RecruitingPhase 2NCT06656416

ALTO-100 in Bipolar Disorder With Depression (BD-D)

A Randomized, Double-Blind, Placebo-Controlled Study Followed by Open-Label Treatment of ALTO-100 in Adults With Bipolar Disorder Currently Experiencing a Major Depressive Episode


Sponsor

Alto Neuroscience

Enrollment

200 participants

Start Date

Oct 2, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to assess antidepressant efficacy differences between ALTO-100 and placebo during the Double-Blind period in patients with bipolar disorder I or II with current major depressive episode, when used adjunctively to a mood stabilizer and/or atypical antipsychotic, related to patient characteristics. Additionally, safety, tolerability, and efficacy will be assessed in a subsequent open label treatment period.


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria4

  • Have a diagnosis of BD-I or BD-II as well as BD-D
  • At baseline, taking a mood stabilizer, lithium (LI) or lamotrigine (LMG) or valproic acid (VPA, any form) or combination of Li + LMG or Li + VPA and/or taking an approved atypical antipsychotic medication (olanzapine, quetiapine, lurasidone, risperidone, ziprasidone, cariprazine, aripiprazole, lumateperone, and asenapine) for at least 6 weeks with no dose modifications in the past 2 weeks
  • Willing to comply with all study assessments and procedures
  • Must not be pregnant or breastfeeding at time of enrollment or throughout study

Exclusion Criteria6

  • Evidence of unstable medical condition
  • Concurrent use of any prohibited medications or substance use disorder
  • Diagnosed psychotic disorder (other than mania or depression)
  • Current moderate or severe substance use disorder
  • Has a history of hypersensitivity or allergic reaction to ALTO-100 or any of its components/excipients
  • Concurrent or recent participation in another clinical trial for mental illness involving an investigational product or device

Interventions

DRUGALTO-100

ALTO-100 40 mg tablet BID

DRUGPlacebo

Placebo tablet BID


Locations(27)

Site 6036

Chandler, Arizona, United States

Site 6000

Phoenix, Arizona, United States

Site 6087

Yuma, Arizona, United States

6039

Fayetteville, Arkansas, United States

6070

Little Rock, Arkansas, United States

Site 6081

Imperial, California, United States

6069

Los Angeles, California, United States

Site 6016

Mather, California, United States

Site 6082

Oceanside, California, United States

Site 6102

Riverside, California, United States

Site 6112

Colorado Springs, Colorado, United States

Site 6067

Lauderhill, Florida, United States

Site 6068

Atlanta, Georgia, United States

Site 6064

Peachtree Corners, Georgia, United States

Site 6151

Baltimore, Maryland, United States

Site 6076

Bel Air, Maryland, United States

Site 6062

Gaithersburg, Maryland, United States

Site 6142

Lincoln, Nebraska, United States

Site 6144

Las Vegas, Nevada, United States

Site 6104

Las Vegas, Nevada, United States

Site 6066

Toms River, New Jersey, United States

Site 6014

Albuquerque, New Mexico, United States

Site 6078

Albuquerque, New Mexico, United States

6065

North Canton, Ohio, United States

Site 6075

Westlake, Ohio, United States

Site 6072

Houston, Texas, United States

Site 6121

Draper, Utah, United States

View Full Details on ClinicalTrials.gov

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NCT06656416