A photo of Tomoyuki Mizuno.

Tomoyuki Mizuno, PhD, FCP


  • Director, Pharmacometric Services
  • Director, Clinical Pharmacokinetics Consultation Service
  • Associate Professor, UC Department of Pediatrics

About

Biography

I am a clinical pharmacologist specializing in integrating pharmacometrics, AI/ML, and digital health technologies to advance precision therapeutics. My team collaborates with clinicians and scientists across disciplines to develop and implement AI-driven and model-informed precision dosing strategies.

Most therapies rely on “average” dosing recommendations, despite wide variability in drug exposure, efficacy, and toxicity. These limitations are particularly pronounced in neonates and infants, whose rapidly evolving physiology profoundly alters drug disposition. To address this, our overarching goal is to improve the safety and effectiveness of pediatric pharmacotherapy by leveraging data-driven, mechanism-based, and machine-learning–enabled quantitative modeling.

Our group is actively developing next-generation digital tools, including Bayesian and ML-enabled dosing algorithms, digital twins, and EHR-integrated clinical decision support dashboards (e.g., RoadMABTM), to enable individualized therapy for children with complex diseases such as inflammatory bowel disease, critical illness, and immune-mediated conditions. These platforms aim to support real-time clinical decision-making and facilitate the scalable implementation of precision dosing.

I serve as director of the Pharmacometrics Center of Excellence program, providing strategic clinical pharmacology and pharmacometrics support for pharmaceutical and biotechnology companies, including pediatric clinical trial design and initial Pediatric Study Plans (iPSPs) for FDA submission. I also lead the Clinical Pharmacokinetics Consultation Service at Cincinnati Children’s, delivering real-time MIPD support to guide clinicians’ point-of-care dosing decisions.

Our research has been recognized through several prestigious awards, including the Tanabe Young Investigator Award from ACCP, the Victor Armstrong Young Investigator Award from IATDMCT, the Young Scientist Award from MEXT in Japan, and multiple manuscript honors such as Simcyp’s Most Informative Scientific Manuscript Award.

I enjoy collaborating with colleagues worldwide through my roles in scientific communities, including serving as Secretary of IATDMCT, former Chair of the Precision Dosing Community of ASCPT, and Associate Editor of Therapeutic Drug Monitoring.

PhD: Kyoto University, Kyoto, Japan, 2012.

MS: Meijo University, Nagoya, Japan, 2008.

BS: Meijo University, Nagoya, Japan, 2006.

Interests

Translational and clinical pharmacology

Interests

Model-informed precision dosing; AI/ML; pharmacometrics; systems pharmacology; pediatric pharmacology

Research Areas

Publications

Belatacept Pharmacokinetic Analysis of Belatacept Early Steroid Withdrawal Trial (BEST) to Clinical Outcomes and Compared With Reported BENEFIT and BENEFIT-EXT Pharmacokinetic Analysis. Pyatt, A; McGowan, M; Tanaka, R; Miyagawa, B; Mizuno, T; Shields, AR; Christianson, A; West-Thielke, P; Leone, JP; Woodle, ES; Kaufman, D; Wiseman, A; Matas, AJ; Vinks, AA; Alloway, RR. Clinical Transplantation. 2025; 39:e70172.

Volumetric Absorptive Microsampling Combined with Mass Spectrometry to Support Pharmacokinetically-Guided Precision Dosing of Mycophenolate Mofetil in Pediatric Lupus Nephritis Patients. Zhao, J; Zhao, X; Mizuno, T; Irie, K; Devarajan, P; Brunner, HI; Setchell, KD R. The journal of applied laboratory medicine. 2025; 10:806-819.

Physiologically Based Pharmacokinetic Modeling of Antibiotics in Children: Perspectives on Model-Informed Precision Dosing. Tanaka, R; Irie, K; Mizuno, T. Antibiotics. 2025; 14:541.

Population Pharmacokinetics of Cefepime in Critically Ill Children and Young Adults: Model Development and External Validation for Monte Carlo Simulations and Model-Informed Precision Dosing. Morales Junior, R; Hambrick, HR; Mizuno, T; Pavia, KE; Paice, KM; Tang, P; Schuler, E; Krallman, KA; Johnson, L; Collins, M; Gibson, A; Curry, C; Kaplan, J; Goldstein, S; Tang Girdwood, S. Clinical Pharmacokinetics. 2025; 64:553-564.

Model-informed dose optimization for prophylactic piperacillin-tazobactam in perioperative pediatric critically ill patients. Tan, WR; Irie, K; Mcintire, C; Torres, JL; Jones, R; Gibson, A; Mizuno, T; Girdwood, ST. Antimicrobial Agents and Chemotherapy. 2025; 69:e0122724.

AN EVALUATION OF ENDOSCOPIC HEALING IN PEDIATRIC CROHN’S DISEASE USING MULTIPLE ENDOSCOPIC SCORING METHODS IDENTIFIES SIMILARITIES IN BLOOD AND STOOL BIOMARKERS. Bartel, C; Mizuno, T; Irie, K; Samuels, A; Lynch, K; Jackson, K; Hyams, J; Boyle, B; Saeed, S; Kurowski, J; Noe, J; Chun, K; Yang, J; Denson, L; Minar, P. Inflammatory Bowel Diseases. 2025; 31:s59-s60.

Acute kidney injury is associated with abnormal cefepime exposure among critically ill children and young adults. Pavia, K; Girdwood, ST; Paice, K; Dong, M; Mizuno, T; Tang, P; Mangeot, C; Vinks, AA; Kaplan, J. Pediatric Nephrology. 2025; 40:513-521.

Everolimus Personalized Therapy: Second Consensus Report by the International Association of Therapeutic Drug Monitoring and Clinical Toxicology. Masuda, S; Lemaitre, F; Barten, MJ; Bergan, S; Shipkova, M; van Gelder, T; Vinks, S; Wieland, E; Bornemann-Kolatzki, K; Brunet, M; Venkataramanan, R; Walson, P; Woillard, JB; Langman, LJ. Therapeutic Drug Monitoring. 2025; 47:4-31.

AN EVALUATION OF ENDOSCOPIC HEALING IN PEDIATRIC CROHN’S DISEASE USING MULTIPLE ENDOSCOPIC SCORING METHODS IDENTIFIES SIMILARITIES IN BLOOD AND STOOL BIOMARKERS. Bartel, C; Mizuno, T; Irie, K; Samuels, A; Lynch, K; Jackson, K; Hyams, J; Boyle, B; Saeed, S; Kurowski, J; Noe, J; Chun, K; Yang, J; Denson, L; Minar, P. Gastroenterology. 2025; 168:s84-s85.

Integrating early response biomarkers in pharmacokinetic models: A novel method to individualize the initial infliximab dose in patients with Crohn's disease. Samuels, A; Irie, K; Mizuno, T; Reifenberg, J; Punt, N; Vinks, AA; Minar, P. Clinical and Translational Science. 2025; 18:e70086.