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Screening Tests for Toxic
Chemicals: An Overview
Joseph F. Holson, Ph.D.
WIL Research Laboratories
Contributions from:

02/11/14

C. Chengelis, Ph.D., D.A.B.T.
M. Nemec, B.S., D.A.B.T.
B. Varsho, B.S.

1
Screens: Definition
Screens are simplified tests/studies or
models designed or used and conducted to
identify agents having a certain set of
attributes or characteristics that will either
exclude them from further investigation or
cause them to be assigned for further (more
rigorous) evaluations.

2
Traditional View of Screens
 Screens

are best described as short-term
experiments used to select and or sort a
series of molecules for a particular specific
trait.
 May be used to presage potential hazard
identification, but results are not generally
used in risk assessment.

3
Selected Purposes of Screens
 Economic

savings
 Increase speed
 Creation of data base for QSAR
 Reduced chemical (test article) requirements
 Decrease use of intact animals
 Increase number of chemicals evaluated
 Increase attrition of development candidates
 Evaluate potency/selectivity
Pharmaceutical Development vs. Chemical Safety Evaluation
4
Necessary Attributes of
Screens
 Validity


False positives vs. false negatives

 Sensitivity


Level of concern (mild, moderate, severe)

 Practicability


Economic

 Reproducibility


Intra- and inter-laboratory over time
5
Key Terms
 Relevance

is extent to which a test is related
to the effect of interest and the test’s utility for
a specified purpose. (ICCVAM)

 Reliability

is a measure of the degree to
which a test can be performed reproducibly
within and among laboratories over time.
(ICCVAM)

6
Criteria for Test Method
Validation (ICCVAM)
1. Clear statement of proposed use
2. Biological basis/relationship to effect of
interest
3. Formal detailed protocol
4. Reliability assessed
5. Relevance assessed
6. Limitations described
7. All data available for review
8. Data quality: Ideally GLPs
9. Independent scientific peer review
7
Criteria For Test Method
Acceptance (ICCVAM)
1. Fits into the regulatory testing structure
2. Adequately predicts the toxic endpoint of interest
3. Generates data useful for risk assessment
4. Adequate data available for specified uses
5. Robust and transferable
6. Time and cost-effective
7. Adequate animal welfare consideration (3Rs)
8
Evolution Process for New Testing
Methods (ICCVAM)
Stage

Review Risk Assessment Methods

Research
Development
Prevalidation
Validation
Peer Review
Acceptance
Implementation

Outcome

Identify needs for new and/or
improved testing methods
Understand toxic mechanisms
Incorporate new science and
technology into test methods
Optimize standardized transferable
protocol
Further determination of reliability and
relevance
Independent peer review evaluation of
validation status
Determination of acceptability for
regulatory risk assessment
Effective use of new methods by
regulators/users

9
Examples of In Vitro Screens
in Toxicology
 The

use of specific receptor binding assays
to identify estrogenic substances.
 The use of SKINTEX to identify potential
dermal irritants
 The use of the Ames Assay to identify
chemicals that cause a mutation at a specific
locus
 The use of FETAX to identify potential
ecotoxins
10
The “Ames Assay” As a Screen
for Potential Carcinogens
 Probably

most widely used in vitro test for the
identification of mutagens
 Rapid, economical, high through-put
 Well validated and standardized methods:


Reverse Mutations - test strains of Sal. Typh.
revert back to wild type in histidine free medium

 Examination



of the NTP Data base

positive with 45% of carcinogens
negative with 86% of non-carcinogens
11
The SKINTEX as a Screen for
Dermal Irritants
 Rapid,

economical, high through-put
 Well validated and standardized methods:






Keratin/collagen membrane barrier disruption
leads to dye release
Over 5,300 test samples studied in validation;
results with any one chemical very reproducible
80-89% correlation with Draize scoring

 Negatives

generally confirmed in vivo
12
EDSTAC Recommendations

In Vitro
Tier I
In Vivo

Invertebrates
Fish
Amphibian In Vivo
Avian
Mammals
E

A

T

13

Tier II
Attributes of In Vivo
Toxicology Screens
 Reduced

group size
 Reduced number of endpoints
 Reduced histopathology component
 Reduced exposure regime and total conduct
time
 Not always intended to be GLP compliant
 Will identify potent toxicants if appropriate
endpoints are included or are correlated
Power and endpoints equated to simplification
14
Examples of In Vivo Screens in
Toxicology
 The

mouse micronucleus test for genetic
toxicity (clastogenesis)
 The canine cardiac sensitization test
 The screening developmental toxicity study in
mice for teratogenic retinoids “class”
 The Hershberger assay in rats for androgenic
substances
 Kavlock-Chernoff assay for developmental/
reproductive effects

15
Examples of In vivo Screens in
Toxicology (continued)
RACB Reproductive Assessment by Continuous
breeding in mice
 The Dominant-Lethal Assay in rats for germ cell
mutation
 The Local Lymph Node Assay in mice for
delayed hypersensitivity (Type IV
Immunotoxicity)
 The Sheep Red Blood Cell Assay for
immunomodulation
 The p53 mouse assay for carcinogenicity


