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CHEMICAL MANUFACTURERS ASSOCIATION
July 5, 1994
James Cogliano Chairman, Carcinogen Review Assessment
Verification Endeavor U.S. EPA (8602) 401 M Street, S.E. Washington, D.C. 20460
Dear Mr. Cogliano:
It has come to my attention that EPA's Carcinogen Review Assessment Verification Endeavor currently is reassessing human health risk for vinyl chloride. The Chemical Manufacturers Association Vinyl Chloride Panel applauds EPA's efforts to review the latest health effects information to determine risks posed by specific chemicals.
Dr. Richard Reitz, formerly of Dow Chemical, has developed a physiologically-based pharmacokinetic model for vinyl chloride risk assessment. Dr. Reitz recently presented his model to the Vinyl Chloride Panel and has agreed to present his model to EPA prior to its publication, if the Agency provides an opportunity for the presentation. Therefore, the Vinyl Chloride Panel requests a meeting with appropriate EPA and/or contractor staff to discuss the new vinyl chloride risk assessment model. Dr. Reitz's abstract of the model is enclosed with this letter.
Also, the Panel conducted an epidemiologic study of vinyl chloride workers covering a period of time from 1942-1982. The final report on the study was submitted to the EPA Administrator in 1986. A copy of the report is enclosed with this letter just in case the report did not reach CRAVE or CAG personnel. The following articles related to the CMA-sponsored vinyl chloride epidemiology study also are enclosed:
1991 An Industry-Wide Epidemiologic Study of Vinyl Chloride Workers, 1942-1982;
1993 Letter to the Editor, Diagnostic Bias in Occupational Epidemiologic Studies (H. Shah); and,
1993 Response to Letter to the Editor, Diagnostic Bias in Occupational Epidemiologic Studies: An Example Based on the Vinyl Chloride Literature (0. Wong).
2501 M Street, NW, Washington, DC 20037 Telephone 202-887-1100 Fax 202-887-1237
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James Cogliano July 5, 1994 Page 2
I will call you in the next few weeks to discuss the possibility of meeting to examine scientific issues related to the vinyl chloride risk assessment. Meanwhile, if you have any questions or need additional information, please contact me at (202) 887-1192.
Sincerely, STvjjJ-_____
Hasmukh C. Shah, Ph.D. Manager, Vinyl Chloride Panel Enclosures cc: William Farland, Director, Office of Health and Environmental Assessment, EPA Hugh McKinnon, M.D., Director, Human Health Assessment Group, EPA
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Estimating Human Risk from Exposure to VC
Quantification with PB-PK Modeling
Richard H. Reitz Michael L. Gargas McLaren/Hart, ChemRisk Division
for CMA Vinyl Chloride Panel
May 19,1994
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Collaborators |
McLaren/Hart: R. H. Reitz M. L. Gargas
IC1 Toxicology Lab (Zeneca) T. L. Green W. M. Provan
U. S. E. P. A. (Res Tri Park) M. E. Andersen
S/2(W*
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VC History j
Low Acute Toxicity Occup. Expos. Limits - 500 ppm Viola (1970,1971)
Rats, Increased Tumor Incidence Maltoni (1974)
Confirmed Viola's Results Identified Rare Liver Angiosarcoma Dose Response Flat > 1,000 ppm
Creech & Johnson (1974)
Found Same Cancer Type (Liver Angtosacroma) In Homans
Human Tumor Registry (to Present)
14,000 Subjects, I VC Plants
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Objectives / Opportunity |
Develop A Process for Quantitatively Estimating Risk in Humans
+ Low, Non-Occiipatiooal Exposures - Superfund Sites - Fugitive Emission - Drinking Water
Test the Utility of our Cancer Risk Assessment Procedures
+ Rkh Animal Data Set In Rats and Mice -t- Unique Opportunity to Compare Risk
Assessment with Actual Results In Humans
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Expectations for Pharmacokinetic Modeling
Modeling Cannot Eliminate ALL Uncertainty from Risk Assessments
Modeling Can Quantitatively Describe:
Metabolic Saturation Changes In Dose Route Physiological Differences In Species
PREMISE:
Risk Assessments based on Estimates of "Delivered Dose*1 will be More Reliable than Risk Assessments based Only on Administered Dose
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Classical Pharmacokinetics:
"Stripping the Curve"_________
Curve Stripping fEraonentlalsl C(t) - A, * e'ai
5120m
d&O/dt > -ka+Doao dJU/4t - ta*DoM - KJ3-C1 + X21*C2 - ke*Cl 4*2/dt - +K21*C1 - K21+C2 dElia/dt - ~ka*Cl
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Advantages of PB-PK Models:
Compound Specific Information
Vapor Pressure Solubilities (Partitioning) In Tissues
Species Specific Information
Physiology Metabolism
Route Specific Information
Oral Route, 1st Pass Through Liver
Allow Extrapolations
Between Dose Routes Between High Dose / Low Dose Between Species
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A PB-PK Model for VC
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Metabolites Bawd ob Ramsey 4t Aodena, 1464
Capabilities of PB-PK Models
Will use examples from studies of Reitz et al., at Dow Chemical Co., with 1,1,1-trichloroethane (Methylchloroform, MC)
Data used to Illustrate potential applications for VC PB-PK Model.
