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Overview

My research focuses on the pathogenesis, prevention, and treatment of HIV and tuberculosis in resource poor settings including Haiti and Tanzania. The training of United States and international physician scientists is an integral part of my research activity. 

HIV research initially focused upon treatment and prophylaxis of opportunistic infections and then transitioned to studies of antiretroviral therapy (ART). I conducted the first large trial of ART in a developing country. This study of the first one thousand patients with AIDS treated with ART in Haiti demonstrated treatment outcomes comparable to those achieved in the United States and provided rigorous scientific evidence in support of international efforts to make ART available to AIDS patients worldwide. I was also Project Director of a randomized clinical trial that demonstrated that early ART decreases mortality four-fold and decreases tuberculosis incidence by two-fold. This study prompted the World Health Organization to change international HIV treatment guidelines. I have also conducted HIV prevention trials including studies of HIV vaccines and strategies to increase male circumcision uptake. I am currently conducting research to optimize care for HIV-infected adolescents in Haiti. I am also conducting studies in Tanzania on the interactions between schistosomiasis and HIV and on the pathogenesis of HIV induced cardiovascular disease.  

Tuberculosis research includes clinical trials to optimize treatment of both latent and active TB with a focus on HIV co-infected patients. I conducted a randomized clinical trial in HIV infected adults demonstrating that, after the successful treatment of tuberculosis, post-treatment isoniazid prophylaxis decreased the risk of TB recurrence 5-fold. Current translational studies aim to understand the persistence of M. tuberculosis in the human host and to develop new drugs that kill non-replicating mycobacteria. This includes studies of the efficacy of new drug candidates for treatment of M. tuberculosis. 

I have also conducted empirical studies to inform ethical guidelines for the conduct of research in resource poor settings and to examine the ability of illiterate research volunteers in Haiti to understand the consent form and provide voluntary consent. Further studies established educational strategies to improve comprehension and assure voluntary participation.

Highlights

  1. 1
    Scientific reports · 2022
    PMID: 36253384PMCID: PMC9574834DOISenior author13 citations
  2. 2
    Antimicrobial agents and chemotherapy · 2020
    PMID: 32071052PMCID: PMC7179618DOISenior author29 citations
  3. 3
    Antimicrobial agents and chemotherapy · 2021
    PMID: 34060896PMCID: PMC8284451DOISenior author22 citations