16
The “Local Lymph Node Assay” As a
Screen for Potential Sensitizers
 Well

validated in multiple laboratories
 Successful in identifying weak sensitizers
 Gained increased regulatory acceptance
 Replacement for traditional Guinea Pig
Protocols




Examines only induction (5 days vs. 6 weeks)
Mice less expensive than guinea pigs
Quantifiable endpoints
17
Screens in the Regulatory
Environment


SIDS -Screening Informational Data Set









Mandated by OECD
Thousands of chemicals in commerce not tested
Minimum data to set testing priorities
Physical Chemical Data (9), Environmental Fate (4),
Ecotoxicology (5), Mammalian Toxicology (6)
Far from being screens, each category requires a
series of robust studies
Considered screens only in so far as the results are
used to rank and prioritize
18
SIDS : Mammalian Toxicology


Acute Toxicology - 401, 402, 402, 420, 423, 425




Repeated-Dose - 407, 410, 412





Oral preferred. Justification for other routes
Combined 422 acceptable

Genetic Toxicology - 471, 476, 473, 477, 474, 475





Oral, Inhalation, Dermal

Gene Mutation (with bacteria)
Chromosomal Aberration (non-bacteria)

Toxicity to Reproduction - 414, 415, 416, 421, 422




Prenatal Development (414) + 407 acceptable
One- (415) or Two-Generation (416) studies
421 and combined 422 acceptable

19
SIDS: Mammalian Toxicology


Repeated-Dose 407, 410, 412
14-28 Days of Dosing
 Decreased Group Size (5 vs. 10/sex)
 Hematology and Clinical Pathology
 Smaller Organ List
 Recovery
 Functional Observation Batteries
 Multiple Endpoints
 No TK Requirement


20
DART Rodent Screening Studies
A

B

C

D

E

F

Premating to
Conception

Conception to
Implantation

Implantation to Closure
of Hard Palate

Hard-Palate Closure to
End of Pregnancy

Birth to Weaning

Weaning to Sexual
Maturity

OECD Reproduction Screen
4W 2W
Estrous Cyclicity
Implantation Sites

OECD 421/422, OPPTS 870.3550/3650
Mating
Fertility

Chernoff-Kavlock Assay

Limited:
Malformations
Dev. Variations

Parturition
Gestation Length
Litter Size
Histopathology

Pup Viability
Pup Weight
Organ Weights

OPPTS 870.3500
Limited:
Malformations
Dev. Variations

Dominant Lethal Assay
Zygote/Embryolethality
OECD 478
OPPTS 870.5450
Assess recovery through
multiple mating trials

EDSTAC Assays

Weaning to Sexual Maturity
Uterotrophic

Females

Estrogenicity
Anti-Estrogenicity

Pubertal Assay

PND 21

Vaginal Opening
Thyroid Endpoints

PND 42

PND 21

PND 53
Pubertal Assay

Males

Preputial Separation
Thyroid Endpoints

Hershberger

Androgenicity
Anti-Androgenicity

Denotes Dosing Period
WIL’s Experience with OECD
421 and 422 Screens
Dose range-finding, antecedent to
2generation reproduction study
2)
To more economically demonstrate absence of
toxicity in innocuous classes of chemicals at limit
doses (30 studies)
3)
Use as apical regulatory study
Not to:
1)
More economically select candidates from a group
of chemicals for further definitive assessment of
reproductive toxicity
1)

