Liebsch, M., D. Traue, C. Barrabas, H. Spielmann, P. Uphill, S. Wilkins, J. McPherson, C. Wiemann, T. Kaufmann, M. Remmele, and H.-G. Holzhütter. The ECVAM Prevalidation Study on the Use of EpiDerm for Skin Corrosivity Testing. ATLA 28(3): 371-401. 2000.
In 1996 and
1997, ECVAM supported a formal validation study on in vitro methods for
predicting skin corrosivity. Two of
the in vitro
tests included in the study employed human skin models, the Skin2™; ZK1350 and
EPISKIN™; models. In the ECVAM validation study, BASF, Huntingdon Life Sciences
(HLS) and ZEBET tested the Skin2 human skin model, production of which ceased
in October 1996 while the validation study was still in progress. Since both of the skin models had shown
basic usefulness for corrosivity testing and, in particular, the EPISKIN
corrosivity test had proved to be a scientifically valid test, the three
laboratories decided to conduct a study to determine whether another
commercially available human skin model, EpiDerm™, could also be successfully
used to predict skin corrosivity. The study was performed according to the
ECVAM prevalidation scheme, to allow for refinement of the test protocol and
the prediction model, as well as for independent assessment of the performance
of the refined methodology in a final blind trial in the three laboratories. In
phase I of the study, ZEBET (Laboratory 1) drafted a Standard Operating
Procedure (SOP), including a prediction model, and the project plan for the
study. It was a major task to simplify an existing EpiDerm test protocol, which
used the time-course of cytotoxicity as its endpoint. To evaluate the predictivity of the simplified method, which used
only a 3-minute exposure to test chemicals, 50 chemicals representing a wide
spectrum of chemical entities were tested, revealing that the test sensitivity
was too low (65%), whereas the specificity was very high (88%). In addition, acceptance criteria for the
negative and positive controls were established. Before proceeding to the next
phase of the study, ZEBET distributed a refined SOP, data-recording software
and documentation sheets, which allowed Good Laboratory Practice
(GLP)-compliant quality assurance for each assay. The main goal of phase II was
to produce sufficient data to assess the reproducibility of the EpiDerm skin
corrosivity test after transfer to Laboratory 2 (HLS). Repeated testing of several chemicals in
both laboratories revealed excellent intralaboratory and interlaboratory
reproducibility. In addition, chemicals
classified as "non-corrosive" (NC) with a 3-minute exposure in phase
I, were re-tested by ZEBET with extended exposure periods of 1 hour and 4
hours. The test sensitivity could be significantly increased if chemicals
classified NC with a 3-minute exposure were tested with a 1-hour exposure. Before
proceeding to the final blind trial, a refined SOP was drafted, according to
which all chemicals had to be tested with exposure times of 3 minutes and 1
hour, and data for these two exposure times were used in the refined
hierarchical prediction model, PM2. In phase III, the blind trial, BASF
(Laboratory 3) joined the study. ECVAM selected 24 chemicals from the test
chemical set used in the ECVAM skin corrosivity validation study, and BIBRA
International (UK) purchased, coded and distributed the chemicals. Each
chemical was tested twice, independently, according to the
principles
of GLP, and coded data were submitted to the Humboldt University (Berlin,
Germany) for biostatistical analysis. The analysis revealed that the final test
protocol and the refined prediction model, PM2, provided a highly balanced
prediction of 88% sensitivity and 86% specificity, which is regarded as the
best predictivity an in vitro skin corrosivity test can be expected to achieve.
In conclusion, the EpiDerm skin corrosivity test gives an excellent prediction
for a wide spectrum of chemicals, and could be used within the context of the
new Annex V (EU Dangerous Substances Directive) test method (human skin model
assay) for skin corrosion. The results obtained were reproducible, both within
and between laboratories, and showed that EpiDerm could be used for testing a
wide range of chemicals (both liquids and solids), including organic acids and
bases, neutral organics, inorganic acids and bases, electrophiles and phenols. The concordances between the skin
corrosivity classifications derived from the in vitro data were very good, and
the test was able to distinguish between corrosive and non-corrosive chemicals
for all of the chemical types studied.