Document ymGvydXw441qRdaEnog14E2zn
AR 2260532
Final
Biological Phase Report
Metabolism of N-Ethy! Perflusrooctane Sulfonamido Ethanol
(Net-Fos<: T-6316) in Cynomolgus Monkeys Following
Administration oaf Single Capsule Dose
COVANCE>
C4143
Sponsor: 3M Chemicals St. Paul, Minnesota
Study Title: MetaCboylniosmmoolfguNs-EMtohnyklePyesrfFlouolrlooowcitnagneAdSmuilnfiosntraamtiidoonEothfaanSoilng(lNeetC-aFpossuel;eTD-6o3s1e6) in
Data Requirement: None
Authors: Frederic W. Thalacker, PhD
Deborah K. Lee. Study Completed on:
June 2, 1999
Performing Laboratory: Covance Laboratories Inc. 3301 Kinsman Boulevard Madison, Wisconsin 53704 Laboratory Project Identification:
Covance 6329-226 Page 1 of 77
04144
2
-_
CoCouvannccee6s32i9o-2a26s
STATEMENT OF NO DATA CONFIDENTIALITY CLAIM
MetaCbyolniosmmoolfguNs-EMtohnyklePyesrfFloulolrooowcitnagneAdSmuilnfiosntraamtiidoonEothfaanSoilng(lNeetC-aFpossuel;eTD-o63s1e6) in
No claim of confidentiality is made for any information contained in this biological phase
on the basisofits falling within the scopeof FIFRA 10(d)(A), (B), or (C).
`oTthheesretdhaatnacaormeptlhieanprcoepweirttyhoFfI3FMRACSheecmtiicoanls10a. ndSuabsmsiuscshiaorncofcotnhfeisdeendtaitaal ifnorcoamlppluirapnocsees
with FIFRA does not constitute a waiver of any `under any other statute or in any other country.
right
to
confidentiality
that
may
exist
Company: 3M Chemicals
Company Representative: Andrew Seacat, PhD
Title: Study Director
Department:
Codasee I Sone
Signature
( [a [ge
Date
04145
_ 3 CoCouvnanccee 6329-226 COMPLIANCE STATEMENT
MetaCboylniosmmoolfguNs-EMtohnyklePyesrfFlouolrlooowcitnagneAdSmuilnfiosntraamtiidoonoEtfhaanSoilng(lNeetC-aFpossuel;eTD-o63s1e6) in
APlrlotaescpteicotnsoAfgtehnicsybPieosltoigciicdael PprhoagsreawmesreGocoodndLuacbtoerdatinorayccPorracdtaincceeSwtiatnhdatrhdesE(n4v0irCoFnmRental 160).
Andrew Seacat, PhD
Date
Study Director
3M Chemicals,
Study Submitted by
Date
Sponsor
Date
04146
4 QUALITY ASSURANCE STATEMENT
Covance 6329226
`This report has been reviewed by the Quality Assurance Unit of Covance Laboratories Inc., in accordance with the Environmental Protection Agency (EPA) Good Laboratory
Practice Standards, 40 CFR 160. The following inspections were conducted and findings
reported to the study director and study director management. Written status reports of
ionpsepreacttiinognpsraonceddufirnedsi.ngs are issued to Covance management according to standard
Tnspection
Dates
From
To.
04/22/98 05/13/98 06/02/98 10/09/98 11/06/98 11/06/98 11/06/98 05/19/99 06/01/99
04/22/98 05/13/98 06/02/98 10/09/98 11/16/98 11/16/98 11/16/98 05/19/99 06/01/99
Phase
Protocol Review Test Article Administration Protocol Amendment Review Protocol Amendment Review
Data Review Report Review Data Review Report Review Report Review
Date Reported to
Study Director and Study Director Management
05/04/98 05/13/98 06/03/98 10/09/98 04/06/99 04/06/99 04/06/99 06/02/99 06/02/99
Reprentat4 ive,
Quali)
Lownie -- Assurance Unit
Date 42/9
04147
-_
Metabolic Chemistry Frederic W. Thalacker, PhD Biological Phase Investigator Deborah K. Lee Study Coordinator Philip J. Teitelbaum, PhD Associate Director LeAnn Eastman Supervisor Radiochemical Analysis Kuntal Sinha Study Chemist
s KEY PERSONNEL
CoCouvamncees63s20o-2a26s
Toxicology Operations Peter Kong Manager
Cara Himrich Supervisor Metabolism In-Life
Quality Assurance Unit Nancy M. Centanni Manager
Laboratory Animal Medicine Donna J. Clemons, DVM, MS Diplomate, ACLAM Supervisor
04148
6 SIGNATURES
Covance 6329-226
-- WT Doli
Frederic W. Thalacker, PhD Biological Phase Investigator Metabolic Chemistry Covance Laboratories Inc.
22,1979
fate
Philip# Teitelbaum, PhD. Associate Director Metabolic Chemistry Covance Laboratories Inc.
Date #2
nas TV Sova AStnuddryeDwirSeecactaotr, PhD 3M Chemicals
C/9/94 Date
04149
7
-_--
CoCovvamnecee6u32e0-n22s6
TABLE OF CONTENTS
STATEMENT OF NO DATA CONFIDENTIALITY CLAIM
Page 2
COMPLIANCE STATEMENT
3
QUALITY ASSURANCE STATEMENT
4
KEY PERSONNEL
5
SIGNATURES
6
ABSTRACT
9
TITLE
10
OBJECTIVE
10
REGULATORY COMPLIANCE
10
QUALITY ASSURANCE
10
EXPERIMENTAL DESIGN AND PROCEDURES
10
Study Design
10
Justification for Dosing Route and Dose level
n
Test Substance
Ii
`Test Animals and Housing
2
Animal Selection
2
Justification
12
Surgical Procedure
2
Bile Replacement
13
Dose Preparation and Analysis
13
Dosing Procedure Antemortem Observations
13 13
Physical Examinations
1
Body Weights
1"
Clinical Pathology
14
Clinical Pathology Tests
14
Antemortem Sample Collection Termination
15 16
Sample Identification, Retention, and Disposition
17
Blood, Plasma, Serum, and Cellular Fraction Preparation and Storage
17
`Sample Transfer Disposition of Raw Data, Records, Samples, and the Final Report
17 18
RESULTS AND DISCUSSION
18
Quarantine and Acclimation
18
04150
8
_--
CoCovvamnecee6n32e0-n22s6
Clinical Pathology
19
Body Weights and Doses Administered
19
Antemortem Observations
19
CONCLUSIONS
20
TABLES
21
`Table 1. Individual Kilograms
Body
Weights
of
Cynomolgus
Monkeys
Reported
in
21
Table 2. Individual Body Weightsofand Dose Weights Administered in One
Capsule to Cynomolgus Monkeys (50 mg/kg)
Table 3. 1% Dextrose in Lactated Ringers Solution and Bile Salt Replacement
2
Solution Infusion Times
23
APPENDIX A
2
Protocol CMS Deviations
2267241,
Protocol
Amendment
No.
1,
and
Protocol
2
APPENDIX B
2
SAbubmrmevairaytioofnAs,ntaendmoCrlitneimcaOlbPsaetrhvoatlioognys,DaCtlainTiacballePsathology Codes and
2
04151
-_ 9 cCoovanncea63n29226
ABSTRACT
Tissue, plasma, serum, bile, feces, and urine specimens were provided to obtain
information on the metabolismof N-ethyl perfluorooctane sulfonamido ethanol (Net-Fose; T-6316) in cynomolgus monkeys following administration of a single oral dose.
dSioxsteedeancccyonrodminoglgtousthmeafloellaonwdinfgemsatluedymodenskiegyn:s from Covance Research Products were
NandeSeex GGrroouupp _AnAniimomfaallss __SSwttass
1 66FMeimallee mac
2 22MFemale CBoinneuDlutetd
DDoosee Somgkg
SOmgkg
CoCollelcecttoionnssPPosstudoossee UrTiisnseueasndffreocmessferxomon0D-1a2yasn2d, 2152,-a2n4dh0ou.rs, then ddaaiylsy. through 28 daanydwesek,ly through 90 B48lohoodurpsr,ed7dosaey,sa,nadnadtw1e,e2k,l4y,6t,hr1o2u,gh249,036d,ayasn.d
BiTliessfureosmat02-812daaysn.d 12:24 hours, aBnldooddaiplryedhoesoeu,gahnd28atda1y,s2., 4,6, 12, 24, 36 and 48 hours, days, and weekly through 38 days
pSerpeapraarteed bblyocoedntsraimfpulgeatsiowneroefctohlelbelcotoedd.foSreprreupmarwaatsiopnorfeppalraedsmbay aalnldowsienrgumt.hePbllaosomdatwoas
clot and centrifuging it to separate the cellular debris. All specimens were shipped to the
`Sponsor
Sponsor.
for
analysis
and
the
resultsofthese
analyses
will
be
reported
separately
by
the
04152
10 Covance 6329-226
TITLE
Metabolismof N-Ethyl Cynomolgus Monkeys
Perfluorooctane Sulfonamido Following Administrationof a
Ethanol (Net-Fosc; T-6316) Single Capsule Dose
in
OBJECTIVE "fTehmealpeurcpyonsoeomofltghuiss smtoundkyewyassatnodacdomlilneicsttsearmaplpeesrfflourordoeotcetramnienatteistonsoufbasbtsaonrcpettioomna,le and distribution, metabolism,andexcretion.
