RISK21 Case Studiesnehrc.nhri.org.tw/toxic/ref/(18)20151021.pdf · 2015. 10. 23. · EXAMPLE #1:...

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RISK21 Case Studies Answer Key

Transcript of RISK21 Case Studiesnehrc.nhri.org.tw/toxic/ref/(18)20151021.pdf · 2015. 10. 23. · EXAMPLE #1:...

  • RISK21 Case StudiesAnswer Key

  • EXAMPLE #1: Simple TTC Plot

    CHEMICAL CRAMER CLASS EXPOSURE (ug/kg/d) EXPOSURE (mg/kg/d)

    Chemical A III 10 1e-2

    Chemical B III 0.2 2e-4

    Chemical C SA 0.06 6e-5

    Chemical D SA 0.00002 2e-8

    Chemical E III 0.035 3.5e-5

    Chemical F SA 0.00026 2.6e-7

    Need to create 2 TTC plots based on the different Cramer Classes:

    1) Cramer Class III (chemicals A, B, and E)2) Structural Alerts (chemicals C, D, and F)

    Plots are in units of mg/kg/d – need to convert exposure units!

  • EXAMPLE #1: Simple TTC Plots

    Chemicals B, E de-prioritized Chemicals D, F de-prioritized

  • EXAMPLE #2: Basic Risk Plot

    CHEMICAL TOXICITY TOXICITY (mg/kg/d) EXPOSURE EXPOSURE (mg/kg/d)

    Chemical A0.4 – 1.5 mg/kg/d 0.4 – 1.5

    3.56 – 42 ppb (conc. in drinking

    water)1e-5 - 1.2e-3

    Chemical B 0.0067 – 0.123 mg/kg/d 0.0067 – 0.123 0.0007 – 0.053 mg/kg/d 0.0007 – 0.053

    Chemical C 2.05 – 0.03 ug/kg/d 2.05e-3 – 3e-5 3.0 – 263 ug/kg/d 3e-3 – 0.263

    Chemical D 529 – 2.65 mg/kg/d 0.032 – 7.6 0.032 – 0.09 mg/kg/d 0.032 – 0.09

    • Need to make sure that units are consistent (like for like) (e.g., ug/kg/d or mg/kg/d)

    • Need to calculate exposure estimates for the drinking water example (assuming 2L consumption and 70kg body weight)• .356 ppb = 356 ug/L = 3.56e-4 mg/L• (3.56e-4 mg/L * 2L consumption) / 70kg body weight

    = 1e-5 Plots are in units of mg/kg/d – need to convert exposure units!

  • EXAMPLE #2: Basic Risk Plot

    Initial Plot

    MOE changed to 1:100

  • EXAMPLE #2: Basic Risk Plot

    Point estimate for lowest toxicity value for Chemical D + 100x UF

    Point estimate for lowest toxicity value for Chemical B + 1000x UF

  • EXAMPLE #2: Basic Risk Plot

    • Would de-prioritize Chemical A and D• Might need to refine toxicity estimate for Chemical D• Refine exposure estimate for Chemical B• Refine exposure & toxicity estimate for Chemical C

  • EXAMPLE #3: FormaldehydeLocation Formaldehyde Air Concentration

    Outdoor Ambient Environments

    Unpopulated Areas 0.2 ppb (0.25 ug/m3)

    Suburban Areas 2 – 6 ppb (2.5 – 7.5 ug/m3)

    Heavily Populated or

    Industrial Area

    10 - 20 ppb

    (12.3 – 25 ug/m3)

    Indoor Ambient Environments

    Office Building 7 - 13 ppb (16 ug/m3)

    Manufactured

    Homes

    11 - 37 ppb (46 ug/m3)

    Conventional

    Housing

    14 ppb (17 ug/m3)

    Toxicity data range: 0.028 – 0.75 ppm (NOAEL values from chronic inhalation studies)

