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| ID | Type | Description | Link |
|---|---|---|---|
| 2019-002305-22 | EudraCT Number |
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The purpose of this First-in-Human study is to assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of Ir-CPI, a novel dual inhibitor of FXIIa and FXIa, following IV administration of single ascending doses in healthy male volunteers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ir-CPI - Dose 1 | Experimental | Participants received a single intravenous dose of 1.5 mg/kg of Ir-CPI during 6 hours |
|
| Ir-CPI - Dose 2 | Experimental | Participants received a single intravenous dose of 3.0 mg/kg of Ir-CPI during 6 hours |
|
| Ir-CPI - Dose 3 | Experimental | Participants received a single intravenous dose of 6.0 mg/kg of Ir-CPI during 6 hours |
|
| Ir-CPI - Dose 4 | Experimental | Participants received a single intravenous dose of 9.0 mg/kg of Ir-CPI during 6 hours |
|
| Placebo | Placebo Comparator | Participants received a single intravenous dose of placebo during 6 hours |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ir-CPI - Dose 1 | Drug | 6 participants received a single intravenous dose of 1.5 mg/kg of Ir-CPI during 6 hours |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of the Safety Lab Parameter Activated Partial Thromboplastin Time (aPTT) | These safety aPTT results were readily available to the PI for safety follow-up during and after the study drug administration. Safety aPTT was followed up "at the bedside" at regular time-points (as opposed to the PD biomarker aPTT, which was assessed by the central laboratory alongside the PK time-points). An aPTT ratio was calculated by dividing the aPTT value (in sec) of the specific time-point (aPTTt) by the baseline aPTT value (in sec) (aPTTbaseline) of the same participant (aPTT ratio = aPTTt/aPTTbaseline). The baseline time-point was considered as having an aPTT ratio of 1. Concerning the row titles, for example, Day 1 H02:00 corresponds to aPTT ratio results obtained on Day 1, 2 hours after the start of the infusion. | At pre-dose (baseline), 2, 4, 6, 8, 12, 24, 48, 72 hours post-dose and at the discharge visit (Day 10 ± 2 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of the Maximum Plasma Concentration (Cmax) of Ir-CPI | Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96, 144 hours (144 hours for Dose 4 only) | |
| Measurement of the Time to Reach Maximum Plasma Concentration (Tmax) of Ir-CPI |
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Inclusion Criteria:
Participants must satisfy all of the following inclusion criteria before being allowed to enter the study:
Exclusion Criteria:
If any of the following exclusion criteria apply, the participant must not enter the study:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| A.T.C. Pharma | Liège | 4000 | Belgium |
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| ID | Title | Description |
|---|---|---|
| FG000 | Ir-CPI - Dose 1 | 6 participants received a single intravenous dose of 1.5 mg/kg of Ir-CPI during 6 hours |
| FG001 | Ir-CPI - Dose 2 | 6 participants received a single intravenous dose of 3.0 mg/kg of Ir-CPI during 6 hours |
| FG002 | Ir-CPI - Dose 3 | 6 participants received a single intravenous dose of 6.0 mg/kg of Ir-CPI during 6 hours |
| FG003 | Ir-CPI - Dose 4 | 6 participants received a single intravenous dose of 9.0 mg/kg of Ir-CPI during 6 hours |
| FG004 | Placebo | For each dose group, 2 additional participants received a single intravenous dose of placebo during 6 hours (8 in total). |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Ir-CPI - Dose 1 | Ir-CPI - Dose 1: 6 participants received a single intravenous dose of 1.5 mg/kg of Ir-CPI during 6 hours |
