Chapter
5
Beyond animal testing – developing and using non-animal
methods
print
It is widely accepted throughout Europe that the testing of
cosmetics products and ingredients on animals must end, but
there are differences of opinion as to how and when this should
happen.
COLIPA, the European Cosmetic, Toiletry and Perfumery Association,
states that “animal testing on finished products has come
to an end” . However, OneVoice discovered disturbing evidence
to the contrary in an undercover investigation in a French laboratory,
which took place during 1999-2000. The contract testing laboratory
appeared to be testing finished cosmetic products, such as face
creams and moisturisers, on animals (see Chapter 2).
An ethical stance
The European Parliament and the European public take the view
that animal testing for cosmetics is ethically unacceptable
and should stop – whether or not there are currently enough
non-animal methods to replace animal tests. This view is also
supported by OneVoice and by the European Coalition to End Animal
Experiments.
This approach is pragmatic because the European inventory of
cosmetics ingredients already contains 8 400 substances with
a long history of use in cosmetics and which are generally accepted
as safe. Novel combinations of these existing ingredients would
enable many thousands of new products to be developed, without
any risk to consumer safety – a key concern of the Commission’s
DG Health and Consumer Protection.
In fact, Britain and the Netherlands have already ended the
testing of cosmetics products and ingredients on animals, and
Austria and Germany have partial bans.
COLIPA argues against this ethical approach, and instead supports
an end to tests on animals only when these can be replaced by
validated non-animal methods. Of course, Directive 86/609/EEC
which protects laboratory animals, does not permit animal tests
to be conducted when non-animal methods are available. So COLIPA’s
position is nothing more advanced than legislation requires.
The legislative situation
The seventh amendment to the EU Cosmetics Directive 76/768/EEC
, agreed in 2003, has introduced deadlines for implementing
marketing bans for cosmetics containing animal-tested ingredients,
as well as a deadline for an animal testing ban within EU member
states.
The seventh amendment states that, by 2009, no further animal
testing of cosmetics ingredients shall be conducted in the EU
for the purposes of the Cosmetics Directive. This is regardless
of the status of alternative, non-animal testing methods.
As of September 2004, there will be an EU marketing ban on cosmetics
containing animal-tested ingredients, if EU-validated non-animal
testing methods exist. This partial ban would apply to products
from anywhere in the world.
In 2009, a further partial marketing ban will prohibit the sales
of cosmetics in the EU containing any ingredients tested on
animals, whether or not non-animal methods are available. The
ban applies to tests conducted anywhere in the world as long
as they are done for the purposes of the Cosmetics Directive.
Testing under the Dangerous Substances Directive or because
of the safety testing requirements of non-EU countries are unaffected
by the seventh amendment. Exceptions are for three types of
toxicity only: reproductive toxicity, toxicokinetics and repeat-dose
toxicity. Cosmetics containing ingredients tested on animals
for these three toxic endpoints can be marketed until 2013.
If non-animal methods have not been finalised by that time,
the deadline can be postponed yet again, by means of the EU
co-decision process.
The EU cosmetics testing and marketing bans should encourage
the cosmetics industry and its chemical suppliers to increase
their effort to find non-animal testing methods. However, the
bans will not affect the testing on animals of chemicals produced
mainly for other product categories, such as for industrial
or household purposes, which will continue to be regulated under
the dangerous substances legislation.
Thus it is likely that companies doing animal tests for chemicals
will simply re-classify their tests from the cosmetics category
into the dangerous substances category. This would provide a
smokescreen to hide a continuing use of animal tests for cosmetics
ingredients which would not appear as such in the EU statistics
of animal experiments. If companies perceive this to be in their
economic interests, they may not hesitate to evade EU restrictions.
OneVoice urges the French government, and other national authorities
throughout Europe, to advise laboratories that the re-classification
of animal tests to avoid the cosmetics testing ban would be
unacceptable and a betrayal of the will of the public.
In 2002 a leaked internal memo from the Procter and Gamble company
revealed the industry’s cynical view of animal suffering
and public opinion. The company, which markets brands such as
Max Factor, Vidal Sassoon, Camay soap, Hugo Boss fragrance and
Nice n’ Easy hair colours, has been lobbying behind the
scenes to postpone testing and marketing bans. The memo stated:
“It would be damaging to be seen as the company lobbying
to test on animals, against public opinion.” It revealed
that the company conducts most of its safety tests outside Europe
and thus expects to avoid the impact of the EU animal testing
ban, while still marketing its products in Europe.
