Clinical trial Recruiting at 40 sites Phase 2 Interventional Ages 18 to 75

ALTO-207 for adults with treatment-resistant depression

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

Run by Alto Neuroscience · NCT07553637 · Data updated 2026-11-12

This trial will test whether ALTO-207 reduces depressive symptoms more than placebo in adults whose depression has not improved after at least two antidepressant treatments.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment178 (estimated)
SponsorAlto Neuroscience
Industry-sponsored
Locations63 sites (Dothan, Alabama and 62 other locations)
StatusRecruiting
StartedMay 20, 2026
Main results expectedNovember 2027
Study endsDecember 2027
Registry record updatedOctober 26, 2026
Trial IDNCT07553637 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18–75 with a current moderate-to-severe major depressive episode who have not improved sufficiently after 2–5 antidepressant treatments and who are on a stable dose of one to two oral antidepressants are the intended participants.

Probably not a fit

People with bipolar disorder, psychotic disorders, significant PTSD symptoms, current substance use disorder, unstable medical conditions, or known allergy to ALTO-207 would be excluded and are unlikely to benefit from participating.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 2 interventional trial compares ALTO-207 to placebo in adults with treatment-resistant depression. Eligible participants are ages 18–75 with moderate-to-severe major depressive disorder who have failed to respond (<50% improvement) to 2–5 prior antidepressant treatments and are on a stable dose of one to two oral antidepressants. Participants at U.S. outpatient sites will receive ALTO-207 or matched placebo and depressive symptoms will be measured periodically using standard rating scales. The trial is sponsored by Alto Neuroscience and conducted at sites in Alabama and Arizona.

Why it matters

Potential benefit: If successful, ALTO-207 could provide an additional effective treatment option to reduce symptoms for people with treatment-resistant depression.

How similar studies have gone: ALTO-207 and related compounds are relatively novel with limited published clinical data, so this approach remains experimental.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 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 Criteria:

* 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

Where it's running

  • Site 7173
    Dothan, Alabama, United States
    Recruiting
  • Site 7000
    Phoenix, Arizona, United States
    Recruiting
  • Site 7153
    Chino, California, United States
    Recruiting
  • Site 7069
    Los Angeles, California, United States
    Recruiting
  • Site 7156
    Oakland, California, United States
    Recruiting
  • Site 7082
    Oceanside, California, United States
    Recruiting
Show 44 more locations
  • Site 7016
    Sacramento, California, United States
    Recruiting
  • Site 7144
    San Diego, California, United States
    Recruiting
  • Site 7120
    San Jose, California, United States
    Recruiting
  • Site 7171
    Valley Village, California, United States
    Recruiting
  • Site 7152
    Saint Augustine, Florida, United States
    Recruiting
  • Site 7148
    Albany, Georgia, United States
    Recruiting
  • Site 7146
    Marietta, Georgia, United States
    Recruiting
  • Site 7141
    Savannah, Georgia, United States
    Recruiting
  • Site 7064
    Snellville, Georgia, United States
    Recruiting
  • Site 7192
    Naperville, Illinois, United States
    Recruiting
  • Site 7169
    Indianapolis, Indiana, United States
    Recruiting
  • Site 7054
    Pikesville, Maryland, United States
    Recruiting
  • Site 7180
    Rockville, Maryland, United States
    Recruiting
  • Site 7166
    Worcester, Massachusetts, United States
    Recruiting
  • Site 7155
    Ann Arbor, Michigan, United States
    Recruiting
  • Site 7154
    Bloomfield Hills, Michigan, United States
    Recruiting
  • Site 7189
    St Louis, Missouri, United States
    Recruiting
  • Site 7066
    Toms River, New Jersey, United States
    Recruiting
  • Site 7170
    Amherst, New York, United States
    Recruiting
  • Site 7055
    Cedarhurst, New York, United States
    Recruiting
  • Site 7162
    Lewiston, New York, United States
    Recruiting
  • Site 7157
    Syracuse, New York, United States
    Recruiting
  • Site 7127
    Cary, North Carolina, United States
    Recruiting
  • Site 7143
    Charlotte, North Carolina, United States
    Recruiting
  • Site 7029
    Cincinnati, Ohio, United States
    Recruiting
  • Site 7158
    Garfield Heights, Ohio, United States
    Recruiting
  • Site 7172
    East Providence, Rhode Island, United States
    Recruiting
  • Site 7176
    Dallas, Texas, United States
    Recruiting
  • Site 7160
    Fort Worth, Texas, United States
    Recruiting
  • Site 7175
    Houston, Texas, United States
    Recruiting
  • Site 7145
    Houston, Texas, United States
    Recruiting
  • Site 7161
    Irving, