The human 4 hour patch test provides an opportunity to identify substa
nces with significant skin irritation potential without recourse to th
e use of animals. The protocol is designed to avoid the production of
more than mild irritant reactions and meets the highest ethical standa
rds. This paper provides the background to the development of the meth
od and comments on its performance in the light of recent intra-and in
ter-laboratory investigations. In particular, the value of the method
in providing 'gold standard' data for the identification of those subs
tances (or preparations) which should, or should not, be classified as
irritant to skin in European legislation is discussed. On the basis o
f the published data and supplementary investigations, recommendations
are made on both the conduct and interpretation of the human 4 hour p
atch test. Finally, the lack of any necessity for formal validation of
this assay is addressed. (C) 1997 Elsevier Science Ltd.