INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY WORLD HEALTH ORGANIZATION TOXICOLOGICAL EVALUATION OF CERTAIN VETERINARY DRUG RESIDUES IN FOOD WHO FOOD ADDITIVES SERIES 41 Prepared by: The 50th meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA) World Health Organization, Geneva 1998 IMIDOCARB First draft prepared by Dr E.A.M. Good Veterinary Medicines Directorate Addlestone, Surrey, United Kingdom 1 Explanation 2. Biological data 2.1 Biochemical aspects 2.1.1 Absorption, distribution, and excretion 2.1.2 Biotransformation 2.2 Toxicological studies 2.2.1 Acute toxicity 2.2.2 Short term toxicity 2.2.3 Long-term toxicity and carcinogenicity 2.2.4 Genotoxicity 2.2.5 Reproductive toxicity 2.2.6 Special studies to investigate serum prolactin concentrations 2.2.7 Special studies on microbiological activity 2.2.8 Special studies on pharmacodynamic effects 2.3 Observations in humans 3. Comments 4. Evaluation 5. References 1. EXPLANATION Imidocarb is a carbanilide derivative that has been used for more than 20 years for the treatment of certain protozoal diseases, including babesiosis and anaplasmosis, in cattle, horses, sheep, and dogs. Imidocarb has not previously been reviewed by the Committee. The chemical name of imidocarb is N,N'-bis[3-(4,5-dihydro-1 H-imidazol-2-yl)phenylurea. The structure of imidocarb is shown in Figure 1. Most of the biological and toxicological studies that are reviewed below were carried out using imidocarb dipropionate with a purity close to 100%.2. BIOLOGICAL DATA 2.1 Biochemical aspects 2.1.1 Absorption, distribution, and excretion Studies in mice, rats, dogs, monkeys, and cattle have been reported. Most of them were carried out during the 1960s and 1970s according to the standards of those days, and important details are missing from some of the reports. In contrast, the study in cattle was certified for compliance with GLP. Mice Mice were injected into the tail vein with of 1 mg/kg bw imidocarb dihydrochloride radiolabelled with 14C in the carbonyl group. No radiolabel was detected in expired air. Excretion in the urine was initially very rapid but quickly slowed and continued throughout the observation period of 96 h. Faecal excretion followed a similar pattern. Of the recovered radiolabel (90% of the administered dose), about two-thirds was found in the urine and one-third in the faeces (Wander, 1968a). Rats Wistar rats were dosed orally with 14C-imidocarb dipropionate or 14C-imidocarb dihydrochloride and killed at various intervals up to 48 h after treatment. Another rat was dosed subcutaneously with the hydrochloride. Whole-body autoradiography indicated poor oral absorption of both salts, and radiolabel was detectable only in the liver, kidney, and gut. After subcutaneous treatment, a significant amount of radiolabel remained at the injection site (Farebrother, 1973). In another study with various dose regimes and routes of administration (oral, intraperitoneal, subcutaneous), the highest concentrations of residues were found in the liver and kidney. Residues were still detectable in these organs 55 days after subcutaneous treatment with 5 mg/kg bw of the test substance. Excretion was slow in rats treated subcutaneously, and only 20% of the administered dose was recovered in excreta during the 78 h of treatment (Nimmo-Smith, 1968). In a preliminary study to investigate tissue retention, Wistar rats were given either a single oral dose or 30 daily oral doses of 5 mg/kg bw imidocarb dipropionate. The rats were killed 24 h after the last dose, and residues in selected tissues were determined by an unspecified analytical method. The highest concentrations were found in kidney; surprisingly, the concentrations in liver and brain were higher after the single-dose regime (Thomson, 1975a). Dogs Male beagle dogs were given daily oral doses of 5 mg/kg bw imidocarb dipropionate for 30 days and killed 24 h after the last dose. The residues were determined in selected tissues by an unspecified method. The highest concentrations were found in liver and then in kidney; no residues were detected in muscle or brain (< 500 µg/kg) (Chesher et al., 1976). In another study, mongrel dogs were given an intravenous bolus of 4 mg/kg bw of imidocarb dipropionate. The pharmacokinetics were biphasic and indicated a large volume of distribution. The mean terminal half-life was 207 min (Salam & Baggot, 1983). Monkeys Female patas monkeys were given daily oral doses of 5 mg/kg bw imidocarb dipropionate for 30 days and were killed some time after the last dose (probably 24 h, although this is not stated). The residues were determined in selected tissues by an unspecified method. The highest concentrations were found in kidney and liver; none were detected in muscle or brain (limit of detection, 500 µg/kg) (Thomson, 1975b). Cattle In a study which complied with the principles of GLP, six lactating cows and eight calves were given a single subcutaneous injection of 3 mg/kg bw 14C-imidocarb dipropionate with a specific activity of 22 mCi/g. The test substance was formulated as the proprietary product Imizol Injection. A mean peak blood concentration of 1300 µg-equivalents/kg was attained 1 h after treatment, and the concentration remained at this level for about 4 h, when 72œ91% of the radiolabel was bound to plasma proteins. Excretion was very slow: over the first 10 days, only 53% of the dose was recovered in excreta, with 38% in the faeces and 15% in the urine. The residues in tissues were very persistent, particularly in liver where mean residues of 2200 µg-equivalents/kg were found 90 days after treatment (Ferguson, 1996). 2.1.2 Biotransformation In bovine liver preparations in vitro, there was no evidence for metabolism of imidocarb (Coldham et al., 1995). Mice Mice injected with 14C-imidocarb into the tail vein excreted 37% of the administered dose in the urine within 2 h. Of the radiolabel in the urine, 95% was unmetabolized imidocarb. The mice were killed 3.5 h after treatment, and 29% of the dose was found in the liver, 6.8% in the kidney, and less than 1% in the gall-bladder. More than 90% of the radiolabel in these organs was unmetabolized imidocarb (Wander, 1968b). Cattle In the study described above in which cattle were treated subcutaneously, the main component of the residues in liver, kidney, muscle, and fat for up to 90 days after treatment was unmetabolized imidocarb. Minor components, accounting for not more than 10% of the total residues, were also present but were not identified. Imidicarb was also the major component of cows' milk, urine, and faeces (Ferguson, 1996). 