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Carmustine (BiCNU)

Alias: NSC409962; NCI-C04773; NCIC04773; NCI C04773; Nitrumon; NSC 409962; NSC-409962; SK 27702; SRI 1720; DTI 015;; FDA 0345; BCNU Becenum; Bi CNU; BiCNU; 154-93-8; 1,3-Bis(2-chloroethyl)-1-nitrosourea; BCNU; Carmustin; Carmubris; Gliadel; Carmustine
Cat No.:V5087 Purity: =99.25%
Carmustine (Nitrumon; NSC 409962), anDNA crosslinking and alkylating nitrosourea, is a potent antitumor chemotherapeutic agent.
Carmustine (BiCNU)
Carmustine (BiCNU) Chemical Structure CAS No.: 154-93-8
Product category: DNA(RNA) Synthesis
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Carmustine (BiCNU):

  • Carmustine-d8 (carmustine d8)
Official Supplier of:
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Top Publications Citing lnvivochem Products
Purity & Quality Control Documentation

Purity: =99.25%

Product Description

Carmustine (Nitrumon; NSC 409962), an DNA crosslinking and alkylating nitrosourea, is a potent antitumor chemotherapeutic agent. Carmustine disrupts DNA function, causes cell cycle arrest, and induces apoptosis by alkylating and cross-linking DNA at every stage of the cell cycle. Moreover, this substance carbamoylates proteins, including enzymes that repair DNA, which increases its cytotoxic effect. Since carmustine is so lipophilic, it easily penetrates the blood-brain barrier.

Biological Activity I Assay Protocols (From Reference)
Targets
DNA Alkylator
ln Vitro
Carmustine is a chemotherapy drug used to treat cancer. Neuronal cell proliferation, tumor cytoplasm, and intact N-benzoyltransferase (NAT) activity of 2-aminobenzoic acid (AF) and p-aminobenzoic acid (PABA) are all reduced by carmustine (8, 80, and 800 μM). The DNA-AF addition complex rises with the development of tumor nerve growth cells, while carmustine lowers it [1].

Carmustine and lomustine are nitrosourea antitumor chemotherapeutic agents which were used to determine whether or not they could affect arylamine N-acetyltransferase (NAT) activity and DNA-2-aminofluorene adducts in rat glial tumor cell line (C6 glioma). The NAT activity was measured by high preformance liquid chromatography (HPLC) assaying for the amounts of N-acetyl-2-aminofluorene (AAF) and N-acetyl-p-aminobenzoic acid (N-Ac-PABA) and remaining 2-aminofluorene (AF) and p-aminobenzoic acid (PABA). The results indicate that NAT activity in glial tumor cell cytosols and intact tumor cells were decreased by carmustine and lomustine in a dose-dependent manner. The apparent values of Km and Vmax of NAT from rat glial tumor cell also decreased after co-treatment of carmustine and lomustine in both examined cytosols and intact cells. Following exposure of glial tumor cells to the various concentrations of AF with or without co-treatment with carmustine and lomustine, DNA-AF adducts were determined by using gamma-[32p]-dATP and HPLC. The DNA-AF adducts in rat glial tumor cells were decreased by co-treatment with carmustine and lomustine. This report is the first demonstration to show carmustine and lomustine did inhibit rat glial tumor cells NAT activity and DNA-AF adduct formation.[1]
Carmustine inhibited arylamine N-acetyltransferase (NAT) activity in rat glial tumor cell (C6 glioma) cytosols and intact cells in a dose-dependent manner, using both 2-aminofluorene (AF) and p-aminobenzoic acid (PABA) as substrates. At concentrations of 8, 80, and 800 µM, NAT activity decreased by 0.20–0.78-fold for AF and 0.17–0.79-fold for PABA in cytosols, compared to controls. [1]
In intact rat glial tumor cells co-treated with 80 µM Carmustine, NAT activity (measured as production of acetylated products from AF and PABA) decreased by 43–48% for AF and 45–52% for PABA over incubation periods of 6 to 24 hours. [1]
Carmustine (80 µM) decreased the formation of DNA-2-aminofluorene (AF) adducts in rat glial tumor cells by 40% when co-incubated with 30 µM AF and by 40% when co-incubated with 60 µM AF. [1]
Carmustine (80 µM) altered the kinetic constants of NAT in rat glial tumor cells. In cytosols, the apparent Km for AF decreased from 1.28 ± 0.28 mM (control) to 0.56 ± 0.12 mM, and Vmax decreased from 4.17 ± 0.66 to 2.49 ± 0.48 nmol/min/mg protein. In intact cells, Km for AF decreased from 1.12 ± 0.17 mM to 0.68 ± 0.14 mM, and Vmax decreased from 3.88 ± 0.53 to 2.49 ± 0.44 nmol/min/mg protein. [1]
ln Vivo
In comparison to stents level (GSSG) and reduced glutathione (GSH)/GSSG value, carmustine (BCNU; 25 mg/kg, ip) led to greater levels of death to body weight, the ratio of bound bilirubin, external bile flow, and oxidized glutathione [2].

