Thomas Dorlo
Senior Lecturer/Associate Professor at Department of Pharmacy; Pharmacometrics
- E-mail:
- thomas.dorlo@farmaci.uu.se
- Visiting address:
- Biomedicinskt Centrum BMC, Husargatan 3
- Postal address:
- Box 580
751 23 UPPSALA
Download contact information for Thomas Dorlo at Department of Pharmacy; Pharmacometrics
- ORCID:
- 0000-0003-3076-8435
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Short presentation
My research focuses on optimizing therapies for poverty-related and neglected tropical diseases, such as leishmaniasis, malaria, and mycetoma, through pharmacometric modelling and simulation (PK/PD & PBPK) - with a particular emphasis on children and pregnant women.
I am author of more than 100 peer-reviewed publications, mainly on clinical pharmacology, global health and tropical medicine. Currently I am the chair of the PAGE scientific organizing committee.
Keywords
- bioanalysis
- clinical pharmacology
- computational modelling and simulation
- global health
- leishmaniasis
- malaria
- mycetoma
- neglected tropical diseases
- pediatric infectious diseases
- pediatric oncology
- pharmacodynamics
- pharmacokinetics
- pharmacometrics
- physiologically based pharmacokinetic modelling
- quantitative pharmacology
- tropical medicine
Research
Over the past 15 years my main research interest has been clinical and translational pharmacology of (neglected) tropical diseases, in particular malaria, mycetoma and cutaneous, post-kala-azar dermal and visceral leishmaniasis, but also oncology and pediatric oncology, to optimize existing treatment regimens, novel combination therapies and new chemical entities (NCE), by translation of pharmacokinetic (PK) and pharmacodynamic (PD) findings into direct clinical applications. My work has always been aimed at advancing therapies in the area of global health for neglected and poor patient populations. I have been a consultant for Drugs for Neglected Diseases initiative (DNDi), globally the single most important organization responsible for drug development in the area of neglected tropical diseases, where I am involved in the clinical pharmacology and pharmacometric analyses in their clinical trials on leishmaniasis, Chagas disease, mycetoma and more recently also cryptococcal meningitis. My research focuses on treatment optimization for vulnerable populations such as children and pregnant women and preclinical translational studies with the ultimate aim to improve treatment for special, neglected and vulnerable patient populations, reduce the need for animal pharmacokinetic experiments, and improve our understanding of host-pathogen-drug interactions both in human as well as in infection models.
My research has combined experimental and translational wet lab activities, involving the development and validation of bioanalytical assays to measure drugs and biomarkers (LC-MS/MS, qPCR, etc.), together with computational activities analysing (pre-)clinical PK and PD data applying state-of-the-art quantitative pharmacological and pharmacometric data analysis techniques, such as population PK/PD modelling & simulation and physiologically-based PK (PBPK) modelling. These modelling techniques are extremely powerful as they enable us to make predictions and extrapolate findings to different contexts, species, populations, dosing regimens, etc. I have been involved in the protocol development, implementation and execution of clinical trials in the fields of malaria, mycetoma, cryptococcal meningitis, cutaneous leishmaniasis, post-kala-azar dermal leishmaniasis and visceral leishmaniasis, in Europe, Africa, Asia and Latin America. I am currently collaborating with more than 40 academic/clinical partners from 24 countries on 4 continents, mainly in Africa (Sudan, Ethiopia, Kenya, Uganda, Mali, Burkina Faso, The Gambia, Democratic Republic of Congo, Mozambique, Bolivia, Brazil, Colombia, Afghanistan, Pakistan, India, Bangladesh, Thailand, USA, UK, Belgium, Spain, Sweden, Switzerland, the Netherlands)
My research has been supported by the Dutch Research Council (Veni Fellowship), various EDCTP grants (European Commission), the Swedish Research Council, Drugs for Neglected Diseases initiative, the Dioraphte Foundation, and Uppsala University's InDevelops u-landsfond.