2.2 Toxicological studies 2.2.1 Acute toxicity The results of studies of the acute toxicity of imidocarb are summarized in Table 1. None of the studies complied with GLP, and the reports fall short of modern standards. The signs of toxicity were generally consistent with the anticholinesterase activity of imidocarb and included lethargy, salivation, lachrymation, muscle fasciculation, ataxia, tremors, and convulsions. Congestion of the lung and kidneys and mottling of the liver were frequent post-mortem findings in the rats that died. In a published report, the signs of toxicity in groups of goats given a single intramuscular dose in the range 12-24 mg/kg bw included salivation, frequent urination and defaecation, weakness of the legs, abnormal posture, and recumbency. There were dose-related decreases in haemoglobin and erythrocyte counts and packed cell volume and dose-related increases in asparate aminotransferase activity and in creatinine and bilirubin concentrations. Serum cholinesterase activity was reduced in a dose-related manner. No significant effects were observed at 6 mg/kg bw. The effects were ameliorated by pretreatment with atropine sulfate intramuscularly at a dose of 1 mg per animal (Ali et al., 1985). Whole-blood cholinesterase activity was significantly reduced in calves given an intramuscular injection of 3.3 mg/kg bw imidocarb dipropionate. Maximum depression occurred about 30 min after treatment, and significant recovery was observed within 6 h. The cholinesterase depression did not correlate with the intensity of the clinical response (Michell et al., 1986). 2.2.2 Short-term toxicity Mice A study in mice, intended as a range-finding probe for a study of dominant lethal mutations, was not carried out in accordance with GLP. Groups of six male Evans No. 1 mice were given daily intramuscular doses of 0 (distilled water), 7.8, 16, 31, 63, or 130 mg/kg bw per day of imidocarb dipropionate (expressed as base) for five days. Signs of toxicity were recorded for up to 14 days after the last dose. No blood chemistry or pathological examinations were carried out. All of the Table 1. Results of studies of acute toxicity with imidocarb Species Route Vehicle Sex LD50 Salt Reference (strain) (mg/kg bw) administered Mouse (ICR) Oral gavage Sterile distilled water M 723a Dipropionate Szot (1973) Mouse (ICR) Oral gavage Sterile distilled water F 646a Dipropionate Szot (1973) Mouse (SAS) Oral gavage 0.9% saline F 544a Dihydrochloride Follenfant & Green (1971a) Mouse (SAS) Oral gavage 0.9% saline F 863a Diacetate Follenfant & Green (1971a) Mouse (SAS) Oral gavage 0.9% saline F 702a Dipropionate Follenfant & Green (1971a) Mouse (Gambles) Oral gavage 0.9% saline M 1400 Dihydrochloride Green & Hughes (1969) Rat (Wistar) Oral gavage 0.9% saline F 1500 Dihydrochloride Green & Hughes (1969) Rat (Wistar) Oral gavage 0.9% saline M 1652a Dihydrochloride Follenfant & Green (1971a) Rat (Wistar) Oral gavage 0.9% saline M 1216a Diacetate Follenfant & Green (1971a) Rat (Wistar) Oral gavage 0.9% saline M 1251a Dipropionate Follenfant & Green (1971a) Rat (Long Evans) Oral gavage Sterile distilled water M 454a Dipropionate Szot (1973) Rat (Long Evans) Oral gavage Sterile distilled water F 650a Dipropionate Szot (1973) Rabbit (New Zealand Oral gavage Water M + F 317 Dipropionate (27% Piercy & James (1975) white) aqueous solution) Rat (Long Evans) Intravenous 0.9% saline M 32.7a Dipropionate Szot (1973) Mouse (ICR) Intravenous 0.9% saline M 22.3a Dipropionate Szot (1973) Mouse (Gambles) Intravenous 0.9% saline M 16 Hydrochloride Green & Hughes (1969) Mouse (SAS) Subcutaneous 0.9% saline F 78.6a Dihydrochloride Follenfant & Green (1971b) Mouse (SAS) Subcutaneous 0.9% saline F 94.5a Diacetate Follenfant & Green (1971b) Mouse (SAS) Subcutaneous 0.9% saline F 92.1a Dipropionate Follenfant & Green (1971b) Mouse (Gambles) Subcutaneous 0.9% saline M 140 Hydrochloride Green & Hughes (1969) Rat (Wistar) Subcutaneous 0.9% saline F 150 Hydrochloride Green & Hughes (1969) Rat (Sprague-Dawley) Oral gavage Water F > 631a Dipropionate (10% Harper et al. (1997a) aqueous solution) Rat (Sprague-Dawley) Oral gavage Water M > 1000a Dipropionate (10% Harper et al. (1997b) aqueous solution) Rat (Sprague-Dawley) Oral gavage Water F 1011.5a Dipropionate (10% Harper et al. (1997c) aqueous solution) Rat (Sprague-Dawley) Oral gavage Water M 1998a Dipropionate (10% Harper et al. (1997d) aqueous solution) a The LD50 values found in these studies are for the base. In the remaining studies, the results are believed to be quoted as the salt, although this is not clear from the report in all cases. animals at 63 and 130 mg/kg bw and 50% of those at 31 mg/kg bw died three to four days after the start of treatment. The signs of toxicity were slow respiration and lethargy. There was no NOEL (Harper & James, 1977). Rats In a preliminary study designed primarily to investigate distribution in tissues, groups of five female Wistar rats were given either a single oral dose of 5 mg/kg bw imidocarb dipropionate dissolved in distilled water, or daily oral doses of 5 mg/kg bw per day for 30 days. Five additional rats formed a control group. Blood samples were taken for haematological and clinical chemical testing, and electrocardiographic, ophthalmoscopic, and urinary measurements were made before treatment and at termination; no histopathological examination was performed. The rats were killed 24 h after the last dose, and residues were determined in selected tissues. There were no treatment-related effects on most of the parameters investigated. The significant changes in blood parameters included increased total leukocyte counts in the treated group; however, the toxicological significance of these effects is doubtful since satisfactory blood samples were obtained from only three treated rats (Thomson, 1975a). In a study that did not conform to GLP, groups of 10 Wistar rats of each sex were given daily oral doses of imidocarb dihydrochloride for three months. The study was carried out in two phases. In phase 1, the doses were 0 (distilled water), 125, 250, or 500 mg/kg bw per day; in phase 2, the doses were 0, 500, 750, or 1500 mg/kg bw per day. It was not clear whether the doses were expressed as the hydrochloride or as the the base, and the solutions were not analysed. The rats were weighed and examined daily. Blood samples for haematological and clinical chemical determinations were taken just before termination. Urinalysis was not carried out. All rats given 1500 mg/kg bw died. The body-weight gain of all treated rats was significantly lower than that of controls in phase 2. There were no significant changes in haematological or clinical chemical values, but changes were seen in the weights of a number of organs in animals at 500 or 750 mg/kg bw, including a significant reduction in absolute (but not relative) prostate