|
CFSAN/Office of Food Additive Safety
March 2004
Date of Submission:
Title of Petition or Notification:
Name and Address of Petitioner or Notifier:
1. Targeted dose levels:
Table # [Heading]
| test group | conc. in diet
|
dose to animals
|
number of males |
number of females |
|---|---|---|---|---|
|
Control |
|
|
|
|
|
Low |
|
|
|
|
|
Mid |
|
|
|
|
|
High |
|
|
|
|
2. Total number of animals:
3. Duration of study (including recovery period, if any):
4. Length of exposure to test substance:
5. Were animals randomized?
6. Recovery period:
7. Comments:
1. Parameter examined:
Table # [Heading]
|
examined |
not examined |
|---|---|
|
|
Feed Intake*
|
*These parameters are recommended in REDBOOK for subchronic toxicity studies.
2. Comments:(e.g., list frequency)
1. Parameter examined:
Table # [Heading]
|
examined |
not examined |
|---|---|
|
|
Appearance*
|
*These parameters are recommended in REDBOOK for subchronic toxicity studies. Add additional parameters tested.
**The parameters for neurotoxicity screening may include, but are not limited to, the following:
2. Comments: (e.g., list frequency)
Table # [Heading]
measurement
|
examined |
not examined |
|---|---|---|
|
red blood cells
|
Hematocrit (Hct)*
|
|
|
white blood cells
|
Basophils, Eosinophils* Lymphocytes*
|
|
|
clotting potential
|
Activated Partial-Thromboplastin Time*
|
|
|
others |
Bone marrow cytology* |
*These parameters are recommended in REDBOOK for subchronic toxicity studies. Add additional additional parameters tested.
6. Comments:
Table # [Heading]
measurement related to |
examined |
not examined |
|---|---|---|
|
electrolyte balance |
Calcium* Chloride*,** Phosphorus* Potassium*,** Sodium*,** |
|
|
carbohydrate metabolism |
Glucose*,** |
|
|
liver function:
|
Alanine Aminotransferase
|
|
|
Alkaline Phosphatase (ALP)*,**
|
||
|
kidney function |
Creatinine*,**
|
|
|
others (acid/base balance, cholinesterases, hormones, lipids, methemoglobin, and proteins) |
Albumin (A)*
|
*These parameters are recommended in REDBOOK for subchronic toxicity studies. Add additional additional parameters tested.
** These parameters should generally be given priority when adequate volumes of blood samples can not be obtained from test animals.
6. Comments:
Table # [Heading]
|
examined |
not examined |
|---|---|
|
|
Glucose*, Microscopic evaluation for sediment and presence of blood/blood cells*, pH*, Protein*, Specific Gravity*, Volume* |
* These parameters are recommended in REDBOOK for subchronic toxicity studies.
3. Comments :
Table # [Heading]
|
examined |
not examined |
|---|---|
|
|
Adrenals*, Brain*, Epididymides*, Heart*, |
* These parameters are recommended in REDBOOK for subchronic toxicity studies.
4. Comments:
1. Organs/Tissues weighed:
Table # [Heading]
|
examined |
not examined |
|---|---|
|
|
Adrenals*, Brain*, Epididymides*, Heart*,
|
*These parameters are recommended in REDBOOK for subchronic toxicity studies. Add additional additional parameters tested.
2. Comments:
Table # [Heading]
| system |
examined |
not examined |
|---|---|---|
|
digestive |
Salivary Gland*, Esophagus*, Stomach*, Duodenum*, Jejunum*, Ileum*, Cecum*, Colon*, Rectum*, Gall Bladder* (in case of mice), Liver* (middle, left and triangular lobes), Pancreas* |
|
|
respiratory |
Nasal Turbinates*, Trachea*,
|
|
|
cardiovascular |
Aorta*, Heart* |
|
|
reticulo- endothelial/
|
Bone Marrow* (sternum),
|
|
|
urogenital |
Kidneys*, Ovaries* and fallopian tubes*, Corpus Uteri*, Cervix Uteri*, Prostate*, Seminal Vesicle* (if present), Testes*, Urinary Bladder*, Vagina* |
|
|
neurologic |
Brain* (at least 3 different levels), Spinal-Cervical*,
|
|
|
glandular |
Adrenals*, Mammary Glands*, Pituitary Glands*, Thyroid/Parathyroid
Glands*, Thymus*,
|
|
|
other |
Bone (Femur)*, Eyes*, Skeletal Muscle*, Skin*, Epididymis* |
*These parameters are recommended in REDBOOK for subchronic toxicity studies. Add additional additional parameters tested.
