A Study of Brenipatide in Participants With Opioid Use Disorder

Inclusion Criteria:

• Have a current mild, moderate or severe opioid use disorder (OUD)

• Are reliable and willing to make themselves available for the duration of the study (for example, are not incarcerated, not homeless) and attend required study visits,and are willing and able to follow study procedures as required, such as

• self-inject study intervention Note: Participants who are not able to performthe injections must have the assistance of a support person trained toadminister the study intervention

• store and use the provided study intervention as directed

• maintain electronic or paper study diaries, as applicable, and

• complete the required questionnaires

• Are intermittently using non-legal, non-prescribed opioids

• Are taking buprenorphine for treatment on OUD

Exclusion Criteria:

• Evidence of other substance use disorder(s) within 180 days of screening, except thefollowing are permitted: any level tobacco use disorder, mild-to-moderate alcohol ormild-to-moderate cannabis use disorder

Note: any level of caffeine use is allowed

• Are actively suicidal or deemed a significant risk for suicide

• Have a history of advanced liver disease (including advanced liver fibrosis orcirrhosis or alcohol-associated hepatitis based on either prior liver histology orimaging studies, such as transient elastography, ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI), or Enhanced Liver Fibrosis score

• Have participated in a clinical study and received active treatment, or unknown ifthey received active treatment, within 90 days or 5 half-lives (whichever is longer)before screening

• Had opioid overdose in past 6 months prior to screening

• Have a lifetime history or current diagnosis of the following:

• schizophrenia or other psychotic disorder

• bipolar disorder

• borderline personality disorder

• any eating disorder

• Have type 1 diabetes mellitus, or a history of ketoacidosis, or hyperosmolar state,or coma