This study investigated the effect of trimetazidine (TMZ), known as an anti-oxidant agent, on intrahepatic cholestasis caused by Carmustine (BCNU) in rats. Rats were assigned into four groups. The first group (Saline) consisted of 12 rats, which were injected with 2 ml/kg of saline intraperitoneally (IP) 48 h before the study. The second group (corn oil group, n=15), which were injected with 2 ml/kg of corn oil IP 48 h before the study. The third group (BCNU group, n=16), which were injected with 2 ml/kg of corn oil+25 mg/kg BCNU IP 48 h before the study. The fourth group (TMZ group, n=12), which were injected with 2.5 mg/kg per day of TMZ IP, administered at the same hour of the day as a single-dose. Twelve hour after the first dose of TMZ, corn oil 2 ml/kg+BCNU 25 mg/kg IP were injected, and the rats were included in the study 48 h after the administration of corn oil+BCNU. Following a pentobarbital anaesthesia, abdomen was opened with incision, a cannula was placed into the channel of choledocus, and the amount of bile was measured per hour. Then intracardiac blood sample was taken, and consequently centrifuged to obtain the plasma. Finally, the rats were killed with cervical dislocation, and their livers were removed and weighted. In addition to histopathological examination of liver, the levels of malon dialdehyde (MDA), oxidised glutation (GSSG), and reduced glutation (GSH) were detected. Also the osmolality of bile and plasma was estimated in mOsm/kg. As a result, the biliary flow was seen to decrease in BCNU group (P<0.005), but to be normal in TMZ group. The serum level of conjugated biluribin was higher in BCNU group compared to other groups (P<0.05 for each). Although the level of total glutation was lower (P<0.005) in TMZ group, GSH/GSSG ratio was normal. These findings suggest that TMZ has a protective effect on intrahepatic cholestasis caused by BCNU.[2]
A single intraperitoneal dose of Carmustine (BCNU) (25 mg/kg) administered to Wistar Albino rats induced intrahepatic cholestasis. This was evidenced by significantly reduced biliary flow, increased plasma conjugated bilirubin levels, decreased glutathione levels, and increased liver malondialdehyde (MDA) levels compared to control groups. Histopathological examination of the liver in the BCNU-treated group showed mild cellular edema and mononuclear cellular infiltrations. [2]
Enzyme Assay
2-Aminofluorene (AF) and p-Aminobenzoic acid (PABA) N-acetylation is determined in an Acetyl-CoAdependent manner. The assay system's incubation mixtures have a total volume of 90 μL and include glial tumor cells cytosols, diluted as needed, in 50 μL of lysis buffer (20 mM Tris/HCl, pH 7.5, 1 mM DTT and 1 mM EDTA), 20 μL of an Acetyl-CoA recycling mixture of 50 mM Tris-HCl (pH7.5), 0.2 mM EDTA, 2 mM DTT, 15 mM acetylcamitine, 2U/mL carnitine acetyltransferase, and AF or PABA at designated concentrations. Addition of 20 μL of acetyl-CoA initiates the reactions. Acetyl-CoA is replaced in the control reactions with 20 μL of distilled water. The final concentrations of AcCoA and PABA for the single point activity measurements are 0.5 mM and 0.1 mM, respectively. 50 μL of 20% trichloroacetic acid is used to stop the PABA reactions and 100 μL of acetonitrile is used to stop the AF reactions after the reaction mixtures, either with or without specific concentrations of carmustine and lomustine, are incubated for 10 minutes at 37°C. Every reaction, including controls and experiments, is carried out in triplicate[1].
Arylamine N-Acetyltransferase (NAT) Activity Assay: The assay measured Acetyl-CoA-dependent N-acetylation of substrates (AF or PABA). Reaction mixtures (total volume 90 µL) contained rat glial tumor cell cytosol or intact cells, lysis buffer (Tris/HCl, DTT, EDTA), an Acetyl-CoA recycling mixture (containing acetylcarnitine and carnitine acetyltransferase), specific concentrations of AF or PABA, and Acetyl-CoA to initiate the reaction. Reactions were incubated at 37°C for 10 minutes and stopped with trichloroacetic acid (for PABA) or acetonitrile (for AF). Acetylated products (N-acetyl-2-aminofluorene, AAF; or N-acetyl-p-aminobenzoic acid, N-Ac-PABA) and remaining substrate were quantified by HPLC using C18 reversed-phase columns with specific mobile phases and UV detection. NAT activity was expressed as nmol acetylated product formed per minute per mg of cytosolic protein. [1]
Cell Assay
Intact Cell NAT Activity Assay: Rat glial tumor cells (C6 glioma) were seeded at 1×10⁶ cells/ml in 24-well plates with RPMI 1640 medium containing glutamine and 10% fetal calf serum. Cells were co-incubated with AF or PABA and various concentrations of Carmustine at 37°C in a 5% CO₂ atmosphere for specified times (e.g., 6, 12, 18, 24 hours). After incubation, cells and media were centrifuged. For AF experiments, the supernatant was extracted with ethyl acetate/methanol (95:5), evaporated, redissolved in methanol, and analyzed for AAF by HPLC. For PABA experiments, aliquots of the supernatant were directly analyzed for N-Ac-PABA by HPLC. [1]
DNA Adduct Formation Assay: Rat glial tumor cells were incubated with AF with or without Carmustine (80 µM) for 18 hours. Cells were harvested, and DNA was isolated using a commercial DNA isolation kit. Isolated DNA was hydrolyzed to nucleotides, and adducted nucleotides were labeled with [γ-³²P]ATP using polynucleotide kinase. Labeled adducted nucleotides were separated by HPLC using a C18 reversed-phase ion-pairing column with a gradient elution of potassium phosphate buffer (pH 6.0) and acetonitrile. Radioactivity in collected fractions was quantified by scintillation counting. DNA adduct levels were calculated as pmol adduct per mg DNA. [1]
