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Health Assessment - Toxicology Assessment

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Scientific Evaluation and Decision Making Human Health Risk Assessment for Pesticides in Canada

Deborah Ramsingh
Senior Evaluation Officer, Antimicrobial/Insecticide Toxicology Evaluation Section
Health Effects Divison I
Health Evaluation Directorate

Presentation Outline

  • Human health risk assessment process
  • Objectives of the toxicology assessment
  • Toxicology data requirements
  • Study types
    • Critical elements
    • Common problems
  • Reference dose determination
  • Summary - Overall hazard assessment
  • Additional Information

Human Health Risk Assessment Process

  • Structured framework
  • Consistent with international approaches

Risk Assessment Paradigm

Risk Assessment Paradigm

Toxicology Assessment - Objectives Identify potential hazards to human health

  1. Characterize inherent hazard
    • Toxicity studies - different durations, various routes, examining several different types of endpoints
  2. Identify potential for effects on human health based on exposure scenarios
    • Route (dietary and non-dietary)
    • Duration
  3. 3.Determine acceptable levels for human exposure

Toxicology Data Requirements

  • Standardized DACO tables
    • Data requirement must be satisfied with acceptable study or a valid scientific waiver rationale
  • Studies must follow GLP and be conducted according to internationally accepted guidelines (OECD Section 4, USEPA OPPTS Series 870)
  • Requirements vary for different types of pesticides

Toxicology Data Requirements Variations

  • Conventional pesticides (DIR2005-01)
    • Antimicrobials
  • Racemic mixture/isomers - bridging data
  • Microbials (DIR2001-02)
  • Pheromones (PRO2002-02)
  • Low-risk pesticides (PRO2007-02)
  • Contaminants (NOI2005-01)
  • Formulants (DIR2006-02)

Acute Toxicity Studies

  • Required for active ingredients and end-use products
  • Health effects that may result from a single, high dose via various routes:
    • Oral, dermal and inhalation lethal doses
    • Eye and skin irritation indices
    • Dermal sensitization potential
  • Used as the basis for precautionary label statements

Acute Toxicity Studies

  • Critical Elements
    • Inhalation: chamber description, equilibration time, particle size distribution (MMAD+GSD), test up to 2 mg/L limit (describe if limit cannot be achieved), corrections made to concentration (describe if applied)
    • Sensitization: ensure adequate induction, inclusion of reaction scores, results of preliminary irritation tests, proper controls
  • Common Problems
    • Concentrations used in skin sensitization studies not high enough
    • Poor positive control results in skin sensitization studies
    • Inappropriate/inconsistent vehicle choices

Evaluation of Formulants in End-Use Products

  • Specification Form - concentration of each formulant
    • Assess level relative to existing use pattern
  • Classification as per EPA/PMRA List of Formulants
    • If new formulant, additional data may be required in order to assign classification
  • MSDS, other available information (literature)

Metabolism/Toxicokinetics

Radio labelled test material
Single low dose, single high dose, repeat low dose; usually oral
Absorption
Blood/plasma kinetics
Distribution to tissues
Bioaccumulation potential, identify target organs
Metabolism
Metabolic pathway, metabolite identification, determine toxicological significance
Excretion
Urinary, fecal, bile, expired air, % recovery of administered dose
  • Critical Elements:
    • Compare results between dose regimens and sexes
    • Comparison of metabolites to those identified in crops, livestock, environmental matrices
  • Common Problems:
    • Lack of biliary excretion assessment when fecal excretion high

Subchronic Studies

  • Effects of repeated exposures over several weeks to 1 year
  • Various routes -oral, dermal, inhalation
  • Various species -rat, rabbit, mouse, dog
  • Critical Elements
    • Adequate dose levels, distribution of doses
    • Ensure MTD has been achieved
    • Identify all endpoints of toxicity over entire study period
    • Correlate findings
  • Common Problems:
    • Usually well performed

Chronic/Oncogenicity Studies

  • Long-term effects, including cancer, that may result from exposure over most of an animal's lifetime
  • Rat (2 years) and mouse (18 months) - daily exposures
  • Critical Elements
    • Adequate dose levels and distribution, ensure MTD reached
    • Adequate survival rates
    • Identify all endpoints of toxicity over entire study period
    • Describe tumour profiles
    • Historical control data - common and rare tumours
    • Correlate findings
  • Common Problems
    • Lack of historical control data

Genotoxicity/Mutagenicity Studies

  • Assess pesticide interaction with DNA that results in mutations or other damage
  • Bacterial and mammalian cell systems; in vivo and in vitro assays
  • Used in assessment of carcinogenic potential
  • Critical Elements
    • Precipitation
    • Cytotoxicity
    • Proper controls
    • Historical control data
  • Common Problems
    • Doses not high enough, not enough dose levels
    • Ames - proper combination of strains not used

