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Steven Sanche

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Professeur adjoint

Faculté de pharmacie

steven.sanche@umontreal.ca

Biographie

From physics to pharmaceutical sciences, through mathematics and statistics, my academic and professional trajectory follows a common thread: leveraging mathematical and computational tools in support of health research. After completing degrees in mathematics/physics, applied mathematics, and statistics, I worked for seven years as a statistician at the Research Centre of St. Mary’s Hospital in Montreal. I subsequently completed a PhD in pharmaceutical sciences, followed by a postdoctoral fellowship at Los Alamos National Laboratory within the Theoretical Biology and Biophysics Division. I also held a brief position at Certara Inc., a company that supports pharmaceutical and biotechnology firms in study design, PK/PD analysis, and the preparation of regulatory submissions.

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Recrutement recherche

(English follows) 

Offre de recrutement – Étudiant(e)s à la maîtrise et au doctorat

Domaine : Modélisation pharmacocinétique et pharmacodynamique
Institution : Faculté de pharmacie, Université de Montréal

Le laboratoire recrute actuellement des étudiants à la maîtrise et au doctorat dans le domaine de la modélisation pharmacocinétique et pharmacodynamique, avec deux grands axes de projet possibles :

  1. Modélisation mathématique et biophysique des systèmes pharmacologiques
    Application de modèles compartimentaux, de modèles mécanistiques et de méthodes d’analyse quantitative pour décrire le devenir et l’action des médicaments chez l’humain.
  2. Application des réseaux de neurones et de l’apprentissage machine à la pharmacocinétique
    Développement et entraînement de modèles d’intelligence artificielle pour prédire les profils de concentration, estimer des paramètres PK/PD ou optimiser des schémas thérapeutiques.

Nous recherchons des candidats titulaires d’un diplôme en mathématiques, physique, bio-informatique ou dans une discipline connexe, motivés par la recherche interdisciplinaire à l’interface des sciences quantitatives et des sciences pharmaceutiques.

Une rémunération minimale est assurée pour les étudiants qui entreprennent leur formation dans le programme de sciences pharmaceutiques (axe portée sur la pharmacocinétique et pharmacodynamique). Des co-supervisions avec d’autres départements (mathématiques, physique, informatique, etc.) sont possibles selon le profil et les intérêts du candidat.

Pour postuler :
Envoyer un CV, une courte lettre de motivation et un relevé de notes à steven.sanche@umontreal.ca


Recruitment Call – Master’s and PhD Students

Field: Pharmacokinetic and Pharmacodynamic Modeling
Institution: Faculty of Pharmacy, Université de Montréal

The lab is currently recruiting Master’s and PhD students in pharmacokinetic (PK) and pharmacodynamic (PD) modeling, with two possible project tracks:

  1. Mathematical and Biophysical Modeling of Pharmacological Systems
    Development and analysis of compartmental and mechanistic models, and other quantitative methods to describe the disposition and action of drugs in humans.

  2. Neural Networks and Machine Learning Applied to Pharmacokinetics
    Design and training of AI models to predict concentration–time profiles, estimate PK/PD parameters, and/or optimize dosing regimens.

We are seeking candidates with degrees in mathematics, physics, bioinformatics, or related quantitative fields, motivated to pursue interdisciplinary research at the interface of quantitative sciences and pharmaceutical sciences.

A minimum level of funding is guaranteed for students who enroll in the Pharmaceutical Sciences program (PK/PD track). Co-supervision with other departments (e.g., mathematics, physics, computer science) is possible depending on the candidate’s profile and interests.

How to apply:
Please send a CV, a brief statement of interest, and transcripts to steven.sanche@umontreal.ca.

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Expertises

Research Interests and Objectives

My research interests focus on the use of mathematical and computational modeling to understand disease mechanisms and inform therapeutic strategies. A central theme of my work is the improvement of population pharmacokinetic (PopPK) analysis methods through the integration of modern data-driven approaches. The objective is to automate model selection, increase modeling flexibility, and improve scalability while preserving interpretability.

My research interests also include virology, ranging from HIV—particularly to study the impact of antiretroviral therapies—to Epstein–Barr virus and its role in the development of multiple sclerosis. In parallel, I am interested in immunology, with a focus on characterizing immune responses and therapeutic interventions aimed at modulating or enhancing these responses in pathological contexts.

More broadly, I seek to apply machine learning and advanced statistical methods to leverage large and complex datasets in order to improve our understanding of biological and pharmacological systems.


Expertise

I have acquired interdisciplinary expertise across multiple areas of health research. I have worked on projects in epidemiology (COVID-19), clinical epidemiology (emergency department utilization), virology (SARS-CoV-2 and HIV), immunology (immune responses to viral infection), pharmacology (population pharmacokinetics and systems pharmacology / QSP), and psychology (post-traumatic stress disorder). This breadth reflects both my scientific curiosity and my ability to adapt quantitative methods to a wide range of health-related problems.