Animal Protocol
Rats: Rats are randomly assigned to four groups after being weighted individually before beginning the study and having their weights recorded. There are twelve rats in Group I (the saline group). The study includes the rats 48 hours after they receive an intraperitoneal (IP) injection of 2 mL/kg of saline 48 hours prior to the study. Fifteen rats make up Group II (corn oil group). The rats receive a 2 mL/kg injection of corn oil (vehicle) IP 48 hours prior to the investigation. Sixteen rats make up Group III (Carmustine group). For three days, the same hour of the day, a single-dose of 1 mL of saline IP is injected into these rats. The rats are added to the study 48 hours after the first dose of saline is administered, and twelve hours later, they receive injections of corn oil (2 mL/kg) and carmustine (25 mg/kg IP). There are twelve rats in Group IV (the trimetazidine group). For three days, these rats receive a single-dose injection of 2.5 mg/kg of trimetazidine (TMZ) IP at the same hour every day. Corn oil (2 mL/kg) and carmustine (25 mg/kg IP) are injected 12 hours after the first dose of TMZ, and the rats are added to the study 48 hours later[2].
Wistar Albino rats weighing 200-350 g were used. Carmustine (BCNU) was dissolved in corn oil and administered via a single intraperitoneal injection at a dose of 25 mg/kg. Rats in the BCNU group received saline injections (1 ml/day) for 3 days prior to BCNU administration. Twelve hours after the first saline dose, a single dose of corn oil (2 ml/kg) plus BCNU (25 mg/kg) was injected intraperitoneally. Animals were included in the study 48 hours after BCNU administration. Prior to terminal procedures, rats were anesthetized with phenobarbital (60 mg/kg, i.p.), the bile duct was cannulated, and bile flow was collected and measured for 60 minutes. Blood samples were taken intracardially, and livers were removed for weight measurement, biochemical analysis (MDA, GSH, GSSG), and histopathological examination. [2]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Bioavailability ranges from 5% to 28%. Approximately 60% to 70% of the total dose is excreted in the urine within 96 hours, and approximately 10% is excreted as respirable carbon dioxide. The mean steady-state volume of distribution after intravenous infusion of carmustine is 3.25 L/kg. Due to its high lipid solubility, carmustine and/or its metabolites readily cross the blood-brain barrier. Significant concentrations of carmustine are observed almost immediately in cerebrospinal fluid following intravenous administration; reportedly, cerebrospinal fluid radioactivity levels are 15% to 70% of concurrent plasma concentrations. Carmustine metabolites are distributed into breast milk, but at lower concentrations than in maternal plasma. The absorption of the copolymers contained in carmustine tablets in humans has not been evaluated. Plasma concentrations of carmustine after intracranial implantation of carmustine tablets in humans have not been determined; however, carmustine was not detected in plasma in rabbits that underwent implantation surgery with tablets containing 3.85% carmustine. When carmustine tablets are exposed to an aqueous environment in the resection cavity, the anhydride bonds in the copolymer hydrolyze, releasing carmustine and two monomers: carboxyphenoxypropane and sebacic acid. The carmustine contained in the tablet diffuses into the surrounding brain tissue. The metabolism and excretion of the copolymer contained in the carmustine tablet in humans have not been evaluated. Animal studies have shown that more than 70% of the copolymer degrades within 3 weeks after carmustine tablet implantation in brain tissue; after copolymer hydrolysis, carboxyphenoxypropane is excreted via the kidneys, while sebacic acid (an endogenous fatty acid) is metabolized in the liver and excreted as carbon dioxide. In humans, chip residues can be observed on brain imaging scans or during subsequent surgeries for up to 8 months after intracranial implantation. Analysis of chip residues removed from two patients approximately 2-3 months after implantation revealed that the main components were water and monomers, with only trace amounts of carmustine detected.
Differential pulse polarography was used to determine the disappearance of BCNU in plasma, liver, kidney, lung, brain, spleen, tumor tissue, and epididymal adipose tissue of tumor-bearing rats and healthy animals after intravenous injection. Polarographic analysis detected only BCNU, without its degradation products. The level of BCNU in the liver of tumor-bearing animals was significantly lower than that in healthy rats (approximately 10-fold lower). The kinetics of BCNU in plasma, kidney, lung, and brain were calculated using a bi-exponential fitting method, but no difference was found between healthy rats and Walker tumor-bearing rats. BCNU was cleared from the adipose tissue of tumor-bearing animals more rapidly than in normal animals.
