Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1154-2448 | Registry Identifier | WHO |
Not provided
Not provided
Study was prematurely terminated due to administrative and strategic reasons
Not provided
Not provided
Not provided
Not provided
Not provided
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The purpose of this study is to compare the effectiveness of antibiotic flomoxef with cefepime for the treatment of complicated urinary tract infections (cUTIs) in Russian adults.
The drug being tested in this study is called Flomoxef. Flomoxef is being tested in people with a complicated urinary tract infection (cUTI) including a kidney infection. This study compares Flomoxef to Cefepime, another antibiotic.
The study enrolled 13 patients.
Participants are randomly assigned by a computer generated number to one of two treatment groups:
This multi-center trial is conducted at 4 sites in the Russian Federation. The overall time to participate in this study is 30+/-3 days. Participants make six visits to the clinic.
Study was prematurely terminated due to administrative and strategic reasons.
Not provided
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Flomoxef | Experimental | Flomoxef, 2g, injection, intravenously, twice daily (every 12 hours), for up to 12 days. |
|
| Cefepime | Active Comparator | Cefepime, 1g, injection, intravenously, twice daily (every 12 hours) for up to 14 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Flomoxef | Drug | Flomoxef intravenous infusion |
| |
| Cefepime |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Who Achieved Resolution of All Clinical Symptoms of a Complicated Urinary Tract Infection (cUTI) at the End of Treatment (EOT) Visit | At the EOT visit (Days 7 to 14), the Investigator collected information about each symptom and performed a judgement about the participant's status. Clinical symptoms present at trial entry were considered to be resolved if the participant has no pyuria; no fever; no malaise, flank pain, back pain, and/or costo-vertebral angle pain or tenderness; and no symptoms of dysuria, urinary urgency, urinary frequency, suprapubic discomfort, new urinary incontinence, or worsening of pre-existing incontinence. Resolution of all clinical symptoms of cUTI were assessed relative to baseline. | Baseline and Days 7 to 14 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Microbiological Success at the EOT and Test-of-Cure (TOC) Visits | A urine sample was collected at EOT (Days 7 to 14) and TOC (Days 14 to 21) visits to determine level of uropathogen. Cultures of urine sample were processed by calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 colony forming units per milliliter (CFU/mL). Microbiological success was defined as bacterial uropathogen level of <10^4 CFU/mL. Microbiological response was categorized as:microbiological eradication/persistence/new infection/superinfection. An infection was eradicated if all uropathogens isolated at study entry at a level ≥10^4 CFU/mL have decreased to <10^4 CFU/mL, persistent if level of uropathogen has increased by ≥10^4 CFU/Ml. A new infection, if there is isolation and growth of a uropathogen other than original pathogen and superinfection if there is growth of a uropathogen other than original pathogen at a level ≥10^4 CFU/mL. Microbiological success was assessed relative to baseline. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Medical Director Clinical Science | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Moscow | Russia | |||||
Participants with a diagnosis of complicated urinary tract infections were enrolled in 1:1 ratio to flomoxef or cefepime arm groups.
