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.
UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, California, United States
UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, California, United States
UCSF Comprehensive Cancer Center, San Francisco, California, United States
University of Wisconsin Paul P. Carbone Comprehensive Cancer Center, Madison, Wisconsin, United States
UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, California, United States
Alta Bates Comprehensive Cancer Center, Berkeley, California, United States
UCSF Comprehensive Cancer Center, San Francisco, California, United States
UCSF Comprehensive Cancer Center, San Francisco, California, United States
Wake Forest University Comprehensive Cancer Center, Winston-Salem, North Carolina, United States
University of Minnesota Cancer Center, Minneapolis, Minnesota, United States
OHSU Knight Cancer Institute, Portland, Oregon, United States
Charite - Universitaetsmedizin Berlin - Campus Benjamin Franklin, Berlin, Germany
University Hospital of Leipzig, Leipzig, Germany
Klinikum der Universitaet Regensburg, Regensburg, Germany
Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center, Cleveland, Ohio, United States
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