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. 2016 Mar 1;6(3):e010956. doi: 10.1136/bmjopen-2015-010956

Table 1.

Visit schedule

Action Screening/baseline day 0 (−3 days) Therapy day 1 Therapy day 2 Therapy day 3 Week 1 (±4 days) Week 4 (±4 days) Week 16 (±4 days) Week 26 (±7 days) Month 24 (±7 days)
Informed consent X
Demographics X
Inclusion/exclusion criteria X
Medical history X
Present complaints X X X X X X X X X
MS relapse/ON recurrence X X X X
Concomitant medication X X X X X X X X X
Physical examination X* X* X*
Vital signs† X 3 X 3 X 3 X X X
Body weight X* X* X*
ECG X* X*
Routine laboratory‡ X X X X
Urinalysis (if clinically indicated) X* (X*) (X*) (X*) (X*)
Pregnancy test X*
EPO antibodies (analysis in central lab) X X
Aquaporin 4 antibodies X
Methylprednisolone therapy X (standard of care) X (standard of care) X (standard of care)
EPO/placebo administration X X X
AE reporting X X X X X X X X
Neurological examination, EDSS¶ X X X X X X
Randomisation X
Refraction X X X X X X
OCT X X X X X
LCVA X X X X X X
HCVA X X X X X X
CS X X X X X X
Perimetry X X X X X X
NEI VFQ-25 X X X
VEP X X X X X
Routine MRI X** X†† (X)

*Test to be performed, but not recorded on CRF.

†CRF: only blood pressure.

‡CRF: only haemoglobin (Hb).

§(S)AE: to be reported only if related to investigational product.

¶CRF: only EDSS.

**Can be done after baseline as per local routine.

††Recommended.

AE, adverse event; CS, contrast sensitivity; EDSS, Extended Disability Status Score; EPO, erythropoietin; HCVA, high-contrast visual acuity; LCVA, low-contrast visual acuity; MS, multiple sclerosis; NEI VFQ-25, National Eye Institute Visual Functioning Questionnaire 25; OCT, optical coherence tomography; ON, optic neuritis; VEP, visual evoked potentials.