22
Reproduction Screens at WIL
Number of Screens Conducted
with Reproductive Endpoints

42

Stand-Alone Screens

20

Screens Followed by 2-Generation
or Other Definitive Study

22*

*Nine sets not yet reported

23
Adult Concordance at MTD:
Not All HPVs
Screen (S)
F0

Endpoints
Dose Extrapolated

2-Generation (2-G)
F0

F1

Concordance (%)
2-G F0 vs. S F0

2-G F1 vs. S F0

5/9 with Extrapolated Dose Levels

Adult
Mortality

2/9

1/9

3/8

89%

75%

Body Weight

5/9

8/9

7/8

67%

63%

Food Consumption

5/9

8/9

6/8

67%

50%

Clin Obs

4/9

3/9

2/8

67%

63%

Fertility Index

0/9

0/9

0/8

100%

100%

Mating Index

0/9

0/9

0/8

100%

100%

Implantation Index

3/9

2/9

1/8

89%

88%

PI Loss

3/8

1/9

1/8

89%

88%

Live Birth Index

3/8

1/8

1/8

63%

63%

Organ Weights

3/6

4/8

3/8

67%

80%

Gestation Length

0/8

0/8

0/8

100%

100%

Dystocia

0/7

0/8

0/8

100%

100%

24
Reflects false positive resolution in apical study
Other Concordance at MTD
Screen (S)
F0

Endpoints
Dose Extrapolated

2-Generation (2-G)
F0

F1

Concordance (%)
2-G F0 vs. S F0

2-G F1 vs. S F0

5/9 with Extrapolated Dose Levels

Pup
Survival

2/8

1/8

2/8

63%

75%

Body Weight

3/8

5/8

5/8

75%

75%

Endpoints Specific to 2-Generation Study
Histopathology

1/1

5/8

5/8

Estrous Cyclicity

1/2

1/9

0/7

0/8

0/7

1/3

1/3

Balanopreputial

1/7

--

Vaginal Patency

1/7

--

Pup Organ Weights

2/7

2/7

Ovarian Follicles

0/2

2/6

Spermatogenesis
Anogenital Distance

1/1

25
Concordance percentages based on small numbers
3 Case Studies (False
Negatives in Screens)
Endpoints

Screen (S)
F0

Dose Extrapolated

2-Generation (2-G)
F0
F1

Concordance (%)
2-G F0 vs. S F0 2-G F1 vs. S F0

0/3 with Extrapolated Dose Levels

Adult
Fertility Index

0/3

0/3

3/3

100%

0%

Mating Index

0/3

0/3

3/3

100%

0%

Live Birth Index

1/3

1/3

2/3

100%

67%

Organ Weights

0/1

2/3

2/2

(33%)

(0%)

Gestation Length

0/3

0/3

1/3

100%

67%

Dystocia

0/3

1/3

1/3

67%

67%

0/3

1/3

2/3

67%

33%

Not Measured

1/3

?

(0%)

(0%)

Offspring
Sex Ratio
Hypospadias

( ) = Strict concordance could not be calculated
(endpoint not measured in screen) 26
Selected Reproductive Endpoints Exhibiting
Strong Signals from Rare Events/Low Incidence
Endpoint

Examples from WIL Research
Historical Control in Crl:CD(SD)IGS BR

Mean Viable Litter
Size

13.9 ± 1.02

decrease of ≥ 1

Mortality ≤ PND 4

Mean = 96.2%
Min/Max 91-95%

≤ 91%

Total Litter Loss

Mean = 0.94%
(10/1061)

1 is equivocal
2 is more significant
signal

Newborn Pup
Weights

Mean = 7.0g ± 0.23
range 6.5-7.4g
n = 1100 litters

≤ 6.5g strong signal
Case Study: Dystocia, Extended
Parturition and/or Pregnancy


2-generation with second mating phase of F1, vapor
inhalation, used industrially, OTC pharmaceutically

PPM
F0

300

500

700

0

0

0

2/24

3/26

0

0

0

0

1/17

F1-2nd



70

F1-1st



0

0

0

1/21

1/18

0/12

HC then: 2/333 = 0.60%
HC now: 4/1100 = 0.36%
Heuristic Axioms
 If

primary intent of screen is to reduce
number of animals used, we must be careful
to consider subsequent use of animals in
studies to clarify poor characterization of DR
curve (LOAEL, NOAEL, NOEL, TK).
 Also, if intent of screen is to reduce resource
consumption, an analogy to the above also
exists unless screen is applied to agents not
developed for biologic activity, with limited
human exposure and economic significance.
29
Screens vs. Preliminary
Studies
 Decision

to conduct a study has been made
 Preliminary studies are performed to provide
information to design a definitive study (one
used for risk assessment)
 Under most circumstances are not performed
to eliminate a test article from development,
although unexpected results can lead to that
decision.
31
Screens vs. Toxicity
Assessment
In the broadest sense, what is done in much of
nonclinical development and in all of hazard
identification phases of risk assessment may
be viewed a screening as the information will
be used to determine what additional work (if
any) may be required or, in fact, to determine if
the agent is commercially viable. (modified from
Zbinden et al., 1984)
32
Screens vs. Toxicity
Assessment
 Definitive

answers require definitive study

designs







Multiple dose groups
Large sample size
Multiple endpoints
Exposure assessment (PK)
Treatment regimen of appropriate length
Economy and speed of lesser concern
33
Example:
Screen vs. Definitive Study
 Case

history XCX-XX

Several short-term studies
 No evidence of neurotoxicity except with the
six-month study in dogs
 Vacuolation of the Medulla Oblongata
 FDA requested additional work


34
XCX-XX Definitive Neurotoxicity Study
in Dogs: Design
6 months, daily dosing, female dogs, 6/group
 standard body weight, feed consumption,
clinical observations
 FOBs pretest, Weeks 6,13,19, and 25
 At necropsy, fixation by perfusion
 Extensive neuropathology
 Recovery 2/group, 4-weeks
 (Note multiplicity of endpoints)


35
Definitive Neurotoxicity
Study in Dogs with XCX-XX
Lesion that developed only with chronic treatment

Animal 5XX1 100 mg/kg

Animal 5XX9 control

Medulla adjacent to Hypoglossal Nucleus (40X; H&E)
36
Definitive Neurotoxicity
Study in Dogs with XCX-XX

Selected FOB Findings (Cranial)

37
Definitive Neurotoxicity
Study in Dogs with XCX-XX

Selected FOB Findings (Cranial)
Finding

Control

High Dose

Norm. Menace React.

6/ 6

6/ 6

Norm. Vis Tracking

6/ 6

6/ 6

Norm. Ocular Position

6/ 6

6/ 6

Norm. Tongue Move.

