
Survodutide (10 mg Vial)
Survodutide (BI 456906) is an investigational dual GLP‑1/glucagon receptor agonist under development for obesity and metabolic liver disease. In phase 2 trials, once‑weekly subcutaneous dosing (0.6–4.8 mg) produced dose‑dependent weight loss of 12.5–14.9% versus placebo over 46 weeks. This educational protocol presents a once‑weekly subcutaneous titration approach using a practical dilution for clear insulin‑syringe measurements.
Detailed protocol below.
| Week | Weekly Dose (mg) | Weekly Dose (mcg) | Units (mL) |
|---|---|---|---|
| Weeks 1–2 | 0.6 mg | 600 mcg | 12 units (0.12 mL) |
| Weeks 3–4 | 1.2 mg | 1200 mcg | 24 units (0.24 mL) |
| Weeks 5–6 | 1.8 mg | 1800 mcg | 36 units (0.36 mL) |
| Weeks 7–8 | 2.4 mg | 2400 mcg | 48 units (0.48 mL) |
| Weeks 9–10 | 3.6 mg | 3600 mcg | 72 units (0.72 mL) |
| Weeks 11–12 | 4.8 mg | 4800 mcg | 96 units (0.96 mL) |
| Week 13+ | 6.0 mg | 6000 mcg | 120 units (1.20 mL)\* |
- •Peptide Vials (Survodutide, 10 mg each):
- •Insulin Syringes (U‑100) or 1 mL Luer‑lock Syringes:
- •Bacteriostatic Water (10 mL bottles): Use 2.0 mL per vial for reconstitution.
- •Alcohol Swabs: One for the vial stopper + one for the injection site each week.
Lancet Diabetes & Endocrinology (2024)
Le Roux et al. Phase 2 trial of once‑weekly SC survodutide (0.6–4.8 mg) in obesity; dose‑dependent weight loss of 12.5–14.9%
View sourceJournal of Hepatology (2023)
Guo et al. Efficacy, tolerability, and pharmacokinetics of survodutide in NAFLD/NASH patients (cirrhosis cohort)
View sourceObesity (Silver Spring) (2024)
Wharton et al. SYNCHRONIZE‑1 & 2 phase 3 trial design for survodutide in obesity
View sourceJACC: Heart Failure (2024)
Kosiborod et al. SYNCHRONIZE‑CVOT design: survodutide in patients at cardiovascular risk
View sourceDiabetology & Metabolic Syndrome (2024)
Wan et al. Meta‑analysis of survodutide weight‑loss efficacy across randomized controlled trials
View sourceCDC
Vaccine administration: subcutaneous route (angle/site guidance; no aspiration required)
View sourceCDC (Subcut Injection PDF)
Technique diagram and site guidance for subcutaneous injections
View sourceMedlinePlus (NIH)
Giving an insulin injection: patient guide for subcutaneous technique
View sourceVeterans Affairs (2023)
Insulin injection: how to use and where to inject (injection sites, rotation guidance)
View sourceNCBI Bookshelf
Best practices for injection (asepsis, preparation, and administration)
View sourceSubcutaneous Drug Injection Review (PMC)
Pharmacologic considerations of the subcutaneous route
View source
Educational content adapted from peptidedosages.com. Not medical advice.