Participants took part in the study at 4 investigative sites in Russia from 01 December 2015 to 15 Feb 2016.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Flomoxef | Flomoxef, 2g, injection, intravenously, twice daily (every 12 hours) for up to 12 days. |
| FG001 | Cefepime | Cefepime, 1g, injection, intravenously, twice daily (every 12 hours) for up to 14 days. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
The Safety population included all participants who received any dose of planned study medication.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Flomoxef | Flomoxef, 2g, injection, intravenously, twice daily (every 12 hours) for up to 12 days. |
| BG001 | Cefepime | Cefepime, 1g, injection, intravenously, twice daily (every 12 hours) for up to 14 days. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants Who Achieved Resolution of All Clinical Symptoms of a Complicated Urinary Tract Infection (cUTI) at the End of Treatment (EOT) Visit | At the EOT visit (Days 7 to 14), the Investigator collected information about each symptom and performed a judgement about the participant's status. Clinical symptoms present at trial entry were considered to be resolved if the participant has no pyuria; no fever; no malaise, flank pain, back pain, and/or costo-vertebral angle pain or tenderness; and no symptoms of dysuria, urinary urgency, urinary frequency, suprapubic discomfort, new urinary incontinence, or worsening of pre-existing incontinence. Resolution of all clinical symptoms of cUTI were assessed relative to baseline. | The micro-intent to treat (ITT) population included all participants who were randomized and had a baseline bacterial pathogen on culture of urine that causes UTI against which the investigational drug has antibacterial activity. | Posted | Number | percentage of participants | Baseline and Days 7 to 14 |
|
Baseline up to Day 30
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Flomoxef | Flomoxef, 2g, injection, intravenously, twice daily (every 12 hours) for up to 12 days. |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pyrexia | General disorders | MedDRA 19.0 | Systematic Assessment |
The study is limited as only 13 out of the original 80 participants planned entered the study, due to this none of the planned statistical analyses from the protocol could be carried out, and all results should be reviewed with caution.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Takeda | +1-877-825-3327 | trialdisclosures@takeda.com |
Not provided
| ID | Term |
|---|---|
| D014552 | Urinary Tract Infections |
| ID | Term |
|---|---|
| D007239 | Infections |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
Not provided
Not provided
| ID | Term |
|---|---|
| C045693 | flomoxef |
| D000077723 | Cefepime |
| ID | Term |
|---|---|
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Drug |
Cefepime intravenous infusion |
|
|
| Baseline, Days 7 to 14 and 14 to 21 |
| Percentage of Participants Who Achieved Clinical Resolution of Symptoms of a cUTI at Visit 3, TOC and Late Follow-up (LFU) Visits | At Visit 3 (Day 3) and at the TOC (Days 14 to 21) and LFU visits (Day 30), the Investigator collected information about each symptom and performed a judgement about the participant's status. Clinical symptoms present at trial entry were considered to be resolved if the participant has no pyuria; no fever; no malaise, flank pain, back pain, and/or costo-vertebral angle pain or tenderness; and no symptoms of dysuria, urinary urgency, urinary frequency, suprapubic discomfort, new urinary incontinence, or worsening of pre-existing incontinence. Resolution of all clinical symptoms of cUTI were assessed relative to baseline. | Baseline, Days 3, 14 to 21 and 30 |
| Percentage of Participants With Microbiologic Eradication of the Unique Pathogen at the EOT and TOC Visits | A urine sample was collected from the participants at the EOT (Days 7 to 14) and TOC (Day 14 to 21) visits to determine the level of uropathogen. Cultures of the urine sample were processed by using a calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 CFU/mL. Microbiological response at the TOC visit was based on the same grades as for the EOT visit. The infection was considered to be eradicated if all uropathogens isolated at study entry at a level equal to or greater than 10^4 CFU/mL have decreased to less than 10^4 CFU/mL. | Baseline, Days 7 to 14 and 14 to 21 |