Across all projects, I have consistently leveraged my background in mathematical and statistical modeling, as well as machine learning, to extract mechanistic insight from data.


Modeling Philosophy and Methodological Approach

The combination of mathematical modeling, data, and statistical inference theory is particularly powerful. A well-known example is population pharmacokinetic analysis. In this context, plasma drug concentration data are used to inform a mathematical model of pharmacokinetics, typically expressed as a system of differential equations. These equations describe the relationship between drug concentrations and the rates at which the drug is absorbed, distributed, and eliminated from the body.

By numerically integrating the system of equations, it is possible to generate predictions of plasma concentrations over time. When combined with a statistical error model, the framework allows for parameter estimation and model adequacy assessment through comparison with observed data. Because these models are semi-mechanistic, they can be used to extrapolate beyond observed conditions. For example, allometric relationships can be incorporated to adjust pharmacokinetic parameters and predict drug concentrations in pediatric populations based on adult data.

More generally, nearly any phenomenon can be modeled, whether it involves deterministic processes, stochastic processes (e.g., rare random events that alter system dynamics), or a combination of both. For instance, I have modeled the epidemiology of COVID-19 by studying case migration using counting processes. I have also investigated the activation of latently infected HIV-infected cells—a rare and seemingly random phenomenon—using mathematical models and particle filtering approaches (e.g., partially observed Markov processes) to estimate parameters governing stochastic dynamics.


Use of Machine Learning

I have also worked extensively with machine learning methods. In predictive settings, machine learning learns functional relationships directly from data, whereas mechanistic mathematical modeling encodes governing laws a priori. Compared to mechanistic modeling, machine learning methods often excel at interpolation but may be less interpretable and less robust outside the training domain.

I have applied machine learning techniques in a variety of contexts, including spline-based regression, random forests, neural networks (MLP, LSTM), and k-nearest neighbors regression. Given the broad applicability of machine learning, I continue to deepen my expertise in this area on an ongoing basis.

Projets de recherche Tout déplier Tout replier

Automated Population Pharmacokinetic Modeling Using Artificial Intelligence (AutoPopPK) Projet de recherche au Canada / 2026 - 2029

Sources de financement : Université de Montréal
Programmes de subvention : PINTERNE-F.Internes de Recherche - Démarrage en recherche (FDGEN061)

Project overview

Population pharmacokinetic (PopPK) modeling is a cornerstone of modern drug development and clinical pharmacology, but current approaches rely heavily on manual model specification, iterative optimization, and expert-driven trial-and-error. Classical estimation methods such as SAEM or FOCE-I can require substantial computational time and specialized expertise, limiting accessibility.

This doctoral project aims to continue developping AutoPopPK, an AI-assisted framework for the automated inference of population pharmacokinetic models directly from concentration–time data. The project uses modern deep learning architectures combined with mechanistic pharmacokinetic models to infer both individual-level and population-level PK parameters, including inter-individual variability, in a very fast, robust, and interpretable manner. 

Current state of the project: a neural network architecture has been developed in python (pyTorch). The model was trained to perform multiple tasks including the prediction of concentration–time profiles and the inference of population-level parameters for a simple pharmacokinetic model (one-compartment model with first-order absorption and elimination). The model demonstrates robust performance across a wide range of conditions, including varying numbers of observations per subject, varying numbers of subjects per study, and observation noise levels of up to 20%.

Immediate challenges:

  • Develop a strategy which may involve adapting the neural network architecture and loss function such that the model is able to :
    • recognize various structural models (1, 2 or 3-compartment models)
    • handle multiple dose administrations per subjects
    • recognize delays in drug absorption
    • handle concentration measures that are below the level of quantification
    • be robust to outliers
  • Perform model validation using different sources of real-world population pharmacokinetics data

Scientific objectives

The central objective of this PhD is to rethink population PK modeling as an inference problem solvable through learned amortized inference, while preserving the interpretability and extrapolability of classical pharmacometric models.

