{
  "schema_version": "2.0.0",
  "id": "uk-me-cfs-biobank",
  "name": "UK ME/CFS Biobank (CureME, LSHTM)",
  "aliases": [
    "CureME",
    "UKMEB",
    "London School of Hygiene & Tropical Medicine ME/CFS Biobank"
  ],
  "outbreak_event": null,
  "pathogen_id": "unknown-trigger",
  "pathogen_class": "unknown",
  "exposure_ascertainment": "not_reported",
  "design": "cross_sectional",
  "denominator_defined": "yes",
  "denominator_method": "Participants recruited via UK NHS specialist CFS services and primary care. Cases met Fukuda and/or Canadian Consensus Criteria. Healthy controls and multiple sclerosis disease controls recruited.",
  "recruitment_source": "mixed",
  "time_zero_definition": "Not applicable (cross-sectional biobank; illness duration recorded but no inception timepoint)",
  "time_zero_precision": "undefined",
  "control_group": "other_disease",
  "control_matching_variables": ["age", "sex"],
  "n_source_population": null,
  "n_enrolled": 632,
  "n_analysed": 632,
  "followups": [],
  "max_followup_months": null,
  "instruments": [
    "sf-36",
    "chalder-fatigue-scale",
    "bell-cfs-disability-scale"
  ],
  "case_definition": "canadian_consensus",
  "pem_assessed": "yes_single_item",
  "objective_measures": [
    "lab_panel",
    "none"
  ],
  "specimens_collected": true,
  "specimen_types": [
    "serum",
    "pbmc",
    "whole_blood",
    "plasma"
  ],
  "acute_phase_specimens": "not_applicable",
  "storage": "−80 °C at University College London / Royal Free Hospital Biobank",
  "biobank_status": "active",
  "consent_future_use": "broad",
  "external_access": "open_application",
  "contact": "CureME team, London School of Hygiene & Tropical Medicine",
  "registration_id": null,
  "funders": [
    "ME Association (UK)",
    "National Institutes of Health (USA)",
    "Action for ME"
  ],
  "conflicts": null,
  "data_availability": "Application to biobank access committee required",
  "notes": "The largest deeply phenotyped ME/CFS biobank with matched healthy and multiple sclerosis disease controls. Participants were clinically assessed and met both Fukuda (CDC 1994) and Canadian Consensus (CCC 2003) criteria for ME/CFS. Specimens include serum, PBMC, RNA, and whole blood — valuable for biomarker discovery. Not a prospective inception cohort; cross-sectional with retrospective illness duration data. Illness duration ranges widely (new-onset to decades). Placed under unknown-trigger as the cohort includes participants with both post-infectious and gradual onset; the database records ME/CFS as the outcome, not the trigger.",
  "publications": [
    {
      "id": "lacerda-2017-biobank-design",
      "title": "The UK ME/CFS Biobank for biomedical research on Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Multiple Sclerosis",
      "authors": "Lacerda EM, Bowman EW, Cliff JM, et al.",
      "year": 2017,
      "journal": "BMC Neurology",
      "doi": "10.1186/s12883-017-0812-7",
      "pmid": "28373256",
      "url": "https://pubmed.ncbi.nlm.nih.gov/28373256/",
      "open_access": true,
      "is_primary_cohort_paper": true
    }
  ],
  "symptom_inventory_scope": "comprehensive_inventory",
  "n_symptoms_queried": null,
  "symptom_instrument_note": "Clinical assessment by trained personnel including structured history, physical examination, and validated questionnaires (SF-36, Chalder Fatigue Scale, Bell CFS disability scale)",
  "related_cohorts": [],
  "last_verified": "2026-07-21",
  "verified_by": "OSMF research-tracker (web-verified against source)",
  "harmonisation_ruleset": "pais-harmony-v1",
  "flags": [],
  "observations": [
    {
      "id": "ukmeb-cfs-fukuda-proportion",
      "cohort_id": "uk-me-cfs-biobank",
      "publication_id": "lacerda-2017-biobank-design",
      "schema_version": "2.0.0",
      "measure_id": "case-def:fukuda-cfs-1994",
      "measure_verbatim": "met Fukuda 1994 CFS criteria",
      "population": {
        "scope": "subgroup",
        "stratum": { "variable": "case_status", "level": "ME/CFS cases" },