Competitiveness
and trade disputes
COLIPA opposes a testing ban because it fears this would affect
the competitiveness of the industry in the global market, by
weakening the ability of European companies to ‘innovate’
and to market their products overseas. This assumes that product
innovation based on new combinations of the 8 400 existing ingredients
will not satisfy consumers, at least in the short term. COLIPA
says that the deadlines in the seventh amendment for developing
non-animal methods and banning animal tests are too close.
COLIPA also opposes an EU ban on the marketing of cosmetics
containing animal-tested ingredients, as it believes this would
risk a trade dispute with other sectors, such as Japan, the
USA or Canada. Some member states have agreed with this interpretation.
However, Member of the European Parliament Caroline Lucas and
others believe that a marketing ban could be defended under
the rules of the World Trade Organisation (WTO) and should be
pursued vigorously by the EU. Public concern about animal welfare
is one of the permitted general exceptions to free trade under
Article XX of the GATT 1994 . Together with an expression of
US public abhorrence for the trade in dog and cat fur, animal
health and welfare was a key argument used by the USA when it
banned the import and sale of these products in December 2000.
Other precedents for exceptions based on non-trade objectives
– such as the protection of people, animals and the environment
– have been set. They include the unofficial moratorium
since 1998 on approving genetically modified foods in the EU.
The USA has only recently asked the WTO to rule on whether that
was a breach of free trade rules.
In another relevant instance, at the WTO meeting in November
2001, trade ministers declared that intellectual property rights
(i.e. patents held by drug companies) should not stand in the
way of poor countries obtaining cheaper medicines. Finally,
in 2003, the WTO has agreed that poor nations may continue to
import cheap, generic versions of patented drugs to help fight
diseases such as AIDS and tuberculosis. This was described by
the director-general of the WTO as proof “that the organisation
can handle humanitarian as well as trade concerns” .
The UK-based BUAV has received high-level legal advice indicating
that WTO members may impose trade restrictions if the issue
is one of public morality (European polls consistently show
public opposition to animal testing for cosmetics) and it is
necessary to protect animal health (which is obviously damaged
by testing).
Despite the need for ethical issues, including animal protection,
to be dealt with justly under free trade agreements, the French
government and the European Federation for Cosmetics Ingredients,
representing the industry, have attempted to block the agreed
EU prohibitions on animal testing (see Chapter 6).
Of course, public opposition to animal testing is growing worldwide,
cosmetics industries in third countries (outside the EU) are
aware of the issues involved. Laboratories in these countries
are participating in the development and validation of non-animal
tests. Testing and marketing bans in Europe will send very strong
signals to those industries that they will need to change their
testing methods too if they want to market their products in
the EU.
The role of non-animal methods
One solution to the testing of cosmetics ingredients and to
potential trade disputes, is the rapid development of non-animal
methods to replace animal testing. The cosmetics industry –
under pressure from consumers and under the threat of a ban
– has probably done more than any other, except the pharmaceutical
industry, to develop non-animal methods. However, there is much
more that can and must be done. The chemical industry collectively
has made almost no contribution to funding or researching non-animal
tests. However, proposed changes to the EU chemicals strategy
(see Chapter 2) mean that there is now a two-fold pressure on
chemical companies to take positive action in this regard.
The development and validation of new, humane testing methods
will certainly take time and investment in the short term. But
the pay-off will be a full range of non-animal techniques, enabling
new and existing ingredients to be tested rapidly, reliably
and more cheaply for potential health effects. This will maintain
or enhance consumer and environmental protection, and will also
meet consumer demand that animals should not suffer for the
sake of cosmetics.
An added spin-off will be that other chemicals – such
as industrial chemicals, biocides, pesticides and pharmaceuticals
– can also be tested more quickly and cheaply using the
new, non-animal methods. This will save many millions of animals
from distressing and sometimes lethal tests. Finally, by investing
funds and expertise in developing computational methods and
in vitro techniques (cell culture, genomics, proteomics, instrumentation
etc.), the EU will benefit from new scientific knowledge and
skills in these technologies. The technologies have wide applicability
to important areas including medicine; thus the worldwide standing
and competitiveness of the EU and its member states in these
areas will be enhanced.
