• Retrospective analysis by the Center for International Blood and Marrow Transplant Research (CIBMTR): Prompt complete remission plus consolidation therapy yields improved survival after allogeneic hematopoietic cell transplantation (allo-HCT) for patients with acute myeloid leukemia (AML) receiving a myeloablative conditioning regimen and not a reduced-intensity conditioning regimen. (ascopost.com)
  • Outcomes of patients with AML and MDS who relapse or progress after reduced intensity allogeneic hematopoietic cell transplantation. (uchicago.edu)
  • Performance status and comorbidity predict transplant-related mortality after allogeneic hematopoietic cell transplantation. (uchicago.edu)
  • Phase I-II study of clofarabine-melphalan-alemtuzumab conditioning for allogeneic hematopoietic cell transplantation. (uchicago.edu)
  • Pretreatment C-reactive protein is a predictor for outcomes after reduced-intensity allogeneic hematopoietic cell transplantation. (uchicago.edu)
  • In this first response, a patient with prior allogeneic hematopoietic cell transplantation (line 30), which is a procedure that involves a patient receiving a donor's bone marrow or blood may feel nauseated when given Busulfan. (drugbank.dev)
  • Busulfan is an alkylating agent and functions as a myeloablative and anti-leukemic chemotherapy drug. (bvsalud.org)
  • Drugs used in chemotherapy, such as busulfan, fludarabine phosphate and cyclophosphamide work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. (mdanderson.org)
  • Giving chemotherapy such as busulfan and fludarabine phosphate before a donor stem cell transplant helps stop the growth of cells in the bone marrow, including normal blood-forming cells (stem cells) and cancer cells. (mdanderson.org)
  • It is important to keep a record of the cancer treatment, including a list of specific chemotherapy drugs or other medications, you or your child received. (cancer.net)
  • Bone marrow transplants from healthy donors are used successfully to treat certain blood cancers for which the course of the disease is so severe that the destruction of the patient's own immune system through high-dose chemotherapy and radiation seems an effective compromise. (nih.gov)
  • The objective of the study is to prepare the patient's body before a stem cell transplant by using an antibody-drug instead of radiation/chemotherapy to make transplants safer. (fanconi.org)
  • Hematopoietic stem cell transplantation is also sometimes used for solid tumors (eg, some germ cell tumors) that respond to chemotherapy. (msdmanuals.com)
  • Myleran Busulfan tablets What do busulfan tablets do?BUSULFAN (Myleran(R)) is a type of chemotherapy used for treating chronic myelogenous leukemia. (tcds.com)
  • It may also be used as part of the chemotherapy given before bone marrow transplantation. (tcds.com)
  • Busulfan may be used in combination with other cancer chemotherapy agents. (tcds.com)
  • Sargramostim is a colony stimulating factor that is FDA approved for the treatment of granulocytopenia following induction chemotherapy in acute myelogenous leukemia , mobilization and following transplantation of autologous peripheral blood progentior cells, myeloid reconstitution after autologous bone marrow transplantation, myeloid reconstitution after allogeneic bone marrow transplantation and bone marrow transplantation failure or engraftment delay. (wikidoc.org)
  • The recommended dose is 250 mcg/m2/day administered IV over a 2-hour period beginning two to four hours after bone marrow infusion, and not less than 24 hours after the last dose of chemotherapy or radiotherapy. (wikidoc.org)
  • Fludarabine + busulfan is a typical example of this use. (wikipedia.org)
  • Phase I study of dose-escalated busulfan with fludarabine and alemtuzumab as conditioning for allogeneic hematopoietic stem cell transplant: reduced clearance at high doses and occurrence of late sinusoidal obstruction syndrome/veno-occlusive disease. (uchicago.edu)
  • Adding venetoclax to fludarabine/busulfan RIC transplant for high risk MDS and AML is feasible, safe, and active. (harvard.edu)
  • This includes bone and cartilage repair, cell types into which MSCs readily differentiate, and immune conditions such as graft versus host disease and autoimmune conditions that utilize the MSC's immune suppressive properties. (biomedcentral.com)