REGULATORY COMPLIANCE
"PTrhoetebcitoiloongiAcgalenpchyas(eEoPftAh),isGostouddyLawbaosractoonrdyucPtraecdtiicneaSctcaonrddaarndcse, w4i0thCFthRe E1n6v0iarnondmbeyntal
CacocvoarndcaencLeabwoirtahtoCroiveasnIcnec.,Pr3o3t0o1coKliCnsMmSan22B6o7ul2eAv1ardda,teMdadAipsrioln,21W,is1c9o9n8s,iann,diCnovance
Standard Operating Procedures deviations are in Appendix A.
(SOPs).
The
protocol,
protocol
amendment,
and
protocol
9AlCl FprRoc3,edduarteesdiOnctthoibsesrt3u0d,y a1r9e89i,n caonmdpalsiamnocdeifwiietdhotnheMAanricmhal18,We1l9f9a1r.e IAnctthReeogpuilnatiioonnosf,
the Sponsor work.
and
the
study
director,
the
study
did
not
unnecessarily
duplicate
any
previous
QUALITY ASSURANCE
`CTohveapnrcoetoQcoula,listtyudAysscuornadunccte,Udnaitta,(aQnAdUb)ioilnoagicccaolrdpahnacsee wfiintahlCroepvoarntcweerSOePasu.ditAeldl bsytutdhye
activities performed Department.
at
3M
will
be
the
responsibilityofthe
3M
Quality
Assurance
EXPERIMENTAL DESIGN AND PROCEDURES Study Design
Aotnhiemrawlassweinrteacta.ssTighneegdrtooutpwdoegsirgonuaptsi,ono,nenuwmabsetrhoefbainliemdaulcst,csapnneucliamteendcgorloleucptiaonnd, athned target dose level were as follows:
94153
-_-- TT aNned wSesx GrGroowpw_ofofAAnivmianlass_SaStwatsus
I 6GFeMmaale Ina
} 2 F2emaMle CBanimeulDauited --_--
i
cCoovnancee s6329226
DeeRoeutme,esy
eannddlLeevveel
CoClollceictoinonssPPoostddoosee
OneOCraaplmle SOmgkg
TUirsisnueeasnfdrfoemcessefxroomn0-D13ayasn,d 21,3-a2n4dho90u.rs, then daily through 28 deys, and weekly through
9B48l0odhooaduyr.psr,ed7odsae,y,anadndaw1e,e2k,l4y,6t,hr1o2u,gh254,036d,ayasn.d
OneOCmapisule TBiilsesufersoam20-812daasn.d 12.24 hours and daly
Somghs tBhlroooudghpr2d8osaey,sanda 1,2, 4,6, 12, 24,36 and
4S8hhoouunrs7,dauyss, nndd weekklly trhroouugh228ddays
Justification for Dosing Route and Dose level
"The oral route has been used for evaluating systemic toxicityofthe compound in cnoynn-otmooxilcgussinmgloenkdeoysse.amTohuent50nmegce/sksgardyofsoerweacsovcehromseeansubreacbaulseecoitnpcrenotvriadteisotnhsoefmtahxeitmeustm substance in minor tssucs.
`Test Substance
The
May
t8e,st1s9u9b8stfarnocme,thTe-6C3o1v6a,nwceasDerepcaeritvmeednitnoftheToDxeipcaorltomgye.ntoStfabMieltitayboalnidcrCehteenmtiisotnrofy
on
a
sample as
Sponsor.
specified in
Information
40
on
CFR 160.105ofthe test substance is the responsibility ofthe
synthesis methods, composition, or other characteristics that
define the test substance are on file with the Sponsor.
`The following information was obtained from the label on the test substance container:
Substance No.
TCeosnttaSiunbesrtaNnoc.e::
Lot Nos.
Date Combined:
Purity/Concentration:
SEtxopirraagteiRoenqDuaitre:ements:
Physical State:
1084A3
6T5-6316 (Narrow Range N-Ethyl 3Pe0r0f3l5u,o3r0o0o3c7t,anaensdul3f0o0na3m9ido Ethanol, NEtFOSE)
07-31-1997
98.1%
ORnoofmiletweimtphertahteurSeponsor
Amber waxy solid, slight odor
C4154
2 -_-- Test Animals and Housing
CCoovvamncee e63u2s92n26e
`The in-lfe portion of the study was conducted May 13, 1998, through August 11, 1998.
CEolevvaenncemaRleeseaanrdchelPervoednufctesmawleerceyrneocmeoilvegdusonmoMnakrecyhs24(,no1n99h8u.maTnhperainmaitmeasl)sfwreorme young awdausltastsoiagdnueldt aa ntdemwpeoirgahreydiadpenptriofxiicamtaitoenlynu3mbteor4.kgBeaftoarreribveali.ngUpploanceadrroinvatle,ste,accahcahnimal naencikmatlagwaasttracahneddomtolythaescsoilglnaer.d a permanent identification number and identified with a
Aaclclainmiamtailosn awnedrehhoouusesdedinininidnidviivdiduuaallm,estuasbpoelnidsemd,castgaeisnldeesssisgtneeeld,fwoirrteh-emseespharcaatgieosn daunrding collection of bile, urine, and feces while on test
``TwhheenprfiamsatteedsfowresruerfgeedryCearntdifpierdiPotrorimtaetset sDuibestt#an8c7e26adCmi(nHiasrtlraantiToenkltahdr)ouagdh laipbpirtoumx,imeaxtceelpyt
4wahsouprrsovpiodsetddofsree.shDdiaeitlsywaenrdeasduplipblietmume.nteEdnvwiirtohnmaeppnrtoaplricaotnetrforlusitfsoarntdhecearneailmsa.l rWoaotmer
were set to maintain 18 light/12-hour dark cycle.
t0 29C, 50% The 12-hour
+ 20% relative dark cycle was
humidity, and interrupted, as
a 12-hour necessary,
to
`accommodate study procedures,
Animal Selection
uClsiendictaolscehleecmtistetsrtyaaninmdalhse.matInoladodgiytitoens,t raensiumlatslsanwderpehysseilceaclteedxafmorintahteisounrgriecsaulltpsrwoceerdeure badamsiendisotnratthieonb,esatlaapbpoarraetnotryadajnuismtamlenvettteoritnhaerijaanckeevtalaunadtetdetthehre shyesatletmh.ofBtehfeoarneidmoasles and approved their use on the study.
Justification
`aSntiumdailess.usNiongalcicveepatnaibmlaelnsoanr-elievseseanntiimaallfomrocdhealrsacwteerreizaivnagiltahbeldei.spTohseitcioynnoofmoclhgeumsicals in minotnhkeeeyvahlausatbieoennoufsteedstarsetshuletnsoonb-traoidneendtisnpteocxieiscotlooegvyasltuuadtieestocxoicnidtuyc.teTdhiisn smtoundkyewyilslaanidd `winlulmbaelrsoopfraonviimdaelas bwaassisthfeormtihneiemxturmapnoluamtbieonrofnecseasfsetayrydattoapfrrovoimdaensicmiaelntsiftiochalulmyavnasl.idThe results.
Surgical Procedure
TPrhoecesduurrgeisc.al TprhoeceadnuirmealwsawsecroenfdausctteeddovienrancicgohrtdbaenfcoerewistuhrgCeorvyaanncdesSetdaantdeadrdwiOtpherating
04155
5
---
coCouvannccee63e2n02y26s
kmeatianmtianien.edAunsianpgporoxpyrgieanteaanndtiibsiooftliucrawnaes. aLdamcitnaitsteedreRdi.ngeSru'rsgsioclaultiaonneswtahsesaidamwianisstered
tstharfofuvegthearisnaarpihaenn.oAus cstaetrhielteesrutrhgricoaulghsocurtubthweassurpgeircfaolrmperdo.cedTuhreecoroamsmdoentebrilmeindeudctbaynad.
`dwueoredeandmuimniwsatserceadnnauslraetecdomamnedntdheedgablylbtlhaeddstearffwavesterreimnaorvieand.anAddddiitsicoanradleda.ntiAbniaoltgicessics
ahnadd/aotr lfelausitds10wedraeysadtmoirneicsotveerredfraosmrtehceosmumregincdaeldprboycethdeursetapfrfivoertetroidnaorsieana.dmiTnhiestarnaitmioanl.s
Bile Replacement
LBaecgtiantneidngRitnhgeerd'asysaofltuetrisounrwgearsyatdhmrionuigshte3reddayvsiapotshte dsuurogdeernya,la csaonlnuutliaonfoorfa1p%prdoexxitmraotseelyin 8fohuortuhrspopsetr sduarygiactalapdparyoxunitmialtsealcyri2f0icem,La/hboiluersatlotpsrseovleunttiodnehwyadsraitnifouns.edBveigaitnhneindguoodnentahle csoalnuntuiloan fwoarsappprreopxairemdatbeylyad8dhionugrs13p.e0rgdoafycahtolaipcpraocxiidmtaote1lyLo2f3 0m.L/9k%gs/oddayi.umTchhelobriildeesalts wsoalsutmiionx.edSaonddiutmhebpicHarabdojnuastteed(1t.o3 7g.)4 w10as7.a8dwdietdht0o.eIaNchHC1 ILoorfssoolduituimonh.ydTrhoexisdoel,utaison `appropriate. Infusion intervals and volumes administered were recorded (See Table 3). Dose Preparation and Analysis
`The capsules (gelatin, No. 2, Torpac, Inc. on April 9, 1998.