6/ 6

6/ 6

Norm. Gag Reflex

5/ 6

6/ 6
38
Definitive Neurotoxicity
Study in Dogs with XCX-XX
 Summary

of Findings (Multiple Endpoints)

Caused lesion in medulla, specifically in the
hypoglossal nucleus
 Nature of lesion suggests intra-myelinic
vacuolation
 Recoverable/ Reversable
 Not accompanied by any functional deficits


39
EDSTAC Criteria for Screens









Detect all known modes of action for the
endocrine endpoints of concern
Include sufficient diversity among endpoints,
permitting weight-of-evidence conclusions
Maximize sensitivity to minimize false negatives
Include a sufficient range of taxonomic groups
among the test organisms to represent
differences in endocrine system and
metabolism
Relatively fast and efficient
40

EDMVS, 2002
Purpose of Tier 1
 To

distinguish chemical substances that
interact with the endocrine system from those
that do not.
 Upon completion of Tier 1, EPA and
stakeholders should be able to accept the
assignment that a chemical has (1) either low
or no potential for EAT activity, (2) or that it
has such potential.
41

EDMVS, 2002
Advantages of In Vitro Assays









Sensitivity to low concentrations
High specificity of response
Low cost
Small amount of chemical required
Assays can be automated for high throughput
Results can be used in conjunction with QSAR
models
Can be used for complex mixtures
Reduces or replaces animal use
42

EDMVS, 2002
In Vitro Tier 1 Screens
 ER

Binding / Reporter Gene Assay

 AR

Binding / Reporter Gene Assay

 Steroidogenesis

Assay with Minced Testis

43
Advantages of In Vivo Assays











Account for absorption, distribution, metabolism
and excretion
Evaluate a broad range of mechanisms
Provide a comprehensive evaluation of the whole
endocrine system as a unit
Generally well-accepted methods in toxicity
testing
Some endpoints are toxicologically relevant and
have been used in hazard assessment
Give comparative perspective to other endpoints
of toxicity
44

EDMVS, 2002
In Vivo Tier 1 Screens


Rodent 3-Day Uterotrophic Assay
 Longstanding

assay, international validation complete



Rodent 20-Day Pubertal Female Assay with Thyroid



Rodent 5- to 7-Day Hershberger Assay
 Longstanding



assay, international validation underway

Frog Metamorphosis Assay
 Use

as a general vertebrate model called vague &
unsubstantiated, rat already sensitive species for thyroid
(Mihaich, 2002)



Fish Reproduction Screening Assay
 CLA

claims too long & too many apical endpoints to be a
screen, but not robust enough to be a test (2002)

45
Alternate Tier 1 Screens
 Aromatase

 Pubertal

 Adult

Inhibition

Male

14–Day Intact Male

 Preferred

by industry over HershbergerPubertal combination
 A, E, PL, T, SSI, PG, PRL
46
EDSTAC Tier 2 Tests


Avian Reproduction (with bobwhite quail and mallard)



Variable reproduction parameters; CLA suggests Japanese quail
Limited laboratory capacity (CLA, 2002)



Fish Life Cycle (fathead minnow)



Mysid Life Cycle (Americamysis)



Extrapolation of ecdysteroid to EAT activity unjustified (Mihaich,
Verslycke, 2002)
Debate over need for a 2-gen over a 1-gen (Mihaich, 2002)



Amphibian Development and Reproduction (Xenopus)



Two-Generation Mammalian Reproductive Toxicity Study


Under prevalidation now, early results from PTU demonstration raise
questions about interlaboratory methodology

47
Standard Designs
A

B

C

D

E

F

Premating to
Conception

Conception to
Implantation

Implantation to Closure
of Hard Palate

Hard-Palate Closure to
End of Pregnancy

Birth to Weaning

Weaning to Sexual
Maturity

Fertility Study
10W

4W

2W

Estrous Cyclicity
Mating
Fertility
Implantation Sites
Pre-Implantation Loss Spermatogenesis

ICH 4.1.1
Corpora Lutea

ƒ

Prenatal Development
CMAX
AUC

ICH 4.1.3 OECD 414
OPPTS 870.3600
870.3700
Postimplantation Loss
Viable Fetuses
Malformations & Variations
Fetal Weight

F0

ƒ

Pre- and Postnatal Development

CMAX

ICH 4.1.2

AUC

F1
Parturition
Gestation Length
F1 Mating and Fertility

????????????????

Litter Size
Pup Viability
Pup Weight
Organ Weights

Landmarks of Sexual Development
Neurobehavioral Assessment
Acoustic Startle Response
Motor Activity
Learning & Memory

Single- and Multigenerational
OECD 415, OECD 416, OPPTS 870.3800, FDA Redbook I, NTP RACB
Estrous Cyclicity
Mating
Fertility
Corpora Lutea
Implantation Sites
Pre-Implantation Loss
Spermatogenesis

Satellite Phase
Postimplantation Loss
Viable Fetuses
Malformations
Variations
Fetal Weight

F1

????????????????