I am currently supervising 6 ongoing PhD students (4 main, 2 co-supervisor), while 9 PhD students (4 main, 5 co-supervisor) have already successfully defended their thesis under my supervision.
Publications
Selection of publications
- The status of combination therapy for visceral leishmaniasis (2024)
- Pyronaridine (2023)
- Physiologically‐based pharmacokinetic model to predict doxorubicin and paclitaxel exposure in infants through breast milk (2023)
- Predicting Chemotherapy Distribution into Breast Milk for Breastfeeding Women Using a Population Pharmacokinetic Approach (2023)
- Paromomycin and Miltefosine Combination as an Alternative to Treat Patients With Visceral Leishmaniasis in Eastern Africa (2022)
- An update on the clinical pharmacology of miltefosine in the treatment of leishmaniasis. (2022)
- Development and validation of a high-performance liquid chromatography tandem mass spectrometry method for the quantification of the antiparasitic and antifungal drug amphotericin B in human skin tissue. (2022)
- Blood Parasite Load as an Early Marker to Predict Treatment Response in Visceral Leishmaniasis in Eastern Africa. (2021)
- Geographical Variability in Paromomycin Pharmacokinetics Does Not Explain Efficacy Differences between Eastern African and Indian Visceral Leishmaniasis Patients. (2021)
- Characterizing the non-linear pharmacokinetics of miltefosine in paediatric visceral leishmaniasis patients from Eastern Africa. (2020)
Recent publications
- Skin pharmacokinetics of miltefosine in the treatment of post-kala-azar dermal leishmaniasis in South Asia (2024)
- Development and validation of an ultra-performance liquid chromatography-tandem mass spectrometry method for the quantification of the antimalarial drug pyronaridine in human whole blood (2024)
- The status of combination therapy for visceral leishmaniasis (2024)
- Leishmania blood parasite dynamics during and after treatment of visceral leishmaniasis in Eastern Africa (2024)
- Pyronaridine (2023)
All publications
Articles
- Skin pharmacokinetics of miltefosine in the treatment of post-kala-azar dermal leishmaniasis in South Asia (2024)
- Development and validation of an ultra-performance liquid chromatography-tandem mass spectrometry method for the quantification of the antimalarial drug pyronaridine in human whole blood (2024)
- The status of combination therapy for visceral leishmaniasis (2024)
- Leishmania blood parasite dynamics during and after treatment of visceral leishmaniasis in Eastern Africa (2024)
- Pyronaridine (2023)
- Comment on "Dosing implications for liposomal amphotericin B in pregnancy" (2023)
- Physiologically‐based pharmacokinetic model to predict doxorubicin and paclitaxel exposure in infants through breast milk (2023)
- Predicting Chemotherapy Distribution into Breast Milk for Breastfeeding Women Using a Population Pharmacokinetic Approach (2023)
- High accumulation of nivolumab in human breast milk (2023)
- Efficacy and safety of pyronaridine-artesunate (PYRAMAX) for the treatment of P. falciparum uncomplicated malaria in African pregnant women (PYRAPREG) (2023)
- Semi-physiological Enriched Population Pharmacokinetic Modelling to Predict the Effects of Pregnancy on the Pharmacokinetics of Cytotoxic Drugs (2023)
- Power to identify exposure-response relationships in phase IIa pulmonary tuberculosis trials with multi-dimensional bacterial load modeling. (2023)
- Bioanalytical methods for pharmacokinetic studies of antileishmanial drugs (2023)
- Predicting [177Lu]Lu-HA-DOTATATE kidney and tumor accumulation based on [68Ga]Ga-HA-DOTATATE diagnostic imaging using semi-physiological population pharmacokinetic modeling (2023)
- A physiologically based pharmacokinetic model for [Ga-68]Ga-(HA-)DOTATATE to predict whole-body distribution and tumor sink effects in GEP-NET patients (2023)