Non-animal testing methods
The European Commission has established a series of meetings
between stakeholders to discuss the timetable for developing
non-animal methods for the range of toxicity testing endpoints.
The European Centre for the Validation of Alternative Methods
(ECVAM) is playing a key role.
As discussed in Chapter 4, the data required by the Scientific
Committee on Cosmetics and Non-Food Products (SCCNFP) for a
cosmetic ingredient, under the Cosmetics Directive, can include:
1. Acute toxicity (if available) 5. Skin sensitisation &
photo-
2. Skin absorption sensitisation
3. Skin corrosion/irritation 6. Sub-chronic toxicity
4. Eye irritation 7. Mutagenicity/genotoxicity
If the chemical absorbs ultraviolet light:
8. Phototoxicity
9. Photomutagenicity/photogenotoxicity
10. Human data (if available)
And, if the ingredient is likely to enter the bloodstream in
significant amounts, through the skin or by mouth:
11. Toxicokinetics
12. Metabolism studies
13. Long-term toxicity studies (e.g. teratogenicity, reproductive
toxicity and carcinogenicity)
However, the SCCNFP claims that it takes a flexible approach
to testing and indeed it accepted in vitro results from skin
penetration studiers in advance of this method becoming an EU
guideline.
OneVoice recommends that the SCCNFP does not limit its acceptance
of test data only to non-animal tests which have received Europe-wide
regulatory approval, especially if this is delayed for bureaucratic
reasons. If the SCCNFP is convinced that a non-animal test method
is scientifically valid, it should not wait for EU agreement
(although it should facilitate such agreement).
There are already valid non-animal tests accepted by the SCCNFP
and listed in either the OECD or EU test guidelines, for providing
some of these data (see Table 1). Within the EU, if a non-animal
method is listed in the guidelines, it is mandatory to use it
in place of an equivalent animal test.
Table
1
Non-animal testing methods which are validated and approved
in the OECD and/or the European Union
Toxic
endpoint |
Non-animal
method |
OECD
and/or EU test guideline number* |
Skin
absorption |
Assay
using isolated skin fragments |
TG428 |
Skin
corrosion |
Human
reconstructed skin |
TG431,
B40 |
Skin
corrosion |
TER
assay |
TG430,
B40 |
Mutagenicity/genotoxicity |
Ames
test |
TG471,
B13/14 |
Mutagenicity/genotoxicity |
Gene
mutation in yeast |
TG480,
B15 |
Mutagenicity/genotoxicity |
Mitotic
recombination in yeast |
TG481,
B16 |
Mutagenicity/genotoxicity |
Mammalian
chromosome aberration test |
TG473,
B10 |
Mutagenicity/genotoxicity |
Mammalian
gene mutation test |
TG476,
B17 |
Mutagenicity/genotoxicity |
Unscheduled
DNA synthesis |
TG482,
B18 |
Mutagenicity/genotoxicity |
Sister
chromatid exchange |
TG479,
B19 |
Phototoxicity |
Neutral
red uptake assay |
TG432,
B41 |
Carcinogenicity |
Mammalian
cell transformation test |
B21 |
* A ‘TG’ number indicates an OECD test guideline.
A ‘B’ number indicates an EU test guideline in Annex
V of the Dangerous Substances Directive 67/548/EEC.
The
status of non-animal methods and priorities for research
Here, we review available non-animal testing methods for different
toxicities, and identify research which needs to be done as
a priority in order to replace animal experiments as soon as
possible.
The SCCNFP does not demand that animal tests are conducted specifically
to provide [1] acute toxicity data for cosmetics ingredients
. The data need only be provided where already available. For
many ingredients, the data will already exist especially if
the chemical has been approved under the Dangerous Substances
Directives. To determine acute toxicity without using animals,
a combination of tests is required:
– Results from in vitro skin absorption studies (see above)
and from in vitro gut absorption tests (widely used in the drug
industry), show whether there would be skin or oral absorption
of a chemical.
– If this is likely, studies of in vitro cell toxicity
(cytotoxicity) can be conducted. Two methods are undergoing
a joint European and US validation study during 2003, and result
should be available in 2004. These tests would identify chemicals
which are directly very toxic, or else non-toxic.