Specific research objectives include:

  1. Design of hierarchical AI architectures for PopPK inference
    • Develop neural architectures capable of learning study-level and subject-level pharmacokinetic information (e.g., typical values, individual deviations, variability structures).
  2. Integration of mechanistic PK structure into machine learning models
    • Embed classical pharmacokinetic models (e.g., compartmental ODE systems) within neural inference frameworks.
    • Ensure that inferred parameters correspond to interpretable PK quantities (kₐ, CL, Vc, Ω), enabling scientific interpretation and extrapolation.
  3. Automated and scalable inference
    • Replace iterative likelihood-based estimation (e.g., SAEM, FOCE-I) with amortized inference, where parameter estimation is achieved through a single forward evaluation of a trained model.
    • Quantify gains in computational efficiency and robustness relative to classical PopPK workflows.
  4. Uncertainty quantification and diagnostics
    • Develop methods to estimate parameter uncertainty, identify influential observations and potential outliers, and generate diagnostic plots analogous to those used in standard PopPK practice.
    • Compare AI-based uncertainty estimates with classical inference results.
  5. Validation on simulated and real-world datasets
    • Benchmark AutoPopPK against established PopPK tools using controlled simulation studies.
    • Apply the framework to real clinical datasets to assess generalizability and practical relevance.

Expected contributions

This project is expected to contribute:

  • A novel paradigm for population PK modeling, shifting from iterative optimization to fast, learned inference.
  • A bridge between machine learning and pharmacometrics, combining interpretability and mechanistic structure with modern AI techniques.
  • A practical tool for non-experts, with the long-term vision of an application where a standard NONMEM-style dataset serves as input and the output consists of estimated parameters, uncertainty measures, outlier detection, and diagnostic plots.
  • Methodological advances relevant to broader applications in quantitative systems pharmacology and biomedical modeling.

Why this is a PhD-level project

This project goes well beyond software development. It involves:

  • fundamental questions about identifiability, inference, and uncertainty in hierarchical time-series models,
  • methodological innovation at the intersection of statistics, pharmacometrics, and machine learning,
  • and extensive validation against established scientific standards.

The work is expected to result in multiple peer-reviewed publications in pharmacometrics, quantitative pharmacology, and applied machine learning.

Systems-Level Modeling of Epstein–Barr Virus and Multiple Sclerosis Pathogenesis Projet de recherche au Canada / 2026 - 2029

Chercheur principal : Steven Sanche
Sources de financement : Université de Montréal
Programmes de subvention : PINTERNE-F.Internes de Recherche - Démarrage en recherche (FDGEN061)

Project overview

This doctoral project aims to develop a quantitative, systems-level modeling framework to investigate the role of Epstein–Barr virus (EBV) infection in the initiation and progression of multiple sclerosis (MS). Strong epidemiological evidence supports a causal link between EBV exposure and MS, yet the mechanistic pathways connecting viral persistence, immune dysregulation, and neuroinflammation remain incompletely understood. This project seeks to bridge this gap by constructing mechanistically grounded mathematical models that link biological processes across multiple scales.

Scientific objectives

The primary objective of the project is to formulate and analyze mechanistic models describing the dynamic interactions between EBV, immune cell populations (such as B cells, T cells and microglia), and inflammatory processes implicated in MS. These models will be designed to capture both within-host viral dynamics and system-level immune responses, while accounting for inter-individual variability and uncertainty.

Specific objectives include:

  • Developing differential equation–based models to describe EBV latency, immune surveillance, and immune-mediated tissue damage.
  • Integrating longitudinal clinical and biological data to inform and constrain model parameters.
  • Investigating how variability in immune response or viral control may influence MS risk, disease progression, or relapse dynamics (analysis of trajectories).
  • Using the models to explore hypothetical intervention scenarios, such as antiviral or immunomodulatory strategies, and to assess their potential impact on disease trajectories.

Methodological approach

The project will rely on mathematical modeling techniques commonly used in systems biology and pharmacology, including systems of ordinary and stochastic differential equations. Parameter estimation, uncertainty quantification, as well as dynamical and sensitivity analyses will be employed to link models to data and to identify key drivers of system behavior.

The modeling framework will emphasize biological interpretability and mechanistic consistency, ensuring that model components correspond to identifiable biological processes. Rather than focusing on prediction alone, the models will be used to generate testable hypotheses and to provide insight into the causal mechanisms underlying disease development.

Expected outcomes and impact

This project is expected to deliver:

  • A mechanistic modeling framework for studying EBV–immune system interactions in the context of MS.
  • Quantitative insights into the biological processes linking viral persistence and immune dysregulation to MS pathogenesis.
  • A virtual experimentation platform to support hypothesis testing and exploration of therapeutic strategies.
  • Generalizable modeling approaches applicable to other immune-mediated or infectious diseases.

By advancing mechanistic understanding of MS through quantitative modeling, this project will contribute to fundamental knowledge in neuroimmunology and support the rational design of future experimental and clinical studies.

Publications Tout déplier Tout replier

Sanche S, Cassidy T, Chu P, Perelson AS, Ribeiro RM, Ke R. A simple model of COVID-19 explains disease severity and the effect of treatments. Scientific Reports. 2022;12.1:14210.

