Carcinogen Classification Schemes 2


Carcinogen Classification Schemes 2 : (a) American Conference of Governmental Industrial Hygienists (ACGIH) - (1) A1 - Confirmed Human Carcinogen: The agent is carcinogenic to humans based on the weight of evidence from epidemiological studies of, or convincing clinical evidence in, exposed humans. (2) A2 - Suspected Human Carcinogen: The agent is carcinogenic in experimental animals at dose levels, by route(s) of administration, at site(s), of histological type(s), or by mechanism(s) that are not considered relevant to worker exposure. Available epidemiological studies are conflicting or insufficient to confirm an increased risk of cancer in exposed humans. (3) A3 - Animal Carcinogen: The agent is carcinogenic in experimental animals at a relatively high dose, by route(s) of administration, at site(s), of histological type(s), or by mechanism(s) that are not considered relevant to worker exposure. Available epidemiological studies do not confirm an increased risk of cancer in exposed humans. Available evidence suggests that the agent is not likely to cause cancer in humans except under uncommon or unlikely routes or levels of exposure. (4) A4 - Not Classifiable as a Human Carcinogen: There are inadequate data on which to classify the agent in terms of its carcinogenicity in humans and/or animals. (5) A5 - Not Suspected as a Human Carcinogen: The agent is not suspected to be a human carcinogen on the basis of properly conducted epidemiological studies in humans. These studies have sufficiently long follow-up, reliable exposure histories, sufficiently high dosage, and adequate statistical power to conclude that exposure to the agent does not convey a significant risk of cancer to humans. Evidence suggesting a lack of carcinogenicity in experimental animals will be considered if supported by other relevant data. Substances for which no human or experimental animal carcinogenic data have been reported are assigned no carcinogen designation. (b) U.S. Environmental Protection Agency (USEPA)- (1) Group A - Human Carcinogen: Sufficient evidence in epidemiological studies to support causal association between exposure and cancer. (2) Group B - Probable Human Carcinogen: Limited evidence in epidemiological studies (Group B1) and/or sufficient evidence from animal studies (Group B2). (3) Group C - Possible Human Carcinogen: Limited to equivocal evidence from animal studies and inadequate or no data in humans. (4) Group D - Not Classified: Inadequate or no human and animal evidence of carcinogenicity. (5) Group E - No Evidence of Carcinogenicity for Humans: No evidence of carcinogenicity in at least two adequate animal tests in different species or in adequate epidemiological and animal studies. (c) International Agency for Research for Cancer (IARC)- (1) Group 1 - The agent (mixture) is carcinogenic to humans. The exposure circumstance entails exposures that are carcinogenic to humans. This category is used when there is sufficient evidence of carcinogenicity in humans. Exceptionally, an agent (mixture) may be placed in this category when evidence in humans is less than sufficient; however, there may be sufficient evidence of carcinogenicity in experimental animals and strong evidence in exposed humans that the agent (mixture) acts through a relevant mechanism of carcinogenicity. (2) Group 2 - This category includes agents, mixtures, and exposure circumstances for which, at one extreme, the degree of evidence of carcinogenicity in humans is almost sufficient, as well as those for which, at the other extreme, there are no human data but for which there is evidence of carcinogenicity in experimental animals. Agents, mixtures, and exposure circumstances are assigned to either Group 2A (probably carcinogenic to humans) or Group 2B (possibly carcinogenic to humans) on the basis of epidemiological and experimental evidence of carcinogenicity and other relevant data. (3) Group 2A - The agent (mixture) is probably carcinogenic to humans. The exposure circumstance entails exposures that are probably carcinogenic to humans. This category is used when there is limited evidence of carcinogenicity in humans and sufficient evidence of carcinogenicity in experimental animals. In some cases, an agent (mixture) may be classified in this category when there is inadequate evidence of carcinogenicity in humans but sufficient evidence of carcinogenicity in experimental animals and strong evidence that the carcinogenesis is mediated by a mechanism that also operates in humans. Exceptionally, an agent, mixture, or exposure circumstance may be classified in this category solely on the basis of limited evidence of carcinogenicity in humans. (4) Group 2B - The agent (mixture) is possibly carcinogenic to humans. The exposure circumstance entails exposures that are possibly carcinogenic to humans. This category is used for agents, mixtures, and exposure circumstances for which there is limited evidence of carcinogenicity in humans and less than sufficient evidence of carcinogenicity in experimental animals. It may also be used when there is inadequate evidence of carcinogenicity in humans but sufficient evidence of carcinogenicity in experimental animals. In some instances, an agent, mixture, or exposure circumstance for which there is inadequate evidence of carcinogenicity in humans but limited evidence of carcinogenicity in experimental animals, together with supporting evidence from other relevant data, may be placed in this group. (5) Group 3 - The agent (mixture of exposure circumstance) is not classifiable as to its carcinogenicity to humans. This category is used most commonly for agents, mixtures, and exposure circumstances for which the evidence of carcinogenicity is inadequate in humans and inadequate or limited in experimental animals. Exceptionally, agents (mixtures) for which the evidence of carcinogenicity is inadequate in humans but sufficient in experimental animals may be placed in this category when there is strong evidence that the mechanism of carcinogenicity in experimental animals do not operate in humans. Agents, mixtures, and exposure circumstances that do not fall into any other group are also placed in this category. (6) Group 4 - The agent (mixture) is probably not carcinogenic to humans. This category is used for agents or mixtures for which there is evidence-suggesting lack of carcinogenicity in humans and in experimental animals. In some instances, agents or mixtures for which there is inadequate evidence of carcinogenicity in humans but evidence suggesting lack of carcinogenicity in experimental animals, consistently and strongly supported by a broad range of other relevant data, may be classified in this group
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