Parturition
F2
????????????????
Gestation Length
Pup Viability
Litter Size
Landmarks of Sexual Development
Pup Weight
Neurobehavioral Assessment
Organ Weights
Acoustic Startle Response
F1 Mating and Fertility
Motor Activity
Hormonal Analyses
Learning & Memory
Ovarian Quantification
Histopathology
Premature Senescence

Denotes Dosing Period

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Screening Tests for Toxic Chemicals: An Overview

  • 1. Screening Tests for Toxic Chemicals: An Overview Joseph F. Holson, Ph.D. WIL Research Laboratories Contributions from: 02/11/14 C. Chengelis, Ph.D., D.A.B.T. M. Nemec, B.S., D.A.B.T. B. Varsho, B.S. 1
  • 2. Screens: Definition Screens are simplified tests/studies or models designed or used and conducted to identify agents having a certain set of attributes or characteristics that will either exclude them from further investigation or cause them to be assigned for further (more rigorous) evaluations. 2
  • 3. Traditional View of Screens  Screens are best described as short-term experiments used to select and or sort a series of molecules for a particular specific trait.  May be used to presage potential hazard identification, but results are not generally used in risk assessment. 3
  • 4. Selected Purposes of Screens  Economic savings  Increase speed  Creation of data base for QSAR  Reduced chemical (test article) requirements  Decrease use of intact animals  Increase number of chemicals evaluated  Increase attrition of development candidates  Evaluate potency/selectivity Pharmaceutical Development vs. Chemical Safety Evaluation 4
  • 5. Necessary Attributes of Screens  Validity  False positives vs. false negatives  Sensitivity  Level of concern (mild, moderate, severe)  Practicability  Economic  Reproducibility  Intra- and inter-laboratory over time 5
  • 6. Key Terms  Relevance is extent to which a test is related to the effect of interest and the test’s utility for a specified purpose. (ICCVAM)  Reliability is a measure of the degree to which a test can be performed reproducibly within and among laboratories over time. (ICCVAM) 6
  • 7. Criteria for Test Method Validation (ICCVAM) 1. Clear statement of proposed use 2. Biological basis/relationship to effect of interest 3. Formal detailed protocol 4. Reliability assessed 5. Relevance assessed 6. Limitations described 7. All data available for review 8. Data quality: Ideally GLPs 9. Independent scientific peer review 7
  • 8. Criteria For Test Method Acceptance (ICCVAM) 1. Fits into the regulatory testing structure 2. Adequately predicts the toxic endpoint of interest 3. Generates data useful for risk assessment 4. Adequate data available for specified uses 5. Robust and transferable 6. Time and cost-effective 7. Adequate animal welfare consideration (3Rs) 8
  • 9. Evolution Process for New Testing Methods (ICCVAM) Stage Review Risk Assessment Methods Research Development Prevalidation Validation Peer Review Acceptance Implementation Outcome Identify needs for new and/or improved testing methods Understand toxic mechanisms Incorporate new science and technology into test methods Optimize standardized transferable protocol Further determination of reliability and relevance Independent peer review evaluation of validation status Determination of acceptability for regulatory risk assessment Effective use of new methods by regulators/users 9
  • 10. Examples of In Vitro Screens in Toxicology  The use of specific receptor binding assays to identify estrogenic substances.  The use of SKINTEX to identify potential dermal irritants  The use of the Ames Assay to identify chemicals that cause a mutation at a specific locus  The use of FETAX to identify potential ecotoxins 10
  • 11. The “Ames Assay” As a Screen for Potential Carcinogens  Probably most widely used in vitro test for the identification of mutagens  Rapid, economical, high through-put  Well validated and standardized methods:  Reverse Mutations - test strains of Sal. Typh. revert back to wild type in histidine free medium  Examination   of the NTP Data base positive with 45% of carcinogens negative with 86% of non-carcinogens 11
  • 12. The SKINTEX as a Screen for Dermal Irritants  Rapid, economical, high through-put  Well validated and standardized methods:    Keratin/collagen membrane barrier disruption leads to dye release Over 5,300 test samples studied in validation; results with any one chemical very reproducible 80-89% correlation with Draize scoring  Negatives generally confirmed in vivo 12
  • 13. EDSTAC Recommendations In Vitro Tier I In Vivo Invertebrates Fish Amphibian In Vivo Avian Mammals E A T 13 Tier II
