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.
Seoul National University Hospital, Seoul, Daehangno, Jongno-gu, Korea, Republic of
National Institutes of Health Clinical Center, Bethesda, Maryland, United States
Nationwide Children's Hospital, Columbus, Ohio, United States
Seoul National University Hospital, Seoul, Daehangno, Jongno-gu, Korea, Republic of
Texas Children's Hospital, Houston, Texas, United States
University of Texas MD Anderson Cancer Center, Houston, Texas, United States
West Virginia University Hospitals Mary Babb Randolph Cancer Center, Morgantown, West Virginia, United States
University of Texas MD Anderson Cancer Center, Houston, Texas, United States
Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center, Cleveland, Ohio, United States
Medical University of South Carolina, Charleston, South Carolina, United States
Children's Hospital Los Angeles, Los Angeles, California, United States
Connecticut Children's Medical Center, Hartford, Connecticut, United States
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