    INDOOR EXPOSURE SCENARIO

    OUTDOOR EXPOSURE SCENARIO

  • EXAMPLE #3: Formaldehyde

    LOCATION EXPOSURE EXPOSURE (ppm) TOXICITY

    Unpopulated areas 0.2 ppb 2e-4

    0.028 – 0.75 ppmSuburban areas 2.0 – 6.0 ppb 2.0e-3 – 6.0e-3

    Heavily populated or industrial area

    10 – 20 ppb 0.01 – 0.02

    LOCATION EXPOSURE EXPOSURE (ppm) TOXICITY

    Office building 7.0 – 13 ppb 7.0e-3 – 0.013

    0.028 – 0.75 ppmManufactured homes 11 – 37 ppb 0.011 – 0.037

    Conventional housing 14 ppb 0.014

    INDOOR

    OUTDOOR

    Exposure values converted to ppm

  • EXAMPLE #3: FormaldehydeOUTDOOR PLOT

    INDOOR PLOT

  • EXAMPLE #3: Formaldehyde

  • EXAMPLE #4: Methoprene

    ppm

    (mg

    methoprene/kg

    corn)

    µg methoprene/gram

    corn

    grams corn

    eaten/kg body

    weight /day

    µg methoprene/kg

    body weight/day

    mg methoprene/kg

    body weight/day

    At MRL 5 54 20 0.02

    1 5 0.005

    At higher

    detection0.5 0.5

    4 2 0.002

    1 0.5 0.0005

    At lower

    detection0.1 0.1

    4 0.4 0.0004

    1 0.1 0.0001

    Toxicity data range = 50 – 250 mg/kg/d

    90-day NOEL: 50 mg/kg-day in diet of rats or dogs

    Chronic NOEL: 250 mg/kg-day in mice

    Corn consumption (g/kg/d): ranges from 0.744 – 4.189 (~1 – 5)

    Using CSFII Analysis and the methoprene concentrations in commodities…..

    Exposure range = 0.0001 – 0.002

  • EXAMPLE #4: Methoprene

    Application of 100x uncertainty factor to lowest toxicity value

  • EXAMPLE #5: In vitro (Part A)Toxicity value: BMD10 = 0.1 ug/LExposure values: 0 – 0.001 ug/L

    Application of 100x UF on BMD10 – needed??

  • EXAMPLE #5: In vitro (Part B)

    Use 2L per day water consumption to calculate total exposure

    • Volume of distribution = 20L

    • Amount of Chemical Z in body = 10 – 1000 ug/L * 2L consumption = 20 – 2000

    ug/L

    • Calculated exposure = 1 – 100 ug/L

    IC10 value used for Toxicity estimate.

    What is the assumption for uncertainty? Is 100x appropriate?

    TOXICITYINFORMATION

    EXPOSUREINFORMATION

    CALCULATED EXPOSURE

    Chemical Z 1 ug/L (Leydig cell assay)

    10 – 1000 ppb in drinking water

    1 – 100 ug/L

  • EXAMPLE #5: In vitro (Part B)

  • EXAMPLE #6: Fluoride

    • Exposure scenario(s) of interest:• Exposure through drinking water, oral hygiene, & diet

    • Population(s) of interest:• Children (due to highest potential exposure as well as risk of fluorosis)

    • How to weigh beneficial(reduction in dental caries) versus negative effects (fluorosis)?

  • EXAMPLE #6: Fluoride

    Source Concentration /

    Content

    Intake (mg/kg bw)a

    Child Adult

    Drinking waterb 0.7 - 1.2 mg/L 0.049 - 0.084 0.020 - 0.034

    Dental hygiene 0.145 – 0.66 mg 0.007 - 0.033 0.0004 - 0.002

    Diet 0.2 – 0.4 mg 0.010 – 0.02 0.003 - 0.006

    Total intake 0.066 – 0.137 0.0234 – 0.042

    TOXICITY INFORMATION

    NOAEL of 0.06 mg/kg/day and a LOAEL of 0.12 mg/kg/day for the cosmetic effect of dental fluorosis in children

    The minimum toxicity range for dental fluorosis is taken from a value of ≥2 mg/L (converted to 0.18 mg/kg/d based on child water consumption of 1.4 L/d and 15kg body weight) (MRC, 2002).

    Evidence of skeletal fluorosis was seen at 0.56 mg/kg (child) and 0.23 mg/kg (adult).