Approximately 40 minutes after injection, BCNU lost its antitumor activity, and unmetabolized BCNU was undetectable in plasma within minutes of administration. Following intraperitoneal, subcutaneous, or oral administration, BCNU rapidly distributed to most tissues, including the brain and cerebrospinal fluid. Excretion is primarily via urine; mice excrete the fastest (80% of the dose is excreted within 24 hours), while monkeys and dogs excrete more slowly. Metabolism/Metabolites: Metabolism occurs mainly in the liver, rapidly, producing active metabolites. Metabolites may persist in plasma for several days. This study investigated the in vitro metabolism of the anticancer drug 1,3-bis(2-chloroethyl)-1-nitrosourea (BCNU) in the liver microsomes of male Fischer 344 rats. The previously identified product, 1,3-bis(2-chloroethyl)urea (BCU), was confirmed as the major metabolite. Stable isotope labeling and mass spectrometry analysis of the isolated metabolites showed that BCU is entirely generated from the metabolic denitrosation of BCNU. This study determined the chemocatabolism rate of BCNU in the liver microsomes of NADPH-deficient rats, as well as the metabolic disappearance rate of BCNU in the NADPH-added formulation, and compared it with the BCU metabolic generation rate measured under the same conditions. Within the experimental error range, the NADPH-dependent metabolic rate of BCNU and the production rate of BCU were equal. Studies have found that BCNU can inhibit the metabolism of 1-(2-chloroethyl)-3-cyclohexyl-1-nitrosourea (CCNU) in 9000 g of rat liver supernatant. It is primarily metabolized by the liver; metabolism is rapid, producing active metabolites. These metabolites can persist in plasma for several days. Elimination pathway: Approximately 60% to 70% of the total dose is excreted in the urine within 96 hours, and approximately 10% is excreted as carbon dioxide (CO2) produced by respiration. Half-life: 15-30 minutes.
Toxicity/Toxicokinetics
Toxicity Summary
Carmustine can cause DNA and RNA cross-linking, thereby inhibiting DNA synthesis, RNA production, and RNA translation (protein synthesis). Carmustine also binds to and modifies (carbamylated) glutathione reductase, ultimately leading to cell death. Hepatotoxicity
Up to 25% of patients receiving carmustine treatment experience a mild and transient increase in serum transaminase levels. Because carmustine is often used in combination with other drugs, its role in causing these serum enzyme elevations is not always clear. These abnormalities are usually transient, asymptomatic, and do not require dose adjustment. Clinically significant carmustine-induced liver injury is limited to a small number of cases of cholestatic hepatitis and the more common case of hepatic sinusoidal obstruction syndrome, which is mainly seen when used at high doses or as a pretreatment drug for hematopoietic stem cell transplantation. Hepatic sinusoidal obstruction syndrome usually develops within two to three weeks after bone marrow ablation and is characterized by sudden onset of abdominal pain, weight gain, ascites, and a significant increase in serum transaminase (and lactate dehydrogenase) levels, followed by jaundice and liver dysfunction. The severity of hepatic sinusoidal obstruction syndrome varies, ranging from transient, self-limiting injury to acute liver failure. Diagnosis is typically based on clinical features such as liver tenderness and enlargement, weight gain, ascites, and jaundice appearing within three weeks of chemotherapy. Liver biopsy is diagnostically valuable, but it is generally not recommended due to the potential for severe thrombocytopenia following hematopoietic stem cell transplantation.
Probability score: E (Unproven but suspected cause of clinically significant liver injury, especially when used for bone marrow ablation).
Effects during pregnancy and lactation
◉ Overview of medication use during lactation
There is currently no information regarding the use of carmustine during lactation. Most sources consider breastfeeding contraindicated during maternal treatment with anti-tumor drugs, especially alkylating agents such as carmustine. The manufacturer recommends discontinuing breastfeeding during carmustine treatment and for one month after the last dose.
◉ Effects on breastfed infants
As of the revision date, no relevant published information was found.
◉ Effects on Lactation and Breast Milk
Some evidence suggests that carmustine may increase serum prolactin levels. For mothers who have established lactation, prolactin levels may not affect their ability to breastfeed.
Protein Binding
80%Toxicity Data
The oral LD50 for rats and mice is 20 mg/kg and 45 mg/kg, respectively.
Drug Interactions
In patients treated with both carmustine and phenytoin sodium, serum concentrations of phenytoin sodium may be decreased. Patients treated with carmustine should have their serum phenytoin concentrations closely monitored and the dose adjusted as needed.
Changes in the quality and quantity of the tear film, leading to corneal and conjunctival epithelial damage, have been reported in patients receiving high doses of carmustine and mitomycin. Cimetidine may enhance the myelosuppressive effects (e.g., neutropenia, agranulocytosis) of myelosuppressive drugs (e.g., alkylating agents, antimetabolites) or therapies (e.g., radiotherapy). Concomitant cimetidine treatment has been reported to enhance neutropenia and thrombocytopenia induced by carmustine alone or in combination with radiotherapy.
Non-human toxicity values
Oral LD50 in rats: 20 mg/kg
Intraperitoneal LD50 in rats: 17,420 ug/kg
Subcutaneous LD50 in rats: 83,200 ug/kg
Intravenous LD50 in rats: 13,800 ug/kg
For more complete non-human toxicity data for carmustine (9 out of 9), please visit the HSDB record page.
Compared to baseline, rats showed a significant decrease in body weight within 48 hours following intraperitoneal injection of 25 mg/kg carmustine (BCNU) (P<0.005). It induces intrahepatic cholestasis, characterized by decreased bile flow, increased conjugated bilirubin, oxidative stress (increased malondialdehyde and decreased glutathione), and mild liver histological damage (cellular edema and mononuclear cell infiltration). [2]
References