  • Busulfan was approved by the US Food and Drug Administration (FDA) for treatment of chronic myeloid leukemia (CML) in 1999. (wikipedia.org)
  • Busulfan was the mainstay of the chemotherapeutic treatment of chronic myeloid leukemia (CML) until it was displaced by the new gold standard, imatinib, though it is still in use to a degree as a result of the drug's relative low cost. (wikipedia.org)
  • Atovaquone is an FDA-approved antiparasitic and antifungal therapeutic that is currently used as a prophylactic agent to prevent Pneumocystis carinii pneumonia (PCP) infections in acute myeloid leukemia (AML) patients after receiving hematopoietic stem cell transplantation (HSCT). (bvsalud.org)
  • Myelogenous or myeloid leukemia is one that involves marrow cells creating platelets, red blood cells, and various kinds of white blood cells. (shekhawatihospital.com)
  • Impact of disease burden at time of allogeneic stem cell transplantation in adults with acute myeloid leukemia and myelodysplastic syndromes. (uchicago.edu)
  • This has also caused more attention to be focused on the evolution of lower- and higher-risk MDS into more aggressive forms of either MDS or acute myeloid leukemia (AML), and has necessitated a clearer description of how these drugs are being used across the country. (jnccn.org)
  • I have expertise in novel therapies for acute myeloid leukemia, stem cell mobilization and homing, as well as stem cell transplantation. (rochester.edu)
  • Studies have shown that the busulfan plasma concentration correlates better with clinical efficacy and toxicity than the patient's administered dosage. (bvsalud.org)
  • In a recent study, they demonstrated that they could transplant bone marrow cells from HLA-matched sibling donors without needing to completely destroy the patient's immune system. (nih.gov)
  • After extracting and isolating precursor CD34+ cells from patients, they use viral transduction to insert a correct copy of the β-globin gene before returning the cells to the patient's bone marrow. (nih.gov)
  • Pharmacokinetic and dynamic studies support this use, that has prompted its usage in transplantation regimes, particularly in frail patients. (wikipedia.org)
  • However, clinical studies of busulfan were completed with patients taking phenytoin, so no empiric dose adjustment is necessary if patients are taking phenytoin with busulfan. (wikipedia.org)
  • Drug screening is an important diagnostic tool in patient management and is an indispensable part of clinical toxicology laboratory services. (bvsalud.org)
  • CLINICAL PHARMACOLOGY Mechanism Of Action Busulfan is a bifunctional alkylating agent in which two labile methanesulfonate groups are attached to opposite ends of a four-carbon alkyl chain. (clustermed.info)
  • Describe a clinical method to measure Busulfan in plasma by LC-MS/MS. (labroots.com)
  • The clinical course of individuals with MF is heterogeneous and characterized by constitutional symptoms, bone marrow myeloproliferation and fibrosis, progressive cytopenias, and symptomatic splenomegaly. (cancernetwork.com)
  • The clinical course of individuals with MF is characterized by constitutional symptoms (fevers, night sweats, and weight loss), bone marrow myeloproliferation and reticulin/collagen fibrosis, worsening cytopenias, thrombosis, and progressive symptomatic splenomegaly. (cancernetwork.com)
  • This response reads, "The drug Busulfan (line 4) was administered intravenously (line 8) in a clinical trial (line 12) that was carried out in the US (line 14). (drugbank.dev)
  • A significant proportion of clinical studies that are underway involve bone marrow and cord blood stem cells for blood and immune disorders [ 3 ] and cancers. (biomedcentral.com)
  • Launch survey for assessment of extent of clinical pharmacists' and pharmacologists' involvement in HSCT in Europe on the basis of the 2020 published publication (Bone Marrow Transplant, 2020 Jan;55(1):62-69). (ebmt.org)
  • Busulfan is a bifunctional alkylating agent known chemically as 1,4- butanediol, dimethanesulfonate. (nih.gov)
  • After 2002, a great interest has appeared for intravenous presentations of busulfan. (wikipedia.org)
  • Busulfex is supplied as an intravenous solution with 6 mg/ml busulfan. (wikipedia.org)
  • BUSULFEX ® (busulfan) Injection is intended for intravenous administration. (nih.gov)
