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Federal Register Vol. 53. No. 145 Thursday. July 28. 1988 Rules and Regulations
Federal Register Vol. 53. No. 145 Thursday. July 28. 1988 Rules and Regulations
agency determines the estimated daily historical control groups from eight assessing the carcinogenicity of the
intake for various age groups by making other studies at this testing laboratory compound.
projections based on the amount of had an overall incidence of 5.2 percent. Because the first study was not
additive proposed for use in particular In rodent studies, lymphocytic leukemia adequate for the safety evaluation of a
foods and on data about the should more properly be considered prospective food additive, a second
consumption levels of each particular within the context of the other long-term rat study was conducted. In
food. The use levels of acesulfame lymphoreticular neoplasms such as the original report by the testing
potassium considered by the agency to lymphosarcoma and reticulum cell laboratory on this study, submitted with
estimate consumer exposure are sarcoma (Ref. 3) instead of separately as the initial petition, tissues from some of
supported by analytical data and taste was done here. The agency concludes the animals were reviewed by the study
panel testing reported in the petition. that there was no increase in neoplastic pathologist of the performing laboratory
The petitioner also submitted survey disease of the lymphoreticular system in and the remainder were reviewed by a
information on the consumption of the mice due to treatment with acesuifame consulting pathologist. This division of
food types for which use of acesulfame potassium. FDA also finds that this labor resulted in inconsistencies in the
potassium was requested (Ref. 1). study met the minimum standards of diagnostic criteria applied to the
The agency commonly uses the testing for length of treatment and observations reported in the study.
estimated daily intake for the 90th degree of survival. Although the data appeared to show
percentile consumer of a food additive For the first of the two long-term rat treatment-related differences in a few of
as a measure of high chronic exposure studies submitted, the testing laboratory the observations, these were
because that level of consumption is stated that the results showed a slightly subsequently found to be due to the
significantly above the intake of the higher incidence, and a somewhat different way categories of lesions were
average consumer, thus providing an earlier appearance, of lymphoreticular summarized. This was shown when the
added margin of safety with respect to pulmonary neoplasms (reticulm cell petitioner, in response to the agency's
the acceptable daily intake for those sarcomas) in the mid- and high-dose request for more detailed and explicit
individuals who regularly consume food groups of both male and female rats listings of the results of the study, had
containing the additive. For the than in the concurrent control group. all the data and microscopic slides
requested food uses of acesulfame The laboratory discussed several reviewed by a consulting pathologist,
potassium, the agency has determined reasons to support its conclusion that who prepared a new report.
the 90th percentile estimated daily these effects Were not caused by After a comprehensive review of the
intake to be 1.6 milligrams per kilogram treatment. data from this second study, the agency
of body weight (for further details on has concluded that it is adequate for the
this estmate see Ref. 1). The agency concludes that this study,
is inadequate to demonstrate safety and safety evaluation of a food additive and
B. Safety Studies does not establish a carcinogenic effect that there is no association between the
The metabolism studies of acesulfame of acesulfame potassium (Refs. 2 and 4). occurrence of neoplasms and treatment
potassium revealed no evidence that A major deficiency in the study is the with acesulfame potassium (Ref. 2).
this substance is metabolized. The fact that only 20 of the 60 rats in the Moreover, these rats did not show
reproduction and teratology studies control and high dose groups were lymphoreticular neoplasms in the lungs
produced no evidence of compound subject to a complete histopathological or lymphoreticular disease in any other
related teratogenic or adverse examination, thereby limiting the proper organs that could be ascribed to
reproductive effects. The mutagenicity interpretation of the results of the study. treatment. The highest level fed, 3
studies did not indicate any genotoxic Moreover, the presence of extensive, percent of the diet, produced no adverse
effects from acesulfame potassium. severe chronic respiratory disease in the toxic effects.
None of the various short-term studies lungs of rats of all groups confounded Among the issues in the initial review
showed any untoward adverse effects diagnosis and interpretation of lung that received attention were differences
from acesulfame potassium. The 2-year lesions in these animals. Generally, in incidence of mammary gland
toxicity study in beagle dogs did not reticulum cell sarcomas in most strains neoplasms in the female rats. Most of
show any toxic effects associated with of rats arise from lymph nodes and the mammary tumors were
the consumption of acesulfame disseminated to many organs (Ref. 5). fibroadenomas; there incidences in the
potassium. However, in the CIVa-bred Wi star rats, female rats were: Control group-17 of
For the carcinogenicity study in mice, the occurrence of reticulum cell 56 rats examined (30.4 percent); 0.3
the petitioner had a consulting sarcomas in the lung seems to be linked percent test compound-26 of 60 (43.3
pathologist, as well as the testing with the presence of chronic respiratory percent); 1.0 percent test compound-28
laboratory, review the data and disease (Ref. 5). These neoplasms in the of 59 (47.5 percent); 3.0 percent test
microslides. The testing laboratory, the clva strain are generally localized in compound-28 of 59 (47.5 percent) (Ref.