[1]. Hung CF. Effects of carmustine and lomustine on arylamine N-acetyltransferase activity and 2-aminofluorene-DNA adducts in rat glial tumor cells. Neurochem Res. 2000 Jun;25(6):845-51.

[2]. The effect of trimetazidine on intrahepatic cholestasis caused by carmustine in rats. Hepatol Res. 2001 May 1;20(1):133-143.

Additional Infomation
Therapeutic Uses
BiCNU is indicated for palliative treatment of the following conditions, as a monotherapy or in combination with other approved chemotherapy agents: Brain tumors—glioblastoma, brainstem glioma, medulloblastoma, astrocytoma, ependymoma, and metastatic brain tumors. Multiple myeloma—in combination with prednisone. Hodgkin lymphoma—as second-line treatment, in combination with other approved agents for patients who have relapsed during first-line therapy or who have failed first-line therapy. Non-Hodgkin lymphoma—as second-line treatment, in combination with other approved agents for patients who have relapsed during first-line therapy or who have failed first-line therapy. Bis(chloroethyl)nitrosourea has been used as an antineoplastic agent since 1971 for the treatment of Hodgkin lymphoma, multiple myeloma, and primary or metastatic brain tumors. It has been reported to have antiviral, antibacterial, and antifungal activities, but there is currently no evidence to support its use in these areas. Previous Uses.
Drug (Veterinary): A chemotherapy regimen using carmustine in combination with vincristine and prednisone was tested in dogs with multicentric malignant lymphosarcoma. Of the 7 dogs treated, 6 (85.7%) achieved complete remission. 1 dog achieved partial remission. The median survival was 224 days (mean 386 days), and the median duration of remission was 183 days (mean 323 days). Significant neutropenia was observed after carmustine administration. No significant changes were observed in platelet and red blood cell counts during treatment, and no chemotherapy-related abnormalities were found in serum biochemistry. These results suggest that carmustine is an effective alternative therapy for canine lymphosarcoma.
Drug Warning /Black Box Warning/ Warning: BiCNU (carmustine for injection) should be used under the supervision of a qualified veterinarian experienced in the use of cancer chemotherapy drugs. Bone marrow suppression, particularly thrombocytopenia and leukopenia, can lead to bleeding and serious infections, especially in immunocompromised patients. This is the most common and serious toxicity of BiCNU. Because the primary toxicity is delayed bone marrow suppression, blood cell counts should be monitored weekly for at least 6 weeks after administration. At the recommended dose, the dosing interval of BiCNU should not be less than 6 weeks. BiCNU bone marrow toxicity is cumulative; therefore, dose adjustments must be considered based on the lowest blood cell count following the previous dose. Pulmonary toxicity of BiCNU appears to be dose-related. Patients with a cumulative dose exceeding 1400 mg/m² are at significantly higher risk than those with lower doses. Delayed pulmonary toxicity can occur years after treatment and can be fatal, especially in patients treated in childhood. Carmustine, administered via parenteral, intravenous, and other possible routes, can cause systemic reactions, including nausea or vomiting, decreased white blood cell and platelet counts, bone marrow damage, and potentially fatal respiratory damage such as pulmonary fibrosis, dyspnea, and cyanosis. In a study of 17 children aged 1 to 16 years who received carmustine at a cumulative dose ranging from 770 to 1800 mg/m² and concurrently received cranial radiotherapy for intracranial tumors, 8 children (47%) died from delayed pulmonary fibrosis, including all 5 children under 5 years of age who received initial treatment. Pulmonary fibrosis was observed up to 17 years after carmustine treatment. Clinical manifestations included chest X-ray showing pulmonary hypoplasia with upper lung field atrophy, and chest CT scan showing an abnormal pattern of upper lung field fibrosis; gallium scans were normal. Delayed decline in lung function was observed in all long-term survivors in the study. Carmustine-induced pulmonary fibrosis can progress slowly and lead to death. Patients receiving systemic carmustine treatment have experienced pulmonary toxicity, including acute or delayed pulmonary fibrosis leading to death. Pulmonary toxicity characterized by lung infiltration and/or fibrosis has been reported in patients receiving carmustine or related nitrosoureas within 9 days to 43 months after treatment. Most reported cases of pulmonary toxicity occurred in patients receiving long-term carmustine treatment with a total dose exceeding 1400 mg/m²; however, pulmonary fibrosis can occur even with lower total doses. Other risk factors include a history of lung disease and the duration of carmustine treatment. Pulmonary toxicity can sometimes progress rapidly and/or be fatal. For more complete data on drug warnings for carmustine (41 total), please visit the HSDB records page. Pharmacodynamics: Carmustine is a nitrosourea that is used as monotherapy or in combination with other approved chemotherapy agents for the palliative treatment of brain tumors, multiple myeloma, Hodgkin's lymphoma, and non-Hodgkin's lymphoma. Although carmustine is generally believed to alkylate DNA and RNA, it does not exhibit cross-resistance with other alkylating agents. Like other nitrosoureas, carmustine may also inhibit a variety of key enzymatic processes by carbamylation of amino acids in proteins. Carmustine is a nitrosourea antitumor chemotherapeutic drug primarily used to treat central nervous system diseases. [1] This study is the first to demonstrate that carmustine inhibits the activity of arylamine N-acetyltransferase (NAT) in rat glioma cells (C6 glioma) in vitro and reduces the formation of DNA-arylamine adducts. [1] The inhibitory effect of carmustine on NAT activity is dose-dependent and affects its kinetic constants (Km and Vmax), suggesting that it may be a non-competitive inhibitor. The hypothesized mechanism involves carmustine carbamylation of lysine residues in the NAT protein. [1]
Carmustine can interfere with the initiation steps of aromatic amine-induced chemical carcinogenesis by reducing the formation of DNA adducts. [1]
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C5H9CL2N3O2
Molecular Weight
214.0499
Exact Mass
213.007
Elemental Analysis
C, 28.06; H, 4.24; Cl, 33.12; N, 19.63; O, 14.95
CAS #
154-93-8
Related CAS #
Carmustine-d8
PubChem CID
2578
Appearance
Light yellow solid (low temperature); soild if <30°C; liquid if >30°C
Density
1.5±0.1 g/cm3
Boiling Point
404ºC
Melting Point
30 °C(lit.)
Index of Refraction
1.549
LogP
1.3
Hydrogen Bond Donor Count
1
Hydrogen Bond Acceptor Count
3
Rotatable Bond Count
4
Heavy Atom Count
12
Complexity
156
Defined Atom Stereocenter Count
0
SMILES
ClC([H])([H])C([H])([H])N(C(N([H])C([H])([H])C([H])([H])Cl)=O)N=O
InChi Key
DLGOEMSEDOSKAD-UHFFFAOYSA-N
InChi Code
InChI=1S/C5H9Cl2N3O2/c6-1-3-8-5(11)10(9-12)4-2-7/h1-4H2,(H,8,11)
Chemical Name
1,3-bis(2-chloroethyl)-1-nitrosourea
Synonyms
NSC409962; NCI-C04773; NCIC04773; NCI C04773; Nitrumon; NSC 409962; NSC-409962; SK 27702; SRI 1720; DTI 015;; FDA 0345; BCNU Becenum; Bi CNU; BiCNU; 154-93-8; 1,3-Bis(2-chloroethyl)-1-nitrosourea; BCNU; Carmustin; Carmubris; Gliadel; Carmustine
HS Tariff Code
29241900
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Note: This product requires protection from light (avoid light exposure) during transportation and storage.
Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: ≥ 35 mg/mL (~163.5 mM)
H2O: ~100 mg/mL (~467.2 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.08 mg/mL (9.72 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2.08 mg/mL (9.72 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

