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Clinical and Translational Science
Article . 2026 . Peer-reviewed
License: CC BY NC ND
Data sources: Crossref
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PubMed Central
Article . 2026
License: CC BY NC ND
Data sources: PubMed Central
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Pharmacokinetics as a Biomarker

Authors: John A. Wagner; Sonal Singh; Zachary L. Taylor;

Pharmacokinetics as a Biomarker

Abstract

ABSTRACT Pharmacokinetics (PK) has long been differentiated from pharmacodynamics (PD) and biomarkers, yet this distinction undervalues PK's translational relevance. In this Perspective, we propose that PK itself functions as a biomarker that bridges dose, exposure, and response. Using examples from target‐mediated drug disposition, antidrug antibodies, cerebrospinal fluid PK, high‐dose methotrexate therapy, and anti‐infective pharmacology, we illustrate how PK serves as a measurable, predictive, and actionable biomarker that informs drug development, guides decisions, and advances precision medicine.

Keywords

Methotrexate, Dose-Response Relationship, Drug, Drug Development, Perspective, Humans, Pharmacokinetics, Precision Medicine, Biomarkers

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green
gold