| BG001 | Ir-CPI - Dose 2 | Ir-CPI - Dose 2: 6 participants received a single intravenous dose of 3.0 mg/kg of Ir-CPI during 6 hours |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| 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 | Measurement of the Safety Lab Parameter Activated Partial Thromboplastin Time (aPTT) | These safety aPTT results were readily available to the PI for safety follow-up during and after the study drug administration. Safety aPTT was followed up "at the bedside" at regular time-points (as opposed to the PD biomarker aPTT, which was assessed by the central laboratory alongside the PK time-points). An aPTT ratio was calculated by dividing the aPTT value (in sec) of the specific time-point (aPTTt) by the baseline aPTT value (in sec) (aPTTbaseline) of the same participant (aPTT ratio = aPTTt/aPTTbaseline). The baseline time-point was considered as having an aPTT ratio of 1. Concerning the row titles, for example, Day 1 H02:00 corresponds to aPTT ratio results obtained on Day 1, 2 hours after the start of the infusion. | Posted | Mean | Standard Deviation | aPTT ratio | At pre-dose (baseline), 2, 4, 6, 8, 12, 24, 48, 72 hours post-dose and at the discharge visit (Day 10 ± 2 days) |
|
From screening visit through last extra-ambulatory visit [Day 90 or Day 180 (in case of anti-drug antibodies at Day 90)]
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Ir-CPI - Dose 1 | 6 participants received a single intravenous dose of 1.5 mg/kg of Ir-CPI during 6 hours |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Appendicitis | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA (22.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Writer | Bioxodes | +32 (0)71 239 602 | stephanie.demoulin@bioxodes.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 15, 2020 | Feb 25, 2021 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 9, 2020 | May 4, 2021 | SAP_001.pdf |
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| Ir-CPI - Dose 2 | Drug | 6 participants received a single intravenous dose of 3.0 mg/kg of Ir-CPI during 6 hours |
|
| Ir-CPI - Dose 3 | Drug | 6 participants received a single intravenous dose of 6.0 mg/kg of Ir-CPI during 6 hours |
|
| Ir-CPI - Dose 4 | Drug | 6 participants received a single intravenous dose of 9.0 mg/kg of Ir-CPI during 6 hours |
|
| Placebo | Drug | For each dose group, 2 additional participants received a single intravenous dose of placebo during 6 hours (8 in total). |
|
| Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96, 144 hours (144 hours for Dose 4 only) |
| Measurement of the Area Under the Plasma Concentration-time Curve From Time Zero to 6h (AUC0-6) and From Time Zero to Time of Infinity (AUCinf) | Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96, 144 hours (144 hours for Dose 4 only) |
| Measurement of the Effect of Ir-CPI on the Activated Partial Thromboplastin Time (aPTT) | The activated partial thromboplastin time (aPTT) is used as a pharmacodynamic marker. No data were available for the Ir-CPI 1.5 mg/kg group because the results were not usable due to plasma preparation and method repeatability problems. An aPTT ratio was calculated by dividing the aPTT value (in sec) of the specific time-point (aPTTt) by the baseline aPTT value (in sec) (aPTTbaseline) of the same participant (aPTT ratio = aPTTt/aPTTbaseline). The baseline time-point (Day 1 H00:00) was considered as having an aPTT ratio of 1. Concerning the row titles, for example, Day 1 H02:00 corresponds to aPTT ratio results obtained on Day 1, 2 hours after the start of the infusion. | Pre-dose (baseline), 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96 hours post-dose and at the discharge visit (Day 10 ± 2 days) |