  • 14. Attributes of In Vivo Toxicology Screens  Reduced group size  Reduced number of endpoints  Reduced histopathology component  Reduced exposure regime and total conduct time  Not always intended to be GLP compliant  Will identify potent toxicants if appropriate endpoints are included or are correlated Power and endpoints equated to simplification 14
  • 15. Examples of In Vivo Screens in Toxicology  The mouse micronucleus test for genetic toxicity (clastogenesis)  The canine cardiac sensitization test  The screening developmental toxicity study in mice for teratogenic retinoids “class”  The Hershberger assay in rats for androgenic substances  Kavlock-Chernoff assay for developmental/ reproductive effects 15
  • 16. Examples of In vivo Screens in Toxicology (continued) RACB Reproductive Assessment by Continuous breeding in mice  The Dominant-Lethal Assay in rats for germ cell mutation  The Local Lymph Node Assay in mice for delayed hypersensitivity (Type IV Immunotoxicity)  The Sheep Red Blood Cell Assay for immunomodulation  The p53 mouse assay for carcinogenicity  16
  • 17. The “Local Lymph Node Assay” As a Screen for Potential Sensitizers  Well validated in multiple laboratories  Successful in identifying weak sensitizers  Gained increased regulatory acceptance  Replacement for traditional Guinea Pig Protocols    Examines only induction (5 days vs. 6 weeks) Mice less expensive than guinea pigs Quantifiable endpoints 17
  • 18. Screens in the Regulatory Environment  SIDS -Screening Informational Data Set       Mandated by OECD Thousands of chemicals in commerce not tested Minimum data to set testing priorities Physical Chemical Data (9), Environmental Fate (4), Ecotoxicology (5), Mammalian Toxicology (6) Far from being screens, each category requires a series of robust studies Considered screens only in so far as the results are used to rank and prioritize 18
  • 19. SIDS : Mammalian Toxicology  Acute Toxicology - 401, 402, 402, 420, 423, 425   Repeated-Dose - 407, 410, 412    Oral preferred. Justification for other routes Combined 422 acceptable Genetic Toxicology - 471, 476, 473, 477, 474, 475    Oral, Inhalation, Dermal Gene Mutation (with bacteria) Chromosomal Aberration (non-bacteria) Toxicity to Reproduction - 414, 415, 416, 421, 422    Prenatal Development (414) + 407 acceptable One- (415) or Two-Generation (416) studies 421 and combined 422 acceptable 19
  • 20. SIDS: Mammalian Toxicology  Repeated-Dose 407, 410, 412 14-28 Days of Dosing  Decreased Group Size (5 vs. 10/sex)  Hematology and Clinical Pathology  Smaller Organ List  Recovery  Functional Observation Batteries  Multiple Endpoints  No TK Requirement  20
  • 21. DART Rodent Screening Studies A B C D E F Premating to Conception Conception to Implantation Implantation to Closure of Hard Palate Hard-Palate Closure to End of Pregnancy Birth to Weaning Weaning to Sexual Maturity OECD Reproduction Screen 4W 2W Estrous Cyclicity Implantation Sites OECD 421/422, OPPTS 870.3550/3650 Mating Fertility Chernoff-Kavlock Assay Limited: Malformations Dev. Variations Parturition Gestation Length Litter Size Histopathology Pup Viability Pup Weight Organ Weights OPPTS 870.3500 Limited: Malformations Dev. Variations Dominant Lethal Assay Zygote/Embryolethality OECD 478 OPPTS 870.5450 Assess recovery through multiple mating trials EDSTAC Assays Weaning to Sexual Maturity Uterotrophic Females Estrogenicity Anti-Estrogenicity Pubertal Assay PND 21 Vaginal Opening Thyroid Endpoints PND 42 PND 21 PND 53 Pubertal Assay Males Preputial Separation Thyroid Endpoints Hershberger Androgenicity Anti-Androgenicity Denotes Dosing Period
  • 22. WIL’s Experience with OECD 421 and 422 Screens Dose range-finding, antecedent to 2generation reproduction study 2) To more economically demonstrate absence of toxicity in innocuous classes of chemicals at limit doses (30 studies) 3) Use as apical regulatory study Not to: 1) More economically select candidates from a group of chemicals for further definitive assessment of reproductive toxicity 1) 22
  • 23. Reproduction Screens at WIL Number of Screens Conducted with Reproductive Endpoints 42 Stand-Alone Screens 20 Screens Followed by 2-Generation or Other Definitive Study 22* *Nine sets not yet reported 23
  • 24. Adult Concordance at MTD: Not All HPVs Screen (S) F0 Endpoints Dose Extrapolated 2-Generation (2-G) F0 F1 Concordance (%) 2-G F0 vs. S F0 2-G F1 vs. S F0 5/9 with Extrapolated Dose Levels Adult Mortality 2/9 1/9 3/8 89% 75% Body Weight 5/9 8/9 7/8 67% 63% Food Consumption 5/9 8/9 6/8 67% 50% Clin Obs 4/9 3/9 2/8 67% 63% Fertility Index 0/9 0/9 0/8 100% 100% Mating Index 0/9 0/9 0/8 100% 100% Implantation Index 3/9 2/9 1/8 89% 88% PI Loss 3/8 1/9 1/8 89% 88% Live Birth Index 3/8 1/8 1/8 63% 63% Organ Weights 3/6 4/8 3/8 67% 80% Gestation Length 0/8 0/8 0/8 100% 100% Dystocia 0/7 0/8 0/8 100% 100% 24 Reflects false positive resolution in apical study