– Studying chemical metabolism in the test-tube, using
metabolic activity from human liver cells or genetically modified
cell cultures, can identify toxic metabolites. These tests are
widely used in the drug industry, and prevalidation studies
started in 2003.
– If necessary, more organ-specific tests can be conducted
in vitro to see if a chemical might damage the liver, brain
or kidneys. Methods for doing this are under development and
need resources for further development.
As Table 1 shows, a valid in vitro method exists for [2] skin
absorption. The SCCNFP has been accepting data from this method
for some years; it also accepts human data for skin absorption
which it considers as “ideal” . There are animal
tests for skin absorption but they have never been properly
validated.
No animal tests should now be conducted for [3] skin corrosion,
as in vitro methods have been validated and accepted. Two methods
for assessing [3] skin irritation in vitro will start a validation
study in 2003 and are expected to complete this successfully.
However, an international group of expert toxicologists has
already recommended that risk assessments for skin irritation
can be completed safely and effectively without any animal testing.
In addition to in vitro methods, in certain cases they propose
validated ethically-conducted human volunteer studies (patch
tests), and the SCCNFP agrees with this approach . Therefore
there is no justification for animal tests for skin irritation.
OECD guidelines already recommend a stepwise testing strategy
for [4] eye irritation, requiring an animal test only when a
chemical has tested negative through the non-animal stages,
such as physico-chemical properties, acid/alkaline properties,
etc. The EU test guideline also says that such data are useful.
Additionally, there are four well-established methods using
isolated animal tissues which can distinguish mild from severe
eye irritants without using living animals . Some of these methods
have regulatory approval at the national level, for example
in Germany, Belgium, Britain and the Netherlands.
In France, all four of these tests are accepted for positive
classification of severe eye irritants, and the neutral red
release assay and the agarose-diffusion assay are also accepted
for evaluating cosmetic products .
French representatives on the SCCNFP and in other EU fora should
urge the acceptance of data from these methods throughout the
EU. Irritant chemicals should not be tested on rabbits in France,
where alternatives have been accepted as valid for distinguishing
mild from severe irritants.
Finally, there are a number of candidate in vitro tests which
could classify non-irritants. These tests should be prioritised
for rapid development and validation, and then speedy regulatory
acceptance by the European Commission.
There are as yet no fully validated non-animal methods to assess
chemicals for [5] skin sensitisation. However, skin sensitisation
cannot occur unless a chemical can both penetrate the skin and
bind to proteins. There is an OECD-accepted method for in vitro
skin absorption (Table 1, above), and protein binding is reliably
measurable in the test tube. COLIPA considers protein-binding
to be a useful in-house method for hazard identification . There
are also computer systems which can predict skin sensitisation
on the basis of chemical structure, and these will be undergoing
validation within the next year or two. Therefore, many chemical
ingredients could be classified as non-sensitisers or likely
sensitisers, on the basis of these three approaches.
Additionally, cell-based tests are being developed to predict
sensitisation, and L’Oréal has done considerable
research in this area. ECVAM envisages these tests as being
technically ready to complete validation studies by about 2006.
The SCCNFP accepts results from skin sensitisation studies in
volunteers. While not actually recommending that human studies
be undertaken, the SCCNFP points out that human testing is advantageous
because species differences in reactions are thus avoided .
For all these reasons, testing for sensitisation could be conducted
for many cosmetics ingredients or products without animal experiments
even today; and certainly by 2006.
The SCCNFP states that certain new cosmetics ingredients (such
as preservatives, colourings or ultraviolet filters) should
be tested for [6] sub-chronic toxicity (repeat-dose toxicity)
in animals, even if they are exempted under the Dangerous Substances
Directives (for example because the chemical is manufactured
only in small quantities). Sub-chronic toxicity tests involve
daily dosing of animals over a period of 28 or 90 days (see
Chapter 4). The SCCNFP does not explain why such tests should
be necessary if the ingredients do not penetrate the skin and
are not likely to be swallowed or absorbed into the bloodstream.
Both of these properties can be assessed without using animals
(see under Acute toxicity, above).
The seventh amendment to the Cosmetics Directive has postponed
a marketing ban on cosmetics containing ingredients tested on
animals for repeat-dose toxicity. The envisaged date for such
a ban is 2013.