consulting pathologist, and the agency the lungs and do not disseminate to 6). The mammary gland neoplasms other
all concluded that the data did not other organs or tissues. Reticulum cell than fibroadenomas were few in number
reveal any association between sarcomas are known to occur and were distributed randomly among
neoplasms and use of the substance, or spontaneously in this strain of rat; the different groups. The incidences of
between any other adverse effects and incidences as high as 32 percent had mammary gland hyperplasia were
use of the substance (Ref. 2). been reported in untreated CIVa-bred similar and uniformly high in all groups
Lymphocytic leukemia was reported as Wi star rats (Ref. 2). These findings on of treated famales and in the control
increased in the high-dose female mice, the lymphoreticular neoplasms observed females. Thus, the occurrence of
but the incidences were within the range in treated and control rats from this mammary gland hyperplasia was
of spontaneous incidences with this study reinforce the agency's judgment unrelated to treatment with acesulfame
strain in the laboratory. The control, that these neoplasms were not caused potassium.
low-, and mid-dose groups had by acesulfame potassium treatment and The agency concludes that there was
incidences of 1 percent and the high that, therefore, the study is inadequate no association between the occurrence
dose group had 4 percent incidence. The and does not provide a basis for of mammary gland neoplasms and
Federal Register I Vol. 53, No. 145 I Thursday, July 28, 1988 I Rules and Regulations 28381
treatment with acesulfame potassium. significant" in high-dose females. The Risk Assessment" as saying. "To
This conclusion is based on the group also mentioned an earlier evaluate carcinogenicity. the primary
following: appearance of these tumors in mid- and comparison is tumor response in dosed.
(1) Fibroadenomas are a common old high-dose males than in control and low animals as compared with that in
age tumor in this strain of rats and their dose males. contemporary matched control animals"
incidence is variable. The agency has evaluated this study (September 24.1986; 51 FR 33992 at
(2) The incidence of mammary comprehensively and. as outlined in the 33995).
fibroadenomas in female control rats proceding Section. finds that FDA disagrees with CSPI's
from seven comparable studies, deficiencies in the study prevent anyone interpretation of these guidelines. CSPI
performed at this testing laboratory from drawing any conclusions omitted from its quotation the sentences
around the same time period as the concerning treatment-related effects. For that follow it in the guidelines with
acesulfame potassium study, is 250 of the reasons described above. the agency respect to consideration of historical
452 or 55.3 percent (Ref. 6). This found no evidence of a neoplastic effect controls. The Environmental Protection
incidence is higher than the incidences that is casually associated with Agency goes on to state. "Historical
for any of the treated groups in the acesulfame potassium from this study. control data are often valuable.
acesulfame potassium study and is Moreover. as noted above. the agency however. and could be used along with
much higher than that for the concurrent believes that the deficiencies in this concurrent control data in the
control group. The concurrent control study render it inadequate for assessing evaluation of carcinogenic
group had an unusually low incidence of the carcinogenic potentiai ·of the tellt responses * * *. The review of tumor
these tumors. compound or for any other purposes of a data at sites with high spontaneous
(3) In the treated groups. the lack of a safety evaluation. The second rat study background requires special
dose response in incidences of is adequate however. for such purposes consideration * * *. For instance. a
fibroadenomas. as well as of all and forms a basis for the agency's final response that is significant with respect
mammary tumors and of hyperlasia. is conclusion of safety. to the experimental control group may
evidence that there is not a treatment On the second long-term rat study. become questionable if the historical
related effect of the sweetener on the CSPI stated "Although excess control data indicate that the
incidence of fibroadenomas. pulmonary tumors were not observed in experimental control group had an
(4) There was no evidence of this study. excess mammary gland
progressive stages of mammary gland unusually low background incidence"
tumors were found. According to the (citations omitted).
neoplasms (hyperplasia to malignant petitioner. the 'total incidence of
neoplasms) that would indicate a mammary gland tumors in each of the FDA has long followed the principles
treatment-related induction of tumors. test groups was about twice as high as stated in these guidelines. and in the
The reproduction and teratology in the controls * * *. In addition. Office of Science and Technology
studies. and the long-term safety studies malignant mammary tumors * * * were Policy. in reviewing the safety of food
did not show any toxic effects due to found only in test animals * * *.''' and color additives (November 2. 1982;
treatment with acesulfame potassium. (Omissions made by CSPI) 47 FR 49628 at 49629). The Office of
From the highest feeding level in the The agency disagrees with CSPI's Science and Technology Policy (March
long-term rat study. 3 percent conclusion that this study is not 14. 1985; 50 FR 10372 at 10418) stated:
acesulfame potassium. the agency. using adequate to demonstrate safety. FDA • • • With such data. the toxicologist may
a loo-fold safety factor. finds that the made a detailed evaluation based on the conclude that a study yielding statistical
acceptable daily intake in 15 milligrams comprehensive reexamination of all the significance is not biologically significant or
per kilogram body weight. This histological slides by the consulting conversely that an effect is real. even though
acceptable daily intake level is well pathologist (see preceding Section). As there is no "significant" difference between
above the expected intake for the food stated in the previous Section. lest and concurrence controls. Of 27 bioassay
uses requested. fibroadenomas are common old-age study reports issued by the NCI (National
tumors in female rats of this strain. The Cancer Institute) from 1978-1980. historical
III. Comments controls we~e used in 14 studies to show that
quotation of the petitioner's statement
The Center for Science in the Public omits the fact that no mammary gland an apparent increase of a specific tumor was
Interest (CSPI). a consumer advocacy tumors were found in any of the male not related to treatment. In 13 stuqies. the use
group. wrote to the agency to express its rats of this study. Based on the lack of of historical controls showed that an increase
concerns about the testing and safety of in tumors was related to treatment. Historical
dose response. the unusually low control data can be valuable when used
this sweetener. and included a copy of a incidence of tumors in the concurrent
newsletter article it had published on appropriately. especially when the
control group compared with other differences in incidence rates between
this subject. Several individuals also contemporary controls. and the other treated and concurrent negative controls are
wrote to the agency echoing the reasons given in the previous Section, small and can be shown to be within the
concerns in the newsletter article. CSPI the agency concludes that there is no anticipated historical incidence.
