The Netherlands - €28.5 million ME/CFS research program - ZonMW funding awards announced April 2023

The Lifelines data for "ME/CFS" seem even worse than what they already are on paper.

@Grigor sent a tweet with a screenshot of a conversation between (I think) ME patients, who were participating in Lifelines. (15/5/23)

Person 1 says: "I'm a LifeLines participant from day 1. No one ever asked me about ME, CFS or even about something that looks like it. Even in the corona period, where we got a lot of questionnaires about corona and complaints in relation to corona, no one asked if complaints happened to exist for years already. How in heaven's name does Mrs Rosmalen want to get data from the databank then? New questionnaires?"

Person 2 replies: same here


The tweet this screenshot was posted with says:

"According to Lifelines participants a "diagnosis" wasn't even specifically asked after. Only symptoms are asked about and I think that they make the "diagnosis" on the basis of the answers. Sounds very, very vague..... I wonder if it will now go different at-ZonMW?"


This is in line with e.g. Rosmalen who says in her ZonMw interview: "We have also found people who were found to have ME/CFS but who had not yet been diagnosed."
And the current Lifelines wiki on "fatigue (CDC)" (first created in September 2020) that says:
"The CDC symptom survey improves the identification of participants that meet the diagnostic criteria for CFS/ME by assessing the presence of individual symptoms rather than the disease itself."


PS: tweet link not provided as the personal information wasn't completely blacked out.
 

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The Lifelines data for "ME/CFS" seem even worse than what they already are on paper.

@Grigor sent a tweet with a screenshot of a conversation between (I think) ME patients, who were participating in Lifelines. (15/5/23)

Person 1 says: "I'm a LifeLines participant from day 1. No one ever asked me about ME, CFS or even about something that looks like it. Even in the corona period, where we got a lot of questionnaires about corona and complaints in relation to corona, no one asked if complaints happened to exist for years already. How in heaven's name does Mrs Rosmalen want to get data from the databank then? New questionnaires?"

Person 2 replies: same here


The tweet this screenshot was posted with says:

"According to Lifelines participants a "diagnosis" wasn't even specifically asked after. Only symptoms are asked about and I think that they make the "diagnosis" on the basis of the answers. Sounds very, very vague..... I wonder if it will now go different at-ZonMW?"


This is in line with e.g. Rosmalen who says in her ZonMw interview: "We have also found people who were found to have ME/CFS but who had not yet been diagnosed."
And the current Lifelines wiki on "fatigue (CDC)" (first created in September 2020) that says:
"The CDC symptom survey improves the identification of participants that meet the diagnostic criteria for CFS/ME by assessing the presence of individual symptoms rather than the disease itself."


PS: tweet link not provided as the personal information wasn't completely blacked out.

It's to be expected by Rosmalen, the more annoying thing is that ZonMw is going out of their way to fuck us. This sort of study wouldn't have come through with just a smattering of oversight from patients.
 
the more annoying thing is that ZonMw is going out of their way to fuck us. This sort of study wouldn't have come through with just a smattering of oversight from patients.

Indeed. There's no way ZonMw can explain approving the grant to a project that violates the basic Program requirements so profoundly; it looks to me like they're going out of their way to avoid scrutiny of an indefensible decision.
 
Someone who is a expert on this area motioned that the LifeLines cohort could actually be used to derive an accurate estimate of
prevalence. Think Leonard Jason (DePaul University) used a similar methodology i.e. sample the whole population and then look at those who report disabling fatigue in more detail i.e. to establish whether they have/do not have ME/CFS. So the current LifeLines cohort could be used constructively i.e. to estimate prevalence of ME/CFS - something for the patient community to lobby for.

Note - the LifeLines cohort currently estimates ME/CFS prevalence at 1.x (?) while generally accepted prevalence is around 0.4(?) - so the current LifeLines cohort overestimates prevalence by a factor of 3X(?) & is therefore unsuitable.
 
