Clinical Pharmacokinetics

, Volume 42, Issue 4, pp 315–325 | Cite as

Pharmacokinetic Principles of Bacteriophage Therapy

  • Robert J. H. PayneEmail author
  • Vincent A. A. Jansen
Leading Article


Use of bacteriophage to control bacterial infections, including antibioticresistant infections, shows increasing therapeutic promise. Effective bacteriophage therapy requires awareness of various novel kinetic phenomena not known in conventional drug treatments. Kinetic theory predicts that timing of treatment could be critical, with the strange possibility that inoculations given too early could be less effective or fail completely. Another paradoxical result is that adjuvant use of an antibiotic can sometimes diminish the efficacy of phage therapy. For a simple kinetic model, mathematical formulae predict the values of critical density thresholds and critical time points, given as functions of independently measurable biological parameters. Understanding such formulae is important for interpreting data and guiding experimental design. Tailoring pharmacokinetic models for specific systems needs to become standard practice in future studies.


Bacterial Density Active Therapy Conventional Drug Phage Therapy Inoculation Time 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Dr Robert J. H. Payne is funded by a Royal Society University Research Fellowship. No other sources of funding were used to assist in the preparation of this manuscript. The authors have no potential conflicts of interest directly relevant to the contents of this manuscript.


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Copyright information

© Adis International Limited 2003

Authors and Affiliations

  1. 1.School of Biological Sciences, Royal HollowayUniversity of LondonLondonUK

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