| Measurement of the Effect of Ir-CPI on Factor XI Activity | The method is a clotting assay where all the clotting factors are present (constant and in excess, brought by the deficient plasma), excepted for FXI, which is brought by the diluted tested plasma, and clotting is triggered with cephalin, activator and calcium (aPTT). FXI is the limiting factor and clotting time is inversely proportional to the concentration of FXI. There is an inverse linear relationship between the percentage of FXI activity and the corresponding clotting time. Central laboratory normal ranges for Factor XI activity are between 65 and 150 %. Concerning the row titles, for example, Day 1 H02:00 corresponds to the percentage of FXI activity obtained on Day 1, 2 hours after the start of the infusion. | Pre-dose (baseline), 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96 hours post-dose and at the discharge visit (Day 10 ± 2 days) |
| Measurement of the Effect of Ir-CPI on Factor XII Activity | The method is a clotting assay where all the clotting factors are present (constant and in excess, brought by the deficient plasma), excepted for FXII, which is brought by the diluted tested plasma, and clotting is triggered with cephalin, activator and calcium (aPTT). FXII is the limiting factor and clotting time is inversely proportional to the concentration of FXII. There is an inverse linear relationship between the percentage of FXII activity and the corresponding clotting time. Central laboratory normal ranges for Factor XII activity are between 50 and 150 %. Concerning the row titles, for example, Day 1 H02:00 corresponds to the percentage of FXII activity obtained on Day 1, 2 hours after the start of the infusion. | Pre-dose (baseline), 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96 hours post-dose and at the discharge visit (Day 10 ± 2 days) |
| BG002 | Ir-CPI - Dose 3 | Ir-CPI - Dose 3: 6 participants received a single intravenous dose of 6.0 mg/kg of Ir-CPI during 6 hours |
| BG003 | Ir-CPI - Dose 4 | Ir-CPI - Dose 4: 6 participants received a single intravenous dose of 9.0 mg/kg of Ir-CPI during 6 hours |
| BG004 | Placebo | For each dose group, 2 additional participants received a single intravenous dose of placebo during 6 hours (8 in total). |
| BG005 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Height | Mean | Standard Deviation | cm |
|
| Weight | Mean | Standard Deviation | kg |
|
| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m² |
|
Ir-CPI - Dose 1: 6 participants received a single intravenous dose of 1.5 mg/kg of Ir-CPI during 6 hours |
| OG001 | Ir-CPI - Dose 2 | Ir-CPI - Dose 2: 6 participants received a single intravenous dose of 3.0 mg/kg of Ir-CPI during 6 hours |
| OG002 | Ir-CPI - Dose 3 | Ir-CPI - Dose 3: 6 participants received a single intravenous dose of 6.0 mg/kg of Ir-CPI during 6 hours |
| OG003 | Ir-CPI - Dose 4 | Ir-CPI - Dose 4: 6 participants received a single intravenous dose of 9.0 mg/kg of Ir-CPI during 6 hours |
| OG004 | Placebo | Placebo: For each dose group, 2 additional participants received a single intravenous dose of placebo during 6 hours (8 in total). |
|
|
| Secondary | Measurement of the Maximum Plasma Concentration (Cmax) of Ir-CPI | Pharmacokinetic set (PKS): all of the included participants who were administered a complete infusion of study drug without major protocol deviation affecting PK evaluation. | Posted | Mean | Standard Deviation | ng/mL | Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96, 144 hours (144 hours for Dose 4 only) |
|
|
|
| Secondary | Measurement of the Time to Reach Maximum Plasma Concentration (Tmax) of Ir-CPI | Pharmacokinetic set (PKS): all of the included participants who were administered a complete infusion of study drug without major protocol deviation affecting PK evaluation. | Posted | Mean | Standard Deviation | hours | Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96, 144 hours (144 hours for Dose 4 only) |
|
|
|
| Secondary | Measurement of the Area Under the Plasma Concentration-time Curve From Time Zero to 6h (AUC0-6) and From Time Zero to Time of Infinity (AUCinf) | Pharmacokinetic set (PKS): all of the included participants who were administered a complete infusion of study drug without major protocol deviation affecting PK evaluation. | Posted | Mean | Standard Deviation | h*ng/mL | Pre-dose, 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96, 144 hours (144 hours for Dose 4 only) |
