Predictive Pharmacokinetics and Pharmacodynamics

Our Research
Our research in Predictive Pharmacokinetics and Pharmacodynamics focuses on characterizing and quantifying dose-concentration-effect/toxicity relationships for new and existing drugs against bacterial infections and various types of cancer.
Our goal is to develop models and methods that can predict which dosing strategy provides the most information in experimental and clinical studies and the best effect—with tolerable side effects—in clinical practice. We improve data interpretation by integrating in vitro, in vivo, and clinical information through pharmacokinetic-pharmacodynamic (PKPD) modeling.
The developed methodology is expected to facilitate drug development and the identification of optimal treatment therapy using existing drugs.
Current Research
Bacterial Infections
Antibiotic resistance is a rapidly growing global problem. To overcome and counteract the emergence of resistance, we contribute to the rational development of new therapies, such as strategies where multiple antibiotics are administered in combination. The overall goal is to develop robust methods, based on preclinical data, that can predict clinical outcome variables for therapies against severe infections caused by difficult-to-treat pathogens.
We develop mechanism-based PKPD models that describe bacterial growth, killing, and resistance development. In these analyses, in vitro and in vivo data are integrated to predict the effects over time of different dosing regimens, which can then be linked to various types of clinical data.
We also investigate how the immune system and biomarkers are linked to the bactericidal effect and can be used for scaling between different animal species.
Selected Publications
- Lena E Friberg. Pivotal Role of Translation in Anti-Infective Development. Clinical Pharmacology & Therapeutics, 2021.
- Iris K Minichmayr, Vincent Aranzana-Climent, Lena E Friberg. Pharmacokinetic/pharmacodynamic models for time courses of antibiotic effects. International Journal of Antimicrobial Agents, September 2022.
- Vincent Aranzana-Climent, Diarmaid Hughes, Sha Cao, Magdalena Tomczak, Malgorzata Urbas, Dorota Zabicka, Carina Vingsbo Lundberg, Jon Hansen, Johan Lindberg, Sven N Hobbie, Lena E Friberg. Translational in vitro and in vivo PKPD modelling for apramycin against Gram-negative lung pathogens to facilitate prediction of human efficacious dose in pneumonia. Clinical Microbiology and Infection, October 2022.
- Anders Thorsted, Elisabet I Nielsen, Lena E Friberg. Pharmacodynamics of immune response biomarkers of interest for evaluation of treatment effects in bacterial infections. International Journal of Antimicrobial Agents, September 2020.
Researchers Bacterial Infections: Lena Friberg, Romain Aubry, Diego Vera, Irene Hernández-Lozano, Viktor Rognås, Chenyan Zhao, Amaury O’Jeanson, Raphael Saporta, Haini Wen.

Oncology
The number of cancer therapies under development has increased significantly in recent decades. This places high demands on being able to predict the clinical potential of a new therapy at an early stage, where desired and undesired effects must be weighed against each other in a complex biological system.
We create PKPD models that describe time profiles for a range of variables related to treatment with cytostatics and so-called targeted and immunotherapies. We characterize the relationships between dose, concentration, biomarkers, side effects, tumor size (diameters, volumes), tumor and immune response activity, patient-reported evaluation of the therapy (PRO), and survival. These models are integrated to define a dosing strategy that best balances side effects, quality of life, and survival.
We also develop methods that aim to improve drug therapy in children with cancer by minimizing the risk of severe side effects without simultaneously increasing the risk of relapse. We also investigate which time-varying measures of tumor size and biomarkers can best predict survival.
To optimize translation (scaling) from preclinical to clinical, we build mechanistic models for advanced treatments such as therapeutic vaccines and combination therapies with bispecific antibodies. The models aim to be valuable for supporting the development of new and existing drug treatments and to be a tool for dose adjustments for an individual patient.
Selected Publications:
- Sreenath M Krishnan, Lena E Friberg. Bayesian forecasting of tumor size metrics and overall survival. CPT: Pharmacometrics & Systems Pharmacology, December 2022.
- Ida Netterberg, Mats O Karlsson, Leon W M M Terstappen, Miriam Koopman, Cornelis J A Punt, Lena E Friberg. Comparing Circulating Tumor Cell Counts with Dynamic Tumor Size Changes as Predictor of Overall Survival: A Quantitative Modeling Framework. Clinical Cancer Research, September 2020.
