IMAZALIL EXPLANATION Imazalil was evaluated for acceptable daily intake by the Joint Meeting in 1977, and reviewed in 1980, 1984, and 1985 (Annex 1, FAO/WHO, 1978a, 1981a, 1985b, and 1986a). A toxicological monograph was published in 1977 (Annex 1, FAO/WHO, 1978b) and monograph addenda were published after each of the reviews (Annex 1, FAO/WHO, 1981b, 1985c, and 1986c). The 1985 Joint Meeting was aware of several teratology studies that had not been submitted in full. Although 1 rat teratology study had been evaluated earlier, the 1985 Meeting wanted to review all the available teratology data, so it extended the temporary ADI pending the submission of these data. This monograph addendum summarizes these studies as well as other data on imazalil analogues that were submitted to the 1986 Joint Meeting for evaluation. EVALUATION FOR ACCEPTABLE INTAKE BIOLOGICAL DATA Toxicological studies Special studies on teratogenicity Mice Twenty-four female Cobs mice received orally 0, 2.5, 10, or 40 mg imazalil sulfate/kg b.w./day from days 6 through 16 of pregnancy. All animals were killed on day 19 of pregnancy. No effects were found on mortality, body weight, food consumption, pregnancy rate, number of live, dead, or resorbed fetuses, pup weight, or mean litter size. During gross observations, talipes valgus (club foot) was observed in all groups, the incidence not being significantly different in any dose group when compared to the control group. No additional abnormalities were seen after radiographic examinations and Lapras' sectioning technique (Marsboom et al., 1985). Rabbits Groups of 20 female New Zealand white rabbits received imazalil nitrate (purity 99.2%) in water by gavage at 0, 0.63, or 2.5 mg/kg b.w./day on days 6 to 18 of pregnancy. All surviving animals were killed on day 28 of pregnancy. Four females died during the test (3 in the control group and 1 in the 0.63 mg/kg b.w./day group). Body-weight gain of the dams was decreased in both dose groups, as well as average litter size, the percentages of live fetuses, and 24-hour survival rates. The percentages of resorbed fetuses increased with increasing dose. Retrospective statistical analysis showed that the effects on maternal body weight, litter size, and number of resorptions were not statistically significant. A small number of anomalies in all groups (hydrocephaly, fused ribs, and deformed legs) were considered to be non-dose related. Individual data were not available to the Meeting. In this study embryotoxic and maternally toxic effects were observed in both dose groups. Therefore, this study was repeated at lower dosages, as described in the next paragraph (Marsboom, 1974). Groups of 15 female New Zealand white rabbits received imazalil nitrate (purity 97.8%) in water by gavage at 0, 0.16, or 0.63 mg/kg b.w./day from days 6 to 18 of pregnancy. The surviving animals were killed on day 28 of pregnancy. Mortality (3 dams in the 0.16 mg/kg b.w./day group died during the study), body weight, and pregnancy rate were not significantly different among the groups. Mean litter size was normal in all groups, and no statistically-significant differences were seen with regard to the number of live, dead, or resorbed fetuses, birth weight, or 24-hour survival rate. Fetal skeletal examination and fetal sectioning revealed no compound-related abnormalities (Marsboom & Dirkx, 1981). Groups of 15 female New Zealand white rabbits received technical grade imazalil nitrate (purity 97.8%) in water by gavage at 0, 1.25, 2.5, or 5 mg/kg b.w./day on days 6 - 18 of pregnancy. All animals were killed on day 28 of pregnancy. The dams were examined for mortality and body weight. The number of live, dead, and resorbed fetuses, litter size, survival rate, and pup weight were recorded and all live and dead fetuses were examined for gross pathology (fetal skeletal examination and fetal sectioning). One dam of the low-dose group and 1 of the high-dose group died during the study. Decreased body weight was observed in dams of the 5 mg/kg b.w./day group. There were no differences with respect to the number of live, dead, or resorbed fetuses, litter size, number of implantations, or 24-hour survival rate. There was a slight decrease in pup weight at 5 mg/kg b.w./day. In 1 fetus of the high-dose group a split ninth thoracic vertebra on the right side, with each part having 1 rib, was observed. Individual animal data were not available to the Meeting. The NOAEL for maternal toxic and embryotoxic effects was 2.5 mg/kg b.w./day (Marsboom & Dirkx, 1985). Observations in humans Results of some clinical and non-clinical studies on the antifungal imidazoles miconazole, econazole, and ketonazole, which belong to the same chemical family as imazalil, were provided to the Joint Meeting. Clinical doses varied from 4 - 80 mg/kg b.w., and the routes of administration were dermal, inhalation, oral, or i.v. Occasional side effects of