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.
City of Hope Medical Center, Duarte, California, United States
Città della Salute e della Scienza di Torino, Torino, Italy
Massachusetts General Hospital, Boston, Massachusetts, United States
Brigham and Women's Hospital, Boston, Massachusetts, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Thomas Jefferson University, Philadelphia, Pennsylvania, United States
Memorial Sloan Kettering Cancer Center, New York, New York, United States
University of Illinois Cancer Center, Chicago, Illinois, United States
Brigham and Women's Hospital, Boston, Massachusetts, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
UCLA CARE Center, Los Angeles, California, United States
Quest Clinical Research, San Francisco, California, United States
University of Wisconsin Hospital and Clinics, Madison, Wisconsin, United States
Medical University in Gdansk, Gdansk, Poland
Children's University Hospital in Lublin, Lublin, Poland
University of Medical Sciences Poznan, Poznan, Poland
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