  • 25. Other Concordance at MTD Screen (S) F0 Endpoints Dose Extrapolated 2-Generation (2-G) F0 F1 Concordance (%) 2-G F0 vs. S F0 2-G F1 vs. S F0 5/9 with Extrapolated Dose Levels Pup Survival 2/8 1/8 2/8 63% 75% Body Weight 3/8 5/8 5/8 75% 75% Endpoints Specific to 2-Generation Study Histopathology 1/1 5/8 5/8 Estrous Cyclicity 1/2 1/9 0/7 0/8 0/7 1/3 1/3 Balanopreputial 1/7 -- Vaginal Patency 1/7 -- Pup Organ Weights 2/7 2/7 Ovarian Follicles 0/2 2/6 Spermatogenesis Anogenital Distance 1/1 25 Concordance percentages based on small numbers
  • 26. 3 Case Studies (False Negatives in Screens) Endpoints Screen (S) F0 Dose Extrapolated 2-Generation (2-G) F0 F1 Concordance (%) 2-G F0 vs. S F0 2-G F1 vs. S F0 0/3 with Extrapolated Dose Levels Adult Fertility Index 0/3 0/3 3/3 100% 0% Mating Index 0/3 0/3 3/3 100% 0% Live Birth Index 1/3 1/3 2/3 100% 67% Organ Weights 0/1 2/3 2/2 (33%) (0%) Gestation Length 0/3 0/3 1/3 100% 67% Dystocia 0/3 1/3 1/3 67% 67% 0/3 1/3 2/3 67% 33% Not Measured 1/3 ? (0%) (0%) Offspring Sex Ratio Hypospadias ( ) = Strict concordance could not be calculated (endpoint not measured in screen) 26
  • 27. Selected Reproductive Endpoints Exhibiting Strong Signals from Rare Events/Low Incidence Endpoint Examples from WIL Research Historical Control in Crl:CD(SD)IGS BR Mean Viable Litter Size 13.9 ± 1.02 decrease of ≥ 1 Mortality ≤ PND 4 Mean = 96.2% Min/Max 91-95% ≤ 91% Total Litter Loss Mean = 0.94% (10/1061) 1 is equivocal 2 is more significant signal Newborn Pup Weights Mean = 7.0g ± 0.23 range 6.5-7.4g n = 1100 litters ≤ 6.5g strong signal
  • 28. Case Study: Dystocia, Extended Parturition and/or Pregnancy  2-generation with second mating phase of F1, vapor inhalation, used industrially, OTC pharmaceutically PPM F0 300 500 700 0 0 0 2/24 3/26 0 0 0 0 1/17 F1-2nd  70 F1-1st  0 0 0 1/21 1/18 0/12 HC then: 2/333 = 0.60% HC now: 4/1100 = 0.36%
  • 29. Heuristic Axioms  If primary intent of screen is to reduce number of animals used, we must be careful to consider subsequent use of animals in studies to clarify poor characterization of DR curve (LOAEL, NOAEL, NOEL, TK).  Also, if intent of screen is to reduce resource consumption, an analogy to the above also exists unless screen is applied to agents not developed for biologic activity, with limited human exposure and economic significance. 29
  • 30.
  • 31. Screens vs. Preliminary Studies  Decision to conduct a study has been made  Preliminary studies are performed to provide information to design a definitive study (one used for risk assessment)  Under most circumstances are not performed to eliminate a test article from development, although unexpected results can lead to that decision. 31
  • 32. Screens vs. Toxicity Assessment In the broadest sense, what is done in much of nonclinical development and in all of hazard identification phases of risk assessment may be viewed a screening as the information will be used to determine what additional work (if any) may be required or, in fact, to determine if the agent is commercially viable. (modified from Zbinden et al., 1984) 32
  • 33. Screens vs. Toxicity Assessment  Definitive answers require definitive study designs       Multiple dose groups Large sample size Multiple endpoints Exposure assessment (PK) Treatment regimen of appropriate length Economy and speed of lesser concern 33
  • 34. Example: Screen vs. Definitive Study  Case history XCX-XX Several short-term studies  No evidence of neurotoxicity except with the six-month study in dogs  Vacuolation of the Medulla Oblongata  FDA requested additional work  34
  • 35. XCX-XX Definitive Neurotoxicity Study in Dogs: Design 6 months, daily dosing, female dogs, 6/group  standard body weight, feed consumption, clinical observations  FOBs pretest, Weeks 6,13,19, and 25  At necropsy, fixation by perfusion  Extensive neuropathology  Recovery 2/group, 4-weeks  (Note multiplicity of endpoints)  35
  • 36. Definitive Neurotoxicity Study in Dogs with XCX-XX Lesion that developed only with chronic treatment Animal 5XX1 100 mg/kg Animal 5XX9 control Medulla adjacent to Hypoglossal Nucleus (40X; H&E) 36
  • 37. Definitive Neurotoxicity Study in Dogs with XCX-XX Selected FOB Findings (Cranial) 37
  • 38. Definitive Neurotoxicity Study in Dogs with XCX-XX Selected FOB Findings (Cranial) Finding Control High Dose Norm. Menace React. 6/ 6 6/ 6 Norm. Vis Tracking 6/ 6 6/ 6 Norm. Ocular Position 6/ 6 6/ 6 Norm. Tongue Move. 6/ 6 6/ 6 Norm. Gag Reflex 5/ 6 6/ 6 38
