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.
Blood and Marrow Transplant Group of Georgia, Atlanta, Georgia, United States
University of MInnesota, Fairview, Minneapolis, Minnesota, United States
Marseille Institute of Cancer - Institut J. Paoli and I. Calmettes, Marseille, France
St. Jude Children's Research Hospital, Memphis, Tennessee, United States
Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States
Columbia University Medical Center, New York, New York, United States
Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, United States
Morgan Stanley Children's Hospital of NYP, New York City, New York, United States
Columbia Presbyterian Medical Center, Morgan Stanley Children's Hospital New York Presbyterian, New York, New York, United States
University of Minnesota, Fairview, Minneapolis, Minnesota, United States
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