    EXPOSURE INFORMATION

  • EXAMPLE #6: Fluoride

    • Low risk to adults• Moderate risk to

    children for dental fluorosis at higher exposures

  • EXAMPLE #6: Fluoride

    • Drinking water major source of exposure

  • EXAMPLE #6: Fluoride – Extra Credit

    Level of protection from dental caries (conc. in DW) mg/kg body weight

    No effect (

  • EXAMPLE #6: Fluoride – Extra Credit

    Estim

    ate

    of

    effe

    ct

    (mg

    /kg

    /d)

  • EXAMPLE #7: Erythrosine (FD&C Red Dye No. 3)

    • Determination of exposure via cherries:• Concentrations in cherries = 75 – 200 mg/kg

    • Adult can eat up to 75 cherries per year * 5g per cherry = 375 g cherries / year (0.375 kg)

    • Range• 0.375 * 75 = 28.125 mg red #3 / 70 kg adult = 0.4 mg/kg/year

    • 0.375 * 200 = 75 mg red #3 / 70 kg adult = 1.1 mg/kg/year

    • How much per day max? Estimate a conservative max consumption - ~10 cherries / day?• Range = 0.05 – 0.14 mg/kg/d

  • EXAMPLE #7: Erythrosine (FD&C Red Dye No. 3)

    Red 3 Source Yearly exposure Daily Exposure

    Cherries 0.4 – 1.1 mg/kg/yr 0.05 – 0.14 mg/kg/d*

    Toothpaste Can you estimate? 7e-5 – 2e-4 mg/kg/d

    Medicine Can you estimate? 1e-4 – 1.3e-2 mg/kg/d**

    *Assuming 10 cherries / day maximum consumption**Assuming 10 pill / day maximum consumption

  • EXAMPLE #7: Erythrosine (FD&C Red Dye No. 3)

    Red 3 Source

    Daily Exposure Toxicity Information

    Cherries 0.05 – 0.14 mg/kg/d LOAEL = 64 mg/kg/dNOAEL = 500 mg/kg/d (rat dvp)NOAEL = 251 mg/kg/d (thyroid follicular)Toothpaste 7e-5 – 2e-4 mg/kg/d

    Medicine 1e-4 – 1.3e-2 mg/kg/d

    TOTAL 0.05 – 0.153 mg/kg/d

    Questions – what toxicity study do you use?What uncertainty factors do you apply? Why?

  • EXAMPLE #7: Erythrosine (FD&C Red Dye No. 3)

    Raw data – no UFs applied 10X UF applied for LOAEL NOAEL10X UF applied for animal human10X UF applied for intra species variability

  • EXAMPLE #8: Chemicals in Drinking Water

    CHEMICAL Solubility Exposure Based on Sol (mg/kg/d)Oxytetracycline 1000 28.57143

    Acetaminophen 14000 400

    Chlordane 0.01 0.000286

    Styrene 310 8.857143

    Toxaphene 5.50E-06 1.57E-07

    Estradiol 3.6 0.102857

    Heptachlor epoxide 0.05 0.001429

    Picloram 430 12.28571

    Atenolol 13300 380

    Hexachlorobenzene 0.062 0.001771

    Used assumptions of 2L water consumption / day and 70kg body weight

  • EXAMPLE #8: Chemicals in Drinking Water

    Based on this analysis, chlordane and toxaphene would be eliminated from further analysis (de-prioritized)

  • EXAMPLE #8: Chemicals in Drinking Water

    Plot measured exposure values against the TTC values

    ng/L mg/L mg/kg/d

    Oxytetracycline 4.70E+05 1.34E+04 1.34E-02

    Acetaminophen 1.00E+05 2.86E+03 2.86E-03

    Chlordane 1.00E+02 2.86E+00 2.86E-06

    Styrene 4.60E+01 1.31E+00 1.31E-06

    Toxaphene 1.40E+00 4.00E-02 4.00E-08

    Estradiol 4.40E+01 1.26E+00 1.26E-06

    Heptachlor epoxide 1.60E+04 4.57E+02 4.57E-04

    Picloram 4.60E+05 1.31E+04 1.31E-02

    Atenolol 1.20E+04 3.43E+02 3.43E-04

    Hexachlorobenzene 3.03E+01 8.66E-01 8.66E-07

  • EXAMPLE #8: Chemicals in Drinking Water

    Based on this analysis, HCB, and atenolol would be eliminated from further analysis (de-prioritized). Estradiol looks like it could also be, but is exempted from using the TTC because it is a steroid….so keep it in for additional analysis.

