CClinicalTrials.gg
RecruitingNCT06502964Updated Dec 26, 2025

Study of ALTO-101 in Patients With Schizophrenia

A Phase 2 interventional study of ALTO-101 and ALTO-101 Transdermal Delivery System in Schizophrenia and Cognitive Impairment, sponsored by Alto Neuroscience. Recruiting at 14 sites in United States. Open to participants aged 21 Years to 55 Years. Per ClinicalTrials.gov, last updated 2025-12-26.

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

From the registry’s dates

  • Primary completion was expected by Feb 2026, 8 months ago, but the record still lists the study as recruiting.
  • Started Jun 2024; still recruiting 2 years 3 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
82
Allocation
Randomized
Ages
21 Years to 55 Years
Sex
All
01

Study summary

This is a Phase 2, double-blind, placebo-controlled, two-way crossover study to compare the efficacy of ALTO-101T versus placebo in change in electroencephalogram (EEG) cognitive processing markers and measures of cognition.

Additional goals are to assess pharmacokinetic (PK), safety, and tolerability of the recently developed ALTO-101T transdermal delivery system (TDS) formulation in a patient population.

02

Conditions studied

  • Schizophrenia
  • Cognitive Impairment
03

In context

Schizophrenia

3,470 studies on the registry are indexed under Schizophrenia; 471 are open to participants now.

This study's planned enrollment of 82 is above the median of 70 across 2,871 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Alto Neuroscience is the lead sponsor of 11 studies on the registry; 4 are open to participants now.

Of its 5 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
21 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Schizophrenia diagnosis for at least one year
  • Cognitive impairment
  • Stable doses of 1-2 antipsychotic medication(s) for at least 8 weeks at Visit 2
  • Positive and Negative Syndrome Scale (PANSS) score: items P1, P3-P6 ≤ 5 and item P2 and P7 ≤ 4 during screening
  • Have a body mass index (BMI) ≥ 18.0 and ≤ 37.0 kg/m2 (inclusive)
  • Willing to comply with all study assessments and procedures

Exclusion criteria

Exclusion Criteria:

  • Evidence of unstable medical condition
  • Acute psychiatric decompensation or severity of symptoms requiring psychiatric hospitalization in past 6 months
  • Diagnosis of schizoaffective or bipolar affective disorder, dementia, or intellectual disability
  • Current episode of major depressive disorder (MDD)
  • Use of mood stabilizer, clozapine, and/or daily benzodiazepine
  • Current moderate or severe substance use disorder
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
82 participants (estimated)

Study arms

  • Experimental
    ALTO-101

    10 days administration of ALTO-101T transdermal delivery system

    Drug: ALTO-101 · Device: ALTO-101 Transdermal Delivery System

  • Placebo comparator
    Placebo

    10 days administration of placebo transdermal delivery system

    Drug: Placebo · Device: Placebo Transdermal Delivery System

Interventions

  • DrugALTO-101

    ALTO-101 patches

  • DeviceALTO-101 Transdermal Delivery System

    ALTO-101 transdermal delivery system

  • DrugPlacebo

    Inactive placebo patches

  • DevicePlacebo Transdermal Delivery System

    Placebo transdermal delivery system

06

What researchers measure

Primary outcomes

  1. Theta band activity

    Theta band activity after 5 and 10 days of dosing of ALTO-101T compared to placebo.

    Time frame: Treatment Period 1 - Day 6 and Day 11; Treatment Period 2 - Day 6 and Day 11

Secondary outcomes

  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] ALTO-101T compared to placebo

    Incidence, severity, and relatedness of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and discontinuation due to TEAEs.

    Time frame: Treatment Period Day 1 through study completion (an average of 36 days)

07

Study locations

13 of 14 sites recruiting
  • Site 5038
    Garden Grove, California 92845, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5063
    Los Angeles, California 90015, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5106
    Orange, California 92868, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5035
    Walnut Creek, California 94596, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5060
    Hollywood, Florida 33024, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5015
    Tampa, Florida 33629, United States
    Recruiting
  • Site 5064
    Snellville, Georgia 30078, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5056
    Chicago, Illinois 60640, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5062
    Gaithersburg, Maryland 20877, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5124
    Belmont, Massachusetts 02478, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5108
    New York, New York 10027, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5077
    New York, New York 10032, United States
    • Clinical Operations Manager · Contact
    Recruiting
  • Site 5109
    New York, New York 10035, United States
    Withdrawn
  • Site 5126
    White Plains, New York 10605, United States
    • Clinical Operations Manager · Contact
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06502964
Lead sponsor
Alto Neuroscience
Responsible party
Sponsor
First posted
Jul 16, 2024
Start date
Jun 11, 2024
Primary completion
Feb 2026 (estimated)
Completion
Mar 2026 (estimated)
Last update
Dec 26, 2025

Study contacts

Alto Neuroscience
Contact
clinical@altoneuroscience.com
650-200-0412

Oversight

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

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