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**BX4** is an experimental allogeneic hematopoietic stem-cell-transplant conditioning regimen evaluated by Institut Paoli-Calmettes in the phase II AAA study. It consists of four once-daily intravenous doses of busulfan at 100 mg/m², administered with fludarabine and rabbit anti-thymocyte globulin branded as Thymoglobulin, before transplantation in patients with high-risk acute myeloid leukemia or myelodysplastic syndrome. BX4 is a trial-arm designation rather than a distinct molecular entity or marketed drug product. ([clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01985061))
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