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IARC MONOGRAPHS ON THE EVALUATION OF CARCINOGENIC RISKS TO HUMANS
Description of evaluations – abridged from full text available from IARC here
The IARC Monograph Working Groups evaluations are based on the strength of the evidence for
carcinogenicity arising from human and experimental animal data, using standard terms. These are
described below. The strength of the mechanistic evidence is also characterised.
It is recognised that the criteria for these evaluations cannot encompass all of the factors that may
be relevant to an evaluation of carcinogenicity. In considering all of the relevant scientific data, the
Working Group may assign the agent to a higher or lower category than a strict interpretation of
these criteria would indicate.
These categories refer only to the strength of the evidence that an exposure is carcinogenic and not
to the extent of its carcinogenic activity (potency). A classification may change as new information
becomes available.
An evaluation of the degree of evidence is limited to the materials tested, as defined physically,
chemically or biologically. When the agents evaluated are considered by the Working Group to be
sufficiently closely related, they may be grouped together for the purpose of a single evaluation of
the degree of evidence.
Sufficient evidence of carcinogenicity:
The Working Group considers that a causal relationship has been established between exposure
to the agent and human (or animal) cancer.
Limited evidence of carcinogenicity:
A positive association has been observed between exposure to the agent and cancer (in human
or animals) for which a causal interpretation is considered by the Working Group to be credible,
but chance, bias or confounding could not be ruled out with reasonable confidence.
Inadequate evidence of carcinogenicity:
The available studies are either of insufficient quality, consistency or statistical power to permit a
conclusion regarding the presence or absence of a causal association between exposure and
cancer, or no data on cancer in humans (or animals) are available.
Evidence suggesting lack of carcinogenicity:
There are several adequate studies covering the full range of levels of exposure that humans are
known to encounter, which are mutually consistent in not showing a positive association
between exposure to the agent and any studied cancer at any observed level of exposure.
OVERALL EVALUATION
Finally, the body of evidence is considered as a whole, in order to reach an overall evaluation of the
carcinogenicity of the agent to humans.
The categorisation of an agent is a matter of scientific judgement that reflects the strength of the
evidence derived from studies in humans and in experimental animals and from mechanistic and
other relevant data.