- Population pharmacokinetic dosimetry model using imaging data to assess variability in pharmacokinetics of 177Lu-PSMA-617 in prostate cancer patients (2023)
- The use of microtracers in food-effect trials (2023)
- Development of a Therapeutic Drug Monitoring Strategy for the Optimization of Vincristine Treatment in Pediatric Oncology Populations in Africa (2023)
- A naïve pooled data approach for extrapolation of Phase 0 microdose trials to therapeutic dosing regimens (2023)
- Population pharmacokinetics of a combination of miltefosine and paromomycin in Eastern African children and adults with visceral leishmaniasis (2023)
- Safety and efficacy of paromomycin/miltefosine/liposomal amphotericin B combinations for the treatment of post-kala-azar dermal leishmaniasis in Sudan (2023)
- Semi-mechanistic Modeling of Hypoxanthine, Xanthine, and Uric Acid Metabolism in Asphyxiated Neonates (2022)
- Pharmacokinetic/Pharmacodynamic Modelling of Allopurinol, its Active Metabolite Oxypurinol, and Biomarkers Hypoxanthine, Xanthine and Uric Acid in Hypoxic-Ischemic Encephalopathy Neonates (2022)
- Presence of Five Chemotherapeutic Drugs in Breast Milk as a Guide for the Safe Use of Chemotherapy During Breastfeeding (2022)
- Population Pharmacokinetic Modelling to Support the Evaluation of Preclinical Pharmacokinetic Experiments with Lorlatinib (2022)
- Predictiveness of the Human-CYP3A4-Transgenic Mouse Model (Cyp3aXAV) for Human Drug Exposure of CYP3A4-Metabolized Drugs. (2022)
- No evidence for cardiotoxicity of miltefosine (2022)
- Emerging talents in Frontiers in Pharmacology (2022)
- Longitudinal nonlinear mixed effects modeling of EGFR mutations in ctDNA as predictor of disease progression in treatment of EGFR-mutant non-small cell lung cancer. (2022)
- Everolimus Concentration in Saliva to Predict Stomatitis (2022)
- Paromomycin and Miltefosine Combination as an Alternative to Treat Patients With Visceral Leishmaniasis in Eastern Africa (2022)
- An update on the clinical pharmacology of miltefosine in the treatment of leishmaniasis. (2022)
- Development and validation of an HPLC-MS/MS method for the quantification of the anti-leishmanial drug miltefosine in human skin tissue. (2022)
- Development and validation of a high-performance liquid chromatography tandem mass spectrometry method for the quantification of the antiparasitic and antifungal drug amphotericin B in human skin tissue. (2022)
- Development and validation of an ultra-high performance liquid chromatography coupled to tandem mass spectrometry method for the quantification of the antileishmanial drug paromomycin in human skin tissue. (2022)
- Editorial (2022)
- Development of a population pharmacokinetic/pharmacodynamic model for various oral paclitaxel formulations co-administered with ritonavir and thrombospondin-1 based on data from early phase clinical studies. (2022)
- Toxicity of pemetrexed during renal impairment explained-Implications for safe treatment (2021)
- Relapsing leishmanial arthritis (2021)
- Population Pharmacokinetics of Intracellular 5-Fluorouridine 5'-Triphosphate and its Relationship with Hand-and-Foot Syndrome in Patients Treated with Capecitabine. (2021)
- Population Pharmacokinetics of Docetaxel, Paclitaxel, Doxorubicin and Epirubicin in Pregnant Women with Cancer (2021)
- Low antileishmanial drug exposure in HIV-positive visceral leishmaniasis patients on antiretrovirals (2021)
- Worse capecitabine treatment outcome in patients with a low skeletal muscle mass is not explained by altered pharmacokinetics. (2021)
- A physiologically based pharmacokinetic (PBPK) model to describe organ distribution of 68Ga-DOTATATE in patients without neuroendocrine tumors (2021)
- Investigating the influence of relevant pharmacogenetic variants on the pharmacokinetics and pharmacodynamics of orally administered docetaxel combined with ritonavir. (2021)
- Blood Parasite Load as an Early Marker to Predict Treatment Response in Visceral Leishmaniasis in Eastern Africa. (2021)
