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Busulfan

Generic Name
Busulfan
Brand Names
Busulfex, Myleran, Busulfan Fresenius Kabi
Drug Type
Small Molecule
Chemical Formula
C6H14O6S2
CAS Number
55-98-1
Unique Ingredient Identifier
G1LN9045DK
Background

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.

Indication

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.

Associated Conditions
Chronic Myelogenous Leukemia (CML), Essential Thrombocythemia (ET), Polycythemia Vera (PV)
Associated Therapies
Conditioning regimens for allogeneic stem cell transplantation therapy

The Use of N-acetylcysteine for Thrombotic Events After Allogenic Hematopoietic Stem Cell Transplantation

Phase 3
Not yet recruiting
Conditions
Thrombotic Disorder
Interventions
First Posted Date
2023-06-18
Last Posted Date
2023-06-18
Lead Sponsor
The First Affiliated Hospital of Soochow University
Target Recruit Count
260
Registration Number
NCT05907486

MT2021-08T Cell Receptor Alpha/Beta Depletion PBSC Transplantation for Heme Malignancies

Phase 2
Recruiting
Conditions
Hematologic Malignancy
Minimal Residual Disease
PTPN11 Gene Mutation
Monosomy 7
Chromosome Abnormality
Acute Leukemia
Remission
TP53
Intrachromosomal Amplification of Chromosome 21
Myelodysplasia
Interventions
First Posted Date
2023-02-21
Last Posted Date
2024-10-21
Lead Sponsor
Masonic Cancer Center, University of Minnesota
Target Recruit Count
150
Registration Number
NCT05735717
Locations
🇺🇸

University of Minnesota Masonic Cancer Center, Minneapolis, Minnesota, United States

CD34+ Enriched Transplants to Treat Myelodysplastic Syndrome

Phase 2
Suspended
Conditions
Graft Vs Host Disease
Graft-versus-host-disease
Myelodysplastic Syndromes
Interventions
Device: CliniMACS CD34+ enriched, T-cell depleted peripheral blood stem cell (PBSC)
First Posted Date
2022-11-15
Last Posted Date
2025-04-15
Lead Sponsor
Guenther Koehne
Target Recruit Count
50
Registration Number
NCT05617625
Locations
🇺🇸

Miami Cancer Institute, Miami, Florida, United States

A Phase II Pediatric Study of a Graft-VS.-Host Disease (GVHD) Prophylaxis Regimen With no Calcineurin Inhibitors After Day +60 Post First Allogeneic Hematopoietic Cell Transplant for Hematological Malignancies

Phase 2
Terminated
Conditions
Myeloid Malignancy
Hematologic Malignancy
Interventions
Drug: Anti-thymocyte globulin (ATG)
Radiation: Total Body Irradiation (radiation treatment)
Drug: Bone marrow infusion
First Posted Date
2022-10-14
Last Posted Date
2024-07-10
Lead Sponsor
St. Jude Children's Research Hospital
Target Recruit Count
3
Registration Number
NCT05579769
Locations
🇺🇸

St. Jude Children's Research Hospital, Memphis, Tennessee, United States

Uproleselan With Pre-Transplant Conditioning in Hematopoietic Stem Cell Transplantation for AML

Phase 1
Terminated
Conditions
Acute Myeloid Leukemia
Pediatric Cancer
Interventions
First Posted Date
2022-10-06
Last Posted Date
2024-08-19
Lead Sponsor
Malika Kapadia
Target Recruit Count
1
Registration Number
NCT05569512
Locations
🇺🇸

Helen DeVos Children's Hospital/Spectrum Health, Grand Rapids, Michigan, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

and more 2 locations

CD34+ Transplants for Leukemia and Lymphoma

Phase 2
Not yet recruiting
Conditions
Leukemia, Lymphocytic, Acute
Leukemia, Myeloid, Acute
Interventions
First Posted Date
2022-10-04
Last Posted Date
2025-04-15
Lead Sponsor
Guenther Koehne
Target Recruit Count
100
Registration Number
NCT05565105
Locations
🇺🇸