0.37
mL)
for
the
dose
preparation
were
received
from
Tbahleantecsetacnodmapnouapnpdrowparsiahtoemaomgeonuinzteodf.tesAt Nsoub.st2acnacpes,ublaesweadsotnaarneidmoanlawneiangahltytaincdaldose lsecvienlt,ilwlaatsioandvdiealdsulsaibnegleadswpiattuhlat.he Tahneimcaalpsnuulmebsewre.reThseeaclaepdsaunledspwlearceedsitnorseedpaurnadteer20-mL ambient conditions.
Dosing Procedure
`Thheouarnsimpaosltsdwoseer.e fTahsetecdaopvseurlneigwhatspgriivorento10dotshee aandimimnailsstbraytiaodnetvhircoeusgphecaipfpircofxoirmcaatpesluyle administration.
Antemortem Observations
Moobrstearlviattyioannfdormogreinbeuranldihteyalcthheacnkds awpepreeadraonnceetwweirceeddaoinley (oan.cme. daanidlyp..mS.i)g.nsCoafgpesoiodrehealth or abnormal behavior were recorded as they were observed.
04156
1 -_-- Physical Examinations
CCoovuanncec6e329226
oPnhycseicpaolstesxuarmgienraytiboefnowreertehepeirniftoiratmieodnotfwitcreeadtumreinntg. aAcncliimmaaltsiowne,roencaenepsrteh-estuirzgeedryw,itahnd kexeatmaimnianteiohny,drochloride according to Covance Standard Operating Procedures for the
`Jwaecrkeetasnewsetrheetcihzeedckaesdaabcocvoerdfiorngthteo eCxoavmainncateiSont;anhdoawredvOepre,raatlionwgePrrdoocesdeuorfekse.taTmhienaenwimaasls administered for the limited examination.
Body Weights
fBoorddyoswienigghctaslcwulearteiotnask),enweweeekkllyyafdtuerridnogsaicncgl,iamnatdioonn,twhietdhainyo5fsdaacyrsiofifced.osing (to be uscd Clinical Pathology
"aTdhmeinainsitmraaltsiownearsefnooltlofwass:ted.appBrlooxoidmawtaelsyco1lwleecetkedbveifaortehesufregmeorryalfrvoeminalblefaonriemadlosseand parpoprbolxeimmsadteevleyl4opaendd, 8bldoaoydswpaosstcsoullregcetreydffroormclciannincaullaptaetdhoalnoimgaylst.estsWthoeanssheesaslthhealth status as deemed necessary by the staffveterinarian.
Clinical Pathology Tests
`The following are the tests performed by the Clinical Pathology Department:
Hematology Red blood cell count Hemoglobin Hematocrit Mean corpuscular volume Mean corpuscular hemoglobin Mean corpuscular hemoglobin concentration Platelet count White blood cell count Differential blood cell count Blood cell morphology Prothrombin time Activated partial thromboplastin time
04157
1s -_
Glucose Clinical Chemistry Urea nitrogen Creatinine Total protein Albumin Globulin Total bilirubin Serum bile acids Cholesterol Aspartate aminotransferase Alanine aminotransferase Alkaline phosphatase Creatine kinase `Gamma glutamyltransferase: Calcium Inorganic phosphorous Sodium Potassium Chloride
cCovoanmce 6m32e0-2n26 .
Antemortem Sample Collection
No Teflon was used for this study.
Blood (Groups `animals predose
1 and 2). Approximately 2 mLof blood was collected and approximately 2 mL. was collected at 1,2, 4, 6, 12,
from Group 24, 36, and
|
4`w8ashocuorlsl,ec7teddayfsr,oamnGdrwoeuepk2lyantihmraolusghpr9e0dodsaeysanpodstadpopsreo.xiAmaptperloyxi2mamtLelwya2s mcoLlolefctbeldoaotd 1,
c2o,l4l,ec6t,e1d2,vi2a4a,3f6e,moarnadl4v8eihnouirnst,o haenpdaroinni7,ze1d4,tu2b1e,saanndd2p8ladcaeydsipmomsetddoisaet.elTyhoenbwleotodicew.as
2Ef-fmecLtibvleooJdunseam3,pl1e99w8a(sSctouldlyecDtaedyi2n1)taoangdlaaststhteubreewmiatihnoiuntghteipmaeripnoiantnsd,saent aadsdiidteiaotnarloom
temperature to clot.
iBnitloe p(lGasrtoicupco2n)t.aiBnielres wsausrrcooulnldcectdebdyfdrroym itchee pGrredoouse2p(afonrimatallseavsita1t2hehoiumrps)l,anatnedd acta0n-n1u2l,a 12-24, and continuing at 24-hour intervals through 28 days postdose. 0U-r1i2n,e1(2G-2r4o,uapnd1).conUtriinnueewdaast 2co4l-lheocutredinitnerpvlaasltsitchcroonutgahin2e8rsdasyusr,rotuhnednewdebeykldyryunitcielat 90 days postdose.
9415
16 Covance 6320-226 Finetceersva(lsGrthoruopug1h).28Fedcaeyss,wethreencwoleleekcltyeduantti0l-9102,da12y-s24p,osatnddosceo.ntSipneuceidmfeonrs2w4-ehroeur transferred into plastic containers at the timeofcollection.
Termination
SpecnhteodbaurlbeidtaSla.crCiefriecber.osAptintahle tfliumiedof(sCaScFr)ifwiaces,caonlilemcatlesdwoenrceeatnheesatnheitmiazledwawsitfhulsloydium anesthetized. CSF was placed on wet ice immediately after collection and collection hteimpeasriwne(raet lreeacsotrd2e0d.mLB)laonodd winatso cgollalsescttuebdevsiwaictahroduitacheppuanrcitnur(eatilnetaostgl2a0ssmtLu)b,esexwcietpht Animal No. 10541 that had a short sample obtained via vena cava. Following blood collection, the animals were sacrificed via exsanguination under sodium pentobarbital. Residual urine from the bladder was added to the last urine sample. Stomach, large and small intestinal contents were collected from the two per sex Group | animals that were sacrificed at Day 2 only.
All tissues collected were excised, rinsed with water, blotted dry, weighed, and placed in
a plastic container surrounded by wet ice. After the tissues were removed, the residual
carcasses sacrifice,
were discarded. The following except the gallbladder that was
tissues were collected collected from Group
from all 1 only:
animals
at
Adrenal glands Aorta Bone (femur) Bone marrow (from femur) Brain Diaphragm Epididymis Esophagus Eyes Fat Gallbladder Heart Kidneys Large intestine: Liver Lungs Lymph nodes (cervical) Lymph nodes (mesenteric)
Muscle (thigh) Ovaries Pancreas Prostate. Salivary glands Seminal vesicles Skin (dorsal, shaved) Small intestine Spinal cord Spleen Stomach Testes Thymus Thyroid/Parathyroid Tongue Trachea Urinary bladder Uterus
04159
1" --- Sample Identification, Retention, and Disposition
CoCovvaanmcee s63u2e92m2s6
Specimens were identified with the study specimen number, and collection interval.
number,
sex,
animal
number,
group,
matrix,
Blood, Plasma, Serum, and Cellular Fraction Preparation and Storage
tBhleoionddiivnigdluaaslsttiumbeespowiintths,htehpearbilnoowdaswastsogreendtaltyaipnpvreorxteidmasteevleyra5ltCimpersiotrothooamnoagleysniisz.e,At
tthiemne appoipnrto.xiAmtatseaclryif7i0ce0,Lappwraoxsitmaakteenlyahnadlfpolafctehdeibntloooadlwabaeslehdovmioaglefnoirzeeadchaninddpilvaidcueadl
intoa labeled approximately
vial. The subsamples were placed in a freezer 20C. The remaining bloodwascentrifuged
at at
atemperature of 2,400 rpm (1,300
x
g)
for
``waapsprtorxainmsaftererleyd1to0 msiepnaurtaetselayt laapbperloexdimviaatleslaynSdCp.lacTehdeirnefsrueletzienrgaptlataesmmpaearnadtcuerleluolafr fraction
approximately 20C until they were shipped.
"sTehreuamddwiatsioanlallo2w-emdLtobclloootdatcorloleocmtitoenmipnergaltasusretufboersawpiptrhooxuitmahteeplayri3n0ftoor6t0hemcionlulteecst.ionThoef
aspapmrpolxeimwaatselthyeSnCc.entTrhifeusgeedruatmw2,a4s0r0ermpomve(1d,3a0n0dxplga)cfeodriapnptarooxliambaetleedlyvia1l0. mTinhuetecesllautlar
debris was discarded and the serum was approximately -20Cto await shipment.
stored
in
a
freezer
at
atemperature
of
Sample Transfer
All specimens 1998:
were
shipped
on
dry
ice
to
the
Sponsor
on
June
12,
1998,
and
August
18,
Dr. Kris Hansen Environmental Technology and Safety Services 935 Bush Avenue Building 2-E3-09 St Paul, Minnesota 55133-3331 Phone: (612) 778-6018 Fax: (612) 788-6176
`The Sponsor completionof
will the
be responsible study.
for
further
analysis,
reporting,
and
archiving
upon
94160
18
_--
CcCoovvauncmee6e32u9e2m26e
Disposition of Raw Data, Records, Samples, and the Final Report
wTihlel ifnocllluodwei,ngbudtatwialrlencootrdbsetloibmietmeaditno:taipnroetdoaconldatnradnsafmeernrdedmetonttsh;e asrtcuhdiyvecsoorfreCspoovnadnecnece; test material receipt; final report.
