Precision Dosing Promises to Revolutionise Chronic Skin Disease Treatment
Source PublicationJournal of the European Academy of Dermatology and Venereology
Primary AuthorsEylenbosch, Wei, Soenen et al.

Biologic therapies—highly targeted drugs that modulate the immune system—are a game-changer for severe skin conditions like psoriasis and atopic dermatitis. However, their effectiveness is hampered by a major flaw: standardised dosing that ignores individual patient differences. This can lead to the treatment not working, losing its effect over time, or causing adverse reactions.
A new review highlights a paradigm shift away from this rigid approach towards a dynamic, predictive strategy called model-informed precision dosing (MIPD). Unlike older methods that simply react to drug levels in the blood, MIPD proactively uses sophisticated pharmacokinetic and pharmacodynamic modelling. By integrating population data with a patient's own biological profile and using forecasting techniques, it generates adaptive, individualised dosing recommendations.
This patient-centric approach, supported by digital health tools, promises to maximise clinical response, minimise toxicity, and make long-term treatment more sustainable and effective.