RecruitingPhase 2NCT07553637

ALTO-207 in Adults With Treatment-resistant Depression (TRD)

A Randomized, Double-blind, Placebo-controlled Trial of ALTO-207 in Adults With Treatment-resistant Depression


Sponsor

Alto Neuroscience

Enrollment

178 participants

Start Date

May 1, 2026

Study Type

INTERVENTIONAL

Summary

The purpose of this trial is to measure depressive symptoms following treatment with ALTO-207 compared with placebo in participants with TRD.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria4

  • Male and female participants, ages 18 to 75 years, inclusive, at the time of signing the ICF.
  • Prior diagnosis of MDD without psychotic symptoms (in the current episode) and have confirmatory diagnosis of current MDD (moderate to severe).
  • Failure to respond (<50% improvement) to at least 2-5 antidepressant treatments (including the current treatment)
  • Currently taking a stable dose of at least 1 but no more than 2 oral antidepressants at baseline

Exclusion Criteria7

  • Evidence of unstable medical condition
  • Concurrent use of any prohibited medications or substance use disorder
  • Diagnosed bipolar disorder or a psychotic disorder or symptoms
  • Significant current PTSD symptoms or history of PTSD
  • Clinically significant current impulse control difficulties
  • Has a history of hypersensitivity or allergic reaction to ALTO-207 or any of its components/excipients
  • Concurrent or recent participation in another clinical trial for mental illness involving an investigational product or device

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Interventions

DRUGALTO-207

ALTO-207 BID

DRUGPlacebo

Matching Placebo


Locations(48)

Site 7074

Birmingham, Alabama, United States

Site 7173

Dothan, Alabama, United States

Site 7000

Phoenix, Arizona, United States

Site 7153

Chino, California, United States

Site 7156

Oakland, California, United States

Site 7082

Oceanside, California, United States

Site 7159

Palo Alto, California, United States

Site 7016

Sacramento, California, United States

Site 7144

San Diego, California, United States

Site 7171

Valley Village, California, United States

Site 7152

Saint Augustine, Florida, United States

Site 7148

Albany, Georgia, United States

Site 7146

Atlanta, Georgia, United States

Site 7064

Peachtree Corners, Georgia, United States

Site 7141

Savannah, Georgia, United States

Site 7169

Indianapolis, Indiana, United States

Site 7151

Annapolis, Maryland, United States

Site 7054

Pikesville, Maryland, United States

Site 7166

Worcester, Massachusetts, United States

Site 7155

Ann Arbor, Michigan, United States

Site 7154

Bloomfield Hills, Michigan, United States

Site 7170

Amherst, New York, United States

Site 7055

Cedarhurst, New York, United States

Site 7162

Lewiston, New York, United States

Site 7157

Syracuse, New York, United States

Site 7143

Charlotte, North Carolina, United States

Site 7029

Cincinnati, Ohio, United States

Site 7158

Garfield Heights, Ohio, United States

Site 7172

East Providence, Rhode Island, United States

Site 7176

Dallas, Texas, United States

Site 7160

Fort Worth, Texas, United States

Site 7150

Galveston, Texas, United States

Site 7175

Houston, Texas, United States

Site 7145

Houston, Texas, United States

Site 7161

Irving, Texas, United States

Site 7177

Fairfax, Virginia, United States

Site 7128

Seattle, Washington, United States

Site 7163

South Charleston, West Virginia, United States

Site 7419

Antrim, United Kingdom

Site 7411

Birmingham, United Kingdom

Site 7414

Bristol, United Kingdom

Site 7412

Cardiff, United Kingdom

Site 7418

Exeter, United Kingdom

Site 7415

London, United Kingdom

Site 7413

Nottingham, United Kingdom

Site 7410

Oxford, United Kingdom

Site 7402

Prescot, United Kingdom

Site 7416

Sheffield, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT07553637