A Study in Healthy Participants to Investigate Relative Bioavailability of AZD5004 in Three Solid Oral Formulations

This study will be an open-label, randomized, 4-period, 4-treatment, single-dose crossover study in healthy participants.

Participants will receive one single dose of AZD5004 at the beginning of each of the four Treatment Periods, and a total of 4 doses of AZD5004. Three different formulations (F1, F3, and F4) will be used across the Treatment Periods.

The study comprises of total four treatment periods.

• A Screening Period of maximum 27 days. Four Treatment Periods of 7 days each.
• Treatment Period 1 (Day -1 to Day 6)
• Treatment Period 2 (Day 7 to Day 13)
• Treatment Period 3 (Day 14 to Day 20)
• Treatment Period 4 (Day 21 to Day 27)
• A final Follow-up Visit within 7 to 10 days after the last study intervention administration (Day 22 of Treatment Period 4).

The treatments are as follows:

• Treatment 1: Single dose of AZD5004 in Formulation 1 (F1) -fasted
• Treatment 2: Single dose of AZD5004 in Formulation 4 (F4) -fasted
• Treatment 3: Single dose of AZD5004 in F4- fed
• Treatment 4: Single dose of AZD5004 in Formulation 3 (F3) - fasted

Participants will be randomized equally to one of the following treatment sequences:

• Treatment Sequence A: F1, F4, F4 (fed), F3
• Treatment Sequence B: F4, F4 (fed), F3, F1
• Treatment Sequence C: F4 (fed), F3, F1, F4
• Treatment Sequence D: F3, F1, F4, F4 (fed)

Main Inclusion Criteria:

• Healthy male and female participants with suitable veins for cannulation or repeated venipuncture.
• Female participants:

• Female(s) of childbearing potential: If heterosexually active must agree to use an approved method of highly effective contraception.
• Female(s) not of childbearing potential
• Male participants:

• Condom use is required for the duration of the clinical study.
• Additional contraception must be used for the sexual partners of male study participants throughout the clinical study.
• Have a Body Mass Index (BMI) ≥ 23 kg/m2 and not exceeding 35 kg/m2 inclusive (at the time of Screening) and weigh at least 60 kg.

Main Exclusion Criteria:

• History of any clinically important disease or disorder which, in the opinion of the Investigator, may either put the participant at risk because of participation in the study, or influence the results or the participant's ability to participate in the study
• History of acute pancreatitis (unless due to previously resolved gallstone pancreatitis and post-cholecystectomy), chronic pancreatitis, gallstones, or elevation in serum lipase/pancreatic amylase.
• Clinically significant inflammatory bowel disease, gastroparesis, severe disease, or surgery affecting the upper GI tract (including bariatric surgery).
• Any clinically important illness, medical/surgical procedure, or trauma.
• Any laboratory values with the deviations specified in protocol and clinically important abnormalities in clinical chemistry, hematology, or urinalysis results.
• Any positive result at Screening for serum Hepatitis B surface antigen (HBsAg), Hepatitis B core antibody (HBcAb) or Human immunodeficiency Virus (HIV).
• Abnormal vital signs, after 10 minutes supine rest, at Screening and/or admission to the Clinical Unit.
• Serum triglyceride concentrations above 1000 mg/dL (11 mmol/L).
• Basal calcitonin level > 50 ng/L or pg/mL at Screening or history/family history of medullary thyroid cancer (MTC) or multiple endocrine neoplasia (MEN), type 2.
• Known or suspected history of alcohol or drug abuse or excessive intake of alcohol
• Positive screen for drugs of abuse, or alcohol or cotinine (nicotine).
• History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity or history of hypersensitivity to drugs with a similar chemical structure or class to AZD5004.
• Excessive intake of caffeine-containing drinks or food
• History of psychosis or bipolar disorder and major depressive disorder.
• History of suicide attempt or history of suicidal ideation within the past year.