Seems - Boer's [Twitter] offer "I do not mind walking you though details of my project*" isn't being delivered. I asked questions here** - no reply. I suggest more folks pile in with questions --- e.g. prevalence from "Lifelines" is 3X generally accepted rates - will the project refine this cohort so that it accurately reflects prevalence of ME? Data from a cohort which is 3X different from other GWAS cohorts [DecodeME] can't be combined.
Suggested response - "You're "[working] together with DecodeME ---" data from a cohort which is 3X different from other GWAS cohorts [DecodeME] can't be combined."


I've replied to Boer's Tweet -
"I do not mind --- details of - project -Prevalence from "Lifelines" is 3X generally accepted rates - will the project refine this cohort so that it accurately reflects prevalence of ME? Data from a cohort which is 3X different from other GWAS cohorts [DecodeME] can't be combined"


*"Hey Siebe, That would be my project :). If you want, I do not mind walking you though details of my project - For example, I will work together with DecodeME, - or answering questions about it. send me a message.


**
 
Oh yes, more money to be spent but now on legal aid. Very PACEy.
That's how you just know you're doing good medicine and real science, when patients are forced to take the legal route. Again.

And the worst part is that many of the people involved genuinely believe that. They have to, or the version of events they invented to justify their actions crumble into immoral dust. For them to be doing good while opposing us must mean that we are bad, and they seem infinitely capable of believing it. No matter how many lives they destroy, their ends justify the means.
 
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That's how you just know you're doing good medicine and real science, when patients are forced to take the legal route. Again.

And the worst part is that many of the people involved genuinely believe that. They have to, or the version of events they invented to justify their actions crumble into immoral dust. For them to be doing good while opposing us must mean that we are bad, and they seem infinitely capable of believing it. No matter how many lives they destroy, their ends justify the means.


When you’ve mentioned previously and rightly the HIV/AIDS research model of “nothing about us without us” how much did doing it the right way actually cost vs money wasted (in ME/CFS) on bad research, bad kingdoms and embedded therapies across all sorts of areas over/multiplied by how many years?

Ie how much waste did that proper patient input save and how much did it speed things up by preventing avoidable dead-ends?

Has it or involvement like it ever been repeated in other conditions and is it only this subject area that decides it is problematic then not just doing what they want vs other scientific research? Ie is it nothing to do with the illness, or the patients in question but they just are props for this being an unusual bunch in an unusual subject area that sees itself above/beneath the norms - because I think that’s what it is and who/what this is all about and I wish laypersons would see the real source of the problem and stop falling for their distractions.
 
Geachte heer Solstice,


De afgelopen dagen heeft ZonMw veel reacties ontvangen naar aanleiding van de bekendmaking van de startende ME/CVS-consortia en onderzoeksprojecten. Het gaat zowel om inhoudelijke vragen als om positieve en negatieve reacties. De negatieve reacties betreffen met name de keuze voor het consortium ME/CFS Lines, dat onder leiding van prof. dr. Rosmalen staat, en de procedure rondom de besluitvorming.



We begrijpen de onrust en de emotie die leeft onder patiënten en hun dierbaren, gezien het lange en soms roerige traject dat vooraf is gegaan aan de start van dit nieuwe onderzoeksprogramma.



Het 10 jaar durende onderzoeksprogramma heeft als doel veel nieuwe biomedische kennis over de oorzaken, diagnose en behandeling van ME/CVS te genereren. Een commissie van inhoudelijke experts is op een zorgvuldige manier tot besluitvorming gekomen. Hierin is zij mede gevoed door de adviezen van een klankbordgroep, bestaande uit patiënten(vertegenwoordigers) die afgevaardigd zijn vanuit patiëntenorganisaties. Alle toegewezen projecten en consortia voldoen aan de voorwaarden van de subsidieoproep en het programma.