Reproductive Toxicity

  • Assess effects on reproduction and offspring growth
  • Evaluation of potential sensitivity
  • Conducted over at least 2 generations
    • Examination of transgenerational effects
  • Critical study for evaluation of endocrine modulation potential
  • Critical Elements
    • Dosing period
    • Dose levels during pre-mating, gestation, lactation - adequate dose levels (MTD)
    • Historical control data
  • Common Problems
    • Unclear reporting of caesarean data, litter parameters

Developmental Toxicity

  • Effects on the developing fetus (birth defects)
  • Pregnant animals (2 species - usually rat and rabbit) are dosed during the critical stages of fetal development (major organogenesis)
  • Evaluation of potential sensitivity
  • Critical Elements
    • Dosing period, date of sacrifice
    • Adequate dose levels (MTD)
    • Effects reported as litter vs fetal basis
    • Historical control data
  • Common Problems
    • Unclear description of rare findings
    • Unusual/inconsistent terminology

Neurotoxicity and Developmental Neurotoxicity

  • Studies triggered for certain chemicals
    • e.g. insecticide with neurotoxic mode of action, signs of neurotoxicity in standard toxicity database
  • Neurotoxic potential from single or repeated exposures in the adult
  • Neurotoxic potential during development
    • Evaluation of potential sensitivity
  • Critical Elements
    • Adequate dose levels (MTD)
    • Historical control data
    • Positive control data
  • Common Problems
    • Histopathology not examined at all doses when effect at high dose
    • Inappropriate statistical analysis
    • DNT studies: high variability in controls in the assessment of behavioural endpoints (demonstration of technical competence)

Additional Studies

  • Immunotoxicity
    • May be required if possible indicators of impaired immune function are evident in chronic or subchronic studies
  • Mechanistic studies
  • Peer-reviewed published research

Epidemiology Studies

  • Published and unpublished studies
  • Information considered in conjunction with ongoing re-evaluation of pesticides, and for first-time registrations when available (e.g. from other countries)
  • Used in the overall weight of evidence

Reference Dose Determination

  • Identify critical NOAELs for threshold effects
    • Consider route/duration in determining relevance to human exposure scenarios
  • Identify uncertainty factors/PCPA factor
  • Establish dietary reference doses
    • Acute Reference Dose (ARfD)
    • Acceptable Daily Intake (ADI)
  • Identify toxicological endpoints and target MOE for occupational and residential exposure scenarios
  • Determine cancer risk

Acute Reference Dose

  • ARfD: the amount that can be ingested orally on any given day without any human health concerns

NOAEL (mg/kg bw)
Uncertainty Factor (100X minimum)

Acceptable Daily Intake

  • ADI: the amount that can be ingested orally over a lifetime without any human health concerns

NOAEL (mg/kg bw/day)
Uncertainty Factor (100X minimum)

Toxicological Endpoint Selection: Occupational and Bystander Risk Assessments

  • Oral, dermal and/or inhalation
  • Short-term (1-30 days), intermediate-term (1-6 months), and/or long-term (>6 months)
  • Incidental exposure scenario (oral, dermal) for toddlers (e.g. turf uses)

Uncertainty Factors and PCPA Factor

  • Standard Uncertainty Factor (10 x 10 = 100)
    • Interspecies extrapolation (10x)
    • Intraspecies variability (10x)
  • Additional Uncertainty Factors
    • Using a LOAEL instead of a NOAEL
    • Using a short-term NOAEL for a long-term exposure scenario
    • Database deficiencies
  • PCPA factor
    • Potential prenatal and postnatal toxicity; completeness of data with respect to exposure of and toxicity to infants and children

Cancer Risk

  • Determine mode of action when tumours observed
  • Non-threshold (linear)
    • Default approach when mode of action is mutagenic or when adequate data not available/inadequate to support non-mutagenic mode of action
    • Linear low-dose extrapolation model (Q*)
  • Threshold (nonlinear)
    • Mode of action has been clearly established with acceptable data supporting point of departure
    • Identify NOAEL/LOAEL; ensure adequate margin

Re-evaluation versus New Products

  • Approach and data requirements are the same
  • In re-evaluation, toxicology data packages may not be up to current standards in terms of quality and completeness
  • Certain information more likely to be available for products under re-evaluation
    • Foreign reviews, epidemiology studies, incident reports, literature information

Summary - Overall Hazard Assessment Multi-Step Approach

  • Hazard characterization
    • Identify adverse effects/target organs
    • Evaluate dose response
    • Identify NOAEL/LOAEL
  • Integration of toxicology information
    • Cross-species comparison
    • Identify most sensitive species
  • Assess relevance to humans
  • Determine reference doses for each exposure scenario

References/Links