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Solubility in Formulation 3: ≥ 2.08 mg/mL (9.72 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


Solubility in Formulation 4: 5%DMSO+ 40%PEG300+ 5%Tween 80+ 50%ddH2O: 2.0mg/ml (9.34mM)

Solubility in Formulation 5: 100 mg/mL (467.18 mM) in PBS (add these co-solvents sequentially from left to right, and one by one), clear solution; with ultrasonication.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 4.6718 mL 23.3590 mL 46.7181 mL
5 mM 0.9344 mL 4.6718 mL 9.3436 mL
10 mM 0.4672 mL 2.3359 mL 4.6718 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
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Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
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+
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Tazemetostat Plus CHOP in 1L T-cell Lymphoma
CTID: NCT06692452
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-18
CNS-Relapse Prevention in High-Risk Diffuse Large B-cell Lymphoma With Thiotepa-based Autologous Stem Cell Transplant
CTID: NCT06687772
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-14
Ibrutinib Before and After Stem Cell Transplant in Treating Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma
CTID: NCT02443077
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-14
Auto Stem Cell Transplant for Lymphoma Patients
CTID: NCT03125642
Phase: Phase 2    Status: Recruiting
Date: 2024-11-04
Transarterial Chemoembolization for the Treatment of Uveal Melanoma With Liver Metastases
CTID: NCT04728633
Phase: Phase 2    Status: Recruiting
Date: 2024-10-23
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Tebentafusp-tebn With LDT in Metastatic UM
CTID: NCT06626516
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-10-15