`sTthuedyfodlaltoawwiinlglsiunpcplourdet,inbgutrewciolrldnsottobbeelriemtiatiendedtoa:t Cfeoevdaanncaelybsuits nroetcoarrdcsh;iwvaetdewriatnhaltyhseis rreeccoorrddss;; ainnistmraulmrenotomcaltiebmrpaetriaotnuarnedamnadihnutmeindaintcyerreeccoorrddss;; rUenfirtigeedraSttoart/efsreDeezperarttemmepnetraotfure Agriculture animal records; stock records.
r`Tehpeorftowlillolwiinncglduadte,a rbeuctowridlsltnoobtebetrlainmsifteerdretdo:to the archivesof 3M upon completion of the
Tn-life records: Animal receipt Acclimation Animal room maintenance Antemortem observations Body weights Physical examination records Clinical pathology Clinical pathology slides Dose administration Sample collection Bile salts replacement solution infusion times and amounts
rAelslulctoorfrtehsipsonsdteundcye,widlolcbuemeanrtcahtiivoend,inretchoerdsst,orpargoetofcaocli,liatinedsoffinaClovreapnocret gfeonrearapteerdioadsoaf one oyfetahrefoalfloorweimnegntthieonseidgnmiantgeroiftahlsewifilnlablerespeonrtt.toOtnhee Sypeaornsaoftrearnsdiganirnegtuthmeffeienawlilrlepboert, all fochraargneda.ddiTthieonSalpopnesroiordomafytiemleectantdo hCaovveantcheemwaitlelrciahlasrgreetaaisnteodraignetfheee.CoIvfatnhceeSpAorcnhsiovres chooses to have Covance disposeofthe materials, a disposal fe will be charged.
RESULTS AND DISCUSSION Quarantine and Acclimation
A1l0l54a2n8i,maaplpseuanrdeedrcqluinaircaanltliynheeaanltdhaycacnldimwaetiroenrbeelgeiasnendinognMAaprriclh2244,,11999988., eAxnciemptalAn1i0m5a42l8 `weaxsamoibnsaetirovne,dotnoehafevcealdieaxrarmhienaaatinodnw,aasndmotnhireteorteudbeurnctuillinnotremsatls.weArte lpeearsftoornmeedphbyesfiocrael
94161
1 CCoovuanncce 6e329226
arcelcelaismeatferdomtoqutahreajnatcikneet. anWdeetketlhyerbsoydsytewmeirgehqtusirweedrfeorrebciolreddeudctancdanannuilmaatilosnw.ere Clinical Pathology Rheeaslutlhtsaobfnorpmraelsiurtgiiecsa.l AcllitnhiocaulghpastehvoelroaglymtaelsetssiinndGicraotuepd n1ohoabdvniootuasblgyrohuipghorleiunkdoicvyidtueal cAoufnetws,ftehmeasleesweirneGtrroiubpu1tehdadtomeixlcdiltyehmiegnht vaaslsuoecsifaoterdalwaintihnbelaomoidnocotlrlaencstfieornapsreoaccetdiuvrietsy. ccoynnsoimstoelngtuwsimthonHkepeaytsittihsatAdionefsecntoitona,davesrusbecllyineifcfaelctcolnidveirtifounncctoiomnmoornalnyiombaslehrevaeldth.in `Rceosmuplltiscoafttihones csleicnoicnadlarpyatthoolbiolgeydtuecsttscfaonlnulloawtiinogn.surFgoeurry ddaeymsonpsotsrtastuerdgenroy,criintcircaelased a`cgtaivmimtaiegslufotraamsypatrrtaantsefearmaisneo,traanndsfcerreaatsien,eaKliannaisnee ainmiGnrootruapns2faenraismea,lsalwkearlienecopnhsoisspthenattawsiet,h tmhaelessur(giAcnailmaprlocNeod.ur1e0.543T6h)e; taontadlobnieloifrutbhinewfaesmanloetsab(lAyniinmcarleaNsoe.d 1f0or54o4n1l)yeoxnheiobifttehde eevnizdyemneceaoctfibvlitoioeds gleonsesraflrloymetxhheibsiutregdicsailgpnirfoicceadnutrree.duEcitgihotnsdaiynsdipcoasttivseourfgecroyn,ttihneuehdigh ArenciomvaelryNof.ro1m05t4h3e6s.urPgeircsailstpernotc,edmuirled,lyantod mtootdaelrbaitleilryubeilnewvaatsednoacltoivnigteireselfoervaatlekdalfionre ppohsotspshuartgaesreyw(emraleecshaarnadctfeermiasltiecs)ofamnidlgdlaymminacrgelausteadmybliiliraarnysfperreassseur(emasleecsonodnalryy) taot 8bildeays hdeupcattciacnfnuulnacttiioonn,wbaustlniokrelmyalnovtalsiugensiffiocratnottlaylcboimliprruobminisaendd.serum bile acids indicated Body Weights and Doses Administered `ITnadbilveisdu1aalnbdod2.y AwcetiugahltsdaosnedsdaodsmeisniasdtmeirneidstrearnegdetdofGrroomup1s00.1 2an%d t2oa1re04p.r4es%oenfttehdein nominal doseof 50 mg/kg. Antemortem Observations e`Txhheibaintiemdanlso aopvepretarseidgnnsoorfmtaolxidcuirtiyntghdroosueghaodumtintihsetrstautdiyo.n aTnhdeanpopteeadreodbsheeravlatthiyonasndare listed in Appendix B. Noneofthese observations appeared to be test substance related. `OwnasMfaluysh2e2d, f1o9r98A,ninmoablil1e0f5l4o3w7waansdntohteebdilfeorstAanritemdaltosf[l0o5w43ag7aiann.d 1T0h5e44t1e.chnTihceiasnwifvoeulnd t`whaast cthoennsewcitveedl cfoorrrAenctilmyaaln1d0t5h4e41pwuamsphroesotkaretdedu.p Ainpcporrorxecitmlayteolnyth2ehporuervsiolautserd,atyh,erseo witas no bile flow, so the system was rechecked and bile began to flow. On May 26, 1998 and
04162
2
---
cCoovvanmcee 6e3a29d-2a26s
mMoanyit2o9r,h1e9r98h,eablltohodstawtauss. dTrhaewnrefsruoltmsAonniMmaaly12095,4419198f,orweclrieniicnaldicchaetmiviesotfrycahnolaelsytsaissist,o but
atlhseoreisnudlitcsatweedrtehaitmpthreovheepdatfircomdytshfeurnecstuilotns aopnpeMaaryed26m,in19i9m8a.l Tanhde cColinncilcuadlePdatvheorlyogliitslte
hepatocellular degeneration or necrosis occurred.
On June from the
4f,ec1e9s9.8,TAhneifmeacles1w0a54s4s9crdiadpendotfrhoamvethaescpraeneannadbcoovleletchteedp;ahnotwoevseepra,rastoemtehe
urine
cross-contamination may have occurred.
Bile from
flow slowed and Animal 105446.
was noted However,
on Study Day 17, 23, the animal exhibited
naondsi2g4nstohfencostmopprpoemdiosnedDaheyal2t5h.
Upon sacrifice it was noted that a providing an alternate pathofbile
portionof flow.
the
bile
duct
had
re-grown,
evidently
CONCLUSIONS
StiasmspueledsiswtreirbeutpiroonvoifdeNd-ettohyolbtpaeirnfilnuofrooromcattainoen sounltfhoenapmhiardmoaectohkainnoelti(cNse,t-eFxocsree;tiTo-n6a3n1d6)
aanfiemaarlssiwnegrlee cuasseudleindothsee sitnucdyy.noAmlollsgaumsplmeosnkweeyrse.shBiiplpee-ddutcot tchaennSuploantseodrafsowrealnlalayssiinstaacntd
resultsofthese analyses will be reported effects were noted on the monkeys.
separately
by
the
Sponsor.
No
test
substance
04163
-
a
TABLES
cCoovnancce e632n9:226
Table 1.
Individual Body Weightsof Cynomolgus Monkeys Reported inKilograms
N1 u`NAmunmibbmeaelrr"F 1 3 5 9 9 Da1 ym mH 2 6 6 5 515H 5
105428
44 42
Gro1Mualpe
105430
39
3.9
105431
38 38 38
39 39
105432
42
42 42
42 42
105433 105435
4.1
40 40
4.0 39 41
4.4
43
43
43
44 44
43
43
105439 3.1 3.1
105440
31
3.1
Group 1 Femal
105442
3.0
29 28
3.0 29
105444
3.0
29 29
29 2.8
105447
32
31
32 33
33
105449
33
33
34 33
32
35
3.6
33
33
Gro2uMaple
105436
37
35
35 36
38
106437
37
37
36 38
36
Group2 Female:
105441
3.0 3.0
28 32
32
105446
42
4.1
3.8 42
4.1
2 E % % mm wm or Day
42
49 56 63
70
77 84
91
Group1 Male
105433 105435
45 46 46 47 48
4.1
42 42 42 42
48 4.9
49
42 43 43
Group 1 Female
_os4o 105447 105449
3435 34
3435 34
3435 34
3435 34
3s36 35
35 3.6 35
3737 3.7
3136 37
04164
-_ Table 2.
