A 2-Part First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Immunogenicity of CMTX-101

Exclusion Criteria

• •1. Has a history or evidence of systemic autoimmune disease;
• •2. Has received immunoglobulin or blood products within 120 days prior to Screening;
• •3. Has a known history or evidence of HIV infection;
• •4. Has a known history or evidence of chronic hepatitis B defined as persistent hepatitis B surface antigen for \>6 months, or has an active hepatitis C virus (HCV) infection, defined as positive HCV RNA; Note: Patients with positive HCV antibodies and negative HCV RNA will be permitted.
• •5. Has a positive test for drugs of abuse at Screening (both parts) or Day -1 (Part 1);
• •6. Is participating, plans to participate during the study period, or has participated within the last 30 days prior to Screening in any other investigational study;
• •7. Has received an investigational drug or live vaccine within 30 days or 5 half-lives of the investigational compound, whichever is longer, prior to Screening;
• •8. Is currently pregnant or lactating/nursing;
• •9. Has a history or evidence of an allergic reaction that, in the opinion of the Investigator, may compromise the safety of the subject;
• •10. Has a known or suspected hypersensitivity to CMTX-101 or its excipients;
• •11. Has a history or presence of an abnormal 12-lead ECG that, in the opinion of the Investigator, is clinically significant or a QTcF ≥450 milliseconds for males and ≥470 milliseconds for females at Screening (both parts) or Day -1 (Part 1); Note: the exclusion criterion should be evaluated based upon the average of the triplicate 12-lead ECG performed at Screening or Day -1 (Part 1)
• •12. Has a history or evidence of any other acute or chronic disease that, in the opinion of the Investigator, may interfere with the evaluation of the safety or immunogenicity of the drug or compromise the safety of the subject;
• •13. Has an oral temperature ≥37.5°C (≥99.5°F) at Screening or Day -1;
• •14. Has an abnormal WBC count, hemoglobin, or platelet count (i.e., \>1.5 x upper limit of normal \[ULN\] or \>0.5 x below the lower limit of normal (LLN) per the local laboratory or deemed to be clinically significant per the Investigator) at Screening or Day -1;
• •15. Has an abnormally elevated alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, alkaline phosphatase (ALP), blood urea nitrogen, or creatinine (i.e., \>1.5 x ULN per the local laboratory) at Screening or Day -1;
• •16. Has an abnormal urinalysis at Screening or Day -1 that, in the opinion of the Investigator, is clinically significant;
• •17. Is positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) using a rapid antigen test at Day -1;
• •18. Has received immunosuppressive medications within 45 days prior to Screening;
• •19. Is unable or unwilling to stop all prescription or over-the-counter medications (other than contraceptive medications) from 14 days prior to dosing until the end of the study;
• •20. Has hospital-acquired bacterial pneumonia, defined as pneumonia developed ≥48 hours after a hospital admission;
• •21. Requires mechanical ventilation, defined as 1 of the following:
• •1. Endotracheal intubation;
• •2. Oxygen delivered by high-flow nasal cannula with flow rates \>20 L/minute with an FiO2 of ≥0.5; or
• •3. Non-invasive positive pressure ventilation.
• •22. Has hypotension, defined as a systolic blood pressure \<90 mmHg;
• •23. Has known evidence of bone marrow suppression defined as the following:
• •1. Leukocytes \<3000 cells/µL;
• •2. Absolute neutrophil count \<1500 cells/µL;
• •3. Platelets \<100,000/µL; or
• •4. Hemoglobin \<8 g/dL.
• •24. Has known liver function test abnormalities defined as the following:
• •1. Total bilirubin \>1.5 x ULN;
• •2. ALT and/or AST \>3 x ULN; or
• •3. ALP \>2.5 x ULN.
• •25. Has a known estimated glomerular filtration rate \<30 mL/min;
• •26. Has received \>24 hours of IV antibiotic administration during the current hospitalization for CABP; Note: Patients who have received IV standard-of-care antibiotics for \>24 hours but ≤36 hours during their hospitalization may be considered for enrollment on a case-by-case basis after Medical Monitor and/or Sponsor approval.
• •Note: There is no restriction on the duration of outpatient antibiotics that the patient may have received prior to hospitalization;
• •27. Has a confirmed or suspected pleural empyema (does not include sterile parapneumonic effusion);
• •28. Has known or suspected meningitis, endocarditis, or osteomyelitis;
• •29. Has a history of post-obstructive pneumonia;
• •30. Has suspected or confirmed active primary lung cancer or another malignancy metastatic to the lungs;
• •31. Has a noninfectious cause of pulmonary infiltrates (i.e., pulmonary embolism, chemical pneumonitis, congestive heart failure, lung cancer, or cystic fibrosis);
• •32. Has a known or suspected pneumonia of viral etiology, confirmed by a rapid viral diagnostic panel; Note: If a viral respiratory panel has not been collected within the 24 hours prior to Screening, a viral respiratory panel will be administered at Screening to determine eligibility. At a minimum, the panel will evaluate for respiratory syncytial virus, influenza A, influenza B and SARS-CoV-2.
• •33. Has known severe immunosuppression, including but not limited to receipt of corticosteroid therapy (i.e., ≥20 mg of prednisone/day or equivalent for \>4 weeks) within the previous 8 weeks, solid organ or bone marrow transplantation within the previous 12 months, or is currently receiving cytotoxic chemotherapy; or
• •34. Has a life expectancy of ≤3 months because of any disease or has a medical, psychiatric, occupational, or substance abuse problem that, in the opinion of the Investigator, will make it unlikely that the subject will comply with the Protocol.