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.
Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts, United States
Columbia University Medical Center, New York, New York, United States
Inje University - Haeundae Paik Hospital, Busan, Korea, Republic of
Asan Medical Center - University of Ulsan College of Medicine, Seoul, Korea, Republic of
Columbia University Medical Center, New York, New York, United States
Seoul National University Hospital, Seoul, Daehangno, Jongno-gu, Korea, Republic of
UT MD Anderson Cancer Center, Houston, Texas, United States
University of Texas MD Anderson Cancer Center, Houston, Texas, United States
University Hopital Essen, Pediatrics III, Hematology/ Oncology, Sarcoma Centre, International Ewing Sarcoma Study Group, West German Cancer Centre, Essen, Germany
University Children´s Hospital, Pediatric Hematology and Oncology, Muenster, Germany
Texas Children's Hospital, Houston, Texas, United States
The University of Chicago, Chicago, Illinois, United States
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