2 CoCvovmacncees6332a9-2226
Individual Body Weightsofand Dose Weights Administered in One Capsule to Cynomolgus Monkeys (50 mg/kg)
"Animal Number 105428 105430 105431 105432 105433 105435 105436 105437 105439 105440 105441 105442 105444. 105446 105447 J1s 05449
"Animal
Group _ Weight (kg)
T
aq
1
39
1
38
1
42
1
a1
1
40
2
37
2
37
1
31
1
31
2
30
1
30
1
30
2
42
1
32
1 1 3333
Test Substance Administered
@ (mg/kg) %ofNominal
02207 502
1003
0.1978 50.7
101.4
0.1930 508
101.6
02138 509
101.8
02082 508
101.6
0.2033
508
101.7
0.1884
509
101.8
0.1897 513
102.5
0.1573 507
101.5
0.1556
502
100.4
0.1522 507
1015
0.1508 503
100.5
0.1566 522
104.4
02108 502
100.4
0.1616 505
101.0
001.6165583 s5o0.r1
10100022
04165
--_-- Table 3.
23 CoCovvaamnccee6s32399-22266
1% Dextrose in Lactated Ringers Solution and Bile Salt Replacement Solution Infusion Times
a Tne o es aaa e
Dy TAM
PM
AM
we PM AM
PM
AM
AT
rPeosutSwuggeeryy"SSanm FiFismshh SSunn FFsishh SSawin FFnshh SSaani FFhm
21
TSOT83I9SS
6s2s6o
ISS 32
600 626
401 42
626 6s
15:03 14:15
43
661256
1I43s1
6612s
1400 0
61s 62
17 Hol
62 735
sol isu
56
o73n5 s1o5r2 7635 I14s3e6 76338s 1M53062 66337 1l3w6o
7 3
638 637
1440 1440
637 63
M0 128
63 62
lad) 42
623 700
1424 les
109
7620150#328206204
WS 2
700 62
WWs266324
ian as
112
662230
wiis
e6ax
is 47
623 ea
1s 449
Gaz ess
jews 1538
1"1 is
660525
i14s4a5
s6asl
1538 1321
ess $21
1s 1323
sal 6s
1323 14:58
s21 B22 es 1438 6s) 48 616 1425
1167
651164M2S8 6S1466 11432306 6su1e6 11432556 6s4dss l13a8s6
1189
Si6d468
1W3S3L6 663498
14:51 aa
648 639
SL 1440
639 638
law 14:46
EF 2
639 638
ld M46
638 636
1446 M38
638 636
leds 1437
636 653
1436 so
z 5
636 653
1436 10
653 617
1500 ws
653 617
4152000
s6s107
aBu4r
2 2
G78 5:50 347
SSO sa
Bw 48
sso S80
1w3r48 ssaas
a13:d48
2 2
S43 Sd6
1348 138
S46 6d
BT 546 S364
11 1S)
649 639
14:53 14a
23
663499
14Sa3
6es3s9
led 57
639 65s
lad 457
6s 636
sy laa
3301
665356
1M43557
663396
13s M3
636 63
W3s us
639 70
ul 14:59
2 3
76309 215M0301
2 Gus
1500 1946
202 Gus
144s46
6eaas
1144:3496
3 33s6
645 641
ade al 1440 641
140 444
61 Gul
1439 eal a4 Gus
444 1405
641 444 us 105 64s wos 101 14:38
37 338
645 701
os 8
zor sa
ss 700 340 sa
1458 NAY 1340 NA
Na NA
sal 1340636 1447 636 ur NA NA
aWo --_-- a2
663386
1e4d4s7
66s3t8
1448 "3s
638 6s
14:45 1435
NA NA
651 1435
NA NA
es
a OainpnfpurDsoaexydismwaiIttehtlhbyriol2eu0gshmalL3t/,sktaghte/aahpnopiurmrofaxolirsmaapwtpeerrleoyxi2in3mfaumtsLeedklywgi8hthoh1ouur%rfs,odreaaxnptdprrooosnexitihmneaLtraeeclmtyaaitnedihnoRugirnsdg.aeyrs'sthseoalnuitimoanlsatw. ere. b Not applicable. Since no bile was recovered, no bile salts were infused.
04166
2
-_--
CoCvoavnanccees6332992-2226
APPENDIX A Protocol CMS 22672A1, Protocol Amendment No. 1, and Protocol Deviations
04167
2
-_--
CCoouvamnceeo63n2p0-a226
PROTOCOL
Sponsor 3M Chemicals St. Paul, Minnesota
Protocol CMS 2267241
Study Title MetaCbyonliosmmologfuNs-EMtohnyklePyesrfFloulolroowocitnagnAedSmuilnfiostnraamtiidoonoEfthaanSoilng(lNeetC-aFpossuel;eTD-6o3s1e6) in
Testing Guideline Environmental Protection Agency, Good Laboratory Practice Standards, 40 CFR 160
Date April 21, 1998 Performing Laboratory Covance Laboratories Inc. 3301 Kinsman Boulevard Madison, Wisconsin 53704
Laboratory Project Identification Covance 6329-226
Page 10f 13
04168
2
_--
cCoovancme 63e29-2s26
STUDY IDENTIFICATION
Metabolism ofN-Ethyl Perfluorooctane Sulfonamido Ethanol (Net-Fose; T-6316) in Cynomolgus Monkeys Following Administration ofa Single Capsule Dose
Test Substance
NE-tEhatnhoyll (PNeertf-lFuoosreo;ocTt-a6n3e1S6u)lfonamido
Sponsor
3M Chemicals
3M Center
Building 220-2E-02
St. Paul, MN 55144-1000
Study Director
Principal Analytical Investigator
Andrew Seacat, PhD 3M Chemicals 3M Center Building 220-2E-02 St. Paul, MN 55144-1000 Phone: (612) 575-3161 Fax: (612) 733-1773
Kris Hansen
EnSveirrvoincmeesntal Technology andSafety 935 Bush Avenue Building 2-E3-09
St. Paul, Minnesota 55133-3331 Phone: (612) 778-6018 Fax: (612) 788-6176
Biological Phase Investigator
CFroevdaenricce WL.aboTrhaatloarcikeesr,InPch. D
P.O. Box 7545
Madison, Wisconsin 53707 Phone: (608) 242-2712 ext. 7370 Fax: (608) 241-7412
Biological Phase Location
Proposed Study Timetable In-Life Experimental Start Date In-Life End Date
Covance Laboratories Inc. 3301 Kinsman Boulevard Madison, Wisconsin 53704
May 13,1998 August 11,1998
04169
2 Covance 6329-226
OBJECTIVE `fTehmealpeurcpyonsoeomfotlhgiuss smtoundkyeiyssadamnidnicsotlelrecat Psearmfpllueosrofoocrtdaenteetremsitnsautbisotnaonfceabtsoomrpatlieona,nd distribution, metabolism, and excretion.
REGULATORY COMPLIANCE Environmental Protection Agency, Good Laboratory Practice Standards, 40 CFR 160 ARlelguplraotcieodnusr,e9sCinFtRhis3,pdraotteodcoOlcatroebeinrc3o0,mp1l9i8a9n,caenwdiatshmtohdeiAfniiemdaolnWMealrfacrhe 1A8c,t1991. In the opinion of the Sponsor and the study director, the study does not unnecessarily duplicate any previous work. `The protocol, study conduct, data, and biological phase final report will be audited by the Covance Laboratories Inc. Quality Assurance Unit in accordance with Covance Standard Operating Procedures. All study activities performed at 3M will be the responsibility of the 3M Quality Assurance Department.
TEST SUBSTANCE Source The test substance will be provided by the Sponsor. The Sponsor will be responsible for analysisof the test substance. Storage Conditions The test substance will be stored at approximately -20C until dosing. Any test substance remaining will be stored at approximately -20C. Disposition Unused test substance will be retuned to the Sponsor or a recipient designated by the Sfopronrseotern,tioorndofisacarsdaemdplateotfhtehSepotnesstomrasterreqiuaelsta.s sTpheceiSfpioendsionr4w0iCllFRass16u0m.e19re5spiofntshiebisltiutdyy is longer than 4 weeks in duration.
04170
28 Safety Precautions
Covance 6320-226
cSoanfseitdyeprraetciaountoifontshewSiplonbseotra'kseMnaatserrieaqluiSraefdetbyyDCaotvaaSnhceeetP,oloircoiteshearnrdelPervoacnetdusrafeest,yin information provided by the Sponsor.
EXPERIMENTAL DESIGN
Animals
Species/Strain. Nonhuman primate/eynomolgus
Source.
Covance Research Products (Alice, Texas, or Denver, Pennsylvania). The sourceof the animals will be documented in the raw data.
Weight at Arrival. 3 kg or greater
AgeatArrival. Young adulvadult
Number and Sex. Identification.
Eight males and eight females on test, six male and six female intact and two male and two female bile duct cannulated. One emxatlrea acnandnounlaetfedemwaillel ebxetraavianitalcatbaalnsedptowsosimbalelereapnldactewmoenftemaanliemals. Individually numbered collar tags
Housing
Fthoerttehset paecrciloidm,attihoenapneirmiaolds, wtihlelabneimianlisndwiivlildbuealinmeitndaibvoildiuaslm,csatgaeinsldesessisgteneeldcfaogrest.heFor separation and collection of bile, urine, and feces.
Food
Csuerrgteirfyi.ed FPoriomdatwiellDiaeltso#8be72w6iCth(dHraarwlnanovTeerknliagdh)tapdrliiobrittou,ma,nedxcreeptturwnehdenapfparsotxeidmfaotrely
4 hours after dose administration. cereals.
Diets will be supplemented with appropriate fruits and
Water
Ad libitum, provided fresh daily
04171
2 Covance 6320-226 Contaminants
`Thereare no known contaminants in the food or ater that would interfere with this study.