  • Clinicopathologic features of late-onset veno-occlusive disease/sinusoidal obstruction syndrome after high dose intravenous busulfan and hematopoietic cell transplant. (uchicago.edu)
  • The high variability in atovaquone bioavailability prompts the need for therapeutic drug monitoring, especially in pediatric patients. (bvsalud.org)
  • How the Busulfan testing improved the management of Bone Marrow Transplant Patients? (labroots.com)
  • Therapeutic drug monitoring (TDM) of Busulfan is essential for management of Bone Marrow Transplant (BMT) patients, by optimizing dose, supporting compliance, and minimizing toxicity. (labroots.com)
  • The TDM and timely plasma concentration reporting of Busulfan would provide an improvement in the quality-of-care for BMT patients. (labroots.com)
  • Identify our purpose to measure Busulfan in BMT patients' samples. (labroots.com)
  • This study uses transplantation to treat patients with problems in their immune system. (zhihuiya.com)
  • Conditioning' treatments are given to patients to create space in their bone marrow. (zhihuiya.com)
  • Patients who do not have a matched sibling donor but have a donor that matches in the National Marrow Donor Program. (zhihuiya.com)
  • To create space in the bone marrow, patients are given two drugs, Campath-1H and busulfan. (zhihuiya.com)
  • Of the 15 responding patients, 6 had post-clofarabine bone marrow transplantation. (bionity.com)
  • In 30-50% of patients, the lymphoblasts infiltrate bone marrow, causing ineffective hematopoiesis. (medscape.com)
  • Dr. Tisdale has an active research program in trying to characterize tolerance and create conditions in which patients will more easily tolerate donor cells and tissues without the need for destroying the immune system or perpetual use of immunosuppressant drugs. (nih.gov)
  • Dr. Tisdale and his colleagues recently completed a modified bone marrow transplant strategy for the first time in adult patients with sickle cell disease. (nih.gov)
  • Successful allogeneic transplantation of patients with suspected prior invasive mold infection. (uchicago.edu)
  • Knowing the adverse effects of a drug is important because not only do we want to ensure patients are benefiting from the drug, we want to ensure any associated health risks are minimal. (drugbank.dev)
  • 98% of the patients (line 18) who took the experimental drug (line 17) reported an adverse effect of nausea (line 22). (drugbank.dev)
  • Patients should not receive Sargramostim until the post marrow infusion ANC is less than 500 cells/mm3. (wikidoc.org)
  • Busulfan therapeutic drug monitoring is completed based on trough (pre-dose) levels with a target six-hour area under the curve (AUC) of between 900 and 1500 micromolxmin. (wikipedia.org)
  • These studies suggest that, in young children, BSA-based dosing of BU (40 mg/m 2 ) provides drug exposures (AUCs) closer to adult values with acceptable toxicities and may improve therapeutic effects. (umn.edu)
  • Therapeutic drug monitoring (TDM) of busulfan plasma concentration guides the dosage adjustment to optimally achieve complete bone marrow ablation while minimizing the dosage-dependent toxicity. (bvsalud.org)
  • Combining drugs with different mechanisms of action can produce larger therapeutic effects with fewer side effects. (doctorlib.info)
  • Este estudio es una revisión integradora de la literatura a través de bases de datos de análisis médicos, literatura y recuperación de sistema en línea (MEDLINE), SCOPUS, Cumulative Index de Enfermería y Salud Aliada Literatura (CINAHL) y Science Direct. (sld.cu)
  • Busulfex is also known as Busulfan. (clustermed.info)
  • BUSULFEX ® (busulfan) Injection is a potent cytotoxic drug that causes profound myelosuppression at the recommended dosage. (nih.gov)
  • Each vial of BUSULFEX contains 60 mg (6 mg/mL) of busulfan, the active ingredient, a white crystalline powder with a molecular formula of CH 3 SO 2 O(CH 2 ) 4 OSO 2 CH 3 and a molecular weight of 246 g/mole. (nih.gov)
  • The solubility of busulfan in water is 0.1 g/L and the pH of BUSULFEX diluted to approximately 0.5 mg/mL busulfan in 0.9% Sodium Chloride Injection, USP or 5% Dextrose Injection, USP as recommended for infusion reflects the pH of the diluent used and ranges from 3.4 to 3.9. (nih.gov)