MT2022-60: Ph 2 Study of Pembro+ BEAM With ASCT for Relapsed Hodgkin Lymphoma
CTID: NCT06377540
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-09-19
Gene Therapy in Treating Patients With Human Immunodeficiency Virus-Related Lymphoma Receiving Stem Cell Transplant
CTID: NCT02797470
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-07-31
New Combination of Chemoimmunotherapy for Systemic B-cell Lymphoma With Central Nervous System Involvement
CTID: NCT02329080
Phase: Phase 2    Status: Completed
Date: 2024-07-29
hSTAR GBM (Hematopoetic Stem Cell (HPC) Rescue for GBM)
CTID: NCT05052957
Phase: Phase 2    Status: Recruiting
Date: 2024-07-23
Autologous Stem Cell Transplant for Neurologic Autoimmune Diseases
CTID: NCT00716066
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-18
Study to Evaluate Safety, Tolerability, and Optimal Dose of Candidate GBM Vaccine VBI-1901 in Recurrent GBM Subjects
CTID: NCT03382977
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-07-16
SHARON: A Clinical Trial for Metastatic Cancer With a BRCA or PALB2 Mutation Using Chemotherapy and Patients' Own Stem Cells
CTID: NCT04150042
Phase: Phase 1    Status: Recruiting
Date: 2024-06-26
Yttrium-90 Labeled Anti-CD25 Monoclonal Antibody Combined With BEAM Chemotherapy Conditioning for the Treatment of Primary Refractory or Relapsed Hodgkin Lymphoma
CTID: NCT04871607
Phase: Phase 2    Status: Recruiting
Date: 2024-06-24
High Dose Therapy and Autologous Stem Cell Transplantation Followed by Infusion of Chimeric Antigen Receptor (CAR) Modified T-Cells Directed Against CD19+ B-Cells for Relapsed and Refractory Aggressive B Cell Non-Hodgkin Lymphoma
CTID: NCT01840566
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-05-29
Targeting Pediatric Brain Tumors With Sodium Glucose Cotransporter 2 Inhibitors (SGLT2i)
CTID: NCT05521984
Phase: Phase 1    Status: Recruiting
Date: 2024-05-21
Yttrium Y 90 Basiliximab and Combination Chemotherapy Before Stem Cell Transplant in Treating Patients With Mature T-cell Non-Hodgkin Lymphoma
CTID: NCT02342782
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-03-19
Radiolabeled Monoclonal Antibody Therapy and Combination Chemotherapy Before Stem Cell Transplant in Treating Patients With Primary Refractory or Relapsed Hodgkin Lymphoma
CTID: NCT01476839
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-03-19
Efficacy of Upfront and Maintenance Obinutuzumab in Mantle Cell Lymphoma Treated by DHAP and MRD Driven Maintenance
CTID: NCT02896582
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-03-15
Carmustine, Etoposide, Cyclophosphamide, and Stem Cell Transplant in Treating Patients With HIV-Associated Lymphoma
CTID: NCT00641381
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-02-22
CD19-specific T Cell Infusion in Patients With B-Lineage Lymphoid Malignancies
CTID: NCT00968760
Phase: Phase 1    Status: Completed
Date: 2023-12-19
Blinatumomab Consolidation Post Autologous Stem Cell Transplantation in Patients With Diffuse Large B-Cell Lymphoma (DLBCL)
CTID: NCT03072771
Phase: Phase 1    Status: Completed
Date: 2023-11-28
Lenalidomide Therapy After Chemotherapy & Stem Cell Transplant in Treating Chemotherapy Resistan Non-Hodgkin Lymphoma
CTID: NCT01035463
Phase: Phase 1/Phase 2    Status: Completed
Date: 2023-10-10
Rituximab, Carmustine; Cytarabine, Etoposide, & Melphalan; Stem Cell Transplantation for Non-Hodgkin's Lymphoma
CTID: NCT00080886
Phase: Phase 2    Status: Completed
Date: 2023-10-06
A Study of Selinexor in Combination With Standard of Care Therapy for Newly Diagnosed or Recurrent Glioblastoma
CTID: NCT04421378
Phase: Phase 1/Phase 2    Status: Terminated
Date: 2023-09-06
Monoclonal Antibody Therapy, Combination Chemotherapy, and Peripheral Stem Cell Transplant in Non-Hodgkin's Lymphoma
CTID: NCT00006695
Phase: Phase 2    Status: Completed
Date: 2023-09-01
Rituximab & Combination Chemotherapy Followed by Transplantation in Relapsed or Refractory Non-Hodgkin's Lymphoma
CTID: NCT00007852
Phase: Phase 2    Status: Completed
Date: 2023-09-01
Efficacy and Safety of Venetoclax Combined With BEAM Pretreatment in Autologous Transplantation for DLBCL
CTID: NCT05863845
Phase: N/A    Status: Not yet recruiting
Date: 2023-05-18
Umbilical Cord Blood NK Cells, Rituximab, High-Dose Chemotherapy, and Stem Cell Transplant in Treating Patients With Recurrent or Refractory B-Cell Non-Hodgkin's Lymphoma
CTID: NCT03019640
Phase: Phase 2    Status: Completed
Date: 2023-02-16
Loncastuximab Tesirine in Combination With Chemotherapy Prior to Stem Cell Transplant for the Treatment of Recurrent or Refractory Diffuse Large B-Cell Lymphoma
CTID: NCT05228249
Phase: Phase 1    Status: Withdrawn
Date: 2023-01-13
Autologous Transplant in HIV Patients (BMT CTN 0803)
CTID: NCT01141712
Phase: Phase 2    Status: Completed
Date: 2023-01-04
Therapeutic Targeting of Sex Differences in Pediatric Brain Tumor Glycolysis
CTID: NCT03591861
Phase: N/A    Status: Terminated
Date: 2022-12-12
ChiCGB vs BEAM in High-risk or R/R Lymphomas
CTID: NCT05466318
Phase: Phase 3    Status: Recruiting
Date: 2022-07-25
Acalabrutinib Plus R
A randomized phase II trial comparing BeEAM with BEAM as conditioning regimen for autologous stem cell transplantation (ASCT) in lymphoma patients (BEB-trial).
CTID: null
Phase: Phase 2    Status: Completed
Date: 2015-03-10
An international phase II trial assessing tolerability and efficacy of sequential Methotrexate-Aracytin-based combination and R-ICE combination, followed by high-dose chemotherapy supported by autologous stem cell transplant, in patients with systemic B-cell lymphoma with central nervous system involvement at diagnosis or relapse (MARIETTA regimen)
CTID: null
