During this stretch, $CTSI , price and open interest weakened simultaneously, while intraday participation contracted.

Spot volume was 13.96M and contract volume was 87.54M; 15m price/open interest: -1.81% / -2.63%.

The decline in open interest has not halted the price pullback, and the current structure is still cooling.

Next, watch to see whether open interest stops falling, then check whether volume recovers.