Mode of action human relevance (species concordance) framework: Evolution of the Bradford Hill considerations and comparative analysis of weight of evidence

Meek, ME; Palermo, CM; Bachman, AN; North, CM; Lewis, RJ

HERO ID

3481690

Reference Type

Journal Article

Subtype

Review

Year

2014

Language

English

PMID

24777878

HERO ID 3481690
Material Type Review
In Press No
Year 2014
Title Mode of action human relevance (species concordance) framework: Evolution of the Bradford Hill considerations and comparative analysis of weight of evidence
Authors Meek, ME; Palermo, CM; Bachman, AN; North, CM; Lewis, RJ
Journal Journal of Applied Toxicology
Volume 34
Issue 6
Page Numbers 595-606
Abstract The mode of action human relevance (MOA/HR) framework increases transparency in systematically considering data on MOA for end (adverse) effects and their relevance to humans. This framework continues to evolve as experience increases in its application. Though the MOA/HR framework is not designed to address the question of "how much information is enough" to support a hypothesized MOA in animals or its relevance to humans, its organizing construct has potential value in considering relative weight of evidence (WOE) among different cases and hypothesized MOA(s). This context is explored based on MOA analyses in published assessments to illustrate the relative extent of supporting data and their implications for dose-response analysis and involved comparisons for chemical assessments on trichloropropane, and carbon tetrachloride with several hypothesized MOA(s) for cancer. The WOE for each hypothesized MOA was summarized in narrative tables based on comparison and contrast of the extent and nature of the supporting database versus potentially inconsistent or missing information. The comparison was based on evolved Bradford Hill considerations rank ordered to reflect their relative contribution to WOE determinations of MOA taking into account increasing experience in their application internationally. This clarification of considerations for WOE determinations as a basis for comparative analysis is anticipated to contribute to increasing consistency in the application of MOA/HR analysis and potentially, transparency in separating science judgment from public policy considerations in regulatory risk assessment.
Doi 10.1002/jat.2984
Pmid 24777878
Wosid WOS:000334955100002
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword mode of action; human relevance framework; evolved Bradford Hill considerations; key events; weight of evidence