TRICHLORFON

Overview

Chemical Names
DIMETHYL (2,2,2-TRICHLORO-1-HYDROXYETHYL)PHOSPHONATE
Synonyms
METRIFONATE
Functional Class
Veterinary Drug
INSECTICIDE

Evaluations

Evaluation year: 2006

ADI:
0-2 µg/kg bw

Comments:
The 60th & 66th Committees reviewed further information on trichlorfon's pharmacokinetics and genotoxic, reproductive and developmental toxicity, and neurotoxicity. The information did not provide evidence that any of these effects was more sensitive than inhibition of acetylcholinesterase activity, and the Committee concluded that inhibition of acetylcholinesterase is the most relevant end-point for establishing an ADI. The 54th Committee meeting established the ADI for trichlorfon on the basis of a NOEL of 0.2 mg/kg bw/d in a clinical study with Alzheimer disease patients. In this study, the volunteers were given a loading dose of 0.5 mg/kg/d for 2 weeks, followed by a maintenance dose of 0.2 mg/kg/d for 8 weeks. The 54th Committee meeting concluded that the maintenance dose had not significantly enhanced the inhibition of erythrocyte cholinesterase activity established in patients by the loading dose and concluded that the maintenance dose was the NOEL. Because the NOEL was derived from a human study, a safety factor of 10 was applied to the NOEL to derive the ADI. The 60th Committee re-examined the basis on which it had established the ADI and concluded that the dose previously identified as the NOEL was more appropriately considered a LOEL. Furthermore, the Committee recalled that a clear NOEL of 0.2 mg/kg/d for inhibition of erythrocyte cholinesterase activity was established in a 10-year study of toxicity in monkeys treated orally. If that study had been selected as the basis for setting the ADI, a safety factor of 100 would have been applied, resulting in an ADI of 0–2 μg/kg bw. The 60th Committee concluded that an ADI could be derived from the human study by applying an additional factor of 10 to this LOEL such that the amended ADI is 0–2 μg/kg bw. The present Committee concluded that deriving ADIs from studies in diseased human populations, where such data are available, likely represents a worst-case scenario for establishing ADIs. Available data indicate that the pharmacokinetics of trichlorfon were not appreciably different between the study population and healthy subjects. The present Committee confirmed the ADI of 0-2 µg/kg bw for trichlorfon previously established by the 60th Committee.
MRL Comment:
The MRLs recommended by the 60th Committee were not reconsidered and were maintained. MRLs (expressed as trichlorfon, in µg/kg tissue, µg/l milk): Muscle, liver, kidney, fat and milk (cattle): 50. At the fifty-fourth meeting, the Committee noted that the concentrations of residues were very low in muscle, liver, kidney and fat. These MRLs are for guidance only and are based on the limit of quantification of the analytical method.
Intake:
TMDI 75 µg/p/d (62% of ADI)
Meeting:
66

Toxicological study

Pivotal Study:
Prospective, double-blind, randomized study (Cummings et al., 1998): Patients with Alzheimer disease (119-121/group) received oral doses of placebo or trichlorfon once daily. An initial loading dose of 0, 0.5, 0.9, or 2.0 mg/kg bw/d was given during weeks 0-2 in order to achieve steady-state inhibition of cholinesterase activity more quickly, followed during weeks 3-10 by a dose of 0, 0.2, 0.3, or 0.65 mg/kg bw/d. The intermediate and high doses were found to improve cognitive function, but the low dose had equivocal effects. Abdominal pain, diarrhoea, flatulence, nausea, and leg cramps were most severe in high-dose patients. Dose-responsive erythrocyte acetylcholinesterase activity inhibition was noted at 0.5 mg/kg bw/d for 2 weeks; 0.2 mg/kg bw/d for 10 weeks maintained the inhibition. The Committee therefore considered the 0.2 mg/kg bw/d dose the study LOEL. .
Animal Specie:
Human
Effect:
Inhibition of acetylcholinesterase activity
LOEL:
0.2 mg/kg bw per day
Point of departure:
0.2 mg/kg bw per day
Previous Years:
2003, TRS 918-JECFA 60/26, FNP 41/13-JECFA 54/103 (2000), FAS 51-JECFA 60/31. 0-2 µg/kg bw. The MRLs recommended at the fifty-fourth meeting (2000) were not reconsidered at the sixtieth meeting (2003). MRLs (expressed as trichlorfon, in µg/kg tissue, µg/l
2003, TRS 918-JECFA 60/26, FNP 41/13-JECFA 54/103 (2000), FAS 51-JECFA 60/31. 0-2 µg/kg bw. The MRLs recommended at the fifty-fourth meeting (2000) were not reconsidered at the sixtieth meeting (2003). MRLs (expressed as trichlorfon, in µg/kg tissue, µg/l