ClinicalTrials.gg
CompletedNCT05157945Updated Apr 26, 2024

ALTO-300 in Depression (ALTO-300-004)

A Phase 2 interventional study of ALTO-300 PO Tablet in Major Depressive Disorder, sponsored by Alto Neuroscience. Completed at 4 sites in United States. Open to participants aged 18 Years to 74 Years. Per ClinicalTrials.gov, last updated 2024-04-26.

Sponsored by Alto Neuroscience · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Apr 2023, 3 years 6 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Apr 2024.
Phase
Phase 2
Study type
Interventional
Enrollment
148
Allocation
Not applicable
Ages
18 Years to 74 Years
Sex
All
01

Study summary

The purpose of this study is to collect biologically-based data for defining predictors and correlates of the effects of ALTO-300.

02

Conditions studied

  • Major Depressive Disorder
03

In context

Depressive Disorder, Major

2,805 studies on the registry are indexed under Depressive Disorder, Major; 565 are open to participants now.

This study's enrollment of 148 is above the median of 80 across 2,338 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Alto Neuroscience is the lead sponsor of 12 studies on the registry; 4 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Have a diagnosis of moderate to severe major depressive disorder
  • Currently taking a SSRI, SNRI, or bupropion for at least 6 weeks with no dose modifications in the past 2 weeks
  • Must have failed to adequately respond to the current antidepressant medication
  • Willing to comply with all study assessments and procedures
  • Must not be pregnant or breastfeeding at time of enrollment or throughout study

Exclusion criteria

Exclusion Criteria:

  • Evidence of liver impairment or disease
  • Active suicidal ideation
  • Moderate to severe Alcohol Use Disorder
  • Diagnosed bipolar disorder or psychotic disorder
  • Has a history of hypersensitivity or allergic reaction to ALTO-300 or any of its components/excipients
  • Concurrent or recent participation in another clinical trial for mental illness involving an investigational product or device
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
148 participants (actual)

Study arms

  • Experimental
    ALTO-300

    ALTO-300 tablet PO; daily dosing 8 weeks

    Drug: ALTO-300 PO Tablet

Interventions

06

What researchers measure

Primary outcomes

  1. To understand the relationship between baseline biology and change in the Montgomery-Asberg Depression Rating Scale (MADRS) with ALTO-300

    The Montgomery-Åsberg Depression Rating Scale (MADRS) measures the severity of depression where smaller scores indicate less depression and higher scores suggest more severe depression. Possible scores for this 10 item version range from 0 to 60. The change from baseline to the end of the study is the primary outcome.

    Time frame: Measured 6 times over 8 weeks

  2. To understand the relationship between baseline biology and change in the Clinical Global Impression scale - Severity (CGI-S) with ALTO-300

    The Clinical Global Impression scale - Severity (CGI-S) measures the severity of psychopathology in general where smaller scores indicate less illness and higher scores suggest more severe illness. Possible scores for this scale range from 1 to 7. The change from baseline to the end of the study is the primary outcome.

    Time frame: Measured 6 times over 8 weeks

  3. Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability of ALTO-300

    An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

    Time frame: From the signing of the ICF until the follow-up visit (up to 12 weeks)

  4. Number of Participants With Clinically Significant Vital Signs Abnormalities as a Measure of Safety and Tolerability of ALTO-300

    Vital signs measured include blood pressure, heart rate, respiratory rate, temperature, and weight.

    Time frame: From the signing of the ICF until the end-of-treatment visit (up to 11 weeks)]

  5. Number of Participants With Clinically Significant Laboratory Abnormalities as a Measure of Safety and Tolerability of ALTO-300

    Blood samples for serum chemistry and hematology will be collected for clinical laboratory testing.

    Time frame: From the signing of the ICF until the end-of-treatment visit (up to 11 weeks)]

07

Study locations

4 sites
  • Cerebral - Atlanta
    Atlanta, Georgia 30324, United States
  • Site 171
    Jackson, Mississippi 39216, United States
  • Cerebral - New York City
    New York, New York 10013, United States
  • Cerebral - Dallas
    Dallas, Texas 75212, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2022 to primary completion in Apr 2023, 14 months.

Of 96 industry-sponsored phase 2 interventional studies under Depressive Disorder, Major, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 23. This study's 14 months is below that.

Counting every sponsor, half of 189 studies reached it within 22 months; a quarter within 14 and three quarters within 37.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 2, 2021
First posted
Dec 15, 2021
StartActual
Feb 3, 2022
Primary completionActual
Apr 26, 2023
CompletionActual
May 5, 2023
Results delay requested
Apr 24, 2024
Last update
Apr 26, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05157945
Lead sponsor
Alto Neuroscience
Responsible party
Sponsor
First posted
Dec 15, 2021
Start date
Feb 3, 2022
Primary completion
Apr 26, 2023
Completion
May 5, 2023
Last update
Apr 26, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: ALTO-300

Start the discussion