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Dr David Lawrence

Clinical Research Physician

United Kingdom

My work spans multiple disciplines (clinical trials, epidemiology, diagnostics, health economics, anthropology) but is unified by an unwavering drive to reduce mortality and morbidity from advanced HIV disease.

I joined the Faculty of Infectious and Tropical Diseases in 2017 and was based in Gaborone, Botswana for four years where I worked as the Lead Clinician for the AMBIsome Therapy Induction OptimisatioN (AMBITION) trial. AMBITION was a phase III randomised controlled trial of a single, high-dose liposomal amphotericin regimen for HIV-associated cryptococcal meningitis and recruited patients from six sites across five countries in Southern Africa.

I returned to the UK in 2021 and following the success of the trial I am co-investigator on a number of research and non-research grants aimed at maximising the impact of the AMBITION regimen in routine care settings and applying research advances in cryptococcal meningitis to other HIV-associated fungal infections.

Alongside research I work two-days a week at King's College Hospital NHS Foundation Trust as a HIV and Sexual Health doctor. My work within the NHS is strongly focused on supporting individuals living with HIV who have complex medical and social needs to engage in lifelong care.

Affiliations

Department of Clinical Research
Faculty of Infectious and Tropical Diseases

Teaching

I am module organiser of HIV 3174 which is an intensive face-to-face module taking place in Term 3. I lead the HIV component of the Diploma in Tropical Medicine and Hygiene and am a distance learning tutor on the IDM 501 HIV/AIDS module. I supervise research projects conducted by MSc students and I am currently supervising four PhD students. I have completed Module 1 and Module 2 of the Postgraduate Certificate in Learning and Teaching and am a Fellow of the Higher Education Academy.

Research

I am involved in a number of ongoing research projects including:

IMPRINT - an NIHR Global Health Research Group for HIV-associated fungal infections
SHARE-CM - an implementation project aimed at reducing mortality from cryptococcal meningitis in routine care
EFFECT - a phase III clinical trial of combination anti-fungal therapy for cryptococcal antigenaemia

5FC PROTECT - a phase II clinical trial of a sustained-release formulation of flucytosine for cryptococcal antigenaemia

IMPALA - a phase III clinical trial of long-acting injectable antiretroviral therapy for individuals with a history of challenges with adherence to oral treatment

NIRVANA - a phase II clinical trial of oral valganciclovir for people hospitalised with advanced HIV disease and cytomegalovirus viraemia

LATCH - an implementation project supporting people living with HIV in the UK who have complex medical and social needs to receive long-acting injectable antiretroviral therapy

 

Research Area
Clinical drug trials
Clinical trials
Diagnostics
Health economics
Medical anthropology
Anthropology
Implementation science
Disease and Health Conditions
HIV/AIDS
Sexually transmitted infections
Meningitis
Country
Botswana
Uganda
Malawi
Zimbabwe
South Africa
United Kingdom
Democratic Republic of the Congo
Mozambique
Guinea
Vietnam
Region
Sub-Saharan Africa (all income levels)

