Healthy male and female (trial B) adults ≤55 years old with normal blood pressure, pulse, and respiration |
History of seizures, epilepsy, or recognized increase risk of seizure |
Tolerance to cold-induced pain of ≥20 and ≤120 seconds |
History of cirrhosis or laboratory evidence of liver disease |
Negative urine for substances of abuse |
Known or suspected alcohol or drug abuse within the past 6 months |
Normal or intermediate CYP2D6 metabolizer (trial B) |
Inhibitors of monoamine oxidase, serotonin and/or norepinephrine reuptake, and other medications or supplements known to induce or inhibit drug metabolism or that may affect the serotonergic neurotransmitter system |
Adequate hematologic and liver function per predefined limits |
Ethanol, grapefruit, grapefruit-related citrus fruits (eg, Seville oranges, pomelos), grapefruit-related juices or other new medication |
Cockcroft-Gault glomerular filtration rate of ≥60 mL/min and urinalysis with ≤+1 glucose, +1 ketones, and +1 protein |
Pregnant or breast feeding (trial B) |
Body mass index of 18.0–32 kg/m2
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If female of childbearing potential, must use adequate contraception |
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Electrocardiogram without clinically significant changes |
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Negative serology for HIV, hepatitis B surface antigen, and hepatitis C virus antibody |
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