weight, increased relative adrenal and thyroid weights in males, and increased relative adrenal weight in females. Pathological changes described as cloudy swelling were reported in the livers of 5/9 male and 7/10 female rats given 125 mg/kg bw and in all males and 6/10 females given 250 mg/kg bw, but in none of the controls. The lesion was reported to be reversible, but no evidence was provided. No histopathological examinations were carried out on rats at 500 or 750 mg/kg bw. No NOEL was identified (Bushby, 1970). Groups of Charles River rats were fed diets containing 0, 630, 1900, or 9400 mg/kg imidocarb dipropionate for up to 90 days, according to the schedule shown in Table 2. The purpose was to identify the appropriate doses for a long-term study of toxicity. The study did not comply with the principles of GLP. The animals were checked daily for deaths, and body weight and food consumption were recorded weekly. Haematological and clinical chemical determinations were carried out on five rats of each sex per dose before treatment and during weeks 4 and 13. Five rats of each sex from the control group and those at the highest dose were killed after seven weeks and the remaining rats after 13 weeks. At both 7 and 13 weeks, acetylcholinesterase activity was measured in one-half of the brain of each of five rats of each sex in the control group and that at the highest dose At termination, each rat was examined grossly. Histopathological examinations were performed on 17 organs or tissues from five rats of each sex in the control group and that at the highest dose and on the livers, kidneys, and grossly abnormal tissues from the other rats. Table 2. Achieved dosages in a 90-day study with imidocarb in Charles River rats Concentration in Males Females feed (mg/kg) No. rats Achieved dose No. rats Achieved dose (mg/kg bw (mg/kg bw imidocarb base) imidocarb base) 0 15 0 15 0 630 10 26 10 32 1900 10 75 10 100 9400 15 420 15 550 One male given 9400 mg/kg feed died during week 2, and a control female died during week 6. No signs of overt toxicity were observed. Body-weight gain was significantly reduced towards the end of the study in animals of each sex given 9400 mg/kg feed. There were no significant effects on haematological, clinical chemical, or urinary parameters or on brain acetylcholinesterase activity. Pathological changes attributable to treatment were limited to the livers of rats given 9400 mg/kg feed; the changes consisted of mild stasis of the bile in the canaliculi in one male and four females. The NOEL was 1900 mg/kg feed, equal to 75 mg/kg bw per day (Hart, 1973a). Another study was conducted, which did not comply with the principles of GLP and was intended to be a two-year study of toxicity, but in which 117 rats died as a result of overheating of the animal rooms during week 37. The study was terminated during week 44, when all surviving rats were necropsied. In this study, groups of 50 Sprague-Dawley rats of each sex were to have received diets containing the equivalent of 0, 75, 225, or 750 mg/kg bw per day of imidocarb dipropionate. The rats were F1a weanlings from groups at the corresponding doses in a study of reproductive toxicity; however, the highest dose was fetotoxic, so that there were insufficient weanlings available to form this group, and additional rats were purchased. No data were reported on this group. Until the overheating episode, there were no significant effects on body weight, food consumption, or haematological, clinical chemical, or urinary parameters. During the last five weeks, the food intake of females at 225 mg/kg bw was increased, but they showed no change in body weight. At week 44, the mean thyroid:body weight ratio was increased in females at this dose. There were no significant pathological findings. No firm conclusions could be drawn from this study (Hart, 1974a). Dogs In a study that did not comply with GLP, a group of five male beagle dogs, described as 'substandard', was given daily oral doses of 5 mg/kg bw imidocarb dipropionate (expressed as base) in distilled water for 30 days. There was no untreated control group. No signs of toxicity were observed and there appeared to be no adverse effects on body weight, food or water intake, or haematological or clinical chemical parameters. The dogs were killed 24 h after the last dose, and urine was taken for determination of pH, protein, glucose, ketone, and blood. Selected organs were weighed and a gross pathological examination was carried out on each dog. There were no obvious substance-related changes (Chesher et al., 1976). In another study that did not comply with GLP, groups of four beagle dogs of each sex were given daily oral doses of 0, 5, 20, or 80 mg/kg bw per day imidocarb dipropionate (expressed as base) in gelatin capsules, for 90 days. The animals were weighed twice weekly, and each dog was subjected to an ophthalmoscopic examination before treatment and on days 36 and 76. Blood samples were taken from all dogs for haematological and some clinical chemical investigations before treatment and on days 7, 28, 56, 71, and 90; cholinesterase activity was not monitored. Urine samples were collected at necropsy. About 25 tissues from each animal were examined microscopically. All four males and two of the females given 80 mg/kg bw per day died or were killed in extremis after having reduced food intake and weight loss for about two weeks before death. The signs of toxicity in this group included weakness, recumbency, salivation, muscle fasiculation, ataxia, and splayed hind legs, probably indicating an anticholinesterase effect. The food intake of dogs at 20 mg/kg bw was transiently reduced. There were no treatment-related ophthalmoscopic changes. Eosinophilia was observed in some dogs given 20 or 80 mg/kg bw per day, and those at the highest dose showed a trend towards increased serum alanine and aspartate aminotransferase activity and bilirubin concentration, with occasional, transient increases in those at 20 mg/kg bw per day. The absolute and relative weights of the pituitary were decreased in dogs at 20 but not at 80 mg/kg bw per day, but animals at 80 mg/kg bw per day showed significant increases in the absolute and relative weights of the kidney, adrenal, and thyroid. Gross examination revealed fatty changes and mottling in the livers, particularly in dogs given 20 or 80 mg/kg bw per day. Histological changes were observed in a range of tissues from dogs at 80 mg/kg bw per day, particularly in the thymus, spleen, lymph nodes, and stroma of the villi of the small intestine (pyknosis and karyorrhexis), and fatty changes were observed in the thick section of the loop of Henle and the distal convoluted tubules. The liver showed haemorrhagic necrosis, fatty changes, granularity, or vacuolation of the hepatocytes. Similar though less severe changes were observed in the livers of dogs given 20 mg/kg bw per day. The NOEL was 5 mg/kg bw per day (Reynolds et al., 1977). Monkeys In a preliminary study designed to investigate distribution to tissues, five female patas monkeys were given daily oral doses of 5 mg/kg bw per day imidocarb dipropionate dissolved in distilled water for 30 days. A control group of five females was left untreated. Blood samples were taken before treatment, seven and 14 days after the start of treatment, and at termination. Some time after the last dose (not stated), the treated monkeys were killed and examined for gross changes; the control monkeys were not autopsied. There were no signs of toxicity in the treated animals, and no effects were observed on haematological or clinical chemical values or gross appearance (Thomson, 1975b). 