In vitro methods for testing repeat-dose (e.g. sub-chronic)
toxicity are not yet fully developed or validated, but research
shows that they can be achieved. The slow progress reflects
a lack of research effort and investment rather than insurmountable
technical difficulties. Organ-specific tests can also be conducted
in vitro to see if a chemical might damage the liver, brain
or kidneys. Again, methods for doing this are under development
and need resources for more rapid progress.
This work should be prioritised so that companies will be able
to introduce safe, novel ingredients in due course. But there
is no reason to permit animal testing to continue in the meantime,
because new products can be created safely using the inventory
of
8 400 existing ingredients.
Regarding [7] mutagenicity/genotoxicity, despite the good range
of OECD- and EU-accepted in vitro methods it has been customary
under the Dangerous Substances Directives to further test chemicals
with positive results in animal studies. The SCCNFP says in
its Notes of Guidance that two in vitro assays generally provide
“…sufficient evidence of mutagenic and/or genotoxic
potential”, but then adds that animal tests can be conducted
to confirm “…a mutagenic activity already observed
in vitro”.
This practice of re-testing a positive chemical in animals is
not ethically supportable. If an ingredient has two positive
results from the standard in vitro tests (usually the Ames reverse
mutation test and the mammalian chromosome aberration test),
it should be classified as a mutagen or genotoxic carcinogen
without making animals suffer in further tests. Two negatives
indicate that the chemical is not a mutagen or genotoxic carcinogen.
If necessary, results can be clarified by varying the conditions
of the assays (e.g. further studies of metabolism) or by conducting
additional in vitro tests.
For chemicals which absorb ultraviolet light, a cell-based technique
for measuring [8] phototoxicity (photo-irritancy) is accepted
in the OECD and the EU guidelines, and therefore under Directive
86/609/EEC, animal tests should not be performed for this endpoint.
Anyway, animal tests for this purpose have not been validated.
Also needed only for ultraviolet-light-absorbing chemicals,
[9] photo-mutagenicity/photo-genotoxicity tests in vitro are
accepted by the SCCNFP. Recommended are the Ames test plus the
cell test for chromosome aberrations, conducted with and without
ultraviolet light.
In their Notes of Guidance, the SCCNFP provide details of situations
in which [10] human studies can be conducted. These include
patch tests for skin irritancy (Annex 11) and compatibility
testing for cosmetics products (Annex 12). The SCCNFP also accepts
data from skin sensitisation studies in volunteers (although
it stops short of recommending such tests), pointing out that
human testing avoids the problem of species differences in reactions
(Annex 13).
If a cosmetics ingredient is likely to be ingested or absorbed
through the skin in significant amounts, the SCCNFP expects
[11] toxicokinetic studies and [12] metabolism studies to be
conducted. These are aimed at understanding the absorption,
distribution, metabolism and excretion of a chemical. The in
vitro skin absorption test is in the OECD test guidelines, as
discussed above. Gut absorption assessed by means of human cell
cultures has been very widely used by the pharmaceutical industry
and by academic researchers.
Computer models called physiologically-based biokinetic (PBBK)
models have been developed to predict the distribution of chemicals
within the body, and how they are excreted . These are based
on knowledge of the chemical itself, on test-tube data and on
the known physiological features of the human body. These computational
systems could be validated by 2007.
Regarding metabolism, according to ECVAM the best in vitro methods
use either enzyme activity in human liver cells, or genetically
modified cell lines. A prevalidation study on these techniques
started in 2003. If necessary funds and expertise are provided,
validation should be completed by 2007.
If a cosmetics ingredient might be absorbed into the body in
substantial amounts, the SCCNFP may want to see information
from [13] long-term toxicity tests. These could include carcinogenicity,
fertility and reproductive studies.
The embryonic stem cell test in vitro has been validated by
ECVAM as suitable for identifying chemicals which cause embryo
damage (teratogenicity). This test should be incorporated into
regulatory guidelines without delay. Effects of chemicals on
fertility can be screened by studying sperm and other germ cells
in the test tube. These methods need final development and validation.
Meanwhile, the complex area of fertility and reproductive toxicity
needs more research and development, which should aim to produce
results within five or six years at the maximum. This work should
be prioritised so that companies will be able to introduce safe,
novel ingredients in due course. But there is no reason to permit
animal testing to continue in the meantime, because new products
can be created safely using existing ingredients.