Het ministerie van VWS heeft toegezien op een zorgvuldig verloop van dit traject, waarbij de onafhankelijke wetenschappelijke commissie de besluitvorming door het bestuur van ZonMw heeft voorbereid. De klankbordgroep heeft aan dit proces een gewaardeerde en positieve bijdrage geleverd. Met de constructie waarvoor is gekozen zijn zowel de wetenschappelijke beoordeling van de voorstellen als de inbreng van patiëntenperspectieven door de diverse patiëntenvertegenwoordigers geborgd. ZonMw heeft hiermee gezorgd dat de beoordelaars goed op de hoogte waren van de veelzijdige belangen van de patiënten waarvoor dit onderzoek bedoeld is.



Wij hebben vertrouwen in de wetenschap, waar bij hoort dat je nieuwe inzichten meeneemt en hiervoor open staat en, wanneer daar aanleiding toe is, van mening kan veranderen. We spreken daarom als ZonMw en het ministerie van VWS ons volle vertrouwen uit in de onderzoekers die zich binnen het Onderzoeksprogramma ME/CVS gaan inzetten om meer te weten te komen over de oorzaken, diagnose en behandeling van ME/CVS.



We werken aan een Q&A op basis van veelgestelde vragen naar aanleiding van ons nieuwsbericht. Deze verschijnt zo snel mogelijk op de ZonMw-website. Voor inhoudelijke vragen over de consortia en deelprojecten verwijzen wij u graag door naar het UMCG (ME/CFS Lines) en het AMC (NMCB).



Met vriendelijke groet,


Het secretariaat Publieke Gezondheid

That's the reaction I got yesterday from our ministry of Health. Am mulling a reply, have also mailed it through to the ME/CVS vereniging and ME Centraal to ask them what they think. I'll translate it later, afternoon nap comes first. If anyone else feels compelled to translate it they're offcourse welcome to.

I don't know if anyone needs tagging that should read this so I'll hold on that.
 
Ugh, that letter is bad.

I'm toast for the day, but err
ZonMw said:
All assigned projects and consortia meet the conditions of the call for proposals and the programme.

Nopety nope

ZonMw also said:
We have faith in science, which means that you take new insights with you and are open to them and, if there is reason to do so, can change your mind. As ZonMw and the Ministry of Health, Welfare and Sport, we therefore express our full confidence in the researchers who will work within the ME/CFS Research Program to learn more about the causes, diagnosis and treatment of ME/CFS.

Yeah, see, that's the problem. ME patients objecting to giving professor Maladaptive Response To Physical Complaints a shit ton of money earmarked for solid biomedical research into ME, to expand her psychosomatic agenda (and unjustified claim on ME patients) based on a project that breaks the requirements of the ME/CFS Research Programme in full technicolor is of course about ME patients' lack of faith in science, refusal to take in new insights, closedmindedness and inability to change their minds. Rosmalen's project is fiiine. And we're doing this FOR YOU.


I'm reminded of Lance Armstrong's famous speech to people who suspected him of doping: "the people who don't believe in cycling, the cynics, the sceptics; [I feel] sorry for you. You need to believe in these riders. I'm sorry you can't dream big and I'm sorry you don't believe in miracles".

(But my initial response was: "We don't need to be open-minded Brennan, you're holding a turd." So for your entertainment, it's from a favourite sketch about the far right's attempts to normalise unacceptable views.)
 
That's the reaction I got yesterday from our ministry of Health.

Dear Mr Solstice,


Over the past few days, ZonMw has received many responses to the announcement of the starting ME/CFS consortia and research projects. It concerns both substantive questions and positive and negative reactions. The negative reactions mainly concern the choice of the ME/CFS Lines consortium, which is led by Prof. Dr. Rosmalen, and the decision-making procedure.



We understand the anxiety and emotion experienced by patients and their loved ones given the long and sometimes turbulent journey that has preceded the start of this new research program.



The 10-year research program aims to generate much new biomedical knowledge about the causes, diagnosis and treatment of ME/CFS. A committee of substantive experts has reached a careful decision-making process. In this it was partly fed by the advice of a sounding board group, consisting of patient (representatives) delegated from patient organisations. All assigned projects and consortia meet the conditions of the call for proposals and the programme.