        "denominator_basis": "assessed_at_timepoint",
        "n_assessed": 452
      },
      "timing": {
        "timepoint_months": null,
        "timepoint_band": "unspecified",
        "reference_period": "current",
        "is_cumulative": false
      },
      "method": {
        "ascertainment": "clinician_assessed",
        "instrument_id": null,
        "severity_threshold": null,
        "blinded_assessment": "not_reported"
      },
      "value": {
        "type": "proportion",
        "numerator": 452,
        "denominator": 452,
        "percent": 100,
        "ci": null,
        "precision": "exact"
      },
      "comparator": {
        "group": "none",
        "value": { "status": "not_applicable" },
        "effect": null
      },
      "harmonised": null,
      "provenance": {
        "source_locator": "Lacerda 2017, Results (452 CFS cases enrolled)",
        "extracted_by": null,
        "extracted_on": null,
        "verified_by": "OSMF research-tracker (web-verified against source)",
        "verified_on": "2026-07-21",
        "extraction_method": "manual"
      }
    },
    {
      "id": "ukmeb-fatigue-chalder",
      "cohort_id": "uk-me-cfs-biobank",
      "publication_id": "lacerda-2017-biobank-design",
      "schema_version": "2.0.0",
      "measure_id": "sym:fatigue",
      "measure_verbatim": "Chalder Fatigue Scale score (bimodal) ≥4",
      "population": {
        "scope": "subgroup",
        "stratum": { "variable": "case_status", "level": "ME/CFS cases" },
        "denominator_basis": "assessed_at_timepoint",
        "n_assessed": { "status": "measured_not_reported" }
      },
      "timing": {
        "timepoint_months": null,
        "timepoint_band": "unspecified",
        "reference_period": "not_reported",
        "is_cumulative": false
      },
      "method": {
        "ascertainment": "validated_instrument_threshold",
        "instrument_id": "chalder-fatigue-scale",
        "severity_threshold": "bimodal score ≥4",
        "blinded_assessment": "not_reported"
      },
      "value": {
        "type": "proportion",
        "numerator": { "status": "measured_not_reported" },
        "denominator": { "status": "measured_not_reported" },
        "percent": { "status": "measured_not_reported" },
        "ci": null,
        "precision": "approximate"
      },
      "comparator": {
        "group": "other_disease",
        "value": { "status": "measured_not_reported" },
        "effect": null
      },
      "harmonised": null,
      "provenance": {
        "source_locator": "Lacerda 2017, Methods (Chalder Fatigue Scale administered; individual-level data available via biobank application)",
        "extracted_by": null,
        "extracted_on": null,
        "verified_by": "OSMF research-tracker (web-verified against source)",
        "verified_on": "2026-07-21",
        "extraction_method": "manual"
      }
    },
    {
      "id": "ukmeb-pem-proportion",
      "cohort_id": "uk-me-cfs-biobank",
      "publication_id": "lacerda-2017-biobank-design",
      "schema_version": "2.0.0",
      "measure_id": "sym:post-exertional-malaise",
      "measure_verbatim": "post-exertional malaise (assessed as part of Canadian Consensus Criteria)",
      "population": {
        "scope": "subgroup",
        "stratum": { "variable": "case_status", "level": "ME/CFS cases" },
        "denominator_basis": "assessed_at_timepoint",
        "n_assessed": { "status": "measured_not_reported" }
      },
      "timing": {
        "timepoint_months": null,
        "timepoint_band": "unspecified",
        "reference_period": "current",
        "is_cumulative": false
      },
      "method": {
        "ascertainment": "clinician_assessed",
        "instrument_id": null,
        "severity_threshold": null,
        "blinded_assessment": "not_reported"
      },
      "value": {
        "type": "proportion",
        "numerator": { "status": "measured_not_reported" },
        "denominator": { "status": "measured_not_reported" },
        "percent": { "status": "measured_not_reported" },
