We compare the regulatory implications of applying the traditional (lineari
zed) and exact two-stage dose-response models to animal carcinogenic data.
We analyze dose-response data from six studies, representing five different
substances, and we determine the "goodness-of-fit" of each model as well a
s the 95% confidence lower limit of the dose corresponding to a target exce
ss risk of 10(-5) (the target risk dose TRD). For the two concave datasets,
we find that the exact model gives a substantially better fit to the data
than the traditional model, and that the exact model gives a TRD that is an
order of magnitude lower than that given by the traditional model. In the
other cases, the exact model gives a fit equivalent to or better than the t
raditional model. We also show that although the exact two-stage model may
exhibit dose-response concavity at moderate dose levels, it is always linea
r or sublinear, and never supralinear, in the low-dose limit. Because regul
atory concern is almost always confined to the low-dose region extrapolatio
n, supralinear behavior seems not to be of regulatory concern in the exact
two-stage model. Finally, we find that when performing this low-dose extrap
olation in cases of dose-response concavity, extrapolating the model fit le
ads to a more conservative TRD than taking a linear extrapolation from 10%
excess risk. We conclude with a set of recommendations.