Environment
2En0v%irroenlmateinvteahlumcoindtirtoyl,safnodr tahe12a-nhiomuarllrioghotm/1w2i-lhloubredsaertktocymcalien.taTihne1182-thoo2ur9dCa,rk5c0y%cl+e may be interrupted to accommodate study procedures.
Quarantine and Acclimation
`phAynsiimcaalls,woinlel bfeecualndeexramqiunaartainotni,neanfodrtahtreleeatsutb3e0rcdualyisn.teAsttslweialslt boenedoqunaelibteyfocroentrreollease
from quarantine. Weekly body weights will be taken. jackettether system required for bile duct cannulation.
Animals
will
be
acclimated
to
the.
Animal Selection
uCsliendictaolscehleecmtistetsrtyaannimdahlse.maAtnoilmogaylstewsitllrebsueltsselaencdtepdhfyosrictahle esxuragmiicnaaltpirooncreedsuurletsbwaisleldboen the best apparent adjustment to the jacket and tether system. In the case that all or most animals adjust well, animals will be selected in numerical order based on the individual cvoeltlearrintaargiannumwiblelresvaplrueavtieoutshleyhaesaslitghnoefd.theBeafnoirmealdsosaenaddamipnpirsotvreattihoeni,r ausleaboonratthoersytaundyi.mal Justification
aSntiumdailess.usNiongalcicveepatnaiblmealnsona-rleievseseanntiimaallfomrocdhealrsacatreeriavzaiinlgabtlhee.diTshpoesictyinoonmooflcghuesmimcoanlkseiyn hevaaslbueateinounosfetdeassttrheesunlotns-orbotdaeinntedspienciteosxitcooelvoaglyuasttuedtioexsicciotny.duTchtiesd sitnumdoynwkiellysaiadnidn wtihlel `anlsuombperroovfiadneiambaalssisisfotrhethmeienxitrmaupomlantuimobnoefrsanfeceetsysadraytatofrpormovaindiemsaclisenttoifhiucmaallnys.valTidhe results.
Surgical Procedure
``TOhpeersautrignigcaPlropcreodcuerdeus.re Twihlel baneicmoanldsuwcitleldbienfaacsctoedrdoavnecreniwgihtthbCeofovraencsuerSgetrayndaanrdd sedated b`weitmhakienttaamiinneed. usAinngaoppxryogperniaatnedanitsiobfiloutriacnew.illLabcetaatdemdinRiisntgeerre'ds. soSluurtgiiocnalwainllesbtehesiawill administered through a saphenous catheter throughout the surgical procedure or as
04172
30
BE
Covance 6320-22)6
`dcetoemrmmoinnebdilbeyduacsttaafnfvdetdeuroidnaerniuamn.wiAllsbteericlaensnuurlgaitceadl asncdrutbhewiglallbleblpaedrdfeorrrmeedm.ovTedheand
discarded. Additional
Analgesics antibiotics
will be administered and/or fluids may be
as recommended by the staffveterinarian. administered as recommended by the staff
veterinarian. The procedure prior to
animals will have at dose administration.
least
10
days
to
recover
from
the
surgical
Bile Replacement
LBaecgtiantneidngRitnhgeerd'asysaofltuetrisounrwgielrlybtehraodumginhi3stdearyesdpvoisattshuergdeuroyd,enaaslolcuatninounloaf1fo%r dextrose in
aBpepgrionxniimnagtoelnyth8ehfoouurrsthpeprosdtaysu(ragipcparloxdiamyatunetliyl 2s0acrmiLf/icheo,uarn)atpopprroepvreinattedeahmyodurnattioofn.mixed
dbaiyl.esal`tTshesovloultuimoneowfiblillbeesianlftsusseodluvtiiaonthteodbueodademnianlicsatnenreudlawiflolr abepparpopxriomxaitmealtyel8yhours per
23 mL/kg/day. 0f 0.9% sodium
Bile salts chloride
solution solution.
will be prepared by adding 18.0 gof Sodium bicarbonate (1.3 g) will be
cholic acid to added to each
1I
L L
oofrssoloudtiiuonm.hyTdhroexisdoleu,taisonapwpirllopbreiamtei.xeIdnfaunsdiotnheinptHervaadljsusatneddvtool7u.m4etso a7d.8miwniitshte0r.e1dNwiHlClIbe
recorded.
Group Designations and Dose Level
TDT exrquy,
GGrrowp
Number _a_nadndSSexx
SuSamwss
anadnRdloLueetveve,ell
CoClollleetcitioonnssPossidossee
To 6Male 6 Female
mat
One Capsule SOmgkg
UTirsisnueeasnfdrofmecess efxroom0n-D1a2ysa2n,d 2182,:a2n4dho90u.rs,
t9h0endadysa.ly through 28 days, and weekly through
B48lohoodurpsr,ed7dosaey,s,anadndatw1e,e2k,l4y,6t,hr1o2u,g2h45,036d,ayasn.d
2
2Male 2Female
CBoinlneuDluacetd ~~ OSnOeCmagpksugle TBiilsesufersoamt02-812daayns.d 12:24 hour, and daily
tBhlroooudghpr2e8dodsaey,s.anda 1,2, 4,6, 12,24,36and
--_--
d48hhoouusr7sddauyss,aanndweekkllyttrhorouugghh228 daayys..
sJuyssttiefmiiccattiooxnicfitoyr DofosthiengcoRmopuoteu/nDdoisnecLyenvoeml.olTghues omroanlkeryoust.e hTahsebe5e0nmugs/ekdgfdoorseevawlausating crehcoosveenrbmeecaasuusreabitlpercoovnicdeenstrtahteimonasxiinmmuimnonront-itssouxeisc. single dose amount necessary to
04173
3 -_-- Dosing Procedure
CCoovancue 63n29-s226
PadrmeidnoissteraatnidonPotshrtoduogsheaFpeperdoixnigm.atAenliym4alhsouwrisllpobsetdfaosstee.d overnightpriorto dose
Dose Administration. administration.
The
capsule
will
be
administered
by
a
device
specific
for capsule
Observation of Animals
(Aanmt.eamnodrtpemm).ObsCeargveastiidoenso.bseMrovrattailointyfoarndgemnoerrailbuhnedailtthy acnhdecakpspewialrlanbceedwoinle btweidcoendeaily
once daily. observed.
Signs of poor
health
or abnormal
behavior
will
be
recorded
as
they
are
PsuhrygseircyalbeEfxoarmeitnhaetiinointisa.tioTnwofitcreedautrmienngt.accAlniimmaatilosn,wiolnlcbeeparnee-sstuhregteirzye,dawnidthonkceetapmoisnte hydrochloride according to Covance Standard Operating Procedures for the examination.
Jackets will replaced as
nbeececshsaercyk.edTahcecoarndiimnaglstowCilolvbaencaeneSsttahnetdiazreddOapseraabtoivnegfPorrotcheedeuxraemsiannatdiwoinl;l
be
however, a lower doseofketamine may be administered for the limited examination.
oBnodthyeWdeaiygohftss.acrWiefiecke.lyAddduirtiinognaaclcbliomdaytiwoeni,gohntsthmeadyabyoeftadkoesninagt,thweeedikslcyretthieorneoaffttehre,.and Biological Phase Investigator ora staff veterinarian.
Clinical Pathology. The animals will not femoral vein before dose administration as
be fasted. follows:
Blood will be approximately
collectedviathe 1 week before surgery
Iffrhoemalatllh apnriomballesmasnddevaeplporpo, xbilmoaotdewli4yllabnedc8oldlaeycstepdosftorsculrigneircaylfpraotmhoclaongnyultaetstesdtaonaismsaelsss.
ahfetaelrthmosdtiaftiuscaatsiodneoefmtehdenpeocretsssaforrycboylltehcetsitoanfofvfebtielreinwailrliabne. cAolnlyecbteldoobdefsoarmeptlhees taken
administrationofthe bile salt replacement solution for the day.
04174
2 Covance 6320-226 Tests
Clinical Chemistry Glucose Urea nitrogen Creatinine: Total protein Albumin Globulin Total bilirubin Serum bile acids Cholesterol Aspartate aminotransferase Alanine aminotransferase Alkaline phosphatase Creatine kinase Gamma glutamyltransferase Calcium Inorganic phosphorous Sodium Potassium Chloride
Hematology Red blood cell count Hemoglobin Hematocrit Mean corpuscular volume Mean corpuscular hemoglobin Mean corpuscular hemoglobin concentration Platelet count White blood cell count Differential blood cell count Blood cell morphology Prothrombin time Activated partial thromboplastin time
Antemortem Sample Collection
NO TEFLON IS TO BE USED FOR THIS STUDY.
Banliomoadls(Gprreoduopsse 1anadndap2p)r.oxAipmpartoexliym2atmelLyw2ilml Lboefcobllloeodctwaeildtl 1b,e2,co4l,l6e,ct1e2d,f2r4o,m36G,roanudp418
bhoeucrosl,l7ecdtaeydsf,raonmdGwreoeukply2tahnriomuaglhs9p0reddaoyssepaonsdtdaopsper.oxAipmpartoexliym2atmeLlyw2ilml Lbeocfobllleocotdedwialtl
`1w,il2l,b4e,6c,ol1l2ec,t2e4d,v3i6a,aanfdem4o8rahlouvresi,nainndtoohnep7a,r1i4n,iz2e1d, taunbdes28anddaypslapcoesdtdiosmem.ediTahteelbylooondwet
ice. The animals may be subcutaneously orviathe
re-hydrated with lactated Ringer's solution given duodenal cannula at the discretionof the Biological
Phase
bInlvoeosdtivgoaltourmeosr cLoalbloercatteodryexAcneiemdatlheVerteecroimnmaerinadnatfioollnoswiinngCoblvoaondcecoSllteacntdiaornsd,Oipfetrhaetitontgal
Procedures.