- Maddalena Centanni, Sreenath M Krishnan, Lena E Friberg. Model-based Dose Individualization of Sunitinib in Gastrointestinal Stromal Tumors. Clinical Cancer Research, September 2020.
Researchers Oncology: Lena Friberg, Maddalena Centanni, Eman Ibrahim, Han Liu, Daniel Centanni, Javier Sanchez Fernandez.

Group members
Publications
Part of CPT, p. 2038-2049, 2023
- DOI for A Markov model of fibrosis development in nonalcoholic fatty liver disease predicts fibrosis progression in clinical cohorts
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Part of CPT, p. 1804-1818, 2023
- DOI for A model‐based approach leveraging in vitro data to support dose selection from the outset: A framework for bispecific antibodies in immuno‐oncology
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Part of CPT, p. 1738-1750, 2023
- DOI for A multistate modeling and simulation framework to learn dose-response of oncology drugs: Application to bintrafusp alfa in non‐small cell lung cancer
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Part of CPT, p. 1305-1318, 2023
- DOI for Assessment of ibrutinib scheduling on leukocyte, lymph node size and blood pressure dynamics in chronic lymphocytic leukemia through pharmacokinetic-pharmacodynamic models
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Bayesian forecasting of tumor size metrics and overall survival
Part of CPT, p. 1604-1613, 2022
- DOI for Bayesian forecasting of tumor size metrics and overall survival
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Part of International Immunopharmacology, 2024
- DOI for Bridging responses to a human telomerase reverse transcriptase-based peptide cancer vaccine candidate in a mechanism-based model
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Part of International Journal of Antimicrobial Agents, 2025
- DOI for Ceftazidime-avibactam (CAZ-AVI) pharmacokinetics in critically ill patients undergoing continuous venovenous hemodiafiltration (CVVHDF)
- Download full text (pdf) of Ceftazidime-avibactam (CAZ-AVI) pharmacokinetics in critically ill patients undergoing continuous venovenous hemodiafiltration (CVVHDF)
Part of Frontiers in Pharmacology, 2024
- DOI for Combining mathematical modeling, in vitro data and clinical target expression to support bispecific antibody binding affinity selection: a case example with FAP-4-1BBL
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Effect of Scalp Cooling on the Pharmacokinetics of Paclitaxel
Part of Cancers, 2021
- DOI for Effect of Scalp Cooling on the Pharmacokinetics of Paclitaxel
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Efficacy of EBL-1003 (apramycin) against Acinetobacter baumannii lung infections in mice
Part of Clinical Microbiology and Infection, p. 1315-1321, 2021
- DOI for Efficacy of EBL-1003 (apramycin) against Acinetobacter baumannii lung infections in mice
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Part of CPT, p. 396-409, 2024
- DOI for Evaluation of the potential impact on pharmacokinetics of various cytochrome P450 substrates of increasing IL-6 levels following administration of the T-cell bispecific engager glofitamab
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Part of Leukemia, p. 712-719, 2024
- DOI for Increase in peg-asparaginase clearance as a predictor for inactivation in patients with acute lymphoblastic leukemia
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Integrated modeling of biomarkers, survival and safety in clinical oncology drug development
Part of Advanced Drug Delivery Reviews, 2025
- DOI for Integrated modeling of biomarkers, survival and safety in clinical oncology drug development
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Part of CPT, p. 1972-1987, 2023
- DOI for Model‐based assessment of neutrophil‐mediated phagocytosis and digestion of bacteria across in vitro and in vivo studies
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Part of Journal of Antimicrobial Chemotherapy, p. 3150-3159, 2024
- DOI for Model-based translation of results from in vitro to in vivo experiments for afabicin activity against Staphylococcus aureus
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Model-Informed Drug Development for Anti-Infectives: State of the Art and Future
Part of Clinical Pharmacology and Therapeutics, p. 867-891, 2021
- DOI for Model-Informed Drug Development for Anti-Infectives: State of the Art and Future
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Model-informed precision dosing: State of the art and future perspectives
Part of Advanced Drug Delivery Reviews, 2024
- DOI for Model-informed precision dosing: State of the art and future perspectives
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Part of Clinical Pharmacokinetics, p. 197-209, 2024
- DOI for Model-Informed Precision Dosing to Reduce Vincristine-Induced Peripheral Neuropathy in Pediatric Patients: A Pharmacokinetic and Pharmacodynamic Modeling and Simulation Analysis
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Part of CPT, p. 1255-1266, 2021