5. Comments:
1. Methods of statistical analysis:
Table # [Heading]
|
methods of statistical analysis |
parameters tested |
|---|---|
2. Comments:
1. Were doses verified?
Table # [Heading]
|
dose group |
targeted concentration
|
concentrations found in feed
|
standardDeviation |
N* |
|---|---|---|---|---|
|
low |
|
|
|
|
|
mid |
|
|
|
|
|
high |
|
|
|
|
* Number of measurements (N)
1. Observations:
Table # [Heading]
|
dose group |
daily dose
|
|---|---|
|
control |
0 |
|
low |
|
|
mid |
|
|
high |
|
2. Comments:
1. Observations:
Table # [Heading]
| SEX | males | females | |||||||
|---|---|---|---|---|---|---|---|---|---|
|
DAILY DOSE |
0 |
|
|
|
0 |
|
|
|
|
|
NUMBER OF ANIMALS |
|
|
|
|
|
|
|
|
|
|
red blood cells |
|
|
|
|
|
|
|
|
|
|
Hematocrit (Hct) |
% |
|
|
|
|
|
|
|
|
|
Hemoglobin Conc. (Hb) |
g/L |
|
|
|
|
|
|
|
|
|
Mean Corp. Hb. (MCH) |
|
|
|
|
|
|
|
|
|
|
Mean Corp. Hb. Conc. (MCHC) |
|
|
|
|
|
|
|
|
|
|
Mean Corp. Volume (MCV) |
L/L |
|
|
|
|
|
|
|
|
|
Total Erythrocyte Count (RBC) |
1012/L |
|
|
|
|
|
|
|
|
|
white blood cells |
|
|
|
|
|
|
|
|
|
|
Basophils |
|
|
|
|
|
|
|
|
|
|
Eosinophils |
|
|
|
|
|
|
|
|
|
|
Lymphocytes |
109/L |
|
|
|
|
|
|
|
|
|
Macrophage/ |
|
|
|
|
|
|
|
|
|
|
Neutrophils |
109/L |
|
|
|
|
|
|
|
|
|
Total Leukocytes (WBC) |
109/L |
|
|
|
|
|
|
|
|
|
clotting potential |
|
|
|
|
|
|
|
|
|
|
Activated Partial-Thromboplastin Time |
|
|
|
|
|
|
|
|
|
|
Clotting Time |
|
|
|
|
|
|
|
|
|
|
Platelet Count |
109/L |
|
|
|
|
|
|
|
|
|
Prothrombin Time |
|
|
|
|
|
|
|
|
|
|
others |
|
|
|
|
|
|
|
|
|
|
Bone marrow cytology |
|
|
|
|
|
|
|
|
|
|
Reticulocyte counts |
1012/L |
|
|
|
|
|
|
|
|
(Specify a method of statistical analysis): * p<0.05, ** p<0.01
2. Comments:
1. Observations:
Table # [Heading]
|
SEX |
males |
females |
|||||||
|---|---|---|---|---|---|---|---|---|---|
|
DAILY DOSE
|
0
|
|
|
|
0 |
|
|
|
|
|
NUMBER OF ANIMALS |
|
|
|
|
|
|
|
|
|
|
electrolyte balance |
|
|
|
|
|
|
|
|
|
|
Calcium |
mmol/L |
|
|
|
|
|
|
|
|
|
Chloride |
mmol/L |
|
|
|
|
|
|
|
|
|
Phosphorus |
mmol/L |
|
|
|
|
|
|
|
|
|
Potassium |
mmol/L |
|
|
|
|
|
|
|
|
|
Sodium |
mmol/L |
|
|
|
|
|
|
|
|
|
carbohydrate metabolism |
