
Paul Watkins
· Howard Q. Ferguson Distinguished ProfessorUniversity of North Carolina at Chapel Hill · Toxicology
Active 1985–2026
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About
Paul Watkins is the Howard Q. Ferguson Distinguished Professor at the University of North Carolina School of Medicine. His research focuses on mechanistic toxicology, hepatic toxicology, research translation, and biomarkers. He is associated with the Institute for Drug Safety Sciences at the Research Triangle Park campus. His work involves understanding the mechanisms underlying toxicological effects, particularly in the liver, and translating these findings into practical applications for drug safety and environmental health. Watkins has contributed to the field through his leadership and research in toxicology, with a focus on improving safety assessments and biomarker development.
Research topics
- Pharmacology
- Medicine
- Internal medicine
- Computer Science
- Computer Security
- Gastroenterology
- Environmental health
- Intensive care medicine
- Genetics
- Risk analysis (engineering)
Selected publications
Precision Dosing Priority Criteria: Drug, Disease, and Patient Population Variables
Frontiers in Pharmacology · 2020 · 129 citations
The administered dose of a drug modulates whether patients will experience optimal effectiveness, toxicity including death, or no effect at all. Dosing is particularly important for diseases and/or drugs where the drug can decrease severe morbidity or prolong life. Likewise, dosing is important where the drug can cause death or severe morbidity. Since we believe there are many examples where more precise dosing could benefit patients, it is worthwhile to consider how to prioritize drug-disease t…
Cannabidiol and Abnormal Liver Chemistries in Healthy Adults: Results of a Phase I Clinical Trial
Clinical Pharmacology & Therapeutics · 2020 · 96 citations
1st authorCorrespondingLiver safety concerns were raised in randomized controlled trials of cannabidiol (CBD) in patients with Lennox-Gastaut and Dravet syndromes, but the relevance of these concerns to healthy adults consuming CBD is unclear. The objective of this manuscript is to report on liver safety findings from healthy adults who received therapeutic daily doses of CBD for ~ 3.5 weeks and to investigate any correlation between transaminase elevations and baseline characteristics, pharmacogenetic, and pharmacoki…
Polygenic architecture informs potential vulnerability to drug-induced liver injury
Nature Medicine · 2020 · 78 citations
Toxicological Sciences · 2022 · 47 citations
Calcitonin gene-related peptide (CGRP) signaling inhibitors have shown efficacy in both the acute and preventive treatment of migraine. Telcagepant, a first-generation CGRP receptor antagonist, was effective but failed in clinical trials due to hepatotoxicity. Subsequently, although 4 next-generation CGRP receptor antagonists (rimegepant, zavegepant, atogepant, and ubrogepant) were being advanced into late-stage clinical trials, due to telcagepant's failure, more confidence in the liver safety o…
Gastroenterology · 2022-12-07 · 43 citations
articleOpen accessSenior author
Recent grants
NIH · $3.5M · 2008
NIH · $4.8M · 1999
NIH · $100k · 1993
Frequent coauthors
- 142 shared
Robert J. Fontana
University of Michigan–Ann Arbor
- 127 shared
Naga Chalasani
- 103 shared
Herbert L. Bonkovsky
Atrium Health Wake Forest Baptist
- 98 shared
José Serrano
- 90 shared
Erin G. Schuetz
- 88 shared
Timothy J. Davern
- 86 shared
James Rochon
- 83 shared
Brett A. Howell
Simulations Plus (United States)
Labs
Education
- 1995
Ph.D., Toxicology
University of North Carolina at Chapel Hill
- 1992
M.S., Toxicology
University of North Carolina at Chapel Hill
- 1989
B.S., Toxicology
University of North Carolina at Chapel Hill
Awards & honors
- Howard Q. Ferguson Distinguished Professor
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