| Percentage of Participants With Microbiologic Persistence of the Unique Pathogen at the EOT and TOC Visits | A urine sample was collected from the participants at the EOT (Days 7 to 14) and TOC (Days 14 to 21) visits to determine the level of uropathogen. Cultures of the urine sample was processed by using a calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 CFU/mL. Microbiological response at the TOC visit was be based on the same grades as for the EOT visit. The infection was considered to be persistent if the level of the uropathogen has increased by greater than or equal to 10^4 CFU/mL from the time of study entry to that of the EOT and TOC visits. | Baseline, Days 7 to 14 and 14 to 21 |
| Percentage of Participants With a New Infection at the EOT and TOC Visits | A urine sample was collected from the participants at the EOT (Days 7 to 14) and TOC (Days 14 to 21) visits to determine the level of uropathogen. Cultures of the urine sample were processed by using a calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 CFU/mL. A new infection was defined as the isolation and growth of a uropathogen other than the original pathogen. | Baseline, Days 7 to 14 and 14 to 21 |
| Percentage of Participants With a Superinfection at the EOT and TOC Visits | A urine sample was collected from the participants at the EOT (Days 7 to 14) and TOC (Days 14 to 21) visits to determine the level of uropathogen. Cultures of the urine sample were processed by using a calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 CFU/mL. A superinfection was defined as growth of a uropathogen other than the original pathogen at a level greater than or equal to 10^4 CFU/mL at any time during the course of active therapy. | Baseline, Day 7 to 14 and 14 to 21 |
| Number of Participants With Serious Adverse Events (SAEs) and Treatment-Emergent-Adverse Events (TEAEs) | An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A Serious Adverse Event (SAE) A serious is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant. | Baseline up to Day 30 |
| Number of Participants With Clinically Significant Abnormal Laboratory Values | The number of participants with any markedly abnormal (above or below normal ranges) standard safety laboratory values was collected throughout study. | Day 21 |
| Number of Participants With Clinically Significant Change in Vital Signs | Vital signs included body temperature (axillary measurement), diastolic and systolic blood pressure (5 minutes), respiratory rate, and pulse (bpm). | Day 1 up to Day 21 |
| Number of Participants With Clinically Significant Change in Physical Examination Findings | Physical examination consists of examinations of the following body systems: (1) cardiovascular system; (2) dermatologic system (3) ears, nose, throat; (4) extremities; (5) eyes; (6) gastrointestinal system; (7) genitourinary system; (8) lymph nodes; (9) musculoskeletal system; (10) nervous system; (11) respiratory system. | Day 1 up to Day 21 |
| Rostov-on-Don |
| Russia |
| Saint Petersburg | Russia |
| Volgograd | Russia |
| Yaroslavl | Russia |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Body mass index | Body Mass Index = weight (kg)/[height (m)^2]. | Mean | Standard Deviation | kg/m^2 |
|
| Smoking status | Number | participants |
|
| OG000 |
| Flomoxef |
Flomoxef, 2g, injection, intravenously, twice daily (every 12 hours) for up to 12 days. |
| OG001 | Cefepime | Cefepime, 1g, injection, intravenously, twice daily (every 12 hours) for up to 14 days. |
|
|
| Secondary | Percentage of Participants With Microbiological Success at the EOT and Test-of-Cure (TOC) Visits | A urine sample was collected at EOT (Days 7 to 14) and TOC (Days 14 to 21) visits to determine level of uropathogen. Cultures of urine sample were processed by calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 colony forming units per milliliter (CFU/mL). Microbiological success was defined as bacterial uropathogen level of <10^4 CFU/mL. Microbiological response was categorized as:microbiological eradication/persistence/new infection/superinfection. An infection was eradicated if all uropathogens isolated at study entry at a level ≥10^4 CFU/mL have decreased to <10^4 CFU/mL, persistent if level of uropathogen has increased by ≥10^4 CFU/Ml. A new infection, if there is isolation and growth of a uropathogen other than original pathogen and superinfection if there is growth of a uropathogen other than original pathogen at a level ≥10^4 CFU/mL. Microbiological success was assessed relative to baseline. | The micro-ITT population included all participants who were randomized and had a baseline bacterial pathogen on culture of urine that causes UTI against which the investigational drug has antibacterial activity. | Posted | Number | percentage of participants | Baseline, Days 7 to 14 and 14 to 21 |
