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April 2, 1980 R. J. Reynolds D. K. Spencer In a recent memo, I summarized the paper given by Maltoni at the March 20-21 VCM/PVC conference sponsored by OSHA/NIOSH/NIEHS. Attached for your information is a synopsis of Maltoni's work prepared by the European sponsors of this research. Attachment
C. E. Ross, 0.0.
J. E. BERGER
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Oate 5 March 1980
VCM - MALTONI
The Maltoni VCM sponsors have agreed to the attached statement being sent today to national governments, unions, EEC and via AfME to the SPI in the USA and to the Japanese PVC Association. This is not a general press release but it is information which should be shared with relevant employees at your next round of consultative meetings.
The key to the communication is in para k. In its early years, Maltoni's
work led ue to the discovery of ASL in men highly exposed to VCM over a long period- Maltoni`s later work is of interest mainly to the scientific conrouAity who will be discussing it for years. There is a limit'to the amount of useful information which can be derived from animal studies and in the case of VCM we seem to have passed this limit some years ago. The only relevant and important studies now are those on men.
Circulation
Dr V F Madden
Mr J B M Sheaff Mr D Bucknall Mr G J Sleddon Mr C N Levis Dr D Parker
Mr V McMillan
Dr w G F Adams Mr Owen Jones Dr B Bennett Dr D W Plestcr Dr F W Best Dr A P Wright Dr D Bryson Dr K A Taylor Mr M Vincent
Mr D Robb Mr D C M Squirrell Mr T W Moffitt Dr K S Williamson Dr G Paddle Dr D F Duffield Mr D Bartholomew Dr A A B Swan Dr I F H Purchase Mr R Hards Mr B Easier Mr A E H Williams
Mr T L Phillips Dr J T Carter Dr D Scarisbrick Dr M Sharratt Mr W McMillan DrP Levis Mr B Hutchesson Dr A Holmes Walker Mr H Clayton Mr M J S Gibbons Dr D M Ferguson -
<see 1-
AGREED STATEMENT BY THE MALTONI SPONSORS ON' THE SEVEN BASIC VCM EXPERIMENTS (BT1, 2, 6, 9, 15, 11 &. 27) '
1 Introduction
.
The long term project by Professor C Maltoni on the carcinogenicity assessment of VCM has comprised a series of integrated experiments to study the effects of VCM administered by different routes, at different concentrations and for different periods on animals of various species, strain and age. This work was initiated and sponsored by Solvay, Rbone-Poulenc, Montedison and IC1.
The laboratory work was started in 1971 and ended in 1977- Since 1977, Professor Maltoni has been processing and analysing the vast amount of histological material derived from these experiments and, in cooperation with a team of statisticians from the four sponsoring companies, has been classifying and codifying all the identified pathological lesions to make the data amenable to computer treatment. The data thus derived have been analysed statistically in a rigorous manner.
The results of this work were presented in extenso with all the methodological, biological and statistical details in a meeting held by the Chemical Carcinogenesis Club (Club de Cancerogenese Chimique) at the Curie Foundation (Fondation Curie) in Paris on 10 November 1979* The proceedings of the meeting will be published in full at -the earliest possible moment.
2 Biological Assessment of the Results
In Professor Maltoni1s opinion regarding these animal experiments "the following tumours should be given proper attention viz, extrahepatic angiosarcomas, hepatomas, Zymbal gland carcinomas, liver angiosarcomas, neuroblastomas, nephroblastomas, forestomach papillomas and mammary carcinomas.
In oncological terms, the meaning of the results at the lowest doses may be better evaluated by considering, not separately, but together, the tumours found to be VCM dependent. Thus the following results should be considered:--
at 25 ppm -- In 120 animals, 5 liver angiosarcomas, k Zymbal gland carcinomas
and 1 nephroblastoma.
at 10 ppm -- In 120 animals, 1 liver angiosarcoma, 2 extra-hepatic angiosarcomas and 2 Zymbal gland carcinomas.
jit Img/kg -- In 150 animals, 3 liver angiosarcomas, 1 extra--hepatic angiosarcoma, 1 hepatoma and 5 Zymbal gland carcinomas.
at Opog/kg-In 150 animals, 1 liver angiosarcoma and 1 hepatoma."
..In addition, it is worthwhile emphasising that none of the previously cited tumours have been observed at 5PP11 by inhalation and 0.03mg/kg by ingestion.
3^
Statistical Assessment of the Results
A multi-disciplinary working group was set up by the sponsors for the' in--depth quantitative analysis of the data.
A statistical evaluation of all the available results from the above seven animal experiments has led to the conclusion .that VCM induces a carcinogenic response in the following organs viz, the Zymbal gland, liver, kidneys, brain and perhaps the mammary gland in females- The survival of tbe rats decreased as a function of VCM concentration. A clear correlation could be established
SCC
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between excess mortality and tumorigenic power of VQi but the excess mortality cannot be explained only-by tbe development of cancers at the higher dose levels. Correspondence analysis between tumours and doses showed that two major opposing factors may explain tumoxfir-distribution viz:
(i) the differential susceptibility of tbe target organs to the carcinogenic effect of VCM
(ii) an antagonistic factor (early mortality) which at too high a dose inhibits the manifestation of certain tumours.
Several models of dose--effect relationships fit the experimental data. This study also illustrated the problems of extrapolating to untested doses and from' species to species.
In conclusion
The publication of the proceedings of the 10/ll/79 Paris meeting and other related papers will no doubt lead during the course of the next few years to the comprehensive discussion and comparative assessment by the scientific community of the Maltoni and other animal studies on VCM. The Maltoni animal studies have provided much useful information especially in the early years; the later experiments have highlighted the problems of evaluating low dose animal experiments.
26 February 1980
BCC 1-131