urged that FDA not approve the petition basis to find a causal relationship
as submitted. between acesulfame potassium. The agency points out that a
CSPI stated that some of the treated
treatment and development of mammary determination of whether a compound is
groups in the first long-term rat study
gland tumors. carcinogenic should be based on the
showed higher mortality than the
In its letter to FDA. CSPI maintained overall weight of the evidence. The
controls and this increase was
that a positive dose response is not evidence can reasonably include a dose
associated with chronic respiratory
needed to reach a conclusion of response or a lack of a dose response.
disease and cancers of lung lymphoid
carcinogenicity. The group also stated consideration of historical controls.
tissue. CSPI also claimed that the
its belief that comparison with historical associated pathological data. the time to
occurrence of pulmonary
controls does not excuse the high tumor induction tumors. and the multiplicity of
lymphoreticular tumors was relatively
rates in either rat study. In this regard. tumors. In the second long-term rat
high in mid- and high-dose groups of
they quote the Environmental Protection study. none of these factors lends weight
both sexes and was "statistically
Agency's "Guidelines for Carcinogen to a finding of carcinogenicity (Ref. 6).
28382 Federal Register / Vol. 53, No. 145 / Thursday, July 28, 1988 / Rules and Regulations
CSPI also questioned the results in a V. Objections List of Subjects in 21 CFR Part 172
study the petitioners had volunteered Food additives, Incorporation by
groups but not in the high-dose group. Failure to request a hearing on any Part 172 continues to read as follows:
These data do not show a dose-response particular objection shall constitute a Authority: Secs. 201[s). 409. 72 Stat. 1784
relationship. In addition, differences in waiver of the right to a hearing on that 1788 as amended [21 U.S.C. 321[s). 348); 21
levels were relatively small and well objection. Each numbered objection for CFR 5.10 and 5.61
within the normal cholesterol levels for which a hearing is requested shall 2. A new § 172.800 is added to Subpart
rats (Ref. 7). FDA finds no relation include a detailed description and I to read as follows:
between ingestion of the test compound analysis of the specific factual
and the levels of serum cholesterol in information intended to be presented in § 172.800 Acesulfame potassium.
this study. support of the objection in the event that Acesulfame potassium (CAS Reg. No.
a hearing is held. Failure to include such 55589-62-3). also known as acesulfame
IV. Conclusions a description and analysis for any K, may be safely used as a sweetening
FDA has evaluated the data in the particular objection shall constitute a agent in food in accordance with the
petition and other relevant material and waiver of the right to a hearing on the . following prescribed conditions:
concludes that acesulfame potassium is objection. Three copies of all documents (a) Acesulfame potassium is the
safe under the conditions of use in a shall be submitted and shall be potassium salt of 6-methyl-1,2.3
identified with the docket number found oxathiazine-4(3H)-one-2,2-dioxide.
(4) Dry bases for beverages. instant under the "old section-new section" 40 CFR Part 271
coffee, and instant tea. table, in the entry for old section 193.470
[FRL-3420-9]
(5) Dry bases for gelatins, puddings, change the new section entry from
and pudding desserts. 185.5500 to 185.5550. Georgia; Final Authorization of State
(6) Dry bases fordairy product 3. On page 24667, in the first column
Hazardous Waste Management
analogs. under the "old section-new section"
Program
(d) If the food containing the additive table in the entry for old section 561.51
AGENCY: Environmental Protection
is represented to be for special dietary change the new section entry from
Agency.
uses, it shall be laQeled in compliance 186.400 to 186.375.
with Part 105 of this chapter. ACTION: Immediate final rule.
4. On page 24667, in the first column.
(e) The additive shall be used in under the "old section-new section"
SUMMARY: Georgia has applied for final
accordance with current good authorization of revisions to its
table in the entry for old section 561.53
186.5050 to 186.4975.
Resource Conservation and Recovery
accomplish the intended effect. Act (RCRA). EPA has reviewed
5. On page 24667. in the first column,