worn
ifl
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VC Metabolic Rate Constants Gas Uptake Apparatus
snom
5/20/!M
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Validation of Rat Model
(Watanabeetal., 1976)
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Estimating Mouse Metabolic Rate Constants
Small, Halogenated Hydrocarbons Metabolized by CyP450 2E1
In Vivo VMax's from Experiments
Methylene Chloride (MeCI*) (Rats, Mice, Humans)
Chloroform (CHCI3) (Rats, Mice)
Calculate VMax / gram Liver
Normalize to Rat In Vivo
MeCI2 CHC13 Average
Mouse 2.57 2.71 2.64
Human 0.21 0.21
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3
t S
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Validation of Human Model
(Barettaetal., 1969)
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Deriving Rat Potency!
Based on Maltoni's Experiments
12 Months Exposure 0,1,5,10,25,50,100,150, 200, 250,500,
2500,0000,10000,30000 ppm tested Poor Survival 10000 and 30000; Use
Remaining 13 Dose Groups
Use PB-PK Model to Calculate Pose
Average Amount VC Metabolites per day per Liter of liver Tissue
Howe & Crump's GLOBAL83 Multistage Model Dose Response (Maximum Likelihood Estimate)
Comparison: Linear Model Pitted to Top Two Doses (MTD, MTD/2)
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PKOom
PPM Vinyl Chloride
MmnDosa
B Mdma
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Extrapolating Rat -> Mouse
(Maitoni, Swiss Albino Mice)
Cone
0 50 250 500 2,500
Males
0/80 1/30 9/30 6/30 6/29
Females
0/70 0/30 9/30 8/30 10/30
LADD
0.0 38.4 173.1 265.2 331-0
Equivalent Amounts of Metabolite produce Equivalent Tumor Yields
No Surface Area Correction Factor Used.
The 1(H RSD = 0.80 x lO1
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Comparing RSD'sfr
Maltoni et al., (Rat) Maltoni et al., (Mouse) Lee et al., (Mouse)
0.177 0.080 0.120
Drew et al., (B6 Mouse)^^r0.0032
Drew
reported angiosacromas in
)Is. Lee and Maltoni saw none.
B6C3F1 Ultrasensitive?
Reported to have partial oncogene activation in absence of any chemical treatment.
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Extrapolating Rat -> Humans
(Maltoni. Rat Potency)
Equivalent Amounts of Metabolite produce Equivalent Tumor Yields No Surface Area Correction Factor Used. Calculated "Unit Risk" Lifetime Exposure to l/^g/m3,24 hr/day.
PBPKMLE = 4xia7 PBPKUCL = 6xl0-7 IRIS Number = 840 x 107
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VC Tumor Registry
(Simonatoetal., 1991)
12,706 Individuals from Population of 14,351
Completeness of Followup = 97.7% Cohort has> 25 Years since 1st
Exposure to VC Exposure Groupings:
+ 0 - 2,000 ppm years + 2^09 * 6,000 ppm years + 6,600 * 10,000 ppm years + > 10,006 ppm years
Absolute Risks Estimated to Range from 6.2/100,000 to 280/100,000
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PBPK Risk Assessment | Versus Simonato et ai (1991) |
PPM
PPM Veu
Ten Ytan Exposure
SO 500
100 1,000
200 2,000
-- 4,000
500 5,000 -- 8,000
1000
10,000
-- >10000
2000
20,000
Twenty Yon Exporar
50 1,000
100 2000
200 4,000
-- sno 500 lOjOOO
-- 15,000
1000 2000
20,000 40,000
PB-PK
LADD
PB-PK Pitdirtmi perlWmO
Observed Cm*
per 100,**
3.33 6.63 13.06
--
26.68
--
3128
--
36.03
188 374 736
--
1,497
--
1,753
~
2,532
--
(62)*
--
422
--
152.3
--
<280.O>b --
6^6 1326 26k.ll
--
53.35
--
62.57 72.07
376 747 1,465
--
2971
--
3/476 3,993
(62)
--
422
152.3
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Summary)
Straight-Forward Modification of Existing PBPK Model
Based on Rat In Vivo Studies. Validated with Mouse and Human Data
Described Tumor Data 1-6,000 ppm in Rats and Predicted Tumor Data in Mouse Studies
Unit Risk Based on PBPK Principles 150 Fold Lower than Current IRIS Value.
Tumor Predictions Most Accurate WITHOUT Surface Area Correction Factor
When Mechanism is Known, PBPK Procedures Should Be Capable of Giving Much More Accurate Estimates of Risk.
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