United States Environmental Protection Agency Office of Health and Environmental Assessment Washington DC 20460 Research and Development EPA/600/S8-89/068 Feb. 1990 4>EPA Project Summary Application of an Exact NOAEL - Procedure for Dichotomous Data from Animal Experiments A statistical method has been developed that utilizes a step-wise hypothesis testing procedure to esti- mate the distribution of the no- observed-adverse-effect level (NOAEL), and thereby to estimate the expected value of the NOAEL and its variability. The methodology is dependent upon the sum of the dose group sizes, the expected response rates, experimental dose levels, and the type I error rates. The technique may be employed to evaluate the reliability of the NOAEL and to provide a measure of its variability. This Project Summary was devel- oped by EPA's Environmental Criteria and Assessment Office, Cincinnati, OH, to announce key findings of the research project that Is fully docu- mented in a separate report of the same title (see Project Report order- ing information at back). Introduction In the risk assessment of systemic toxicity, the no-observed-adverse-effect level (NOAEL) is the highest experimental dose level at which one does not reject the hypothesis that the expected re- sponse rate is the same as in the control group. The NOAEL is then scaled downward, usually by a factor of 10, 100 or 1000, to obtain the reference dose (RfD). The RfD is an estimate (with uncertainty spanning perhaps an order of magnitude) of a daily exposure to the human population (including sensitive subgroups) that is likely to be without an appreciable risk of deleterious effects during a lifetime. There is a need to estimate the vari- ability of the NOAEL (and consequently of the RfD) and to estimate the false negative rate, which is indicative of unacceptable increases in added risk over a specified background rate. A statistical method has been developed that addresses these issues (Brown et al., 1986). This project illustrates with real data sets how this method can be used in evaluating noncarcinogenic risks, and in measuring uncertainties in the process. The expected value of the NOAEL, its variability, and the relationship between Type I errors (false positive rates) and type II errors (false negative rates), are all interrelated and are dependent upon sample sizes, the expected (but un- known) response rates, dose values and the statistical analysis employed. Results and Conclusions The statistical procedure is applicable to experiments that produce dichotomous response data (presence/absence of a response of interest). The responses for each dose group are assumed to be independently distributed from binomial distributions. For example, the response rates for an experiment with control, low, and high dose groups are represented by the binomial population parameters po, PI and p2, respectively. The approach util- izes methods of isotonic inference to incorporate a priori knowledge that PQ £ Pi < pa- (The inequalities could also be reversed.) The long-term relative fre- quency (probability) with which the NOAEL would take each dose value in repeated sampling is derived. From this distribution an estimate of the expected ------- value (long-term average) of the NOAEL and its standard deviation are obtained. The power for detecting a treatment effect at any dose can be calculated for any background rate and value of added risk. This is particularly useful for deter- mining the added risk that can be detected with a specified power, and to specify an upper limit of added risk that is consistent with the data even when no treatment effect has been detected. Recommendations The step-wise hypothesis procedure produces conditional probabilities for the second hypothesis test, which depend on the results of the first hypothesis test. Therefore, the testing of the second hypothesis and the determination of its corresponding type II error rate are accomplished using only part of the available data. Also, the entire procedure is dependent on the choice of values for the type I error rates. These observations lead to the recommendation that an in- depth analysis of this method be made. It is apparent that the method will require extensive amounts of computer time when the dose group sizes are large or when there are more than three to four dose groups to analyze. The limits of this procedure because of data processing^ requirements should also be investigated.^ References Brown, K. G., L. M. LaVange, T. S. Farrell, and S. C. Wheeles. 1986. An Exact NOAEL—Procedure for Dichot- omous (Incidence) Data, and Its Statis- tical Properties. Research Triangle Institute Report, RTI/3510,3516, Con- tract No. 68-01-6826, Statistical Policy Branch, U.S.EPA, 401 M Street, S.W., Washington, DC 20460. This Pro/ect Summary was prepared by staff of the Environmental Criteria and Assessment Office, Cincinnati, OH 45268. Jeff Swartout is the EPA Project Officer (see below). The complete report, entitled "Application of an Exact NOAEL—Procedure for Dichotomous Data from Animal Experiments," (Order No. PB 90-145 780/AS; Cost: $15.00, subject to change) will be available only from: National Technical Information Service 5285 Port Royal Road Springfield, VA 22161 Telephone: 703-487-4650 For information contact: Environmental Criteria and Assessment Office U.S. Environmental Protection Agency Cincinnati, OH 45268 United States Environmental Protection Agency Center for Environmental Research Information Cincinnati OH 45268 US.OrRCIAL MAIL U.S.PQSTAGE 5 0 .2 5 ; Official Business Penalty for Private Use $300 EPA/600/S8-89/068 000085833 PS »""" ------- |