|
|
|
| Secondary | Percentage of Participants Who Achieved Clinical Resolution of Symptoms of a cUTI at Visit 3, TOC and Late Follow-up (LFU) Visits | At Visit 3 (Day 3) and at the TOC (Days 14 to 21) and LFU visits (Day 30), the Investigator collected information about each symptom and performed a judgement about the participant's status. Clinical symptoms present at trial entry were considered to be resolved if the participant has no pyuria; no fever; no malaise, flank pain, back pain, and/or costo-vertebral angle pain or tenderness; and no symptoms of dysuria, urinary urgency, urinary frequency, suprapubic discomfort, new urinary incontinence, or worsening of pre-existing incontinence. Resolution of all clinical symptoms of cUTI were assessed relative to baseline. | The micro-ITT population included all participants who were randomized and had a baseline bacterial pathogen on culture of urine that causes UTI against which the investigational drug has antibacterial activity. | Posted | Number | percentage of participants | Baseline, Days 3, 14 to 21 and 30 |
|
|
|
| Secondary | Percentage of Participants With Microbiologic Eradication of the Unique Pathogen at the EOT and TOC Visits | A urine sample was collected from the participants at the EOT (Days 7 to 14) and TOC (Day 14 to 21) visits to determine the level of uropathogen. Cultures of the urine sample were processed by using a calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 CFU/mL. Microbiological response at the TOC visit was based on the same grades as for the EOT visit. The infection was considered to be eradicated if all uropathogens isolated at study entry at a level equal to or greater than 10^4 CFU/mL have decreased to less than 10^4 CFU/mL. | Due to premature trial termination and small sample size, data for eradication for particular pathogen numbers in different time periods was not determined. | Posted | Baseline, Days 7 to 14 and 14 to 21 |
|
|
| Secondary | Percentage of Participants With Microbiologic Persistence of the Unique Pathogen at the EOT and TOC Visits | A urine sample was collected from the participants at the EOT (Days 7 to 14) and TOC (Days 14 to 21) visits to determine the level of uropathogen. Cultures of the urine sample was processed by using a calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 CFU/mL. Microbiological response at the TOC visit was be based on the same grades as for the EOT visit. The infection was considered to be persistent if the level of the uropathogen has increased by greater than or equal to 10^4 CFU/mL from the time of study entry to that of the EOT and TOC visits. | Due to premature trial termination and small sample size, data for persistence of particular pathogen numbers in different time periods was not determined. | Posted | Baseline, Days 7 to 14 and 14 to 21 |
|
|
| Secondary | Percentage of Participants With a New Infection at the EOT and TOC Visits | A urine sample was collected from the participants at the EOT (Days 7 to 14) and TOC (Days 14 to 21) visits to determine the level of uropathogen. Cultures of the urine sample were processed by using a calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 CFU/mL. A new infection was defined as the isolation and growth of a uropathogen other than the original pathogen. | Due to premature trial termination and small sample size, data for new infection due to particular pathogen numbers in different time periods was not determined. | Posted | Baseline, Days 7 to 14 and 14 to 21 |
|
|
| Secondary | Percentage of Participants With a Superinfection at the EOT and TOC Visits | A urine sample was collected from the participants at the EOT (Days 7 to 14) and TOC (Days 14 to 21) visits to determine the level of uropathogen. Cultures of the urine sample were processed by using a calibrated loop to identify a quantitative count of bacteria, with a lower limit of 10^4 CFU/mL. A superinfection was defined as growth of a uropathogen other than the original pathogen at a level greater than or equal to 10^4 CFU/mL at any time during the course of active therapy. | Due to premature trial termination and small sample size, data for superinfection due to particular pathogen numbers in different time periods was not determined. | Posted | Baseline, Day 7 to 14 and 14 to 21 |