- DOI for Multistate model for pharmacometric analyses of overall survival in HER2-negative breast cancer patients treated with docetaxel
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Multistate modeling for survival analysis in critically ill patients treated with meropenem
Part of CPT, p. 222-233, 2024
- DOI for Multistate modeling for survival analysis in critically ill patients treated with meropenem
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Part of Clinical and Translational Science, p. 73-84, 2023
- DOI for Optimization of blood pressure measurement practices for pharmacodynamic analyses of tyrosine-kinase inhibitors
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Pharmacogenetic testing or Therapeutic Drug Monitoring: A Quantitative Framework
Part of Clinical Pharmacokinetics, p. 871-884, 2024
- DOI for Pharmacogenetic testing or Therapeutic Drug Monitoring: A Quantitative Framework
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Part of International Journal of Antimicrobial Agents, 2024
- DOI for Physiologically-based pharmacokinetic modelling in sepsis: A tool to elucidate how pathophysiology affects meropenem pharmacokinetics
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Part of Cancer Chemotherapy and Pharmacology, p. 297-310, 2024
- DOI for Physiologically-based pharmacokinetic models versus allometric scaling for prediction of tyrosine-kinase inhibitor exposure from adults to children
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Pivotal Role of Translation in Anti-Infective Development
Part of Clinical Pharmacology and Therapeutics, p. 856-866, 2021
- DOI for Pivotal Role of Translation in Anti-Infective Development
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Part of International Journal of Antimicrobial Agents, 2024
- DOI for PK/PD modelling and simulation of longitudinal meropenem in vivo effects against Escherichia coli and Klebsiella pneumoniae strains with high MICs
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Plasma effects on bacterial time-kill dynamics: Insights from a PK/PD modelling analysis
Part of International Journal of Antimicrobial Agents, 2025
- DOI for Plasma effects on bacterial time-kill dynamics: Insights from a PK/PD modelling analysis
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Part of Journal of clinical pharmacology, p. 905-917, 2022
- DOI for Population Pharmacokinetics and Exposure-Response Relationships of Astegolimab in Patients With Severe Asthma
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Part of Pharmaceutical research, p. 1633-1643, 2022
Part of Clinical Pharmacokinetics, p. 969-980, 2023
- DOI for Predicting Chemotherapy Distribution into Breast Milk for Breastfeeding Women Using a Population Pharmacokinetic Approach
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Part of Scientific Reports, 2024
- DOI for Prediction of vancomycin plasma concentration in elderly patients based on multi-algorithm mining combined with population pharmacokinetics
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Part of Microbiology Spectrum, 2023
- DOI for Prevalence and Clinical Consequences of Colistin Heteroresistance and Evolution into Full Resistance in Carbapenem-Resistant Acinetobacter baumannii
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Part of Scientific Reports, 2024
- DOI for Quantifying combined effects of colistin and ciprofloxacin against Escherichia coli in an in silico pharmacokinetic-pharmacodynamic model
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Part of CPT, p. 612-623, 2024
- DOI for Quantitative modeling of tumor dynamics and development of drug resistance in non-small cell lung cancer patients treated with erlotinib
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Part of CPT, p. 154-167, 2023
- DOI for Rituximab pharmacokinetic and pharmacokinetic-pharmacodynamic evaluation based on a study in diffuse large B-cell lymphoma: Influence of tumor size on pharmacokinetic and assessment of pharmacokinetic similarity
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Part of Frontiers in Pharmacology, 2021
- DOI for Tissue Type Differences in ABCB1 Expression and Paclitaxel Tissue Pharmacokinetics in Patients With Esophageal Cancer
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Variability of murine bacterial pneumonia models used to evaluate antimicrobial agents
Part of Frontiers in Microbiology, 2022
- DOI for Variability of murine bacterial pneumonia models used to evaluate antimicrobial agents
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Research Group Leader
Lena Friberg
Professor in Pharmacokinetics and Pharmacodynamics
Department of Pharmacy
Uppsala University
Lena.Friberg@uu.se
+46 (0)70-4250203
Mer information

Research Group Predictive Pharmacokinetics and Pharmacodynamics
Contact
- Visiting Address: BMC, Husargatan 3, A1:2, A2:2, A3:3, B3:3, B3:4, C2:2
- Letter and Postal Address: Box 580, SE-751 23 Uppsala