2.2.3 Long-term toxicity and carcinogenicity Rats In a study that did not conform to GLP, groups of 50 Wistar rats of each sex were fed diets calculated to provide intakes of 0, 15, 60, or 240 mg/kg bw per day imidocarb dipropionate (expressed as base) for 104 weeks. Satellite groups of 15 rats of each sex per dose were used for collection of blood and urine before treatment and at regular intervals up to termination. Ophthalmoscopic examinations were carried out at intervals throughout the study on controls and animals at the highest dose. At termination, about 25 tissues were selected for histopathological examination from 10 controls of each sex and from four males and 19 females at the highest dose; eight or nine tissues were examined from the remaining animals, comprising lymph nodes, liver, spleen, kidneys, ovaries, adrenals, thyroids, pituitaries, and blood films. Gross lesions from all animals were also examined microscopically. Survival of animals at the highest dose was adversely affected, only 9/65 males surviving to termination. The rats in this group became emaciated, their body-weight gain being significantly reduced and food consumption significantly increased; females were less severely affected than males. In the last weeks of the study, the food consumption of the males exceeded that of the controls by about 40%. A slight reduction in body-weight gain was also observed in females given 60 mg/kg bw per day. Males at 240 mg/kg bw per day also had an increased incidence of corneal opacity and evidence of mild anaemia, with significant reductions in erythrocyte and haemoglobin counts and packed cell volume. Changes in clinical chemistry were seen mainly in rats at 240 mg/kg bw per day and appeared to be transient. In males, the changes included significantly increased aspartate aminotransferase activity during weeks 13 and 26, increased alkaline phosphatase activity during week 8, and increased blood urea nitrogen concentration during week 52 and 78. The cholesterol concentration was significantly increased in all treated groups during week 52 but not at other times. Females had significant increases in aspartate aminotransferase activity during weeks 13 and 78, in alanine aminotransferase activity during week 13 (but significant reductions in weeks 4, 52, and 78), in alkaline phosphatase activity in week 26, and in cholesterol concentration in week 8. Alkaline phosphatase activity was also increased in females given 60 mg/kg bw per day during week 26. Males given 60 mg/kg bw per day and rats of each sex given 240 mg/kg bw per day had significantly greater water intake than the controls. Polyuria was observed in males given 240 mg/kg bw per day, and a slight increase in urinary output was noted in females at this dose. The specific gravity of urine samples from the males given 240 mg/kg bw per day was consistently lower than that of the controls. At termination, the mean group kidney weight of males given 240 mg/kg bw per day was significantly increased. Treatment-related microscopic changes were confined to the rats at 60 or 240 mg/kg bw per day and included deposition of brown pigment in macrophages and related cells in the liver, spleen, lymph nodes, and bone marrow, and cystic distension of the renal tubules and glomeruli, with dystrophic mineralization of the renal medulla. Muscle sections were not taken for microscopic examination, but evidence of increased atrophy was found in rats at the highest dose in muscle samples attached to the sternum. The NOEL for toxicity was 15 mg/kg bw per day on the basis of reduced body-weight gain, some clinical chemical changes, histopathological changes in the kidney, and skeletal muscle atrophy at higher doses. The incidence of mammary fibroadenomas was increased in females given 240 mg/kg bw per day, and many of them had multiple tumours. Males at this dose had an increased incidence of cutaneous fibromas (Brown, 1979). In a separate report, the original histological data from the study described above were re-tabulated and reanalysed. A number of assumptions had to be made, since it was not always clear which tissues had been examined from which animal, which lesions had been reported, and what terminology had been used. The following overall conclusions were drawn. Females given 240 mg/kg bw per day had a significantly increased incidence of multiple fibroadenomas and a decreased incidence of single fibroadenomas in the mammary gland as compared with the controls; there was no significant difference in the combined incidence of multiple and single fibroadenomas. Males at this dose had a significantly increased incidence of multiple subcutaneous fibromas in comparison with the controls; an apparent decrease in the incidence of single fibromas was not significant, and there was no significant difference in the combined incidence of multiple and single fibroadenomas. Rats of each sex given 240 mg/kg bw per day had a nonsignificant increase in the incidence of fibrosarcomas (Finch, 1993). 2.2.4 Genotoxicity The results of studies of the genotoxicity of imidocarb are summarized in Table 3. The concentrations and doses are expressed as imidocarb base, except when stated otherwise. Negative results were obtained in asays for gene mutation in bacteria and in mammalian cells in vitro. In two separate experiments, imidocarb induced polyploidy in human lymphocytes in vitro; however, there was no induction of aneuploidy. Negative results were obtained in a test for micronucleus formation in mouse bone marrow, in a metaphase analysis in bone marrow of rats in vivo, and in an inadequately conducted assay for dominant lethal mutation. 