|
|
|
|
|
|
|
|
|
|
Glucose |
mmol/L |
|
|
|
|
|
|
|
|
|
liver function: A) hepatocellular |
|
|
|
|
|
|
|
|
|
|
Alanine Aminotransferase (ALT or SGPT) |
U/L |
|
|
|
|
|
|
|
|
|
Aspartate Aminotransferase (AST or SGOT) |
U/L |
|
|
|
|
|
|
|
|
|
Glutamate Dehydrogenase |
U/L |
|
|
|
|
|
|
|
|
|
Sorbitol Dehydrogenase |
U/L |
|
|
|
|
|
|
|
|
|
liver function: |
|
|
|
|
|
|
|
|
|
|
Alkaline Phosphatase (ALP) |
U/L |
|
|
|
|
|
|
|
|
|
Gamma-Glutamyl Transferase (GGT) |
U/L |
|
|
|
|
|
|
|
|
|
Total Bile Acids |
mmol/L |
|
|
|
|
|
|
|
|
|
Total Bilirubin |
mmol/L |
|
|
|
|
|
|
|
|
|
5' Nucleotidase |
U/L |
|
|
|
|
|
|
|
|
|
kidney function |
|
|
|
|
|
|
|
|
|
|
Creatinine |
mmol/L |
|
|
|
|
|
|
|
|
|
Urea Nitrogen |
mg/dL |
|
|
|
|
|
|
|
|
|
others |
|
|
|
|
|
|
|
|
|
|
Albumin (A) |
g/L |
|
|
|
|
|
|
|
|
|
Globulin (G, calculated) |
g/L |
|
|
|
|
|
|
|
|
|
A/G Ratio |
|
|
|
|
|
|
|
|
|
|
Total protein |
g/L |
|
|
|
|
|
|
|
|
|
Total Cholesterol |
mmol/L |
|
|
|
|
|
|
|
|
|
Fasting Triglycerides |
mmol/L |
|
|
|
|
|
|
|
|
|
Cholinesterase |
U/L |
|
|
|
|
|
|
|
|
(Specify statistical method of analysis): * p<0.05, ** p<0.01
2. Comments:
1. Observations:
Table # [Heading]
|
SEX |
males |
females |
|||||||
|---|---|---|---|---|---|---|---|---|---|
|
DAILY DOSE
|
0
|
|
|
|
0
|
|
|
|
|
|
NUMBER OF ANIMALS |
|
|
|
|
|
|
|
|
|
|
Glucose |
mmol/L |
|
|
|
|
|
|
|
|
|
Microscopic evaluation for sediment and presence of blood/blood cells |
|
|
|
|
|
|
|
|
|
|
pH |
|
|
|
|
|
|
|
|
|
|
Protein |
g/L |
|
|
|
|
|
|
|
|
|
Specific Gravity |
|
|
|
|
|
|
|
|
|
|
Volume |
L/time |
|
|
|
|
|
|
|
|
2. Comments:
1. Observations:
Table # [Heading]
|
SEX |
males |
females |
|||||||
|---|---|---|---|---|---|---|---|---|---|
|
DAILY DOSE
|
0
|
|
|
|
0
|
|
|
|
|
|
NUMBER OF ANIMALS |
|
|
|
|
|
|
|
|
|
|
BODY WEIGHT (gram)a |
|
|
|
|
|
|
|
|
|
|
BRAIN |
|
|
|
|
|
|
|
|
|
|
Absolute Weighta |
gram |
|
|
|
|
|
|
|
|
|
Per Body Weighta |
% |
|
|
|
|
|
|
|
|
|
ADRENALS |
|
|
|
|
|
|
|
|
|
|
Absolute Weighta |
gram |
|
|
|
|
|
|
|
|
|
Per Body Weighta |
% |
|
|
|
|
|
|
|
|
|
Per Brain Weighta |
% |
|
|
|
|
|
|
|
|
|
EPIDIDYMIDES |
|
|
|
|
|
||||