Baptist Health South Florida/Miami Cancer Institute, Miami, Florida, United States

MYELOMATCH: A Screening Study to Assign People With Myeloid Cancer to a Treatment Study or Standard of Care Treatment Within myeloMATCH (MyeloMATCH Screening Trial)

Phase 2
Recruiting
Conditions
Myelodysplastic Syndrome
Acute Myeloid Leukemia
Interventions
Procedure: Biospecimen Collection
Other: Best Practice
Procedure: Allogeneic Hematopoietic Stem Cell Transplantation
Procedure: Bone Marrow Aspiration
Procedure: Biopsy Procedure
Procedure: Mutation Carrier Screening
Procedure: Bone Marrow Biopsy
Procedure: Echocardiography Test
Procedure: Multigated Acquisition Scan
Drug: Liposome-encapsulated Daunorubicin-Cytarabine
Procedure: Chest Radiography
Procedure: Computed Tomography
Procedure: Positron Emission Tomography
Drug: Placebo Administration
Radiation: Total-Body Irradiation
First Posted Date
2022-10-03
Last Posted Date
2025-05-21
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
2000
Registration Number
NCT05564390
Locations
🇺🇸

Washington University School of Medicine, Saint Louis, Missouri, United States

🇺🇸

Mercy Hospital South, Saint Louis, Missouri, United States

🇺🇸

Siteman Cancer Center-South County, Saint Louis, Missouri, United States

and more 275 locations

ChiCGB vs BEAM in High-risk or R/R Lymphomas

Phase 3
Recruiting
Conditions
Lymphoma, Large B-Cell, Diffuse
Lymphoma, T-Cell
Interventions
First Posted Date
2022-07-20
Last Posted Date
2022-07-25
Lead Sponsor
Sichuan University
Target Recruit Count
306
Registration Number
NCT05466318
Locations
🇨🇳

Chengdu Third People's Hospital, Chendu, Sichuan, China

🇨🇳

People's Hospital of Deyang City, Deyang, Deyang, China

🇨🇳

West China Hospital, Sichuan University, Chendu, Sichuan, China

and more 8 locations

Allogeneic Hematopoietic Stem Cell Transplantation for Chronic Granulomatous Disease (CGD) With an Alemtuzumab, Busulfan and TBI-based Conditioning Regimen Combined With Cytokine (IL-6, +/- IFN-gamma) Antagonists

Phase 1
Recruiting
Conditions
Chronic Granulomatous Disease
Interventions
Biological: Pheripheral blood stem cells
Drug: Tociluzumab
Drug: Emapalumab-Izsg
Drug: Total Body Irradiation
First Posted Date
2022-07-18
Last Posted Date
2025-05-20
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
50
Registration Number
NCT05463133
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

Mismatched Related Donor Versus Matched Unrelated Donor Stem Cell Transplantation for Children, Adolescents, and Young Adults With Acute Leukemia or Myelodysplastic Syndrome

Phase 3
Active, not recruiting
Conditions
Mixed Phenotype Acute Leukemia
Acute Myeloid Leukemia
Myelodysplastic Syndrome
Acute Lymphoblastic Leukemia
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration
Procedure: Echocardiography Test
Procedure: Haploidentical Hematopoietic Cell Transplantation
Procedure: Lumbar Puncture
Procedure: Matched Unrelated Donor Hematopoietic Cell Transplantation
Procedure: Multigated Acquisition Scan
Procedure: Myeloablative Conditioning
Other: Quality-of-Life Assessment
Other: Questionnaire Administration
Radiation: Total-Body Irradiation
Procedure: T-Cell Depletion Therapy
First Posted Date
2022-07-14
Last Posted Date
2025-05-08
Lead Sponsor
Children's Oncology Group
Target Recruit Count
435
Registration Number
NCT05457556
Locations
🇺🇸

Children's Hospital of Alabama, Birmingham, Alabama, United States

🇺🇸

C S Mott Children's Hospital, Ann Arbor, Michigan, United States

🇺🇸

Children's Hospital of Michigan, Detroit, Michigan, United States

and more 60 locations
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