-gu, Korea, Republic of
Jackson Memorial Hospital, Miami, Florida, United States
University of Miami Sylvester Comprehensive Cancer Center, Miami, Florida, United States
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