2.2.5 Reproductive toxicity (i) Multigeneration reproductive toxicity Rats A multigeneration study was carried out in rats as part of a larger study designed to investigate all aspects of reproduction, including teratogenicity, and to provide weanling rats for a two-year study. Groups of 15 Sprague-Dawley rats of each sex were maintained on diets containing 0, 630, 1900, or 9000 mg/kg imidocarb dipropionate (presumably expressed as salt, although this is not clear from the report) for 60 days before mating. The diets were stated to provide an equivalent of 0, 45, 130, or 760 mg/kg bw of imidocarb dipropionate per day. The numbers of pups in both the F1a and F1b litters were significantly reduced at the highest dose; thus, only three females receiving 9000 mg/kg produced F1a litters. There was a similar reduction in the F1b litters receiving the intermediate dose. F2 litters were bred only from the animals at the low dose, and the study was terminated early owing to failure of the temperature control mechanism in the animal rooms. No firm conclusions could be drawn from this study (Hart, 1974b). Table 3. Results of genotoxicity studies on imidocarb End-point Test object Concentration S9 Result GLP Reference In vitro Gene mutation S. typhimurium TA1535, TA1537, < 1000 µg/plate + Negativea No Moore (1997) TA1538, TA98, TA100 < 250 µg/plate - Negativea Gene mutation S. typhimurium TA1535, TA1537, 0.2-1000 µg/plate + Negativea No Moore & Chatfield TA1538, TA98, TA100 - Negativea (1983) Gene mutation S. typhimurium TA98, TA100 4-2650 µg/plate + Negative Yes Tait & Clare TA1535, TA1537, E. coli WP2 33-530 µg/plate - Negativeb (1991a) pKM101, WP2uvrA- pKM101 53-265 µg/plate (with strain WP2uvrA- pKM101 only) Gene mutation hprt locus of L5178Y mouse 0.55-1749 µg/ml + Negative Yes Tait & Clare lymphoma cells 54.7-1749 µg/ml - Negative (1991b) Chromosomal Human peripheral blood 3.5-35 µg/ml (as imidocarb - Negative No Whitaker & aberration lumphocytes dipropionate); higher doses were Bonhoff (1983) toxic Chromosomal Human peripheral blood 20 h -S9; 144-294 µg/ml; + Positivec Yes Tait & McEnaney aberration lymphocytes 20 h +S9; 857-1749 µg/ml (expt 1) (1991) 20 h -S9; 235-367 µg/ml; 20 h + S9; 1119-1749 µg/ml; 44 h -S9; 235 µg/ml; 44 h +S9; 1119 µg/ml (expt 2) 44 h + S9; 366.8-1119 µg/ml (expt 3) Micronucleus Human peripheral blood 366.8-1120 µg/ml (for frequency of + Negativee Yes Marshall (1993) formation lymphocytes micronuclei) 895.5 µg/ml (for polyploidy) Table 3. (continued) End-point Test object Concentration S9 Result GLP Reference Host-mediated Male ICR mice (10/group) Five daily oral doses of 15, 45 or Negative No Sibinovic (1986) assay S. typhimurium TA1530, G-46 150 mg/kg bw; test organism given intraperitoneally 30 min after last dosea In vivo Bone marrow Sprague-Dawley rats (5/dose); Five consecutive daily Negative No Fabrizio (1986) metaphase bone marrow harvested 5 days oral doses of 10, 30, or analysis after treatment with imidocarb; 100 mg/kg bwa 40-50 metaphase spreads/rat analysed Micronucleus CD-1 mouse (5/sex per dose); Single intraperitoneal injection of Negative Yes Tait & Marshall formation marrow harvested 24, 48, 72h 8, 5, 17, or 34 mg/kg bw (1991) after treatment Dominant Male Evans mice Five daily intramuscular injections Negatived No Harper et al. lethal of 4 or 16 mg/kg bw followed by a (1977) mutation six-week mating schedule S9, 9000 × g fraction of rat liver; GLP, conformity with good laboratory practice a No information on whether concentrations or doses reported in terms of imidocarb base or diproprionate salt b Although there was a statistically significant increase in the number of revertants with strain WP2uvrA- pKM101 in the presence of S9, the increase was less than double the value for the solvent control, there was no concentration-related response, and the values were within the range for contemporary historical controls. c Treatment in the absence of S9 resulted in significant increases in the frequencies of cells with structural aberrations; it was stated that the frequencies were within the range in historical controls, but the Committee did not consider the historical controls to be appropriate. Statistically significant increases in the frequency of cells with numerical aberrations were observed in cultures treated in the presence of S9 and sampled at 44 h, in both experiments 2 and 3. d Although there were statistically significant increases in the percentage of dead implants in the group receiving 6 mg/kg bw during week 2, there was no dose-response relationship, and the incidence in the control group was unusually low. The treatment and mating schedules used in this study did not comply with modern guidelines. e There was no increase in the incidence of micronuclei at any concentration; however, an increased frequency of polypoid cells was observed at the single concentration tested. In another study that did not comply with GLP, groups of 20 Wistar rats of each sex were fed diets calculated to provide 0, 15, 45, or 135 mg/kg bw per day imidocarb dipropionate. Treatment commenced when the rats were six weeks old, 60 days before the first mating, and continued throughout the breeding of three succesive generations. At 21 days post partum, the F1a, F2a, and F2b litters were killed and examined internally. The F1b and F2b litters were mated to provide the subsequent generations. The F3b fetuses were removed on day 20 of gestation and examined for malformations. During the premating period, females of the parental generation showed a small but dose-related decrease in body-weight gain; there were no clear dose-related effects on body weight in subsequent generations. The numbers of live births among females receiving 135 mg/kg bw per day were reduced after the first mating of the F0 generation, and the numbers of dead or missing fetuses were increased. A similar trend was observed after the first mating of the F1 generation. Maternal body-weight gain was reduced on day 17 of gestation after the second mating of the F1 generation. No evidence of teratogenicity was found on examination of the F3b fetuses; however, there was a small, nonsignificant increase in the incidence of fetuses with bifid sternebrae. The NOEL was 45 mg/kg bw per day for both fetal toxicity and maternal toxicity (James, 1977). Dogs Five female dogs were given subcutaneous injections of 14 mg/kg bw imidocarb dipropionate (expressed as free base) on the first day of pro-oestrus and again immediately after successful mating. Six untreated dogs were used as controls. The dogs were allowed to litter naturally. After the first whelping, all the treated dogs were dosed and bred a second time. There were no signs of toxicity and no effects on on fertility, gestation, or appearance of pups (Szot, 1972). (ii) Developmental toxicity Rats Teratogenicity was studied in rats