Publications

199 publications

Active

10 grants
  • KP
    Determinants of TB Control, Relapse, and Reinfection
    National Institute of Allergy and Infectious Diseases · 2026–2031
    P01AI202868-06
  • Co-I
    Impact of TB coinfection on HIV reservoir
    National Institute of Allergy and Infectious Diseases · 2023–2028
    R01AI176943-01A1
  • Co-I
    A longitudinal cohort study to evaluate cardiovascular risk factors and disease in Haiti - 2 - Foreign supplement
    National Heart, Lung, and Blood Institute · 2018–2028· 3 renewals
    R01HL143788-08S1
  • Co-I
    HIV, Sleep, Nocturnal Non-dipping, and Cardiovascular Disease: a Tanzanian Cohort
    National Heart, Lung, and Blood Institute · 2021–2027
    R01HL160332-01
  • MPI
    Tri-Institutional Tuberculosis Research Advancement Center
    National Institute of Allergy and Infectious Diseases · 2022–2027
    P30AI168433-05
  • PI
    Mwanza-Tanzania Research Training Program in HIV Clinical Investigation (Foreign Subsite Supplement)
    Fogarty International Center · 2021–2027· 6 renewals
    D43TW011826-05S2
  • PI
    Tuberculosis Trials Consortium (TBTC) Clinical Research Services
    Centers for Disease Control and Prevention · 2021–2026
    75D30121C10170
  • MPI
    GHESKIO HIV Clinical Trial Unit (CTU)
    National Institute of Allergy and Infectious Diseases · 2007–2026 · via GHESKIO Centers· 2 renewals
    UM1AI069421-17
  • KP
    Determinants of TB control, relapse and reinfection - Foreign Funding Supplement
    National Institute of Allergy and Infectious Diseases · 2021–2026· 2 renewals
    U19AI162568-05S1
  • Sub-PI
    Research Training Program in Adolescent HIV in Haiti
    Fogarty International Center · 2020–2025 · via GHESKIO Centers
    D43TW011295-05
Completed grants (24)
  • Co-I
    Reducing Post-Hospital Mortality in HIV-Infected Adults in Tanzania
    National Institute of Mental Health · 2018–2025
    R01MH118107-01
  • PI
    Global Health Research Training in HIV and Tuberculosis
    National Institute of Allergy and Infectious Diseases · 2012–2024· 2 renewals
    K24AI098627-10
  • MPI
    Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (VECDor) VUMC 63328
    Fogarty International Center · 2017–2023 · via Vanderbilt University Medical Center· 6 renewals
    D43TW009337-11
  • PI
    Amendment to Colorado Agreement (Fitzgerald)
    University of Colorado · 2020–2023Contract
    SA 204457-01
  • PI
    FANMI: Community Cohort Care for HIV-infected Adolescent Girls in Haiti
    Eunice Kennedy Shriver National Institute of Child Health and Human Development · 2017–2022
    R01HD091935-04
  • KP
    Expanding HIV testing among Ugandan adults who utilize traditional healers
    National Institute of Mental Health · 2018–2022Career
    K23MH111409-01
  • MPI
    Tri-Institutional TB Research Unit: Persistence and Latency
    National Institute of Allergy and Infectious Diseases · 2014–2021· 3 renewals
    U19AI111143-06S1
  • MPI
    VUMC 58375: Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (VECDor)
    Fogarty International Center · 2012–2021 · via Vanderbilt University Medical Center· 12 renewals
    R25TW009337-05
  • Sub-PI
    Human Genetics of TB Resistance in HIV-Infected Persons
    National Institute of Allergy and Infectious Diseases · 2016–2021 · via McGill University
    R01AI124349-05
  • PI
    Research Training Program in the Diagnosis, Treatment, and Prevention of AIDS-related MDR-TB in Haiti - Supplement for Meeting Attendance
    Fogarty International Center · 2015–2021Training· 5 renewals
    D43TW010062-05S1
  • Sub-PI
    Strengthening Research Capacity for Junior Faculty in Tanzania
    Fogarty International Center · 2015–2020 · via Kilimanjaro Christian College
    D43TW010138-04
  • KP
    Schistosomiasis, Mucosal Immunity, and HIV Susceptibility
    National Institute of Allergy and Infectious Diseases · 2014–2020Career
    K23AI110238-05
  • PI
    Service Agreement - FANMI/POC Adherence Testing
    University of Colorado · 2019–2020Contract
    SA 192405-01
  • Co-I
    Urinary Biomarkers of Tuberculosis: Potential for diagnosis and beyond
    U.S. Department of Defense · 2018–2019
    W81XWH-18-1-0133
  • PI
    Haiti Research Training Progam in the Prevention of AIDS Cervical Cancer
    Fogarty International Center · 2013–2019· 2 renewals
    D43TW009606-04S1
  • Co-I
    Impact of Immune Changes of Pregnancy on Tuberculosis
    Eunice Kennedy Shriver National Institute of Child Health and Human Development · 2014–2018 · via The Johns Hopkins University
    R01HD081929-04
  • MPI
    Visualizing Differentially Detectable M. Tuberculosis in Sputum
    National Institute of Allergy and Infectious Diseases · 2015–2017 · via Boston Medical Center (Corporation)
    U19AI111276-03
  • Sub-PI
    VUMC 55756: Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows
    Fogarty International Center · 2015–2017 · via Vanderbilt University
    No publications yet
    R25TW009334-04
  • KP
    Training in Integrated HIV Clinical-Based Services - GHESKIO Network
    Centers for Disease Control and Prevention · 2011–2016 · via GHESKIO Centers
    No publications yet
    U2GGH000545-05
  • PI
    Natural History and Pathogenesis of HPV/HIV Co-Infection in Haiti
    National Cancer Institute · 2010–2014
    R01CA142422-03 EW
  • Sub-PI
    Haiti AIDS Research Training: Models to Implementation
    Fogarty International Center · 2009–2014 · via GHESKIO Centers
    U2RTW006896-10
  • Sub-PI
    VUMC 40295: Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows
    Fogarty International Center · 2012–2014 · via Vanderbilt University
    5 R25 TW009337-02 (V
  • PI
    AIDS Diarrhea and Antiretroviral Drug Absorption
    NIAID · 2005–2008 · via NIH RePORTER
    R21AI064021-02
  • PI
    Informed Consent in Developing Country Research
    FIC · 1999–2005 · via NIH RePORTER
    K01TW000002-06

Honors & distinctions

2 honors
  • Member · Association of American Physicians · 2018
  • Member · American Society for Clinical Investigation · 2015

Clinical research

1 study
Completed & closed trials (1)
  • PI
    A Longitudinal Cohort Study of HIV-negative Cavitary Tuberculosis Patients in Haiti
    National Institutes of Health · CLOSED TO ACCRUAL (as of 2026)

News mentions

Show 4 more mentions

Mentoring

1 mentee
  • KL
    Katherine Li
    MD mentee · Class of 2019