Effects of a Double-Blind, Single Dose of PER977 Administered Alone, and Following a Single Dose of Edoxaban

Normal subjects will be dosed with PER977 or placebo alone and 1 week later, they will be
given a single dose of edoxaban followed in 3 hours by a single IV dose of PER977. The
purpose is to show safety and tolerability of PER977 alone and when combined with a NOAC
(edoxaban). The study will also provide some insight into the doses that may be required to
reverse a steady state edoxaban.

Inclusion Criteria:

1. Adults age 18 to 45 years, inclusive

2. Laboratory values (chemistry, complete blood count coagulation assessments) and
urinalysis performed during screening up to 21 days prior to administration of study
treatment are within normal limits.

3. No clinically significant findings on 12-lead electrocardiogram (ECG) performed during
screening.

4. Body mass index (BMI) 18 to ≤32 kg/m2, inclusive

5. Male subjects agree to use appropriate contraception (i.e., double barrier
contraception such as a latex condom with spermicide with a female partner of
child-bearing potential (a non-menopausal female who has not had one of the following:
a) a hysterectomy (with or without oophorectomy), b) a bilateral oophorectomy without
hysterectomy, or c) a medically documented ovarian failure) using a diaphragm or
cervical cap or single barrier contraception if the female partner is using an
intrauterine device or hormonal contraceptives or is sterilized; no barrier is
required if the female partner has had a hysterectomy) when engaging in sexual
activity during the course of the study. Moreover, male subjects should not donate
sperm or attempt to impregnate a partner during the course of the study and for a
period of 12 weeks following discharge from the study.

6. Female subjects of non-childbearing potential (a menopausal female with the above 3
definitions for menopause) agree to use two forms of non-hormonal contraceptive (e.g.
barrier methods [condom or diaphragm]) or intrauterine device for the duration of the
study and for 30 days following the completion of the study. Women are considered
post-menopausal and not of child bearing potential if they have had 12 months of
natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g. age
appropriate, history of vasomotor symptoms) or have had surgical bilateral
oophorectomy (with or without hysterectomy) or tubal ligation at least six weeks ago.
In the case of oophorectomy alone, only when the reproductive status of the woman has
been confirmed by follow up hormone level assessment is she considered not of child
bearing potential.

7. Nonsmokers or nonusers of nicotine containing products within 3 months of dosing
(occasional use of tobacco products within 30 days of dosing will be considered on a
case-by-case basis)

8. Subjects must understand and agree to comply with the requirements of the study and
they must be willing to sign the informed consent form indicating voluntary consent to
participate in the study prior to initiation of screening or study related activities.

Exclusion Criteria:

1. History or current evidence of clinically significant cardiac, hepatic, renal,
pulmonary, endocrine, neurologic, infectious, gastrointestinal, hematologic, or
oncologic disease as determined by screening history, physical examination, laboratory
test results or 12-lead ECG. History or current evidence of liver function tests
greater than the upper limit of normal. History or current evidence of QTc Fridericia
(QTcF) greater than normal (430±10 msec for males or 450±10 msec for females; average
of three measurements).

2. History of unexplained syncope

3. Use of any drugs or substances known to be strong inhibitors or strong inducers of
CYP3A4/5 transporters of p-glycoprotein within 28 days prior to the first dosing

4. History of major bleeding, trauma, surgical procedure of any type, or vaginal delivery
within six months prior to screening

5. History of peptic ulcer, gastrointestinal bleeding (including hematemesis, melena,
rectal bleeding) or bleeding from hemorrhoids within six months prior to screening

6. History of minor bleeding episodes such as epistaxis, rectal or hemorrhoidal bleeding
(spots of blood on toilet paper) or gingival bleeding within 3 months prior to
screening

7. Personal or family history of clotting disorder or abnormality, excessive bleeding,
thrombovascular disease or any hematologic disorder involving platelets or clotting
abnormalities or any condition requiring treatment with transfusions, anticoagulants
or platelet inhibitors

8. Females with a history of dysfunctional uterine bleeding, including history of
menorrhagia (heavy menstrual bleeding), metrorrhagia or polymenorrhea or current use
of hormonal contraceptives.

9. Pregnant or breast-feeding

10. Male subjects with a history of hormone therapy within the 3 months prior to screening

11. Administration of any blood product or anticoagulant within 3 months prior to study
entry or any non-steroidal anti-inflammatory drug or cyclooxygenase inhibitor within 2
weeks prior to screening

12. Taking any type of chronic medication within the 4 weeks prior to study entry

13. Positive serologic test for human immunodeficiency virus (HIV), Hepatitis C virus
(HCV), or Hepatitis B surface antigen (HBsa)

14. Use of any of the following medications in the 4 weeks prior to study entry: rifampin,
dronedarone, ketoconazole, verapamil, amiodarone, quinidine, clopidogrel, oral
anticoagulants, or other agent known to interact with edoxaban

15. Donation of blood or blood products within 56 days prior to enrollment

16. Participation in any study with an investigational compound or device within 30 days
prior to signing informed consent

17. Active drug, alcohol or nicotine use or dependence or any condition that, in the
opinion of the Investigator, would interfere with adherence to study protocol