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Prof. J.A. Swenberg, DVM, PhD. Dept Environmental Sciences and Engineering Rosenau 253 jswenber@email.unc.edu. Acute Toxicity Studies. Single dose - rat, mouse (5/sex/dose), dog, monkey (1/sex/dose) 14 day observation In-life observations (body wt., food consumption, clinical observations)
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Prof. J.A. Swenberg, DVM, PhD Dept Environmental Sciences and Engineering Rosenau 253 jswenber@email.unc.edu
Acute Toxicity Studies • Single dose - rat, mouse (5/sex/dose), dog, monkey (1/sex/dose) • 14 day observation • In-life observations (body wt., food consumption, clinical observations) • Necropsy
Acute Toxicity Studies • Repeated dose studies - rat, mouse (5-10/sex/dose), dog, monkey (2/sex/dose) • In-life observations • Necropsy • Histopathology • Clinical pathology (optional)
Subacute Toxicity • 28 day study (3 doses and control) • Species - rat (10/sex/dose), dog or monkey (2/sex/dose) • In-life observations • Clinical pathology • Necropsy • Histopathology
Subchronic Toxicity • 13 week study +/- 4 wk recovery (3 doses and control) • Species - rat (10/sex/dose), dog or monkey (2/sex/dose) • In-life observations (+/- ophthamology) • Clinical pathology • Necropsy • Histopathology
Carcinogenicity Study • 2 years (3 doses and control) • Species - rats and mice (50/sex/dose) • In-life observations • Clinical pathology (rats, optional) • Necropsy • Histopathology
Survival Body weight Variability of endpoints Pathology Working Group MTD Statistics vs biology Dose-response Mechanistic factors Carcinogenicity Study Evaluation Issues
MTD ISSUE • The Maximum Tolerated Dose is defined as the highest dose of a chemical or drug that can be administered for the animal’s life without causing excessive toxicity or decreasing survival (except due to tumor induction).
MTD Debate I • “Normal physiology, homeostasis and detoxification or repair mechanisms may be overwhelmed and cancer, which otherwise might not have occurred, is induced or promoted.” • OSTP, 1985
MTD Debate II • “More than two-thirds of the carcinogenic effects detected in feeding studies would have been missed had the high dose been reduced from the estimated MTD to 1/2 the MTD.” • Haseman, FAAT, 1985
MTD Issue • The problem is not testing for carcinogenic potential at the Maximum Tolerated Dose, it is how those data are used in risk assessment. The proper interpretation and use requires an understanding of the mechanism(s) of action.
Overview • The integration of metabolism, toxicity, pathology and mechanism is playing a much greater role today than ever before. A better understanding of these areas is essential for proper regulation of chemicals and drugs. It can also play an important role in the development of backup drugs and chemicals.
Consistency Strength Specificity Temporality Coherence Dose Response Biological Plausibility Experimental Support Analogy Bradford Hill Criteriafor Cancer Causation
Systematic Characterization of Comprehensive Exposure-Dose-Response Continuum and the Evolution of Protective to Predictive Dose-Response Estimates
Introduction Postulated mode of action Key events Dose-response relationship Temporal association Strength, consistency and specificity of association with key events Biological plausibility and coherence Other modes of action Assessment of mode of action Uncertainties, inconsistencies and data gaps IPCS/EPA Framework for Evaluating Mechanistic Data
General Approaches To Risk Assessment • Qualitative approach using scientific judgment • Quantitative approach using safety factors • Quantitative approach using mathematical models • Quantitative approach using linear extrapolation
Cancer Risk Assessment • Population risks for environmental carcinogens are usually set at one additional cancer per 100,000 or 1,000,000 individuals • Occupational risks are frequently much higher, with one additional cancer per 1,000 workers being not uncommon
Hazard Identification • A qualitative risk assessment • Does an agent have the potential to increase the incidence of cancer under any conditions
Dose-Response Assessment • The relationship between dose and response (cancer incidence) • Two sets of data are usually available • Data in the observable range • Extrapolation to responses below the observable range
Exposure Assessment • EPA uses the cumulative dose received over a lifetime • This is expressed as the average daily exposure • Occupational exposures are usually based on exposure during the work week
Risk Characterization • Provides an overall conclusion and confidence of risk for the risk manager • Gives the assumptions made • Explains the uncertainties • Outlines the data gaps
Helpful Web Sites • www.epa.gov/ncea/ • www.fda.gov/cder/ • www.ovpr.uga.edu/qau/