|
|
| Secondary | Number of Participants With Serious Adverse Events (SAEs) and Treatment-Emergent-Adverse Events (TEAEs) | An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A Serious Adverse Event (SAE) A serious is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant. | The safety population included all participants who received any dose of planned study medication. | Posted | Number | participants | Baseline up to Day 30 |
|
|
|
| Secondary | Number of Participants With Clinically Significant Abnormal Laboratory Values | The number of participants with any markedly abnormal (above or below normal ranges) standard safety laboratory values was collected throughout study. | The safety population included all participants who received any dose of planned study medication. | Posted | Number | participants | Day 21 |
|
|
|
| Secondary | Number of Participants With Clinically Significant Change in Vital Signs | Vital signs included body temperature (axillary measurement), diastolic and systolic blood pressure (5 minutes), respiratory rate, and pulse (bpm). | The safety population included all participants who received any dose of planned study medication. | Posted | Number | participants | Day 1 up to Day 21 |
|
|
|
| Secondary | Number of Participants With Clinically Significant Change in Physical Examination Findings | Physical examination consists of examinations of the following body systems: (1) cardiovascular system; (2) dermatologic system (3) ears, nose, throat; (4) extremities; (5) eyes; (6) gastrointestinal system; (7) genitourinary system; (8) lymph nodes; (9) musculoskeletal system; (10) nervous system; (11) respiratory system. | The safety population included all participants who received any dose of planned study medication. | Posted | Number | participants | Day 1 up to Day 21 |
|
|
|
| 0 |
| 6 |
| 2 |
| 6 |
| EG001 | Cefepime | Cefepime, 1g, injection, intravenously, twice daily (every 12 hours) for up to 14 days. | 0 | 7 | 2 | 7 |
| Influenza | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Thrombophlebitis | Vascular disorders | MedDRA 19.0 | Systematic Assessment |
|
The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| Days 7 to 14: Persistence |
|
| Days 7 to 14: Superinfection |
|
| Days 14 to 21: Eradication |
|
| Days 14 to 21: New infection |
|
| Days 14 to 21: Persistence |
|
| Days 14 to 21: Superinfection |
|
| Day 30 |
|
| C-reactive Protein level increased |
|
| C-reactive Protein level decreased |
|
| Day 7-14: Systolic Blood Pressure |
|
| Day 14-21: Systolic Blood Pressure |
|
| Day 1: Diastolic Blood Pressure |
|
| Day 3: Diastolic Blood Pressure |
|
| Day 7-14: Diastolic Blood Pressure |
|
| Day 14-21: Diastolic Blood Pressure |
|
| Day 1: Pulse Rate |
|
| Day 3: Pulse Rate |
|
| Day 7-14: Pulse Rate |
|
| Day 14-21: Pulse Rate |
|
| Day 1: Respiration Rate |
|
| Day 3: Respiration Rate |
|
| Day 7-14: Respiration Rate |
|
| Day 14-21: Respiration Rate |
|
| Day 1: Body Temperature |
|
| Day 3: Body Temperature |
|
| Day 7-14: Body Temperature |
|
| Day 14-21: Body Temperature |
|
| Day 7-14: Cardiovascular system |
|
| Day 14-21: Cardiovascular system |
|
| Day 1: Dermatologic system |
|
| Day 3: Dermatologic system |
|
| Day 7-14: Dermatologic system |
|
| Day 14-21: Dermatologic system |
|
| Day 1: Ear/Nose/Tongue |
|
| Day 3: Ear/Nose/Tongue |
|
| Day 7-14: Ear/Nose/Tongue |
|
| Day 14-21: Ear/Nose/Tongue |
|
| Day 1: Extremities |
|
| Day 3: Extremities |
|
| Day 7-14: Extremities |
|
| Day 14-21: Extremities |
|
| Day 1: Eyes |
|
| Day 3: Eyes |
|
| Day 7-14: Eyes |
|
| Day 4-21: Eyes |
|
| Day 1: Gastrointestinal system |
|
| Day 3: Gastrointestinal system |
|
| Day 7-14: Gastrointestinal system |
|
| Day 14-21: Gastrointestinal system |
|
| Day 1: Genitourinary system |
|
| Day 3: Genitourinary system |
|
| Day 7-14: Genitourinary system |
|
| Day 14-21: Genitourinary system |
|
| Day 1: Lymph nodes |
|
| Day 3: Lymph nodes |
|
| Day 7-14: Lymph nodes |
|
| Day 14-21: Lymph nodes |
|
| Day 1: Musculoskeletal system |
|
| Day 3: Musculoskeletal system |
|
| Day 7-14: Musculoskeletal system |
|
| Day 14-21: Musculoskeletal system |
|
| Day 1: Nervous system |
|
| Day 3: Nervous system |
|
| Day 7-14: Nervous system |
|
| Day 14-21: Nervous system |
|
| Day 1: Respiratory system |
|
| Day 3: Respiratory system |
|
| Day 7-14: Respiratory system |
|
| Day 14-21: Respiratory system |
|