  • Toxicity may include interstitial pulmonary fibrosis ("busulfan lung"), hyperpigmentation, seizures, hepatic (veno-occlusive disease) (VOD) or sinusoidal obstruction syndrome (SOS), emesis, and wasting syndrome. (wikipedia.org)
  • My overall research ambition stems from the need to improve efficacy and reduce toxicity of anticancer drug therapy through the application of quantitative pharmacology. (amsterdamumc.org)
  • Here, we combine relevant preclinical mechanistic data of physicochemical drug properties related to PK and efficacy/toxicity, pathologic and physiological factors and apply mathematics to describe the mechanisms that control the uptake, distribution, and elimination of drug into blood and (tumor) tissues. (amsterdamumc.org)
  • Leukemia is a group of clonal diseases derived from a single cell with a genetic alteration in bone marrow or peripheral lymphoid tissue, and each type is determined by the specificity of the source cell. (sld.cu)
  • Both IV and oral formulations require prophylactic antiemetic agents administered prior to the busulfan dose and scheduled antiemetics administered thereafter. (wikipedia.org)
  • For example, most chemotherapeutic drugs work by impairing mitosis (cell division), effectively targeting fast-dividing cells. (justia.com)
  • We evaluated the disposition of busulfan in children between 2 months and 3.6 years of age with lysosomal storage diseases, leukemia, and immunodeficiency disorders receiving oral doses of 1 or 2 mg/kg using a gas chromatographic assay. (johnshopkins.edu)
  • Leukemia occurs as a result of malfunctioning of marrow leading to cancerous cell formation. (shekhawatihospital.com)
  • Busulfan clearance rate normalized to surface area is twice as high in children (200 ± 100 mL/min/m 2 ) as it is in adults (95 ± 54 mL/min/m 2 ). (johnshopkins.edu)
  • To complement The ASCO Post 's continued comprehensive coverage of the 2021 American Society of Hematology (ASH) Annual Meeting & Exposition, here are several abstracts selected from the meeting proceedings focusing on allogeneic transplantation for hematologic neoplasms in adults. (ascopost.com)
  • The cells make their way to the bone marrow space and slowly refill the marrow over the next several weeks. (zhihuiya.com)
  • As these drugs cause damage to cells they are termed cytotoxic. (justia.com)
  • About 30% of the drug is bound to plasma proteins, such as albumin. (wikipedia.org)
  • Irreversible binding to plasma elements, primarily albumin, has been estimated to be 32.4 ± 2.2% which is consistent with the reactive electrophilic properties of busulfan. (nih.gov)
  • Levetiracetam, has shown efficacy for the prophylaxis against busulfan-induced seizures. (wikipedia.org)
  • The drug was recently used in a study to examine the role of platelet-transported serotonin in liver regeneration. (wikipedia.org)
  • Liver transplant alone is not curative for erythropoietic protoporphyria (EPP) but instead needs to be combined with bone marrow transplant. (medscape.com)
  • Seizures and VOD are serious concerns with busulfan therapy and prophylaxis is often utilized to avoid these effects. (wikipedia.org)
  • He observed that this highly aggressive bone cancer was remarkably sensitive to radiation therapy. (sarcomahelp.org)
  • These inhibitors block the protein and may also be used for stem cell therapy for replacing the cancerous bone marrow with a healthy one. (shekhawatihospital.com)
  • Busulfan can control tumor burden but cannot prevent transformation or correct cytogenic abnormalities. (wikipedia.org)
  • This class of carcinogens includes various hormones (e.g., estrogen and diethylstilbestrol), immunosuppressive drugs (e.g., azathioprine), solid-state carcinogens (e.g., asbestos), and promoting agents (agents that increase tumor development when given after a genotoxic chemical). (doctorlib.info)
  • Drug treatment regimens for cancer usually involve combinations of agents given intermittently. (doctorlib.info)
  • This study will use lower doses of a drug called busulfan and lower doses of radiation than what are currently being used in other kinds of bone marrow transplantation for other diseases. (zhihuiya.com)
  • Several neoplastic diseases can be cured with drugs alone or with a combination of drugs and other treatment modalities. (doctorlib.info)