Phase: Phase 2    Status: Completed
Date: 2014-12-15
A non-randomised, non-comparative monocenter investigator initiated trial to assess the efficacy and safety of Carmustine in patients with BRCA1/2-associated advanced breast and ovarian cancer
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2014-06-24
High-dose chemotherapy and autologous stem cell transplant or consolidating conventional chemotherapy in primary CNS lymphoma - randomized phase III trial
CTID: null
Phase: Phase 3    Status: Ongoing, Completed
Date: 2014-04-28
A PHASE III MULTICENTER, RANDOMIZED STUDY COMPARING CONSOLIDATION WITH (90)YTTRIUM-LABELED IBRITUMOMAB TIUXETAN (ZEVALIN®) RADIOIMMUNOTHERAPY VS AUTOLOGOUS STEM CELL TRANSPLANTATION (ASCT) IN PATIENTS WITH RELAPSED FOLLICULAR LYMPHOMA (FL) AGED 18-65 YEARS
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2013-10-08
Phase II trial on safety and activity of intensive short-term chemoimmunotherapy in HIV-positive patients with Burkitt's lymphoma.
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2011-10-03
An Evaluation of the Tolerability and Feasibility of combining 5-Amino-Levulinic Acid (5-ALA) with Carmustine Wafers (Gliadel) in the Surgical Management of Primary Glioblastoma (GALA-5 Trial)
CTID: null
Phase: Phase 2    Status: Completed
Date: 2011-02-21
Randomised phase II trial on primary chemotherapy with high-dose Methotrexate and high-dose Cytarabine with or without Thiotepa, and with or without Rituximab, followed by brain irradiation vs high-dose chemotherapy supported by autologous stem cells transplantation for immunocompetent patients with newly diagnosed Primary CNS Lymphoma.
CTID: null
Phase: Phase 2    Status: Ongoing, GB - no longer in EU/EEA, Completed
Date: 2010-03-25
A PHASE III MULTICENTER, RANDOMIZED STUDY WITH LENALIDOMIDE (Revlimid) MAINTENANCE VERSUS OBSERVATION AFTER INTENSIFIED INDUCTION REGIMEN CONTAINING RITUXIMAB FOLLOWED BY HIGH DOSE CHEMOTHERAPY AND AUTOLOGOUS STEM CELL TRANSPLANTATION AS FIRST LINE TREATMENT IN ADULT PATIENTS WITH ADVANCED MANTLE CELL LYMPHOMA: IIL STUDY (MCL0208)
CTID: null
Phase: Phase 3    Status: Ongoing, Completed
Date: 2010-01-28
Phase II Study of Reduced Intensity Allogeneic Transplantation for Refractory Hodgkin Lymphoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2009-08-14
Efficacy and Safety of AP 12009 in Adult Patients with Recurrent or Refractory Anaplastic Astrocytoma (WHO grade III) or Secondary Glioblastoma (WHO grade IV) as Compared to Standard Chemotherapy: A Randomized, Actively Controlled, Open Label Clinical Phase III Study.
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2009-03-19
Phase II study of low intensity allogeneic transplantation in Mantle Cell Lymphoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2008-09-29
Carmustine implant (Gliadel Wafer) plus adjuvant and concomitant Temozolomide in combination with radiotherapy in primary glioblastoma patients.
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2008-07-29
Use of Palifermin to reduce the duration, frequency and severity of oral mucositis after high dose therapy with BEAM and autologous peripheral blood stem cell transplantation in patients with malign lymphoma, phase IV study
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2008-06-20
A PHASE II EVALUATION OF HIGH DOSE CHEMOTHERAPY AND AUTOLOGOUS STEM CELL TRANSPLANTATION FOR INTESTINAL AND OTHER DEFINED HISTOLOGICAL SUBTYPES OF AGGRESSIVE T-CELL LYMPHOMA
CTID: null
Phase: Phase 2    Status: Completed
Date: 2008-01-16
Positronen-Emissionstomographie-gesteuerte Therapie aggressiver Non-Hodgkin-Lymphome
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-07-25
Combined systemic an intrathecal chemotherapy with succeeding high dosis chemotherapy and autologous stem cell transplantation of patients with CNS relapses of agressive lymphomas.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2007-06-28
Randomized phase II study of two associations of rituximab and chemotherapy, with a pet-driven strategy, in patients from 18 to 59 with DLBCL CD20+ lymphoma and 2 or 3 adverse prognostic factors of the age-adjusted IPI
CTID: null
Phase: Phase 2    Status: Ongoing, Completed
Date: 2007-06-20
TARGETED INTENSIFICATION BY A PREPARATIVE REGIMEN FOR PATIENTS WITH HIGH-GRADE B-CELL LYMPHOMA UTILIZING STANDARD-DOSE YTTRIUM-90 IBRITUMOMAB TIUXETAN (ZEVALIN) RADIOIMMUNOTHERAPY (RIT) COMBINED WITH HIGH-DOSE BEAM FOLLOWED BY AUTOLOGOUS STEM CELL TRANSPLANTATION (ASCT):Z BEAM 2
CTID: null
Phase: Phase 2    Status: Completed
Date: 2007-05-21
Freiburger ZNS-NHL Studie
CTID: null
Phase: Phase 2    Status: Completed
Date: 2006-12-28
A Nordic phase II study of peripheral T-cell lymphomas based on dose-intensive induction and high-dose consolidation with autologous stem cell rescue
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2006-05-29
A phase III, multicentric randomized study for the treatment of young patients with unfavorable prognosis Diffuse Large Cell B Lymphoma IPI 2-3 . Dose-dense chemotherapy Rituximab +/- intensive and high-dose chemo-immunotherapy with autologus pheripherical staminal cells.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-01-20
Treatment protocol for relapsed anaplastic large cell lymphoma of childhood and adolescence
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-12-23
Targeted Intensification by a new preparative regimen for patients with Low-Grade B-Cell Lymphoma utilizing standard dose Ytrium 90 Ibritumomab Tiuxetan (Zevalin) radioimmunotherapy (RIT) combined with high dose BEAM followed by autologous stem cell transplantation (ASCT)
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-11-18

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