The Ministry of Health, Welfare and Sport supervised the careful progress of this process, with the independent scientific committee preparing the decision-making by the ZonMw board. The sounding board group has made a valued and positive contribution to this process. With the construction that has been chosen, both the scientific assessment of the proposals and the contribution of patient perspectives by the various patient representatives are guaranteed. ZonMw thus ensured that the assessors were well aware of the multifaceted interests of the patients for whom this study is intended.



We have faith in science, which means that you take new insights with you and are open to them and, if there is reason to do so, can change your mind. As ZonMw and the Ministry of Health, Welfare and Sport, we therefore express our full confidence in the researchers who will work within the ME/CFS Research Program to learn more about the causes, diagnosis and treatment of ME/CFS.



We are working on a Q&A based on frequently asked questions in response to our news item. This will appear on the ZonMw website as soon as possible. For substantive questions about the consortia and sub-projects, we would like to refer you to the UMCG (ME/CFS Lines) and the AMC (NMCB).



Yours sincerely,


The Secretariat of Public Health
 
Thanks Trish. It isn't even a non-answer this time but just straight-up lies. Patient representatives have been sidelined and the project didn't meet requirements.

ME Centraal directed me towards their website where it said this:

US, VWS AND ZONMW


Even though we seem to be more email addresses than ME patients, there would be no ME research program without us. Some announcements and facts.

A number of us sent an objection to the Ministry of Health, Welfare and Sport against ZonMw's decision of 24 April to grant the ME/CFS Lines consortium a €4.4 million subsidy.

The main reason being the applicant and lead applicant and the far too large research cohort.
Some brought forward personal experiences in it.

At the beginning of this week, everyone received a meaningless, disrespectful standard answer from the Public Health Secretariat.

For those who want to object to this: Wednesday afternoon we will also publish a draft letter for you to use.

Probably already known , but more than worth mentioning: the ME/CFS Association has also submitted a WOO request to make all information about ZonMw's first call available.

ZonMw apparently did not think it possible to send them a largely black-painted answer. The ME/CFS association reports : “ZonMw has now informed us that our WOO request is extensive and that more time is needed. ZonMw will use an external law firm to consult with the ME/CFS Association about prioritizing the handling of our request. To be continued!"

We wholeheartedly endorse the latter. We obviously understand if patients drop out (perhaps that is the intention), but we will continue until both VWS and ZonMw realize that completely unacceptable decisions have been made. And they are reversed.



Team ME Centraal

I've left out the bit in the middle about a petition for insurers to pay for treatments for ME patients. Source: https://mecentraal.wordpress.com/2023/05/26/ons-vws-en-zonmw/
 
I think the last paragraph of the ME Centraal letter is an excellent description of the feeling of a lot of people at the moment. We've fought too long to get to a point where good things are happening for us to now let it be overturned again. Not letting this slide.
 
That letter could have been simply the words: "we don't care, we can do what we want and there's nothing you can do about it".

To talk of being open-minded while being stuck in an infinite loop of failure is something. They keep pushing pseudoscience on this, and speak of faith in science. Well, science isn't about faith, and these people are completely derelict in their duties and beyond unethical.

They basically set the conditions so that patients can never trust anything they do, which they will no doubt simply use to continue doing as they want. This is frankly way more Art of war than about a medical textbook.
 
At the bottom of the page there is a FAQ.

Looking up some stuff. ZonMw removed this, while making no mention of edited/altered text.


Edited to add links to the posts by Solstice and me this refers to, where ZonMw said in a FAQ in the article "Verklaring ZonMw op reacties toekenningen ME/CVS-programma" (=ZonMw statement on responses to ME/CFS program awards) of May the 4th:

ZonMw on the 4th of May said:
Why has ME/CFS Lines been approved?

ZonMw has awarded funding to two consortia, of which the ME/CFS Lines consortium is one. A consortium consists of several parties and several researchers. Prof. Judith Rosmalen is the consortium leader and main applicant for the proposal. The ME/CFS Lines consortium meets the requirements of the research program. The consortium focuses on biomedical research and the program committee indicates in its opinion that the proposal is of high quality and relevant.

which I see today has been removed from the article.
 
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