Bcialnenu(lGarionutopp2l)a.stBiiclceonwtilalibneercsolsluercrtoeudndferdobmythderyGricoeuppr2edaonsiema(flosrvaitaltehaseti1m2plhaonutres)d, and at0-12, 12-24, and continuing at 24-hour intervalsthrough 28 days postdose.
04175
3 Covance 6329-226 Urine (Group 1). Urine will be collected in plastic containers surrounded by dry ice at 0-12, 12-24, and continuing at 24-hour intervals through 28 days, then weekly until 90 days postdose.
Feces (Group 1). Feces will be collected at 0-12, 12-24, and continuing at 24 hour
intervalsthrough 28 days, then weekly until 90 days postdose. transferred into plastic containers at the timeof collection.
Samples
will
be
Termination
pUonsstcmhoerdtuelmeedxSaamcirniaftiicoesn afnordaDneyatgrhoss.s Tchhaengceasr.casFsuersthweirllebxeamrientaatinieodnamnadymbaeypuenrdfeorrgmoed upon Sponsor's request.
Scheduled Sacrifice. At the timeofsacrifice, animals will be anesthetized with sodium
pentobarbital. Cerebrospinal fluid (CSF) will be collected once the animal is fully
anesthetized. times will be
CSF will recorded.
be placed Blood (at
on wet ice immediately after collection and collection least 20 mL) will be collected via cardiac puncture into
heparinized tubes. Following blood collection, the animals will be sacrificed via
exsanguination under sodium pentobarbital.
Residual urine from the bladder will be added to the last urine sample. Stomach, large and small intestinal contents will be collected from the two per sex Group 1 animals that are sacrificed at Day 2 only.
Ainla tpilsassuteiscccoolnlteacitneedrwsiulrlrboeunedxecidsebdy,icrei.nsTedhewiftohlwlaotweirn,gbtlioststueeds dwriyl, wbeeicgohlelde,ctaenddfrploamcaeldl `animals at sacrifice, except the gallbladder will be collected from Group 1 only:
04176
-_ Adrenal glands (~0.5 g) Aorta (~0.5 g) Bone (femur) Bone Marrow (from femur) Brain Diaphragm Epididymis Esophagus Eyes Fat Gallbladder (~0.5 g) Heart
Kidneys Large Intestine Liver Lungs Lymph nodes (cervical) Lymph nodes (mesenteric)
34 CCoovvanmcee6e32m0-a22s6
Muscle (thigh) Ovaries (~0.5 g) Pancreas Prostate Salivary Glands Seminal vesicles Skin (dorsal, shaved) Small Intestine Spinal Cord Spleen Stomach Testes Thymus Thyroid/Parathyroid (~0.75 g) Tongue Trachea Urinary Bladder Uterus
Sample Identification, Retention and Disposition
Specimens will be specimen number,
identified with and collection
the study interval.
number,
sex,
animal
number,
group,
matrix,
Sample Preparation and Storage
All specimens will be stored at approximately -20C until shipment.
aBplporoodxismaamtpelleys 1wimllLbaetstthoereidndaitvaidpuparloxtiimmaetpeoliynt5saCnudntaiplpcreonxtirmiafutgealtyihoanl.foAftsuhbesasmacprlief,ice bbleocoedn,twriilflugbeedrteomsoevpaerdataendplpalsamcae.d iTnhae sbelpoaorda,tecellalbuelalredfrvaicalt.ionThoef trheemabilnoiondg(bRlBoCo)d,wainldl plasma will be frozen immediately and stored at approximately -20C.
04177
3s _-- Sample Transfer
cCovoancme 63e29-2s26
All specimens will be shipped on dry to the following person and address:
ice
to
the
Sponsor.
The
specimens
will
be
shipped
Dr. Kris Hansen Environmental Technology and Safety Services 935 Bush Avenue Building 2-E3-09 St Paul, Minnesota 55133-3331 Phone: (612) 778-6018 Fax: (612) 788-6176
`The Sponsor will completion of the
be responsible study.
for
further
analysis,
reporting,
and
archiving
upon
REPORT
AbebsiuoblmoigitctaeldpthoatsheedSrpaoftnsroeprorftorirnecvluideiwnga,ndbuctonmomtelnitm.iteTdheton,,tahobsieoliotgeimcsallipshtaedsebefilnoawl will report will be provided. Experimental Design and Methods As defined by the protocol, protocol amendments, and any protocol deviations. Data and Results Animal receipt and acclimation Antemortem observations Body weights Physical examinations Clinical pathology Dose administration Sample collection Bile salts replacement solution infusion times and amounts
04178
36 Maintenance of Raw Data, Records, and Specimens
Covance 6329-226
w`iTlhle finocllluodwei,ngbudtatwialrlencootrdbsetloibmietmedaitnot:ained and transferred to the archives of Covance
Protocol and amendments Study correspondence Test material receipt Final report
"The following study data will
supporting records to include, but will not
be be
retained at limited to:
Covance
but
not
archived
with
the
Feed analysis records Water analysis records Animal room temperature and humidity records Refrigerator/freezer temperature records Instrument calibration and maintenance records United States Department of Agriculture animal records Stock records
The following data not be limited to:
records
to
be
transferred
to
the
archives
of 3M
will
include,
but
will
Tn-life records: Animal receipt Acclimation Animal room maintenance Antemortem observations Body weights Physical examination records Clinical pathology Clinical pathology slides Dose administration Sample collection Bile salts replacement solution infusion times and amounts
Arelslulctoorfrtehsipsonsdteundcye,widlolcbuemeanrtcahtiivoend,irnetchoerdsst,orpargoetofcaocli,liatinedsoffinaClovreapnocret gfeonaerrapteerdioadsoafone o`fyetahrefoalfloorweimnegntthieonseidgnmiantgeroiftalhsewfiilnlalberespeonrtt.toOtnhee Sypeaornsaoftrearnsdiganirnegtutrhneffeienawlilrlepboert, all cfohraragneda.ddiTthieonSalpopnesroiordomafytiemleectantdo hCaovveantcheemwaitlelricalhs raeatasritnoegrdaiegnetfheee.CoIvfatnhceeSpAornchsiovres chooses to have Covance dispose of the materials, a disposal fee will be charged.
04179
: amiznon
PROTOCOL APPROVAL
cCoovanmcem632e9-2n26 [Ta--ri
SGuduDtilicer JU SSieet Mme
BatAferfiz
B oBreo .a PTeldgiood veTse righaie rlkr an. BAapih 21, pis2 MCeovtetsLCiobriroa
FAMetamploLl iDCbheemaeiorneAy Fi
1
Core Libor
04180
3 Covance 6320-226
PROTOCOL AMENDMENT NO. 1 Covance 6329-226
MetaCbyonliosmmoolfguNs-EMtohnylkePyesrfFloulolrooowcitnagneAdSmuilnfiostnraamtiidoonoEfthaanSoilng(lNeetC-aFpossuel;eTD-o6s3e1.6) in
Sponsor
3M Chemicals, 3M Center Building 220-2B-02 St. Paul, MN 55144-1000 Study Director Andrew Seacat, PhD 3M Center Building 220-2802 St. Paul, MN 55144-1000
Contractor
Covance Laboratories Inc. 3301 Kinsman Boulevard Madison, Wisconsin 53704
Biological Phase Investigator Fred Thalacker, PhD Covance Laboratories Inc. P.0. Box 7545 Madison, Wisconsin 53707
`This amendment modifies the following portionsofthe protocol:
Effective May 11,1998
I. Page 7. EXPERIMENTAL DESIGN, Observation of Animals, Body Weights. `To accurately reflect when the body weights will be taken, replace the first sentence with the following:
Weekly during acclimation, on the calculations), weekly after dosing,
dayofrandomization (to be and on the day of sacrifice.
used
for
dosing
04181
39 Covance 6329-226 2. Page 9. EXPERIMENTAL DESIGN, Termination, Scheduled Sacrifice, To
clarify the dispositionofthe animal carcass, please add a sentence following the first sentenceofthe third paragraph: After the tissues have been removed, the residual carcass will be discarded. 3. Page 10, EXPERIMENTAL DESIGN, Sample Preparation and Storage Since a subsample of less than 1 mLofwhole blood may needtobe removed, please replace. the second sentenceofparagraph two with the following: A subsample at the individual time points and approximately halfofthe sacrifice blood will be removed and placed ina separately labeled vial.
Effective May 13,1998 4. Page, TEST SUBSTANCE, Storage Conditions Upon actual receiptof the test
substance, it was noted that the storage was to be room temperature. Therefore, replace the first and second sentence with the following: The test substance and any remaining test substance will be stored at room temperature.
Effective June 2, 1998 To indicate that an additional 2 mL blood sample will be removed for serum collection for the remaining time points, the following changes to the protocol are necessary. 5. Page, EXPERIMENTAL DESIGN, Antemortem Sample Collection, Blood
(Groups 1 and 2). Add the following sentence after the third line: Effective June 3, 1998 (Study Day 21) and at the remaining time points, an additional 2 mL blood sample will be collected into a glass tube without heparin and set aside at room temperature to allow clotting 6. Page 10, EXPERIMENTAL DESIGN, Sample Preparation and Storage Add a new third paragraph as follows: Remove the serum and place it into a separately labeled vial. Discard the cellular debris and store the serum at approximately -20C for shipment.