within a multigeneration study, which did not comply with the principles of GLP. Groups of 15 female rats were fed imidocarb dipropionate continuously in the diet for 60 days before mating, achieving intakes of about 0, 47, 140, or 760 mg/kg bw per day. They were killed on day 19 of gestation, and the uterine contents were examined. Two-thirds of the fetuses were then processed for staining with Alizarin Red S for skeletal evaluation, and the remaining one-third were fixed in Bouin's solution and sectioned for evaluation of visceral abnormalities. Maternal body-weight gain was significantly reduced at the doses of 140 and 760 mg/kg bw per day and the incidence of resorptions was significant-ly increased in those at 760 mg/kg bw per day with a consequent reduction in the numbers of live fetuses. Animals at 140 mg/kg bw per day also showed a small increase in the resorption rate. Fetal body weight and length were reduced at 760 mg/kg bw per day. There was no evidence of teratogenicity at any dose (Hart, 1973b). In a second study, which was not carried out in compliance with the principles of GLP, groups of 27-31 mated female Wistar rats were given daily oral doses of 0 (untreated), 0 (distilled water, solvent), 19, 76, or 300 mg/kg bw imidocarb dipropionate (expressed as base) by gavage on days 6-16 of gestation. Groups of 20-25 dams were killed on day 20 of gestation and the uterine contents examined. One-third of the fetuses were examined by open dissection, one-third were processed by Wilson's section technique for examination of thick serial sections, and one-third were processed for staining with Alizarin Red S for skeletal evaluation. The remaining six dams in each group were allowed to deliver naturally and rear the offspring to weaning on day 21 post partum. Maternal body-weight gain was significantly reduced during treatment with 300 mg/kg bw per day. There was no evidence of teratogenicity, but the numbers of fetuses with bifid or H-shaped sternebrae were increased at doses of 76 and 300 mg/kg bw per day. There were no treatment-related effects on the growth or survival of the offspring post partum. The NOEL for fetotoxicity was 19 mg/kg bw per day (James, 1976a). Rabbits Groups of 16-27 female Dutch rabbits were given daily doses of 0 (water), 20, 80, or 320 mg/kg bw per day of imidocarb dipropionate (doses expressed as base) by oral gavage on days 8-19 of gestation. The study was not carried out in compliance with the principles of GLP. All 16 rabbits given 320 mg/kg bw per day and one out of 27 given 80 mg/kg bw per day died. The remaining dams showed signs of stress (nervous behaviour, diarrhoea, weight loss), which were attributed to their close proximity to a dog colony. Five to six dams in each group were allowed to deliver naturally, but most of the dams killed their offspring. There was no evidence of teratogenicity. The study was inadequate for establishing a NOEL (James, 1976b). In another study, which was not carried out in accordance with the principles of GLP, groups of 10-20 female New Zealand white rabbits were given doses of 0 (distilled water), 5, 10, 20, 60, or 180 mg/kg bw per day of imidocarb dipropionate by oral gavage on days 6-18 of gestation. The surviving does were killed on day 29 of gestation and the uterine contents examined. The general appearance of each fetus and the internal organs of the neck, thorax, and abdomen were examined grossly. All fetuses were then eviscerated, preserved, and stained for skeletal examination. All 10 does given 180 mg/kg bw per day and 12 out of 15 given 60 mg/kg bw per day died. The does in these groups displayed signs of gastrointestinal disturbance, salivation, nasal exudation, and weight loss before death. The incidence of post-implantation loss was increased in animals at 60 mg/kg bw per day, and only 12 fetuses remained for examination. Fetal weights appeared to be reduced, and the incidence of delayed ossification appeared to be increased. There was no evidence of teratogenicity at any dose. The NOEL for both maternal toxicity and fetotoxicity was 20 mg/kg bw per day (Tesh et al., 1977). 2.2.6 Special studies to investigate serum prolactin concentrations A study which did not comply with GLP was carried out to investigate the mechanism of the induction of mammary tumours in the two-year study in rats. Groups of 10 male Wistar rats were fed diets calculated to provide 0, 15, 60, or 240 mg/kg bw per day of imidocarb (as base) for 28 days. Another group was given 160 mg/kg bw per day of sulpiride. Serum prolactin concentrations were measured before treatment and 2, 5, 8, 14, and 22 days after the first dose. The mean prolactin concentrations were significantly (p < 0.001) increased in the group receiving sulpiride from day 2 onwards and were slightly increased in the group given 240 mg/kg bw per day imidocarb, although they never approached the values found in the group given sulpiride (Clampitt et al., 1982). 2.2.7 Special studies on microbiological activity In a study that did not conform to GLP, MIC values in vitro were determined for imidocarb against 20 bacterial isolates representing seven genera. MIC values > 16 µg/ml were obtained for 18 isolates, and values of 4 and 8 µg/ml were obtained for two strains of Pasteurella (Darby & Pelham, 1989). 2.2.8 Special studies on pharmacodynamic effects It is generally accepted in the published literature that imidocarb has anticholinesterase activity and that the toxic signs observed after treatment can be alleviated with atropine (Ali et al., 1985; Michell et al., 1986; McDougald & Roberson, 1988). The pharmacodynamic effects of imidocarb were investigated in a screening study in which mice were given single subcutaneous doses of the dihydrochloride salt. Myosis was observed at 50 mg/kg bw, but mydriasis occurred at 150 mg/kg bw (Green, 1966). In another study, cardiovascular and neuromuscular effects were observed after intravenous administration of imidocarb dihydrochloride to anaesthetized cats and dogs, which were attributed in part to the anticholinesterase effect. No effect on the pupil was observed after instillation of a solution of 10 mg/ml imidocarb dihydrochloride into a cat's eye (Green & Hughes, 1969). No conclusions could be drawn about anticholinesterase potency from these data. The mode of action of imidocarb as an antiprotozoal agent is uncertain, although two mechanisms have been proposed: * As the effect of imidocarb on Trypanosoma brucei is antagonized by excess polyamines, it is has been suggested that imidocarb interferes with their production and/or use (Bacchi et al., 1981). * Imidocarb blocks the entry of inositol into erythrocytes containing Babesia, resulting in 'starvation' of the parasite (McHardy et al., 1986). 