treatment of miconazole to patients were chills, dizziness, itching, skin rash, and diarrhoea. At high dose levels loss of appetite, nausea, and vomiting were seen. After prolonged treatment with miconazole in severely debilitated subjects and after oral treatment of 3 g/day for 9 weeks to normal volunteers, no adverse effects on renal, hepatic, or bone marrow functions were observed. Metabolism studies showed that the metabolic breakdown of miconazole was comparable in humans and rats (Brugmans et al., 1972; Symoens, 1977). Five days after oral administration of 500 mg (3H)-econazole to 2 human subjects, the excretion of radioactivity was prolonged and incomplete (40% and 27% of the dose were found in the urine and faeces, respectively). Peak values in plasma of unchanged econazole and total radioactivity were reached 1.5 to 3 hours after adminis- tration, but the half-life of unchanged econazole (< 24 hours) in plasma was much shorter than that of the econazole metabolites. The main route of biotransformation of econazole in man involved multiple oxidation of the imidazole ring carbons followed by O-dealkylation and conjugation of the resulting alcohols, probably with glucuronic acid (Midgley et al., 1981). Kinetic studies with ketoconazole in man have shown that the drug is rapidly absorbed and widely distributed after oral administration. It is extensively metabolised by the liver to a series of inactive products, and is excreted mainly in the faeces. Plasma levels of ketonazole in man remained stable during chronic administration (Gascoigne et al., 1981). COMMENTS Additional teratogenicity studies in rabbits showed that in the first study there were maternally toxic and embryotoxic effects at both dose levels of 0.63 and 2.5 mg/kg b.w./day. However, these results could not be confirmed in 2 later studies. In the last one only minimal maternally toxic and embryotoxic effects occurred at 5 mg/kg b.w./day and a NOAEL of 2.5 mg/kg b.w./day could be established. In an additional teratogenicity study in mice, no effects were observed at dosages up to 40 mg/kg b.w./day There were no indications of a teratogenic effect in any of the studies. Data on structurally-similar human antimycotic drugs indicated the improbability of adverse effects in man. TOXICOLOGICAL EVALUATION LEVEL CAUSING NO TOXICOLOGICAL EFFECT Rat: 100 ppm in the diet, equal to 5 mg/kg b.w./day Dog: 1.25 mg/kg b.w./day ESTIMATE OF ACCEPTABLE DAILY INTAKE FOR MAN 0 - 0.01 mg/kg b.w. STUDIES WHICH WILL PROVIDE INFORMATION VALUABLE FOR THE CONTINUED EVALUATION OF THE COMPOUND Observations in man. REFERENCES Brugmans, J., Van Cutsem, J., Heykants, J., Schuermans, V., & 1972 Thienpont, D. Systemic antifungal potential, safety, biotransport and transformation of miconazole nitrate. Europ. J. Clin. Pharmacol. 5, 93 - 99. Gascoigne, E.W., Barton, G.J., Michaels, M., Meuldermans, W., & 1981 Heykants, J. The kinetics of ketoconazole in animals and man. Clin. Res. Rev. 1, 177 - 187. Marsboom, R. Potential of oral R 18531 for embryotoxicity and 1974 teratogenic effects in rabbits. Unpublished report No. 535 from Janssen Research Laboratories. Submitted to WHO by Janssen Pharmaceutica N.V., Beerse, Belgium. Marsboom, R. & Dirkx, P. Imazalil: R 18531. Oral embryotoxicity and 1981 teratogenicity study in New Zealand white rabbits (Segment II). Unpublished experiment No. 10816 from Janssen Research Laboratories. Submitted to WHO by Janssen Pharmaceutica N.V., Beerse, Belgium. Marsboom, R. & Dirkx, P. Imazalil: R 18531. Oral embryotoxicity and 1985 teratogenicity study in New Zealand white rabbits (Segment II). Unpublished report No. 1482 from Janssen Research Laboratories. Submitted to WHO by Janssen Pharmaceutica N.V., Beerse, Belgium. Marsboom, R., Gillardin, J.M., & Sanz, G. R 27180 Imazalil. 1985 Embryotoxicity and teratogenicity study in Cobs mice. Unpublished experiment No. 85-02 from Janssen Research Laboratories, submitted to WHO by Janssen Pharmaceutica N.V., Beerse, Belgium. Midgley, I., Biggs, S.R., Hawkins, D.R., Chasseaud, L.F., Darragh, A., 1981 Brodie, R.R., & Walmsley, L.M. The metabolic fate of (3H)econazole in man. Xenobiotica, 11, 595 - 608. Symoens, J. Clinical and experimental evidence on miconazole for the 1977 treatment of systemic mycoses: A review. Proc. Roy. Soc. Med. 70, (Suppl. 1), 4 - 8.
See Also: Toxicological Abbreviations Imazalil (ICSC) Imazalil (Pesticide residues in food: 1977 evaluations) Imazalil (Pesticide residues in food: 1980 evaluations) Imazalil (Pesticide residues in food: 1984 evaluations) Imazalil (Pesticide residues in food: 1984 evaluations) Imazalil (Pesticide residues in food: 1985 evaluations Part II Toxicology) Imazalil (Pesticide residues in food: 1991 evaluations Part II Toxicology) Imazalil (JMPR Evaluations 2000 Part II Toxicological) Imazalil (JMPR Evaluations 2001 Part II Toxicological) Imazalil (JMPR Evaluations 2005 Part II Toxicological)