- Geographical Variability in Paromomycin Pharmacokinetics Does Not Explain Efficacy Differences between Eastern African and Indian Visceral Leishmaniasis Patients. (2021)
- Influence of Malnutrition on the Pharmacokinetics of Drugs Used in the Treatment of Poverty-Related Diseases (2021)
- Population Pharmacokinetics of MCLA-128, a HER2/HER3 Bispecific Monoclonal Antibody, in Patients with Solid Tumors. (2020)
- A Semi-Mechanistic Population Pharmacokinetic/Pharmacodynamic Model of Bortezomib in Pediatric Patients with Relapsed/Refractory Acute Lymphoblastic Leukemia. (2020)
- Evaluation of Extrapolation Methods to Predict Trough Concentrations to Guide Therapeutic Drug Monitoring of Oral Anticancer Drugs. (2020)
- Pharmacokinetic Targets for Therapeutic Drug Monitoring of Small Molecule Kinase Inhibitors in Pediatric Oncology. (2020)
- Clinical Trial Simulation To Optimize Trial Design for Fludarabine Dosing Strategies in Allogeneic Hematopoietic Cell Transplantation. (2020)
- Characterizing the non-linear pharmacokinetics of miltefosine in paediatric visceral leishmaniasis patients from Eastern Africa. (2020)
- Skin tissue sample collection, sample homogenization, and analyte extraction strategies for liquid chromatographic mass spectrometry quantification of pharmaceutical compounds. (2020)
- Highly sensitive UPLC-MS/MS method for the quantification of paromomycin in human plasma. (2020)
- Population pharmacokinetic analysis of nanoparticle-bound and free camptothecin after administration of NLG207 in adults with advanced solid tumors. (2020)
- Quantification of the pharmacokinetic-toxicodynamic relationship of oral docetaxel co-administered with ritonavir. (2020)
- Impact of Older Age on the Exposure of Paclitaxel (2019)
- Exposure to Docetaxel in the Elderly Patient Population (2019)
- Does Older Age Lead to Higher Risk for Neutropenia in Patients Treated with Paclitaxel? (2019)
- Fludarabine exposure in the conditioning prior to allogeneic hematopoietic cell transplantation predicts outcomes. (2019)
- Population Pharmacokinetics of Fludarabine in Children and Adults during Conditioning Prior to Allogeneic Hematopoietic Cell Transplantation. (2019)
- Pharmacokinetics, Safety, and Efficacy of an Allometric Miltefosine Regimen for the Treatment of Visceral Leishmaniasis in Eastern African Children (2019)
- Systematic Review of Host-Mediated Activity of Miltefosine in Leishmaniasis through Immunomodulation. (2019)
- Safe mass drug administration for neglected tropical diseases. (2018)
- Pharmacodynamic modeling of cardiac biomarkers in breast cancer patients treated with anthracycline and trastuzumab regimens. (2018)
- Simultaneous population pharmacokinetic modelling of plasma and intracellular PBMC miltefosine concentrations in New World cutaneous leishmaniasis and exploration of exposure-response relationships. (2018)
- Clinical Pharmacokinetics of Systemically Administered Antileishmanial Drugs (2018)
- Macrophage Activation Marker Neopterin (2018)
- Population Pharmacokinetics of Artemether, Dihydroartemisinin, and Lumefantrine in Rwandese Pregnant Women Treated for Uncomplicated Plasmodium falciparum Malaria (2018)
- Immunomodulatory Therapy of Visceral Leishmaniasis in Human Immunodeficiency Virus-Coinfected Patients. (2017)
- Pharmacokinetics of Miltefosine in Children and Adults with Cutaneous Leishmaniasis (2017)
- Letter by Dorlo Regarding Article, "Acupuncture Therapy and Incidence of Depression After Stroke". (2017)
- Visceral leishmaniasis relapse hazard is linked to reduced miltefosine exposure in patients from Eastern Africa (2017)
- Volumetric absorptive microsampling (VAMS) as an alternative to conventional dried blood spots in the quantification of miltefosine in dried blood samples. (2017)
- Evaluation Of Macrophage Activation Marker Neopterin As A Pharmacodynamic Biomarker In Visceral Leishmaniasis (2017)