2.3 Observations in humans It is believed that imidocarb has been used occasionally in human medicine, but no details of doses or adverse effects were available to the Committee. 3. COMMENTS The Committee considered data from studies of the pharmacokinetics, metabolism, acute, and short-term toxicity, long-term toxicity and carcino-genicity, reproductive toxicity and genotoxicity of imidocarb and some special studies. Most of the studies were carried out with the dipropionate salt, and the doses used were expressed as imidocarb base. Except for some of the assays for genotoxicity, the studies were not carried out to contemporary standards for study protocol and conduct but were reported in sufficient detail and were considered adequate for assessment. The pharmacokinetics of imidocarb was investigated in mice, rats, dogs, monkeys, and cattle. The dipropionate and dihydrochloride salts of imidocarb appeared to be poorly absorbed after oral administration to rats, but the extent of the oral bioavailability could not be estimated from the data available. In cattle dosed subcutaneously, imidocarb was bound to plasma proteins. The drug was excreted in both urine and the faeces for several days in rodents and for at least 28 days in cattle. In mice dosed intravenously with radiolabelled imidocarb and killed 3.5 h later, more than 90% of the residues in liver and kidney were unmetabolized imidocarb. The parent compound also accounted for 95% of the radiolabelled material in mouse urine. In cattle dosed subcutaneously with radiolabelled imidocarb, the parent compound accounted for most of the residues in urine and faeces and 70-90% of the residues in edible tissues and milk. No evidence of metabolism was found in a study of bovine liver slices, isolated hepatocytes, or microsomal fractions in vitro. Imidocarb dipropionate is moderately hazardous, with oral LD50 values in the range of 650-720 mg/kg bw in mice and 450-1200 mg/kg bw in rats. The signs were generally consistent with anticholinesterase activity. Serum cholinesterase activity was depressed in a dose-related manner in goats given single intramuscular doses of 12-24 mg/kg bw. Whole-blood cholinesterase activity was decreased in calves given single intramuscular injections of 3.3 mg/kg bw. When rats were given daily oral doses of 0, 125, 250, 500, 750, or 1500 mg/kg bw per day of imidocarb dihydrochloride for three months, all rats at the highest dose died. Cloudy swelling in the liver was observed in rats given 125 and 250 mg/kg bw per day. Histopathological examinations were not performed on rats at higher doses. No NOEL was identified. In a study conducted to identify appropriate doses for a long-term study of toxicity, rats were fed diets calculated to provide doses of imidocarb dipropionate equal to 0, 26, 75, or 420 mg/kg bw per day for 90 days. Body-weight gain was reduced in animals of each sex given 420 mg/kg bw per day. Acetylcholinesterase activity, measured in one-half of the brain from each of 10 rats given 420 mg/kg bw per day and killed after 7 and 13 weeks, was not significantly different from that in controls. Pathological changes attributable to treatment were limited to mild stasis of the bile in the canaliculi of the liver in one male and four females given 420 mg/kg bw per day. The NOEL was 75 mg/kg bw per day on the basis of reduced body-weight gain and hepatic toxicity at higher doses. Groups of four dogs of each sex per dose were given oral doses of 0, 5, 20, or 80 mg/kg bw per day imidocarb dipropionate in gelatin capsules for 90 days. The signs of toxicity in the dogs given 80 mg/kg bw per day included recumbency, salivation, muscle fasciculation, ataxia, and splayed legs. All males and two of four females given this dose died or were killed. Blood eosinophilia was also observed at 80 mg/kg bw per day, with increased serum alanine aminotransferase and aspartate aminotransferase activity and increased bilirubin concentration. Similar but less severe changes were observed in the dogs given 20 mg/kg bw per day. The weights of the kidney, thyroid, and adrenal glands were increased in animals at 80 mg/kg bw per day, and histopathological changes were found in a range of tissues. In the kidney, these included fatty changes in the thick section of the loop of Henle and the distal convoluted tubules. The liver showed haemorrhagic necrosis, fatty change, and microgranularity or vacuolation of hepatocytes. Similar but less severe hepatocellular changes were found in the livers of dogs given 20 mg/kg bw per day. The NOEL was 5 mg/kg bw per day on the basis of minor changes in haematological and clinical chemical parameters and hepatocellular changes at higher doses. In a long-term study of toxicity and carcinogenicity, rats were fed diets calculated to provide intakes of 0, 15, 60, or 240 mg/kg bw per day of imidocarb as dipropionate for two years. Survival was adversely affected at the highest dose. Body-weight gain was significantly reduced in animals of each sex given 240 mg/kg bw per day and was slightly reduced in females given 60 mg/kg bw per day. Males at 240 mg/kg bw per day showed evidence of anaemia. Changes in clinical chemical parameters were transient and occurred mainly in the animals given the highest dose. Rats given 60 or 240 mg/kg bw per day drank considerably more water than the controls, and polyuria was observed in males at the highest dose. At termination, the weights of the kidneys of males given 240 mg/kg bw per day were significantly increased. Dose-related histopathological changes were observed at 60 and 240 mg/kg bw per day, which included cystic distension of the renal tubules and glomeruli and dystrophic mineralization in the renal medulla. The NOEL for toxicity was 15 mg/kg bw per day on the basis of reduced body-weight gain, changes in some clinical chemical parameters, and histopathological changes in the kidney. All animals were examined grossly, and all gross lesions were examined microscopically; however, comprehensive pathological examinations was made on only 10 control rats of each sex and 19 females and four males at the highest dose at termination of the study. A limited range of tissues from the other animals was examined, and mammary glands were examined only when a gross lesion was found. At the highest dose, a significantly increased incidence of multiple fibroadenomas of the mammary gland was found in females and of multiple subcutaneous fibromas in males. Because of the excessive toxicity at this dose, the poor survival, and limited histopathological examination, the significance of these findings could not be evaluated. The incidences of tumour at other sites were not increased. The genotoxic properties