|
|
|
| Secondary | Measurement of the Effect of Ir-CPI on the Activated Partial Thromboplastin Time (aPTT) | The activated partial thromboplastin time (aPTT) is used as a pharmacodynamic marker. No data were available for the Ir-CPI 1.5 mg/kg group because the results were not usable due to plasma preparation and method repeatability problems. An aPTT ratio was calculated by dividing the aPTT value (in sec) of the specific time-point (aPTTt) by the baseline aPTT value (in sec) (aPTTbaseline) of the same participant (aPTT ratio = aPTTt/aPTTbaseline). The baseline time-point (Day 1 H00:00) was considered as having an aPTT ratio of 1. Concerning the row titles, for example, Day 1 H02:00 corresponds to aPTT ratio results obtained on Day 1, 2 hours after the start of the infusion. | This analysis was performed on the Pharmacodyamic Set (PDS): all of the included participants who completed the study without any protocol deviation affecting PD evaluation and with at least one available post-baseline PD data point. | Posted | Mean | Standard Deviation | aPTT ratio | Pre-dose (baseline), 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96 hours post-dose and at the discharge visit (Day 10 ± 2 days) |
|
|
|
| Secondary | Measurement of the Effect of Ir-CPI on Factor XI Activity | The method is a clotting assay where all the clotting factors are present (constant and in excess, brought by the deficient plasma), excepted for FXI, which is brought by the diluted tested plasma, and clotting is triggered with cephalin, activator and calcium (aPTT). FXI is the limiting factor and clotting time is inversely proportional to the concentration of FXI. There is an inverse linear relationship between the percentage of FXI activity and the corresponding clotting time. Central laboratory normal ranges for Factor XI activity are between 65 and 150 %. Concerning the row titles, for example, Day 1 H02:00 corresponds to the percentage of FXI activity obtained on Day 1, 2 hours after the start of the infusion. | This analysis was performed on the Pharmacodyamic Set (PDS): all of the included participants who completed the study without any protocol deviation affecting PD evaluation and with at least one available post-baseline PD data point. | Posted | Mean | Standard Deviation | Percentage of Factor XI activity | Pre-dose (baseline), 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96 hours post-dose and at the discharge visit (Day 10 ± 2 days) |
|
|
|
| Secondary | Measurement of the Effect of Ir-CPI on Factor XII Activity | The method is a clotting assay where all the clotting factors are present (constant and in excess, brought by the deficient plasma), excepted for FXII, which is brought by the diluted tested plasma, and clotting is triggered with cephalin, activator and calcium (aPTT). FXII is the limiting factor and clotting time is inversely proportional to the concentration of FXII. There is an inverse linear relationship between the percentage of FXII activity and the corresponding clotting time. Central laboratory normal ranges for Factor XII activity are between 50 and 150 %. Concerning the row titles, for example, Day 1 H02:00 corresponds to the percentage of FXII activity obtained on Day 1, 2 hours after the start of the infusion. | This analysis was performed on the Pharmacodyamic Set (PDS): all of the included participants who completed the study without any protocol deviation affecting PD evaluation and with at least one available post-baseline PD data point. | Posted | Mean | Standard Deviation | Percentage of Factor XII activity | Pre-dose (baseline), 0.5, 1, 1.5, 2, 4, 6, 6.5, 7, 7.5, 8, 10, 12, 16, 24, 48, 72, 96 hours post-dose and at the discharge visit (Day 10 ± 2 days) |