Selected Publications

Cause of Death and Risk of Death for People Living With HIV Admitted to Hospital: A Systematic Review and Meta-Analysis.
BURKE, RM; Sabet, N; Ellis, J; RICKMAN, HM; Rangaraj, A; LAWRENCE, DS; JARVIS, JN; FALCONER, J; Tugume, L; Berhanu, RH; Ford, N; MacPherson, P;
2026
Journal of the International AIDS Society
Clinical Impact and Cost-Effectiveness of Improving Access to Cryptococcal Meningitis Diagnostics and Treatment in Malawi
Feser, M; Maphosa, T; Shroufi, A; Rangaraj, A; Talbot, VR; Songane, M; Qian, Y; Matiya, E; LAWRENCE, DS; Arena, C; Srinivasan, A; Nyirenda-Dziwani, E; Ford, N; Nyirenda, R; Phillips, A; Freedberg, KA; Tiam, A; JARVIS, JN; Hyle, EP;
2026
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
Fluconazole plus flucytosine versus fluconazole alone for adults with HIV-associated cryptococcal antigenaemia identified through screening: a multi-centre phase III randomised-controlled trial.
Murphy, K; Nel, JS; Moosa, M-Y; Wilson, DP; Tsitsi, M; Mfinanga, S; Kivuyo, S; Kyazze, D; Alam, N; Meintjes, G; Eriksson, M; Adams, J; Menezes, C; Variava, E; Black, J; Bremer, M; Dat, VQ; Le, T; Schutz, C; Loyse, A; Wake, RM; LAWRENCE, DS; Wang, D; Jaffar, S; JARVIS, JN; ... Govender, NP.
2026
Trials
Recurrence of HIV-associated cryptococcal meningitis in pregnancy and the post-partum period.
Hull, T; Quinn, K; Hamlyn, E; Poulton, M; Nic Fhogartaigh, C; Chandra, J; LAWRENCE, DS;
2026
International journal of STD & AIDS
Liposomal antimicrobials in the fight against bacterial and fungal pathogens: Clinical successes and development challenges.
Kenaan, HT; Duncan, RM; Al-Jamal, WT; Jones, DS; Andrews, GP; Gilmore, B; YARDLEY, V; Farrington, N; Stott, KE; LAWRENCE, D; JARVIS, JN; Harrison, TS; Robinson, S; Ribeiro, I; Hope, W; Tian, Y;
2025
International Journal of Pharmaceutics: X
Valganciclovir for cytomegalovirus viraemia in advanced HIV disease: a phase 2b randomized placebo-controlled trial of valganciclovir for cytomegalovirus viraemia in adults and adolescents with advanced HIV disease.
ELLIS, J; Nsangi, LJ; Rassool, M; Musaazi, J; LAWRENCE, DS; Skipper, C; Boulware, DR; Meya, DB; Wasserman, S; JARVIS, JN; Boyles, T;
2025
Philos Trans R Soc Lond B Biol Sci
Reducing HIV incidence and mortality: two sides of the same coin in the approach to ending AIDS.
JARVIS, JN; Ehrenkranz, P; LAWRENCE, DS; Keene, CM; Reid, MJ; Katz, IT; Shodell, D; Pérez-Casas, C; Mupeli, K; Sivile, S; Couto, AM; Doherty, M; Rangaraj, A; Ford, N;
2025
The lancet. HIV
Diagnostic accuracy of the WHO clinical staging system for detection of immunologically defined advanced HIV disease: A systematic review and meta-analysis.
Twabi, HH; Ueno, A; Ives, J; Murtagh, R; MUKOKA, M; Mortazavi, SA; LAWRENCE, DS; Choko, AT; Semphere, R; Balakasi, K; Rangaraj, A; Ford, N; JARVIS, JN; MacPherson, P;
2025
HIV Medicine
Epstein-Barr virus and cytomegalovirus co-infections and mortality risk in patients with HIV-associated cryptococcal meningitis: a post-hoc analysis of a prospective nested cohort in the AMBITION-cm randomised controlled trial.
ELLIS, J; Groppelli, E; Doyle, R; LAWRENCE, DS; Meya, DB; Boulware, DR; Mwandumba, HC; Kanyama, C; Hosseinipour, MC; Meintjes, G; Muzoora, C; Mosepele, M; Ndhlovu, CE; Harrison, TS; JARVIS, JN; AMBITION Study Group,;
2025
The Lancet HIV
Personalised risk-prediction tools for cryptococcal meningitis mortality to guide treatment stratification in sub-Saharan Africa: a prognostic modelling study based on pooled analysis of two randomised controlled trials.
Samuels, TH A; Molloy, SF; LAWRENCE, DS; Loyse, A; Kanyama, C; Heyderman, RS; Lai, WS; Mfinanga, S; Lesikari, S; Chanda, D; Kouanfack, C; Temfack, E; Lortholary, O; Hosseinipour, MC; Chan, AK; Meya, DB; Boulware, DR; Mwandumba, HC; Meintjes, G; Muzoora, C; Mosepele, M; Ndhlovu, CE; Youssouf, N; Harrison, TS; JARVIS, JN; ... Gupta, RK.
2025
The Lancet Global Health
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