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BuCy vs BuFlu

Cooperative Study Group A for Hematology · Phase 3 active Small molecule

BuCy and BuFlu are conditioning regimens that use chemotherapy agents (busulfan combined with either cyclophosphamide or fludarabine) to prepare patients for hematopoietic stem cell transplantation by suppressing bone marrow and the immune system.

BuCy and BuFlu are conditioning regimens that use chemotherapy agents (busulfan combined with either cyclophosphamide or fludarabine) to prepare patients for hematopoietic stem cell transplantation by suppressing bone marrow and the immune system. Used for Conditioning regimen prior to allogeneic hematopoietic stem cell transplantation for hematologic malignancies, Conditioning regimen prior to allogeneic hematopoietic stem cell transplantation for severe aplastic anemia.

At a glance

Generic nameBuCy vs BuFlu
Also known asbusulfan plus cyclophosphamide versus fludarabine
SponsorCooperative Study Group A for Hematology
Drug classChemotherapy conditioning regimen
ModalitySmall molecule
Therapeutic areaOncology / Hematology
PhasePhase 3

Mechanism of action

BuCy (busulfan-cyclophosphamide) and BuFlu (busulfan-fludarabine) are myeloablative or reduced-intensity conditioning regimens used prior to allogeneic hematopoietic stem cell transplantation. Busulfan is an alkylating agent that damages DNA and destroys bone marrow cells, while cyclophosphamide or fludarabine provide additional immunosuppression and cytotoxic effects. These regimens eliminate residual disease and create space for donor stem cell engraftment.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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