of imidocarb dipropionate were investigated in a range of assays in vitro and in vivo. Negative results were obtained for gene mutation in Salmonella typhimurium and in mammalian cells in vitro and in a host-mediated assay in male mice. In two separate experiments, imidocarb induced polyploidy in human peripheral blood lymphocytes in vitro in the presence of metabolic activation; however, aneuploidy was not induced. Micronuclei were not induced in mouse bone marrow, and no chromosomal aberrations were induced in rat bone marrow in vivo. Dominant lethal mutations were not found in mice, although the dosing and mating schedules used were not in accordance with contemporary guidelines. The Committee concluded that imidocarb is unlikely to be genotoxic. In a three-generation study of reproductive toxicity, rats were fed diets calculated to provide intakes of 0, 15, 45, or 135 mg/kg bw per day imidocarb as dipropionate. The body-weight gain of dams at 135 mg/kg bw per day was decreased, and the number of live births was reduced. The NOEL was 45 mg/kg bw per day for both fetal toxicity and maternal toxicity. In a study of developmental toxicity in rats, there was no evidence of teratogenicity after administration of imidocarb dipropionate by gavage at doses of 0, 19, 76, or 300 mg/kg bw per day on days 6œ16 of gestation. Groups of 20-25 dams were killed on day 20 of gestation and the uterine contents examined; the remaining six dams in each group were allowed to deliver naturally and rear the offspring. Maternal body-weight gain was reduced at 300 mg/kg bw per day. The number of fetuses with bifid or H-shaped sternebrae was increased in groups of rats receiving 76 or 300 mg/kg bw per day. There were no treatment-related effects on the growth or survival of the offspring post partum. The NOEL for fetotoxicity was 19 mg/kg bw per day. In a study of developmental toxicity in rabbits, there was no evidence of teratogenicity after administration of 0, 5, 10, 20, 60, or 180 mg/kg bw per day of imidocarb as dipropionate by gavage on days 6œ18 of gestation. Severe maternal toxicity was observed at 60 and 180 mg/kg bw per day, and all dams given 180 mg/kg bw per day and 12 of 15 given 60 mg/kg bw per day died. The frequency of post-implantation losses was increased and fetal weights were reduced in the group given 60 mg/kg bw per day. The NOEL for maternal and fetotoxicity was 20 mg/kg bw per day. 4. EVALUATION An ADI of 0-10 µg/kg bw per day was established on the basis of the NOEL of 5 mg/kg bw per day in the 90-day study in dogs. A safety factor of 500 was used to compensate for the limited pathological and clinical chemical investigations in this study, the absence of information about potential inhibition of erythrocyte and regional brain acetylcholinesterase activity in this species, the lack of data on neurotoxicity, and the limited data on carcinogenic potential. 5. REFERENCES Ali, B.H., Hassan, T., Suliman, H.B. & Abdelsalam, E.B. (1985) Some effects of imidocarb in goats. Vet. Human Toxicol., 27, 477-480. Bacchi, C.J., Nathan, H.C., Hutner, S.H., Duch, D.S. & Nichol, C.A. 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Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Szot, R.J. (1973a) Oral and intravenous acute toxicity studies of imidocarb dipropionate (4A65) in mice and rats. Unpublished report no. T-TEP-73-4 from Department of Toxicology-Experimental Pathology, Research Triangle Park, North Carolina, USA. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Szot, R.J. (1972b) Fertility study in dogs given imidocarb dipropionate. Unpublished report No. TTEP-72-11 from the Department of Toxicology - Experimental Pathology, Research Triangle Park, North Carolina, USA. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Tait, A.J. & Clare, C.B. (1991a) Study to evaluate the ability of imidocarb to induce mutation in four histidine-requiring strains of Salmonella typhimurium and two tryptophan requiring strains of E. coli. Unpublished report No. RRS-91-22 from Hazleton Microtest, York, United Kingdom. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Tait, A.J. & Clare, C.B. (1991b) Study to determine the ability of imidocarb to induce mutations to 6-thioguanine resistance in mouse lymphoma L5179Y cells using a fluctuation assay. Unpublished report No. RRS-91-15 from Hazleton Microtest, York, United Kingdom. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Tait, A.J. & Marshall, R.R. (1991) Study to evaluate the potential of imidocarb to induce micronuclei in the polychromatic erythrocytes of CD-1 mice. Unpublished report No. RRS-91-23 from Hazleton Microtest, York, United Kingdom. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Tait, A.J. & McEnaney, S. (1991) Study to evaluate the chromosome damaging potential of imidocarb by its effect on cultured human lymphocytes using an in vitro cytogenetics assay. Unpublished report No. RRS-91-32 from Hazleton Microtest, York, United Kingdom. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Tesh, J.M., Ross, F.W. & Tesh, S.A. (1977) 4A: Effects of oral administration upon pregnancy in the rabbit. Unpublished report No. 77/WRL2/109 from Life Science Research, Stock, Essex, United Kingdom. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Thomson, P.M. (1975a) Preliminary study of oral imidocarb dipropionate to reveal its retention in the rat. Unpublished report No. BPAT75/17 from Wellcome Research Laboratories, Berkhamsted, United Kingdom. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Thomson, P.M. (1975b) Preliminary study of oral imidocarb dipropionate to reveal its retention in the monkey. Unpublished report No. BPAT75/18 from Wellcome Research Laboratories, Berkhamsted, United Kingdom. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Wander, A. (1968a) Distribution and excretion of (14C) labelled HR 2073 after intravenous administration of a single dose (1 mg/kg) in the mouse. Translation of unpublished report No. 94/2555. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Wander, A. (1968b) Investigation of the activity in the urine, liver, gall bladder and kidneys of the mouse after intravenous administration of a single dose of HR 2073 C-14. Translation of unpublished report No. 94/2554. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom. Whitaker, A.M. & Bonhoff, A.J. (1983) Cytogenetic study of the effect of imidocarb dipropionate (3 ',3 '-di(2-imidazolin-2-yl)carbanilide dipropionate) on peripheral human lymphocytes in vitro. Unpublished report No. BNCD/83/7 from Wellcome Biotechnology Ltd, United Kingdom. Submitted to WHO by Mallinckrodt, Harefield, Uxbridge, Middlesex, United Kingdom.
See Also: Toxicological Abbreviations IMIDOCARB (JECFA Evaluation)