NMP TSCA Workplan Risk Assessment Ethics Information for Human Studies Used to Support NMP PBPK Model Study Akesson and Paulsson 1997 Akesson and Jonsson 2000 Akesson et al. 2004 Type of human study Intentional dosing Intentional dosing Intentional dosing Informed consent? Yes Yes Yes Independent ethics review? Yes Yes Yes Selection Process Healthy volunteers were selected after a health examination. Paper did not report additional details about the recruitment process. Healthy volunteers were selected after a health examination. Paper did not report additional details about the recruitment process. Healthy volunteers were selected after a health examination. Pregnant women were excluded from the study. Risks to subjects Risks were minimized by doing a general health examination and selecting healthy volunteers. There were no reported or observed adverse reactions. Risks were minimized by doing a general health examination and selecting healthy volunteers. There were no reported or observed adverse reactions. Risks were minimized by doing a general health examination and selecting healthy volunteers. There were no reported or # Children Subjects # Female Subjects # Male Subjects 0 0 6 Ages 28-41 yrs 0 0 6 Ages 28-41 yrs 0 6 12 Ages 27-56 yrs Age range Notes 1 Study Type of human study Informed consent? Independent ethics review? Selection Process Paper did not report additional details about the recruitment process. Bader et al. 2005 Bader and van Thriel, 2006 Intentional dosing Intentional dosing Yes Yes Risks to subjects # Children Subjects # Female Subjects # Male Subjects Age range Notes observed adverse reactions. Yes Healthy volunteers were selected after a health examination. Selected subjects had regular skin appearance and did not exhibit sensitization toward chemicals. Paper did not report additional details about the recruitment process. Risks were minimized by doing a physical examination of the skin. Subjects experienced acute effects such as feelings of heat, pricking and itchiness during the skin application. Moderate swelling in all cases and erythema in one case were observed but were reversible in 24 hrs. Yes Healthy, young volunteers were selected after a medical examination by a physician. All participants were Caucasians. Most of the subjects participated in a previously conducted study. Paper did Risks were minimized by doing a medical evaluation before starting the study. There were no reported or observed adverse reactions. 0 0 4 0 3 8 Average age: 38±6 yrs Subjects were informed about NMP’s irritating properties and its potential to cause developmental toxicity based on animal observations. Ages 23-29 yrs Volunteers were informed about the possible risks of the blood sampling procedure. NMP TSCA Workplan Risk Assessment Study Type of human study Informed consent? Independent ethics review? Selection Process Risks to subjects # Children Subjects # Female Subjects # Male Subjects Age range Notes not report additional details about the recruitment process. Bader et al. 2007 Bader et al. 2008 Intentional dosing Intentional dosing Yes Yes Yes Subjects were recruited at the University of Dortmund, Germany. Subjects with respiratory, cardiovascular and skin diseases were excluded from the study. Subjects had to take a fitness test. Paper did not report additional details about the recruitment process. Risks were minimized by doing a general fitness test and excluding candidates known to have respiratory and skin diseases. There were no reported adverse reactions. Yes Subjects had to take a fitness test. Subjects with respiratory disorders and skin diseases were excluded from the study. Paper did not report additional details about the recruitment process. Risks were minimized by doing a general fitness test and excluding candidates known to have respiratory and skin diseases. Medical staff supervised the conduct of the experiment. There were no reported 0 0 0 0 16 16 Average age: 26.5±2. 4 yrs Study was conducted following the principles of the Declaration of Helsinki. Ages 22-30 yrs Study was conducted following the principles of the Declaration of Helsinki. 3 Study Type of human study Informed consent? Independent ethics review? Selection Process Risks to subjects # Children Subjects # Female Subjects # Male Subjects Age range Notes adverse reactions. Xiaofei et al. 2000 Observational study as well as intentional dosing Yes Not reported. The candidates’ medical records were evaluated. None of the participants had medical concerns that would prevent them to participate in the study. One of the workers had dermatitis after direct skin contact with NMP. Paper did not report additional details about the recruitment process of workers and volunteers and how the factory was identified for the study. Risks were minimized by evaluating the candidates’ medical records. There were no reported adverse reactions. 0 17 Ages 20-56 yrs The observational study monitored NMP in plasma or urine while workers were performing their daily tasks. The study also enrolled 5 volunteers who observed the workers. Informed consent was obtained from all participants in the study. Both workers and volunteers were exposed to NMP at comparable dose levels. NMP TSCA Workplan Risk Assessment References *References were obtained from Dr. Poet’s paper (Torka et al. 2010, Quantitative risk analysis for N-methyl pyrrolidone using physiologically-based pharmacokinetic and benchmark dose modeling, Toxicological Sciences 113 (2), 468-482) Akesson, B., Carnerup, M. A., and Jonsson, B. A. (2004). Evaluation of exposure biomarkers from percutaneous absorption of N-methyl-2-pyrrolidone. Scand. J. Work Environ. Health 30, 306– 312. Akesson, B., and Jonsson, B. A. (2000). Biological monitoring of N-methyl-2-pyrrolidone using 5hydroxy-N-methyl-2-pyrrolidone in plasma and urine as the biomarker. Scand. J. Work Environ. Health 26, 213–218. Akesson, B., and Paulsson, K. (1997). Experimental exposure of male volunteers to N-methyl-2pyrrolidone (NMP): Acute effects and pharmacokinetics of NMP in plasma and urine. Occup. Environ. Med. 54, 236–240. Bader, M., Keener, S. A., and Wrbitzky, R. (2005). Dermal absorption and urinary elimination of N-methyl-2-pyrrolidone. Int. Arch. Occup. Environ. Health 78, 673–676. Bader, M., and van Thriel, C. (2006). Human volunteer study on biomarkers of N-methyl-2pyrrolidone (NMP) after inhalation exposure. Report for the NMP Producers Group, Washington, DC. Bader, M., Wrbitzky, R., Blaszkewicz, M., Schaper, M., and van Thriel, C. (2008). Human volunteer study on the inhalational and dermal absorption of N-methyl-2-pyrrolidone (NMP) from the vapour phase. Arch. Toxicol. 82, 13–20. Bader, M., Wrbitzky, R., Blaszkewicz, M., and van Thriel, C. (2007). Human experimental exposure study on the uptake and urinary elimination of N-methyl-2-pyrrolidone (NMP) during simulated workplace conditions. Arch. Toxicol. 81, 335–346. Xiaofei, E., Wada, Y., Nozaki, J., Miyauchi, H., Tanaka, S., Seki, Y., and Koizumi, A. (2000). A linear pharmacokinetic model predicts usefulness of N-methyl-2-pyrrolidone (NMP) in plasma or urine as a biomarker for biological monitoring for NMP exposure. J. Occup. Health 42, 321–327. 5