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.
Penn State Cancer Institute at Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States
UT MD Anderson Cancer Center, Houston, Texas, United States
National Institutes of Health Clinical Center, 9000 Rockville Pike, Bethesda, Maryland, United States
Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States
Northwell Health NCORP, Lake Success, New York, United States
Northwell Health/Center for Advanced Medicine, Lake Success, New York, United States
University of Illinois, Chicago, Illinois, United States
UT MD Anderson Cancer Center, Houston, Texas, United States
Morgan Stanley Children's Hospital, New York-Presbyterian, Columbia University, New York, New York, United States
UT MD Anderson Cancer Center, Houston, Texas, United States
H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, United States
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