  • EXAMPLE #8: Chemicals in Drinking Water

  • EXAMPLE #9: New Antibacterial / Antifungal

    1) What information do you need to determine how much can be safely added to toothpaste?• EXPOSURE

    • Concentration in tooth paste (range, median, etc.)

    • Estimated ingestion of toothpaste (per day, young – adult)

    • TOXICITY• Acute toxicity (estimate)

    • Chronic toxicity values [Reference Point/Point of Departure]

  • EXAMPLE #9: New Antibacterial / Antifungal

    2) Calculation of children’s exposure range:

    Data for the calculation:

    (a) Body weight for child: 20 kg

    (b) Toothpaste ingestion: up to 50% of 0.2 g = up to 0.1 g, twice a day = up to 0.2 g

    (c) Concentration in toothpaste: 0.2-10%

    ESTIMATED EXPOSURE

    (b) x (c) /(a)

    (0.2 g) x (0.002-0.1 g/g)/(20 kg) = 0.0004-0.02/20 = 0.00002-0.001 g/kg = 0.02-1 mg/kg bw/d

    note: ingestion of toothpaste given as upper level only (50%)

  • EXAMPLE #9: New Antibacterial / Antifungal

    3) Evaluation of maximum safe level based on toxicity information:SPECIES/STUDY NOAEL (ENDPOINT) (mg/kg) LOAEL (ENDPOINT) (mg/kg)

    Mouse/90-d 25 (hematology/liver)

    Mouse/18-mo 10 (hematology) 10 (liver)

    Rat/4-d 7.23 (BMDL) (thyroid, T4)

    Rat/90-d 100 (?)

    Rat/2-yr 12 (hematology/spleen)

    Hamster/90-d (?) 200 (Kidney, hematology?)

    Hamster/95-wk 75 (?)

    Baboons/1-yr 30 (?)

    Relevant Reference Point: 10 mg/kg bw per day in the mouse or 12 mg/kg bw in the rat.

    Rationale:

    Liver effects considered not relevant Lowest values Covers the 30 mg/kg in baboons. Effects on thyroid hormones in rats not relevant for humans

  • EXAMPLE #9: New Antibacterial / Antifungal

    Estimated maximum level in tooth paste:

    Corresponding to exposure estimate up to 0.1 mg/kg

    (0.0001 g/kg)

    Concentration in toothpaste (x)

    o (0.2) x (x)/20=0.0001

    o (x)= (0.0001) x (20)/(0.2) = 0.002/0.2=0.01 g/g=1%

  • EXAMPLE #9: New Antibacterial / AntifungalProduct Type Adult intake (mg/kg/d) Child intake (mg/kg/d)

    Oral products

    Toothpaste 0.006 0.023

    Mouthwash 0.004 -------

    TOTAL ORAL 0.01 0.023

    Dermal products (rinse off)

    Liquid hand soap 0.001 0.005

    Liquid body wash 0.005 0.006

    Dishwashing detergent 0.003 -------

    TOTAL DERMAL (rinse off) 0.009 0.011

    Dermal products (leave on)

    Body lotion 0.038 0.042

    Facial moisturizer 0.005 -------

    Deodorant 0.003 -------

    TOTAL DERMAL (leave on) 0.046 0.042

    CUMULATIVE* 0.065 0.076

    * does not take into account % dermal absorption and duration of exposure

    Note: the concentration in the various products not known.

  • EXAMPLE #9: New Antibacterial / Antifungal

    if provided values represent mean or median

    values cumulative exposure might be not

    acceptable for a fraction of the population

    refinements include:

    o correction for % dermal absorption

    (based on the plot this will provide

    more refinement

    o correction for duration of exposure

    (based on the plot this will provide less

    refinement)

    o better estimate of ingestion of

    toothpaste may also provide

    refinement

  • EXAMPLE #9: New Antibacterial / Antifungal

    Use and/or intake lower than estimated

    Reregistration can be granted

    Based on other considerations (e.g.:

    efficacy), higher concentrations can be

    allowed in products