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

Building a Beta-Lactam Model-Informed Precision Dosing Service in a Quaternary Care Children's Hospital. Tang Girdwood, S; Morales Junior, R; Schuler, E; Tang, P; Diseroad, E; Misch, C; Engle, B; McCall, S; Murphy, ME; Taylor, ZL; Mizuno, T; Vinks, AA; Kaplan, J. Clinical and Translational Science. 2025; 18:e70438.

IMPDH and GTP Metabolism in Cancer: Mechanisms, Regulation, and Translational Scope. Ogawa-Iio, A; Takeuchi, K; Shigemi, K; Genoveso, MJ; Niitsu, H; Koh, I; Ota, Y; Yamane, K; Hinoi, T; Osaka, N; Goyama, S; Yasuda, T; Senda, T; Sasaki, AT. Cancer Science. 2025; 116:3250-3265.

Maternal Sirolimus Treatment Reverses Cardiac Rhabdomyoma-Induced Hydrops Fetalis in a Twin Gestation With Tuberous Sclerosis Complex. Ritter, DM; Schneider, K; Ezeakudo, N; Krueger, DA; Mizuno, T; Knilans, TK; Franz, DN. American Journal of Medical Genetics, Part A. 2025; 197:e64175.

Hybrid Population Pharmacokinetic-Machine Learning Modeling to Predict Infliximab Pharmacokinetics in Pediatric and Young Adult Patients with Crohn's Disease. Irie, K; Minar, P; Reifenberg, J; Boyle, BM; Noe, JD; Hyams, JS; Mizuno, T. Clinical Pharmacokinetics. 2025; 64:1669-1679.

Pharmacokinetic Monitoring of JAK Inhibitor and Tacrolimus for Safe and Effective Management of Graft-Versus-Host Disease After Pediatric Liver Transplantation. Sawada, K; Khandelwal, P; Davies, SM; Crooker, A; Mizuno, T; Asai, A. Pediatric Transplantation. 2025; 29:e70187.

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.