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
City of Hope, Duarte, California, United States
Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota, United States
Asan Medical Center - University of Ulsan College of Medicine, Seoul, Korea, Republic of
University of Michigan Cancer Center, Ann Arbor, Michigan, United States
Masonic Cancer Center at University of Minnesota, Minneapolis, Minnesota, United States
University of California Davis Cancer Center, Sacramento, California, United States
Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota, United States
Unversity of Nebraska Medical Center, Omaha, Nebraska, United States
Investigational Site, Jerusalem, Israel
Ospedale San Raffaele, Milano, Lombardia, Italy
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