| Eligibility |
Inclusion Criteria:
1. Signed informed consent.
2. Healthy male or female 18-55 years of age inclusive.
3. Negative HBsAg, aHCV, aHIV, and SARS-CoV-2 test.
4. Non-smoker or vaper (no use of tobacco or marijuana products within 3 months of
screening).
5. Body weight between 60 kg and 110 kg (inclusive) and with BMI less than 30 kg/m2.
6. Subjects must be healthy as defined by:
1. absence of clinically significant hematological, renal, endocrine, pulmonary,
gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic or allergic
disease, as determined by the Investigator.
2. liver function: alanine transaminase (ALT) and aspartate transaminase (AST) =2
times the upper limit of the normal range
3. total bilirubin =1.5 times the upper limit of the normal range
4. renal function: creatinine clearance within normal range as assessed by Cockcroft
and Gault calculation
5. carboxyhemoglobin level by venous blood gas = 3.5% (any time prior to the first
dose)
6. venous lactate level <2.0 mmol/L at baseline.
7. the absence of current clinically relevant abnormalities identified by a detailed
medical history, full physical examination including blood pressure and pulse
rate measurement, 12-lead ECG, and clinical laboratory tests (hematology and
clinical chemistries), as determined by the Investigator.
7. Negative pregnancy tests for females.
8. Subjects must be willing to use a highly effective method of contraception for the
duration of the study and for 30 days thereafter.
1. Male subjects, without a vasectomy, must use a condom and be instructed that
their female partner should use another form of contraception such as an IUD,
diaphragm with spermicide, oral contraceptive, injectable progesterone, subdermal
implant or a tubal ligation if the female partner could become pregnant
2. Female subjects of childbearing potential (not surgically sterilized and less
than one year post-menopausal) should use a form of contraception such as an IUD,
diaphragm with spermicide, oral contraceptive, injectable progesterone, subdermal
implant or a tubal ligation, and be instructed that their male partners should
use a condom, if not vasectomized.
Exclusion Criteria:
Subjects who meet any of the following criteria will be ineligible for participation in the
study:
1. Subjects with concurrent illness/disease as defined by:
1. clinically significant hematological, renal, endocrine, pulmonary,
gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic or allergic
disease, as determined by the Investigator.
2. current clinically relevant abnormalities identified by a detailed medical
history, full physical examination including blood pressure and pulse rate
measurement, 12-lead ECG, and clinical laboratory tests (hematology, clinical
chemistries and urinalysis), as determined by the Investigator.
3. clinically significant illness and/or surgery within 4 weeks prior to dosing.
2. Anemia of any cause.
3. Homozygous or heterozygous hemoglobinopathy.
4. Blood transfusion within six weeks prior to the first administration of study drug.
5. Carboxyhemoglobin = 3.5% (any time prior to the first dose)
6. Oxygen saturation by transcutaneous measurement consistently = 95% (any time prior to
the first dose)
7. Exposure to any live vaccine within 28 days prior to study drug administration.
8. History of febrile or infective illness within 14 days prior to dosing.
9. Positive pregnancy test or breast feeding for females.
10. Weight loss or gain of more than 5 kg within 3 months prior to dosing.
11. History of alcohol abuse or dependence or regular use of alcohol within six months
prior to dosing (defined as more than 14 units of alcohol per week; 1 Unit= 150 mL
wine, 360 mL beer or 45 mL of 40% alcohol)
12. Positive result on alcohol screen
13. History of pulmonary infiltrate or pneumonia within 6 months prior to dosing or
pulmonary/bronchial infection within 2 weeks prior to dosing.
14. History of cancer, with the exception of adequately treated basal cell or squamous
cell carcinoma of the skin more than 1 year prior.
15. History of cardiac disease
16. History of drug abuse or dependence.
17. Positive results on drug screen (oxycodone, benzodiazepines, THC, cocaine, opiates,
and methamphetamine).
18. Use of prescription drugs within 7 days or 5 half-lives (whichever is longer) prior to
dosing. Herbal and vitamin supplements must be discontinued 14 days prior to dosing.
19. Unwilling or unable to comply with the requirements of the protocol.
20. Treatment with an investigational drug within the longer of 30 days or five
half-lives.
21. Systolic blood pressure lower than 90 or above 140 mm Hg, diastolic blood pressure
lower than 50 or above 90 mm Hg, heart rate less than 45 or above 100 bpm, or
arrhythmia at screening and/or baseline. ECG abnormalities or other vital sign
abnormalities that are clinically significant at screening and/or baseline, as
determined by the Investigator.
22. Other severe acute or chronic medical or psychiatric condition or laboratory
abnormality that may increase the risk associated with study participation or
investigational product administration or may interfere with the interpretation of
study results and, in the judgment of the investigator, would make the subject
inappropriate for entry into the study.
23. History of allergic reactions to any of the drug product excipients
24. History of epilepsy or seizure
25. History of suicide attempts or ideation (by medical history)
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