|
Absolute Weighta |
gram |
|
|
|
|
||||
|
Per Body Weighta |
% |
|
|
|
|
||||
|
Per Brain Weighta |
% |
|
|
|
|
||||
|
HEART |
|
|
|
|
|
|
|
|
|
|
Absolute Weighta |
gram |
|
|
|
|
|
|
|
|
|
Per Body Weighta |
% |
|
|
|
|
|
|
|
|
|
Per Brain Weighta |
% |
|
|
|
|
|
|
|
|
|
KIDNEYS |
|
|
|
|
|
|
|
|
|
|
Absolute Weighta |
gram |
|
|
|
|
|
|
|
|
|
Per Body Weighta |
% |
|
|
|
|
|
|
|
|
|
Per Brain Weighta |
% |
|
|
|
|
|
|
|
|
|
LIVER |
|
|
|
|
|
|
|
|
|
|
Absolute Weighta |
gram |
|
|
|
|
|
|
|
|
|
Per Body Weighta |
% |
|
|
|
|
|
|
|
|
|
Per Brain Weighta |
% |
|
|
|
|
|
|
|
|
|
SPLEEN |
|
|
|
|
|
|
|
|
|
|
Absolute Weighta |
gram |
|
|
|
|
|
|
|
|
|
Per Body Weighta |
% |
|
|
|
|
|
|
|
|
|
Per Brain Weighta |
% |
|
|
|
|
|
|
|
|
|
TESTES |
|
|
|
|
|
||||
|
Absolute Weighta |
gram |
|
|
|
|
||||
|
Per Body Weighta |
% |
|
|
|
|
||||
|
Per Brain Weighta |
% |
|
|
|
|
||||
|
THYROID and PARATHYROID |
|
|
|
|
|
|
|
|
|
|
Absolute Weighta |
gram |
|
|
|
|
|
|
|
|
|
Per Body Weighta |
% |
|
|
|
|
|
|
|
|
|
Per Brain Weighta |
% |
|
|
|
|
|
|
|
|
|
THYMUS |
|
|
|
|
|
|
|
|
|
|
Absolute Weighta |
gram |
|
|
|
|
|
|
|
|
|
Per Body Weighta |
% |
|
|
|
|
|
|
|
|
|
Per Brain Weighta |
% |
|
|
|
|
|
|
|
|
|
OVARIES |
|
|
|
|
|
||||
|
Absolute Weighta |
gram |
|
|
|
|
||||
|
Per Body Weighta |
% |
|
|
|
|
||||
|
Per Brain Weighta |
% |
|
|
|
|
||||
|
UTERUS |
|
|
|
|
|
||||
|
Absolute Weighta |
gram |
|
|
|
|
||||
|
Per Body Weighta |
% |
|
|
|
|
||||
|
Per Brain Weighta |
% |
|
|
|
|
||||
a: Group means at the end of terminal necropsy are shown.
(Specify methods of statistical analysis): * p<0.05, ** p<0.01
2. Comments:
1. Observations:
Table # [Heading)
|
|
NUMBER OF ANIMALS
|
|||||||
|---|---|---|---|---|---|---|---|---|
|
SEX |
males |
females |
||||||
|
DAILY DOSE
|
0
|
|
|
|
0
|
|
|
|
|
NUMBER OF ANIMALS EXAMINED |
|
|
|
|
|
|
|
|
|
DIGESTIVE SYSTEM |
|
|
|
|
|
|
|
|
|
ORGAN/TISSUE # |
|
|
|
|
|
|
|
|
|
GROSS LESION |
|
|
|
|
|
|
|
|
|
NON-NEOPLASTIC LESION |
|
|
|
|
|
|
|
|
|
NON-NEOPLASTIC LESION |
|
|
|
|
|
|
|
|
|
NON-NEOPLASTIC LESION |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NEOPLASTIC LESIONS |
|
|
|
| ||||