Lilley LM, Sanche S, Moore SC, Salemi MR, Vu D, Lyer S, Hengartner N, Mukunda H, (2022). Methods to capture proteomic and metabolomic signatures from cerebrospinal fluid and serum of healthy individuals. Scientific Reports. 2022; 12.1:13339.

Ruian K, Romero-Severson E, Sanche S, Hengartner N. Estimating the reproductive number R0 of SARS-CoV-2 in the United States and eight European countries and implications for vaccination. Journal of Theoretical Biology. 2021;517.

Kassem I, Sanche S, Li J, Bonnefois G, Dubé M-P, Rouleau J-L, Tardif J-C, White M, Turgeon J, Nekka F, de Denus S. Population Pharmacokinetics of Candesartan in Patients with Chronic Heart Failure. Clinical and Translational Sciences. 2020;14(1):194-203.

Sanche S, Lin YT, Xu C, Romero-Severson E, Hengartner N, Ke R. Early Release-High Contagiousness and Rapid Spread of Severe Acute Respiratory Syndrome Coronavirus 2. Emerg Infect Dis. 2020;26(7).

Rabanel JM, Adibnia V, Tehrani SF, Sanche S, Hildgen P, Banquy X, Ramassamy C. Nanoparticle heterogeneity: an emerging structural parameter influencing particle fate in biological media?. Nanoscale. 2019;11(2):383-406.

Sanche S, Mesplède T, Sheehan NL, Li J, Nekka F. Exploring an alternative explanation for the second phase of viral decay: Infection of short-lived cells in a drug-limited compartment during HAART. PloS one. 2018 Jul 17;13(7):e0198090.

Sanche S, Sheehan N, Mesplède T, Wainberg MA, Li J, Nekka F. A mathematical model to predict HIV virological failure and elucidate the role of lymph node drug penetration. CPT: pharmacometrics & systems pharmacology. 2017 Jul 1;6(7):469-76.

Landry S, Chen CN, Patel N, Tseng A, Lalonde RG, Thibeault D, Sanche S, Sheehan NL. Therapeutic drug monitoring in treatment-experienced HIV-infected patients receiving darunavir-based salvage regimens: A case series. Antiviral Research. 2018 Apr;152:111-116.

Fortin M, Haggerty J, Sanche S, Almirall J. Self-reported versus health administrative data: implications for assessing chronic illness burden in populations. A cross-sectional study. CMAJ open. 2017 Jul;5(3):E729-33.

Hudon C, Sanche S, Haggerty JL. Personal characteristics and experience of primary care predicting frequent use of emergency department: a prospective cohort study. PloS one. 2016 Jun 14;11(6):e0157489.

Rubinowicz A, Vedel I, Sanche S, Lortie M, Law S, Hughes J, Lapointe L. A portrait of electronic medical record use in primary care across Canada. Health Reform Observer–Observatoire des Réformes de Santé. 2016 Jun 1;4(2).

Jang Y, Lortie MA, Sanche S. Return on investment in electronic health records in primary care practices: a mixed-methods study. JMIR medical informatics. 2014 Jul;2(2):e25.

Voyer P, McCusker J, Cole MG, Monette J, Champoux N, Vu M, Ciampi A, Sanche S, Richard S, de Raad M. Feasibility and acceptability of a delirium prevention program for cognitively impaired long term care residents: A participatory approach. Journal of the American Medical Directors Association. 2014 Jan 1;15(1):77.e1-9.

Brunet A, Sanche S, Manetti A, Aouizerate B, Ribéreau-Gayon R, Charpentier S, Birmes P, Arbus C. Peritraumatic distress but not dissociation predicts posttraumatic stress disorder in the elderly. International psychogeriatrics. 2013 Jun;25(6):1007-12.

Poundja J, Sanche S, Tremblay J, Brunet A. Trauma reactivation under the influence of propranolol: an examination of clinical predictors. European Journal of Psychotraumatology. 2012 Dec 1;3(1):15470.

McCusker J, Tousignant P, Da Silva RB, Ciampi A, Lévesque JF, Vadeboncoeur A, Sanche S. Factors predicting patient use of the emergency department: a retrospective cohort study. Canadian Medical Association Journal. 2012 Jan 1;184(6):e307-16.

McCusker J, Roberge D, Lévesque JF, Ciampi A, Vadeboncoeur A, Larouche D, Sanche S. Emergency department visits and primary care among adults with chronic conditions. Medical care. 2010 Nov 1:972-80.

Bhat V, Grizenko N, Sanche S, Joober R. No relation between therapeutic response to methylphenidate and its cardiovascular side effects in children with attention-deficit/hyperactivity disorder. Clinical medicine. Pediatrics. 2008 Jan;1:CMPed-S1010.

Prix et distinctions

  • Prix Lewis-Wolpert du meilleur article de 2022 pour le Journal of Theoretical Biology