Genotoxic carcinogens have already been identified by tests
described above (see item [7]). Non-genotoxic carcinogens act
by a range of processes not directly affecting the genes or
chromosomes. Mammalian cell transformation assays are already
in the EU guidelines (B21) but, although widely used to study
carcinogenesis, they have not yet received international regulatory
support. The cell tests are very much quicker and cheaper to
perform than equivalent animal tests, and do not cause animal
suffering.
A guideline for these assays is under development at the OECD
and finalisation of this should be rapidly progressed, with
support from French representatives at the OECD.
As novel products can be created from the existing inventory
of ingredients accepted as safe, the suffering involved in animal
testing could be ended today without jeopardising public safety.
However, the cosmetics industry is dissatisfied with this ethical
approach. The seventh amendment to the Cosmetics Directive has
made the proposed deadlines for marketing bans dependent on
the availability of non-animal testing methods.
Since the industry and the EU have insisted on allowing animals
to continue suffering in the name of vanity, they bear the responsibility
for putting maximum financial and human resources into developing
and validating non-animal testing methods. Moreover, at the
OECD, the European Commission and EU member states must actively
lobby other member countries of the OECD to accept, without
delay, the results of validated new methods so that these replace
animal tests around the world.
31 - According to COLIPA’s website
<www.colipa.com> on 20 June 2003.
32 - Council Directive 86/609/EEC on the approximation of laws,
regulations and administrative provisions of the member states
regarding the protection of animals used for experimental and
other scientific purposes. Official Journal L 358, 24.11.1986.
33 - Directive 2003/15/EC. Official Journal L 66, 11.3.2003, p.
26.
34 - Council Directive 76/768/EEC on the approximation of the
laws of the Member States relating to cosmetic products. Official
Journal L 262, 27.7.1976, p. 169-200.
35 - Many chemicals are produced for multiple purposes, e.g. for
use in cosmetics or industry or in household products. These are
not regulated by the Cosmetics Directive but must be tested according
to Annex V of the Dangerous Substances Directive 67/548/EEC, Official
Journal 196, 16.8.1967, p. 1-98.
36 - Toxicokinetics describes the absorption, metabolism, distribution
and excretion of a chemical by the body.
37 - The General Agreements on Tariffs and Trade.
38 - Anon. (2003). Red tape won’t help the medicine go down.
New Scientist. 6 September, p5.
39 - Skin allergy.
40 - nIn animals, this is a repeat-dosing test which lasts for
90 days.
41 - Light-induced skin irritation or skin sensitisation.
42 - OECD: the Organisation for Economic Co-operation and Development,
which establishes agreed chemical testing guidelines for member
countries worldwide.
43 - SCCNFP (2000). Notes of Guidance for Testing of Cosmetics
Ingredients for their Safety Evaluation.
44 - SCCNFP (2000). Notes of Guidance for Testing of Cosmetics
Ingredients for their Safety Evaluation.
45 - Robinson MK et al (2002). Non-animal testing strategies for
assessment of skin corrosion and skin irritation potential of
ingredients and finished products. Food & Chemical Toxicology
40:573-592.
46 - SCCNFP (2000). Notes of Guidance for Testing of Cosmetics
Ingredients for their Safety Evaluation. Annex 11.
47 - The methods are the hen’s egg test; the bovine cornea
opacity and permeability test; the isolated rabbit eye test; and
the isolated chicken eye test.
48 - Balls, M & Worth, A (2002). Alternative (non-animal)
methods for chemicals testing: current status and future prospects.
ATLA 30(suppl.1): 42-43.
49 - Such as the fluorescein leakage test, EpiOcular and the neutral
red release assay.
50 - According to COLIPA’s website <www.colipa.com>,
20 June 2003.
51 - Such as reconstructed human skin models, dendritic cell cultures
and microarray transcript profiling. See: Kimber, I et al (2001).
Alternative approaches to the identification and characterization
of chemical allergens. Toxicology in Vitro 15:307-312.
52 - SCCNFP (2000). Notes of Guidance for Testing of Cosmetics
Ingredients for their Safety Evaluation. Annex 13.
53 - SCCNFP (2000). Notes of Guidance for Testing of Cosmetics
Ingredients for their Safety Evaluation.
54 - Government/ResearchCouncils Initiative on Risk Assessment
and Toxicology (1999). Physiologically-based pharmacokinetic modelling:
a potential tool for risk assessment. Publ. by The Institute for
Environmental Health, UK.
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