        "ci": null,
        "precision": "approximate"
      },
      "comparator": {
        "group": "none",
        "value": { "status": "not_applicable" },
        "effect": null
      },
      "harmonised": null,
      "provenance": {
        "source_locator": "Lacerda 2017 (CCC criteria require PEM; all ME/CFS cases met CCC, therefore all have PEM unless sub-analysis by onset type specifies otherwise)",
        "extracted_by": null,
        "extracted_on": null,
        "verified_by": "OSMF research-tracker (web-verified against source)",
        "verified_on": "2026-07-21",
        "extraction_method": "manual"
      }
    },
    {
      "id": "ukmeb-sleep-disturbance",
      "cohort_id": "uk-me-cfs-biobank",
      "publication_id": "lacerda-2017-biobank-design",
      "schema_version": "2.0.0",
      "measure_id": "sym:sleep-disturbance",
      "measure_verbatim": "unrefreshing sleep (CCC criterion)",
      "population": {
        "scope": "subgroup",
        "stratum": { "variable": "case_status", "level": "ME/CFS cases" },
        "denominator_basis": "assessed_at_timepoint",
        "n_assessed": { "status": "measured_not_reported" }
      },
      "timing": {
        "timepoint_months": null,
        "timepoint_band": "unspecified",
        "reference_period": "current",
        "is_cumulative": false
      },
      "method": {
        "ascertainment": "clinician_assessed",
        "instrument_id": null,
        "severity_threshold": null,
        "blinded_assessment": "not_reported"
      },
      "value": {
        "type": "proportion",
        "numerator": { "status": "measured_not_reported" },
        "denominator": { "status": "measured_not_reported" },
        "percent": { "status": "measured_not_reported" },
        "ci": null,
        "precision": "approximate"
      },
      "comparator": {
        "group": "none",
        "value": { "status": "not_applicable" },
        "effect": null
      },
      "harmonised": null,
      "provenance": {
        "source_locator": "Lacerda 2017 (CCC criterion; proportion extractable from individual-level data via biobank application)",
        "extracted_by": null,
        "extracted_on": null,
        "verified_by": "OSMF research-tracker (web-verified against source)",
        "verified_on": "2026-07-21",
        "extraction_method": "manual"
      }
    },
    {
      "id": "ukmeb-specimens-banked",
      "cohort_id": "uk-me-cfs-biobank",
      "publication_id": "lacerda-2017-biobank-design",
      "schema_version": "2.0.0",
      "measure_id": "sym:fatigue",
      "measure_verbatim": "Biobank specimen inventory: serum, PBMC, RNA, whole blood from 632 participants (452 CFS + 55 MS + 55 healthy + 70 other)",
      "population": {
        "scope": "whole_cohort",
        "stratum": null,
        "denominator_basis": "assessed_at_timepoint",
        "n_assessed": 632
      },
      "timing": {
        "timepoint_months": null,
        "timepoint_band": "unspecified",
        "reference_period": "not_reported",
        "is_cumulative": false
      },
      "method": {
        "ascertainment": "lab_assay",
        "instrument_id": null,
        "severity_threshold": null,
        "blinded_assessment": "not_applicable"
      },
      "value": {
        "type": "qualitative",
        "text": "Serum, PBMC, RNA, whole blood banked at −80 °C from all 632 participants. Available to external researchers via application to the UK ME/CFS Biobank access committee.",
        "n_supporting": 632
      },
      "comparator": {
        "group": "none",
        "value": { "status": "not_applicable" },
        "effect": null
      },
      "harmonised": null,
      "provenance": {
        "source_locator": "Lacerda 2017, Methods & Results (specimen types listed; N=632 total enrolled)",
        "extracted_by": null,
        "extracted_on": null,
        "verified_by": "OSMF research-tracker (web-verified against source)",
        "verified_on": "2026-07-21",
        "extraction_method": "manual"
      }
    }
  ],
  "estimates_status": "none"
}
