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. 2004 Nov;94(11):1908–1916. doi: 10.2105/ajph.94.11.1908

TABLE 2—

Human Testing of Pesticides, Study Objectives, and Additional Design Considerations

Pesticide Study Objectives Variables Measured (including data not specified in study objectives) Statistical Test Applied to Variable Findings, Conclusion(s)
Aldicarb Determine general tolerance to various doses Vital signs, pulmonary function, salivation, pupil size, ECG, clinical signs (nausea, vomiting, sweating, diarrhea, abdominal cramps, slurred speech) ANCOVA for bolded items at left, none specified for others 45% reduction in AChE at highest dose, “clinical no effect level . . . is . . . 0.05 mg/kg”11
Determine effect on plasma and RBC AChE Plasma and RBC AChE ANCOVA
Dichlorvos, single dose Assess effect on RBC AChE RBC AChE Paired t test pre vs post dose means Significant effect at day 5,6, and 14 in group analysis. Five of 6 had significant effect on individual analysis
Symptoms reported by volunteers None specified NOEL established at 70 mg (approximately 1 mg/kg).
Dichlorvos, 7 mg daily for 21 days Assess effect on RBC AChE RBC AChE Repeated measures ANOVA Significant reduction on all dates after 10 days of dosing.
Symptoms reported by volunteers None specified “Results from this study can unequivocally establish a NOEL at 7 mg dichlorvos per day . . . following repeat administration for 21 days.”6
Dichlorvos, 2 phase Assess effect on RBC AChE after single and multiple doses RBC AChE Paired t test pre vs post dose means 2 of 6 subjects withdrawn because of AChE depressions, 2 more met withdrawal criteria on last day. Significant reductions in AChE from day 5–33 after 15 days of dosing.
Symptom form completed by volunteer None specified “NOEL established at or close to 21 mg . . . approximately 0.3 mg/kg . . .”5
Azinphos methyl Establish recommended daily intake for chronic dietary exposure None None specified
Determine NOEL for plasma and RBC AChE Plasma and RBC AChE Repeated measures ANOVA, paired t placebo vs agent at each time Significant increase in inhibition (paired t) at 4 of 24 time points for plasma AChE and 2 of 24 time points for RBC AchE.a
Conduct risk assessment and obtain information for biological monitoring Adverse events coded using World Health Organization terminology None specified Repeat doses of 0.25 mg/kg were safe
Chlorpyrifos Determine NOEL for RBC AChE RBC AChE ANOVA NOEL for signs and symptoms was 2.0 mg/kg body weight
Signs and symptoms coded using COSTART Adverse Event Dictionary, 5th Edition None specified

Note. ANCOVA = analysis of covariance; ANOVA = analysis of variance; NOEL = no observable effect level; RBC = red blood cell; AChE = acetylcholinesterase; ECG = electrocardiogram.

aFor each of the 22 time points, the azinphos methyl group had greater inhibition of plasma AChE than placebo; data not analyzed or commented on by investigators. For RBC AChE, 6 of the 12 values were higher.