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

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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
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