|
|
|
| 0 |
| 6 |
| 1 |
| 6 |
| 4 |
| 6 |
| EG001 | Ir-CPI - Dose 2 | 6 participants received a single intravenous dose of 3.0 mg/kg of Ir-CPI during 6 hours | 0 | 6 | 0 | 6 | 5 | 6 |
| EG002 | Ir-CPI - Dose 3 | 6 participants received a single intravenous dose of 6.0 mg/kg of Ir-CPI during 6 hours | 0 | 6 | 0 | 6 | 5 | 6 |
| EG003 | Ir-CPI - Dose 4 | 6 participants received a single intravenous dose of 9.0 mg/kg of Ir-CPI during 6 hours | 0 | 6 | 1 | 6 | 6 | 6 |
| EG004 | Placebo | For each dose group, 2 additional participants received a single intravenous dose of placebo during 6 hours (8 in total). | 0 | 8 | 0 | 8 | 7 | 8 |
| Polyarthritis acute | Musculoskeletal and connective tissue disorders | MedDRA (24.1) | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (22.0) | Systematic Assessment |
|
| Gastrointestinal pain | Gastrointestinal disorders | MedDRA (22.0) | Systematic Assessment |
|
| Catheter site haematoma | General disorders | MedDRA (22.0) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (22.0) | Systematic Assessment |
|
| Vessel puncture site haematoma | General disorders | MedDRA (22.0) | Systematic Assessment |
|
| Acarodermatitis | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Appendicitis | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Diverticulitis | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Fungal infection | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Laryngitis | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Onychomycosis | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA (22.0) | Systematic Assessment |
|
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA (22.0) | Systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA (22.0) | Systematic Assessment |
|
| Ligament injury | Injury, poisoning and procedural complications | MedDRA (22.0) | Systematic Assessment |
|
| Fibrin D dimer increased | Investigations | MedDRA (22.0) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (22.0) | Systematic Assessment |
|
| Bursitis | Musculoskeletal and connective tissue disorders | MedDRA (22.0) | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (22.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (22.0) | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (22.0) | Systematic Assessment |
|
| Rhinitis allergic | Respiratory, thoracic and mediastinal disorders | MedDRA (22.0) | Systematic Assessment |
|
| Sebaceous cyst excision | Surgical and medical procedures | MedDRA (22.0) | Systematic Assessment |
|
| Varicose vein operation | Surgical and medical procedures | MedDRA (22.0) | Systematic Assessment |
|
| Haematoma | Vascular disorders | MedDRA (22.0) | Systematic Assessment |
|
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| AUC0-inf |
|
| Day 1 H00:30 |
|
| Day 1 H01:00 |
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| Day 1 H01:30 |
|
| Day 1 H02:00 |
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| Day 1 H04:00 |
|
| Day 1 H06:00 |
|
| Day 1 H06:30 |
|
| Day 1 H07:00 |
|
| Day 1 H07:30 |
|
| Day 1 H08:00 |
|
| Day 1 H10:00 |
|
| Day 1 H12:00 |
|
| Day 1 H16:00 |
|
| Day 2 H24:00 |
|
| Day 3 H48:00 |
|
| Day 4 H72:00 |
|
| Day 5 H96:00 |
|
| Day 10 (discharge visit) |
|
| Day 1 H00:30 |
|
| Day 1 H01:00 |
|
| Day 1 H01:30 |
|
| Day 1 H02:00 |
|
| Day 1 H04:00 |
|
| Day 1 H06:00 |
|
| Day 1 H06:30 |
|
| Day 1 H07:00 |
|
| Day 1 H07:30 |
|
| Day 1 H08:00 |
|
| Day 1 H10:00 |
|
| Day 1 H12:00 |
|
| Day 1 H16:00 |
|
| Day 2 H24:00 |
|
| Day 3 H48:00 |
|
| Day 4 H72:00 |
|
| Day 5 H96:00 |
|
| Day 10 (discharge visit) |
|
| Day 1 H00:30 |
|
| Day 1 H01:00 |
|
| Day 1 H01:30 |
|
| Day 1 H02:00 |
|
| Day 1 H04:00 |
|
| Day 1 H06:00 |
|
| Day 1 H06:30 |
|
| Day 1 H07:00 |
|
| Day 1 H07:30 |
|
| Day 1 H08:00 |
|
| Day 1 H10:00 |
|
| Day 1 H12:00 |
|
| Day 1 H16:00 |
|
| Day 2 H24:00 |
|
| Day 3 H48:00 |
|
| Day 4 H72:00 |
|
| Day 5 H96:00 |
|
| Day 10 (discharge visit) |
|