A Research Trial Looking at the Comparability of 2 Different Concentrations of Semaglutide for the 0.5 Milligram (mg) Dose

Study Overview
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Brief Summary
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In this study, a known investigational medicine called 'semaglutide' will be tested in 2 drug concentrations of 0.68 milligram per milliliter (mg/mL) and 1.34 mg/mL. Both drug concentrations are tested for the treatment of type 2 diabetes. The U.S. Food and Drug Administration (FDA), has approved semaglutide in prefilled pen-injector form. Currently, the drug concentration of 1.34 mg/ml can be prescribed in some countries including U.S. The objective of the study is to compare the amount of investigational drug taken up in the body for the 2 drug concentrations. Participants will be divided by chance into 2 groups. Group A will receive a single dose of 0.5 mg semaglutide of the drug concentration 1.34 mg/mL in the first study period; and will receive a single dose of 0.5 mg semaglutide of the drug concentration 0.68 mg/mL in the second study period. Participants assigned to group B will receive the two drug concentrations in the reverse order. Participants will get 1 subcutaneous injection on Day 1 of each of the two study periods. The two injections are separated by 7-11 weeks. The study will last up to approximately 87 to 141 days for each participant. This includes a screening period (up to 4 weeks), study period 1 (5 weeks), washout period (2-6 weeks), and study period 2 (5 weeks). At some periods during the study, participant should not get vaccinations. Participant should agree on timing of vaccination with study doctor. Women cannot take part if pregnant, breast-feeding or plan to get pregnant during the study period.

Official Title
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A Study to Demonstrate Bioequivalence Between Semaglutide Drug Product Concentrations 0.68 mg/mL and 1.34 mg/mL

Conditions
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Diabetes Mellitus, Type 2, Healthy Participants

Intervention / Treatment
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* Drug: Semaglutide B, 1.34 mg/mL
* Drug: Semaglutide B, 0.68 mg/mL


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female Aged 18-55 years (both inclusive) at the time of signing informed consent Body mass index (BMI) between 20.0 and 29.9 kilograms per meter square (kg/m^2) (both inclusive) Exclusion Criteria: Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using highly effective contraceptive method Any disorder which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol Use of prescription medicinal products or non-prescription drugs, except routine vitamins, topical medications, highly effective contraceptives and occasional use of paracetamol, ibuprofen and acetylsalicylic acid, within 14 days prior to the day of screening Abuse or intake of alcohol, defined as any of the below: Known or suspected alcohol abuse within 1 year before screening (defined as regular intake of more than an average intake of 24 grams (g) alcohol daily for men and 12 g alcohol daily for women - 12 g of alcohol equals about 300 milliliters (mL) of beer or lager, 100 mL of wine, or 25 mL spirits) Positive alcohol test at screening Abuse or intake of drugs, defined as any of the below: Known or suspected drug or chemical substance abuse within 1 year before screening Positive drug of abuse test at screening

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Sequence A<br>Participants will be administered a single subcutaneous (s.c.) dose of 0.5 mg semaglutide B (1.34 mg/mL) in Period 1 followed by a single s.c. dose of 0.5 mg semaglutide B (0.68 mg/mL) in Period 2. | Drug: Semaglutide B, 1.34 mg/mL<br>* Participants will receive single dose of 0.5 mg Semaglutide B, 1.34 mg/mL subcutaneously.<br>Drug: Semaglutide B, 0.68 mg/mL<br>* Participants will receive single dose of 0.5 mg Semaglutide B, 0.68 mg/mL subcutaneously.<br>|
| Experimental: Sequence B<br>Participants will be administered a single s.c. dose of 0.5 mg semaglutide B (0.68 mg/mL) in Period 1 followed by a single s.c. dose of 0.5 mg semaglutide B (1.34 mg/mL) in Period 2. | Drug: Semaglutide B, 1.34 mg/mL<br>* Participants will receive single dose of 0.5 mg Semaglutide B, 1.34 mg/mL subcutaneously.<br>Drug: Semaglutide B, 0.68 mg/mL<br>* Participants will receive single dose of 0.5 mg Semaglutide B, 0.68 mg/mL subcutaneously.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AUC0-last,sema 0.5mg: Area under the semaglutide concentration time curve from time 0 until last quantifiable measurement after single dose of subcutaneous semaglutide 0.5 mg | Measured in hours*nanomoles per liter (h*nmol/L). | 0-840 hours after a single dose of s.c. semaglutide 0.5 mg | 
| Cmax,sema,0.5mg: maximum observed semaglutide concentration-time after single dose of subcutaneous semaglutide 0.5 mg administration | Measured in nanomoles per liter (nmol/L). | 0-840 hours after a single dose of s.c. semaglutide 0.5 mg |