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Estimating Human Risk from Exposure to VC Quantification with FB-PK Modeling Richard H. Reitz Michael L. Gargas McLaren/Hart, ChemRisk Division for CMA Vinyl Chloride Panel May 19,1994 044 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 2 BOR 0 1 1 9 1 6 VC History! 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 AngkKacroma) In Humans Human Tumor Registry (to Present) 14,000 Subjects, 19 VC Plants V2G/94 3 Objectives / Opportunity | Develop A Process for Quantitatively Estimating Risk In Humans + Low, Non-Occupational Exposures - Superfund Sites - Fugitive Emission - Drinking Water Test the Utility of our Cancer Risk Assessment Procedures + Rich Animal Data Set in Rats and Mke + Unique Opportunity to Compare Risk Assessment with Actual Results In Humans &W94 4 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" will be More Reliable than Risk Assessments based Only on Administered Dose s Classical Pharmacokinetics: "Stripping the Curve" Curva Stripping fEimnnantlalsl C(t) - A) * tT a i1 5/2tm 6 BOR 0 1 1 9 1 8 dAO/dt - -ka*Doe dAl/dt - ka*Dos - K13 *Cl + 021*02 - ku*Cl dU/dt - +021*01 - 021*02 dClia/dt - -k*Cl SOW* 1 Advantages of PB-PK Models: Compound Specific Information Vapor Pressure Solubilities (Pardlkmlng) in Tissues Species Specific Information Physiology Metabolism Route Specific Information Oral Route, 1st Pass Through Liver Allow Extrapolations Betweea Dose Routes Between High Dose / Low Dose Betweea Species mm s BOR 0 1 1 9 1 9 A PB-PK Model for VC Metabolites Bated om Raowey fc Aaderate, 1964 9 Capabilities of PB-PK Models Will use examples from studies of Reitz et ai., at Dow Chemical Co., with 1,1,1-trichloroethane (Methylchloroform, MC) Data used to Illustrate potential applications for VC PB-PK Model. 5/2IV94 10 x z e tto MC Rat Inhalation (Blood Levels) Methylchloroform, (MC) used as an example of the technique. MC Mouse Inhalation (Blood Levels) 8 Methylchloroform, (MC) used as an example of the technique. U 5wm 12 MC Mouse Inhalation (Other Endpoints) 2 1.5 1 0.5 0 BurdenFatLiver_______________Metab B 150 ppm 1500 ppm 420*4 13 MC Human Inhalation (Exhaled Air) Humans - Inhalation 420*4 14 BOR 0 1 1 9 2 2 MC Rat Water (Exhaled Air) snom IS Approach; VC PBPK Model] (1) Parameterize Model Physiological Constants - Andersen et al., 1987 Partition Coefficients - Vial Equilibration - Fat, Liver, Muscle, Blood Metabolic Rate Constants - In Vivo (Rats, Mice) (2) Validate Model Independent Rat, Mouse and Human In Vivo Studies (3) Extrapolate Risks Rats to Mice Rats to Humans SI1WM BOR 0 1 1 9 2 3 BOR 0 1 1 9 2 4 VC Partition Coefficients Via! Equilibration Measure: Blood/Air Llver/Alr Fat/Alr Muscle/Alr Calculate: TIssue/Blood VC Metabolic Rate Constants Gas Uptake Apparatus mm 17 3/20/94 18 BOR 0 1 1 9 2 5 Gas Uptake Data (Male Rats) Gas Uptake Data (Female Rats) snvu 19 5non* 2D r Validation of Rat Model (Watanabe et a!., 1976) 21 Estimating Mouse Metabolic Rate Constants* Small, Halogenated Hydrocarbons Metabolized by CyP450 2EI In Vivo VMax's from Experiments Methylene Chloride (MeClj) (Rats, Mice, Humans) Chloroform (CHCI,) (Rats, Mice) Calculate VMax / grain Liver Normalize to Rat In Vivo MeCl2 chci3 Average Mouse 2.57 2.71 2.64 Human 0.21 0.21 SflOtf* 22 BOR 0 1 1 9 2 6 BOR 0 1 1 9 2 7 Testing Estimated Mouse Metabolic Constants Optimized Mouse Data| *2tm 23 5/30/94 34 Validation of Homan Model (Baretlaetal., 1969) wow 23 Deriving Rat Potency) Based on Maltont's Experiments 12 Months Exposure 0,1,5,10,25,50,100,150,209,250,500, 2500,5000,10000,30006 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 Fitted to Top Two Doses (MTD, MTD/2) S/20/94 26 BOR 013-928 snxm PK Dow PPM Vinyl CMoiide Extrapolating Rat > Mouse (Maltoni, 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 36.4 173.1 265.2 331.0 Equivalent Amounts erf* Metabolite produce Equivalent Tumor Yields No Surface Area Correction Factor Used. The 1(H RSD = 0.80 x 10-1 v SS2QS94 BOR 0 1 1 9 2 9 Comp^ Maltoni et al., (Rat) Maltoni et ai., (Mouse) Lee et ai., (Mouse) 0.177 0.080 0.120 Drew et al., (B6 Mouse) ^0.0032 Diagnostic Crlter Drew reported angiosacromas in Lee and Maltoni saw none. B6C3F1 Ultrasensitive? Reported to have partial oncogene activation in absence of any chemical treatment. HO/M 29 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 lpg/m3,24 hr/day. PBPK MLE = 4 x la7 PBPKUCL = 6xia7 IRIS Number = 840 x Kf7 Him BOR 0 1 1 9 3 0 VC Tumor Registryl (Simonato et aill., 1991) | 12,706 Individuals from Population of 14,351 Completeness of Followups 97.7% Cohort has > 25 Years since 1st Exposure to VC Exposure Groupings: + 0 > 2,000 ppm years + 2,000 - 4,000 ppu yean + 4,000 10,000 ppai years + > 14,000 ppm yean Absolute Rides Estimated to Range from 6.2/100,000 to 280/100,000 sntm 31 PBPK. Risk Assessment Versus Simonato et al (1991) ppm PPM Yarn Tea Yun Eimmh SO 500 100 1,000 200 2,000 2000 500 5000 _ 2000 1000 10,000 >iaooo 2000 20,000 IWtdvYtm Eummw so too 200 -- 500 ___ 1000 2000 1,000 2000 4,000 sxno ioooo 15,000 20.000 40000 PB-PK LADD PB-PK Pmrfictiaa padOMM Ohm4 Caaca pulMtM* 343 6.63 1206 -- 2668 -- 3128 -- 36.03 188 374 736 -- 1,497 -- 1,753 -- 2532 -- (62J* -- 422 -- 152.3 -- 280.0)* -- 666 1326 2611 -- 53.35 -- 6257 7207 376 747 1,465 -- 2971 -- 3,476 3,993 (623* -- 422 1524 280.0)6 sawM *i BOR 0 1 1 9 3 1 BOR 0 1 1 9 3 2 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 1 SO 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. SfiO/H