  • 39. Definitive Neurotoxicity Study in Dogs with XCX-XX  Summary of Findings (Multiple Endpoints) Caused lesion in medulla, specifically in the hypoglossal nucleus  Nature of lesion suggests intra-myelinic vacuolation  Recoverable/ Reversable  Not accompanied by any functional deficits  39
  • 40. EDSTAC Criteria for Screens      Detect all known modes of action for the endocrine endpoints of concern Include sufficient diversity among endpoints, permitting weight-of-evidence conclusions Maximize sensitivity to minimize false negatives Include a sufficient range of taxonomic groups among the test organisms to represent differences in endocrine system and metabolism Relatively fast and efficient 40 EDMVS, 2002
  • 41. Purpose of Tier 1  To distinguish chemical substances that interact with the endocrine system from those that do not.  Upon completion of Tier 1, EPA and stakeholders should be able to accept the assignment that a chemical has (1) either low or no potential for EAT activity, (2) or that it has such potential. 41 EDMVS, 2002
  • 42. Advantages of In Vitro Assays         Sensitivity to low concentrations High specificity of response Low cost Small amount of chemical required Assays can be automated for high throughput Results can be used in conjunction with QSAR models Can be used for complex mixtures Reduces or replaces animal use 42 EDMVS, 2002
  • 43. In Vitro Tier 1 Screens  ER Binding / Reporter Gene Assay  AR Binding / Reporter Gene Assay  Steroidogenesis Assay with Minced Testis 43
  • 44. Advantages of In Vivo Assays       Account for absorption, distribution, metabolism and excretion Evaluate a broad range of mechanisms Provide a comprehensive evaluation of the whole endocrine system as a unit Generally well-accepted methods in toxicity testing Some endpoints are toxicologically relevant and have been used in hazard assessment Give comparative perspective to other endpoints of toxicity 44 EDMVS, 2002
  • 45. In Vivo Tier 1 Screens  Rodent 3-Day Uterotrophic Assay  Longstanding assay, international validation complete  Rodent 20-Day Pubertal Female Assay with Thyroid  Rodent 5- to 7-Day Hershberger Assay  Longstanding  assay, international validation underway Frog Metamorphosis Assay  Use as a general vertebrate model called vague & unsubstantiated, rat already sensitive species for thyroid (Mihaich, 2002)  Fish Reproduction Screening Assay  CLA claims too long & too many apical endpoints to be a screen, but not robust enough to be a test (2002) 45
  • 46. Alternate Tier 1 Screens  Aromatase  Pubertal  Adult Inhibition Male 14–Day Intact Male  Preferred by industry over HershbergerPubertal combination  A, E, PL, T, SSI, PG, PRL 46
  • 47. EDSTAC Tier 2 Tests  Avian Reproduction (with bobwhite quail and mallard)   Variable reproduction parameters; CLA suggests Japanese quail Limited laboratory capacity (CLA, 2002)  Fish Life Cycle (fathead minnow)  Mysid Life Cycle (Americamysis)   Extrapolation of ecdysteroid to EAT activity unjustified (Mihaich, Verslycke, 2002) Debate over need for a 2-gen over a 1-gen (Mihaich, 2002)  Amphibian Development and Reproduction (Xenopus)  Two-Generation Mammalian Reproductive Toxicity Study  Under prevalidation now, early results from PTU demonstration raise questions about interlaboratory methodology 47
  • 48. Standard Designs A B C D E F Premating to Conception Conception to Implantation Implantation to Closure of Hard Palate Hard-Palate Closure to End of Pregnancy Birth to Weaning Weaning to Sexual Maturity Fertility Study 10W 4W 2W Estrous Cyclicity Mating Fertility Implantation Sites Pre-Implantation Loss Spermatogenesis ICH 4.1.1 Corpora Lutea ƒ Prenatal Development CMAX AUC ICH 4.1.3 OECD 414 OPPTS 870.3600 870.3700 Postimplantation Loss Viable Fetuses Malformations & Variations Fetal Weight F0 ƒ Pre- and Postnatal Development CMAX ICH 4.1.2 AUC F1 Parturition Gestation Length F1 Mating and Fertility ???????????????? Litter Size Pup Viability Pup Weight Organ Weights Landmarks of Sexual Development Neurobehavioral Assessment Acoustic Startle Response Motor Activity Learning & Memory Single- and Multigenerational OECD 415, OECD 416, OPPTS 870.3800, FDA Redbook I, NTP RACB Estrous Cyclicity Mating Fertility Corpora Lutea Implantation Sites Pre-Implantation Loss Spermatogenesis Satellite Phase Postimplantation Loss Viable Fetuses Malformations Variations Fetal Weight F1 ???????????????? Parturition F2 ???????????????? Gestation Length Pup Viability Litter Size Landmarks of Sexual Development Pup Weight Neurobehavioral Assessment Organ Weights Acoustic Startle Response F1 Mating and Fertility Motor Activity Hormonal Analyses Learning & Memory Ovarian Quantification Histopathology Premature Senescence Denotes Dosing Period

Editor's Notes

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