- Lack of Clinical Pharmacokinetic Studies to Optimize the Treatment of Neglected Tropical Diseases (2017)
- Functional Validation of ABCA3 as a Miltefosine Transporter in Human Macrophages (2016)
- Poverty-Related Diseases College (2016)
- Treatment of visceral leishmaniasis (2016)
- Pharmacokinetics and pharmacodynamics of oleylphosphocholine in a hamster model of visceral leishmaniasis (2016)
- Validation and clinical evaluation of a novel method to measure miltefosine in leishmaniasis patients using dried blood spot sample collection (2016)
- Dose Reduction of Caspofungin in Intensive Care Unit Patients with Child Pugh B Will Result in Suboptimal Exposure. (2016)
- Predictable threats to public health through delaying universal access to innovative medicines for hepatitis C (2016)
- Pharmacokinetics and pharmacodynamics of oral oleylphosphocholine in a hamster model of visceral leishmaniasis (2015)
- Quantification of miltefosine in peripheral blood mononuclear cells by high-performance liquid chromatography-tandem mass spectrometry. (2015)
- Systematic review of biomarkers to monitor therapeutic response in leishmaniasis. (2015)
- Population pharmacokinetics of levamisole in children with steroid-sensitive nephrotic syndrome (2015)
- Assessment of blood-brain barrier penetration of miltefosine used to treat a fatal case of granulomatous amebic encephalitis possibly caused by an unusual Balamuthia mandrillaris strain. (2015)
- LeishMan recommendations for treatment of cutaneous and mucosal leishmaniasis in travelers, 2014. (2014)
- Different liposomal amphotericin B formulations for visceral leishmaniasis. (2014)
- Failure of miltefosine in visceral leishmaniasis is associated with low drug exposure. (2014)
- Safety and efficacy of single dose versus multiple doses of AmBisome for treatment of visceral leishmaniasis in eastern Africa (2014)
- Failure of miltefosine treatment for visceral leishmaniasis in children and men in South-East Asia. (2014)
- [Concomitant use of proton pump inhibitors and systemic corticosteroids]. (2013)
- Reply to Arya and Agarwal. (2013)
- The global impact of Indian generics on access to health. (2013)
- Please, let not Western quackery replace traditional medicine in Africa. (2013)
- Increasing failure of miltefosine in the treatment of Kala-azar in Nepal and the potential role of parasite drug resistance, reinfection, or noncompliance. (2013)
- Adherence to miltefosine treatment for visceral leishmaniasis under routine conditions in Nepal. (2013)
- Lopinavir/ritonavir significantly influences pharmacokinetic exposure of artemether/lumefantrine in HIV-infected Ugandan adults. (2012)
- Miltefosine (2012)
- Translational pharmacokinetic modelling and simulation for the assessment of duration of contraceptive use after treatment with miltefosine. (2012)
- Universal access to quality medicines (2012)
- Characterization and identification of suspected counterfeit miltefosine capsules. (2012)
- A poor-quality generic drug for the treatment of visceral leishmaniasis (2012)
- Optimal dosing of miltefosine in children and adults with visceral leishmaniasis. (2012)
- Commentary (2012)
- Dynamics of parasite clearance in cutaneous leishmaniasis patients treated with miltefosine. (2011)
- Safety and efficacy of miltefosine alone and in combination with sodium stibogluconate and liposomal amphotericin B for the treatment of primary visceral leishmaniasis in East Africa (2011)
- Severe encephalopathy and polyneuropathy induced by dichloroacetate. (2010)
- Comment on (2010)
- Development and validation of a quantitative assay for the measurement of miltefosine in human plasma by liquid chromatography-tandem mass spectrometry. (2008)
- Pentamidine dosage (2008)
- Pharmacokinetics of miltefosine in Old World cutaneous leishmaniasis patients. (2008)
- [Miltefosine (2006)