94182
w Covance 6329226
To indicate that additional blood will be removed for serum collection at sacrifice, the
following changes to the protocol are necessary.
7. Page 9, EXPERIMENTAL DESIGN, Antemortem Sample Collection, Scheduled Sacrifice. Replace the fourth line with the following:
Blood will be collected via cardiac puncture into glass tubes with heparin (at least
20 mL) and into glass tubes without heparin (at least 20 mL).
PROTOCOL AMENDMENT APPROVAL
La, WtGut~
An
Seacat, PhD
Study Director
3M Chemicals
92s(93
Date
cd tin 0 Noafo
`red Thalacker, PhD
Biological Phase Investigator Metabolic Chemistry
Covance Laboratories Inc.
s/1/19
Date
<& 74.0O--
Philip $2 Teitelbaum, PhD
Associate Director Metabolic Chemistry `Covance Laboratories Inc.
sthz2/27
Date
94183
a Covance 6329-226
PROTOCOL DEVIATIONS
Protocol
"Actual
--
Environmental controls for the animal room will be set to maintain a relative humidityof 50% 20%
April 25, 1998, ranged from 80.1% to 86.2% between 2:27 and 8:00
May 28, 1998, ranged from 73.4% to 73.9% between 19:08 and 20:30
June 11, 1998, ranged from 71.5% 1073.6% between 7:30 and 10:00 and ranged from 75.3% to 82.6% between 17:19 and 21:00
June 20, 1998, ranged from 70.2% to 72.8% between 13:19 and 15:00
June 27,198, ranged from 71.3% to 78.1% between 6:38 and 9:00
At sacrifice, blood will be collected via cardiac puncture into glass tubes with heparin (at least 20 mL) and into glass tubes without heparin (at least 20 mL)
A short sample was collectedviathe vena cava for serum and plasma.
Body Weights. Weekly during
`The body weights were not taken on the
acclimation, on the dayofrandomization dayofrandomization, because no
(10 be used for dosing calculations),
randomization was needed. The animals
weekly after dosing, and on the day of were selected by test results and
sacrifice.
adjustment to thejacket and tether
system. The weights were taken within
5 daysofdosing to be used for dosing
calculations.
These deviations would not be expected ( have had an effect on the outcomeof the
study.
04184
2
Covance 6329-226
APPENDIX B SummaryofAntemortem Observations, Clinical Pathology Codes and Abbreviations, and
Clinical Pathology Data Tables
04185
Table BI. Animal 1D
105428 105430 105431 105432 105433 105435
105439 105440 105442
105444
a
Summary ofAntemortem Observations
Sacrifice Day and Sex
Observation Noted
Group 1 (Intact)
2 Day, Male
Urine appears to contain water
2 Day, Male
No observations noted
28 Day, Male
Urine discolored, brown
28 Day, Male
Urine appears to contain water Few feces
91 Day, Male
No observations noted
91 Day, Male
Urine appears to contain water Urine appears to contain water
Urine discolored, red Low food consumption Low food consumption Low food consumption Low food consumption Low food consumption Low food consumption
2 Day, Female
No observations noted
2 Day, Female
Few feces
28 Day, Female
Urine appears to contain water Urine appears to contain water Second container used for urine
Low food consumption Low food consumption
28 Day, Female
Urine appears to contain water Urine appears discolored, red Urine appears discolored, red
Few feces Low food consumption Low food consumption
Covance 6320-226
Study Day
1
2 10 2
19 64 66 7 7 74 75 76 kd
2 1" 19 1" n 12 19 9 10 2 1 12
04186
Table BI. Animal ID 105447
105449
Continued Sacrifice Day
and Sex 91 Day, Female
91 Day, Female
a
Covance 6329-226
Study
Observation Noted
Day
Urine contained feces.
2
Urine appears to contain water
10
Urine appears to contain water
2
Urine appears to contain water
13
Urine appears to contain water
15
Urine appears to contain water
16
Urine appears to contain water
17
Urine appears to contain water
18
Urine appears to contain water
19
Urine appears to contain water
23
Urine appears to contain water
3
Urine appears to contain water
64
Urine appears to contain water
78
Second container used for urine
is
Second container used for urine
16
Second container used for urine
17
Second container used for urine
64
Second container used for urine
8
Urine appears discolored, red
10
Discharge, appeared to be menstruating 10
No feces
2
Few feces
50
Low food consumption
7
Urine appears to contain water
10
Urine appears to contain water
43
Urine appears to contain water
50
Urine appears to contain water
57
Urine appears to contain water
64
Urine appears to contain water
71
Urine appears to contain water
78
Second container used for urine
57
Second container used for urine
6
Second container used for urine
78
Few feces
2
04187
as
Covance 6320-226
Table BI. Continued
Animal Sacrifice Day
Study
ID
and Sex
Observation Noted
Day
Group 2 (Bile Duct Cannulated)
105436 Bilecollected Discharge, vomitus containing food 3
28 Day
Low food consumption
6
Male
105437 Bile collected
`Small amountofbile
10
2Day
Liquid feces
2
Male
Liquid feces
13
Non-formed feces
6
Non-formed feces
7
Non-formed feces
2
Low food consumption
10
Low food consumption
1
Low food consumption
12
No feces
10
105441 Bile collected
Small amount of bile
10
28 Day
Non-formed feces
6
Female
Non-formed feces
2
Non-formed feces
2
Low food consumption
10
Low food consumption
1
No feces
10
105446 Bile collected
`Small amountofbile
17
2 Day
`Small amountofbile
23
Female
`Small amountofbile
24
No bile present
25
No bile present
26
Nobile present
27
Nobile present
28
No bile present
29
Non-formed feces
1
Non-formed feces
2
Non-formed feces
5
Non-formed feces
7
04188
NS QS/QNS NR FS sScH H SL L s1 1 u RE EE SE PC PD PI PL PA co HB PLASMO NO AGG FR
3
Covance 6320-226
Codes for Clinical Pathology
GENERAL CODES
No sample Quantity not sufficient No repeat (sample volume not sufficient for repeat analysis) Fibrin strands SSlaimgphltleychleotmioeldyzed Hemolyzed Slightly lipemic Lipemic Slightly icteric Ioteric Unscheduled/moribund bleed Recording error (recorded incorrect dat, e.g, wrong number, spelling error, incorrect date) Entry error (incorrect keyboard entry) Sampling error Platelets clumped Platelets decreased Platelets increased Platelets large Platelets appear adequate Color interferes with test Heinz bodies observed Plasmodium No aggregation Fractious
CODES FOR BLOOD CELL MORPHOLOGY
The following scale was used to measure the degreeofanisocytosis (ANISO), poikilocytosis (POIK), polychromasia (POLY), hypochromasia (HYPO), or basophilic stippling (BASTIP) or the presenceof Howell-Joily bodies (HIBODY), toxic neutrophils (TOXNEUT), or atypical lymphocytes (ATYPLYM):
Scale Degree
Presence
- Normal for the species. 1 Slight 2 Moderate 43 NMoatrkaepdplicable
Not present Rare Few MMoadneyrate
0418%
a
Covance 6329226
Abbreviations and Units for Clinical Hematology
TeResdtblood cell count Hemoglobin Hematocrit Mean corpuscular volume MMeeaann ccoorrppuussccuullaarr hheemmoogglloobbiinn concentration Platelet count PAcrtoitvhartoemdbpianrttiiamlethromboplastin time: `White blood cell count DifNfuecrlenetaitaeldbrleododblcoelold ccoelulntcount,
Segmented neutrophil count
LByamnpdhnoecuytrtoephciolunctount Monocyte count BEoassionpohpihliclocuonutnt Anisocytosis Polychromasia Poikilocytosis Hypochromasia Toxic neutrophils
ARbbBrCev(iEa6t/iUoLno(rUnXi1t0s%)4L) HGB (G/DL) HCT (%) MCV (FL) MCH (PG) MCHC (%) PLT (E3/UL or X10/uL)) PT (SEC) PWTBTC(S(EEC3)/UL or X10%/uL) NRBC (/100 WBC)
N-SEG (E3/UL or X10%/uL) and %
LN-YBMAPNHD((EE33//UULLoorrXX11007"u/LL))aanndd%% MONO (E3/UL or X10%4L) and % BEOASSION((EE33//UULLoorrXX1100%u/4LL))aanndd%% ANISO (1,23) POLY (1.2.3) POIK (-1,23) HYPO (12.3) TOXNEUT (11,234)
Abbreviations and Units for Clinical Chemistry
Test GUlruecaosnietrogen TCroetaatlinpirnoetein Albumin Globulin ChTooltaelstbeilriorlubin Triglycerides Aspartate aminotransferase: `Alanine aminotransferase `Alkaline phosphatase C`rGeaamtimnaegkliuntaasme:yltransferase Calcium Inorganic phosphorus Sodium Potassium Chloride Serum bile acids
Abbreviation (Units) GLU (MG/DL) CURNE(AMTG/(DMLG)/DL) T PRO (G/DL) ALB (G/DL) GLOB (G/DL) TBILI (MG/DL) CHOL (MG/DL) TRIG (MG/DL) AST/SGOT (U/L) ALT/SGPT (IU/L) ALK PHOS (IU/L) GCGKT(U(LILL)) CA (MG/DL) IPHOS (MG/DL) NA (MMOL/L) K (MMOL/L) CL (MMOL/L) SBA (UMOL/L or MG/DL)
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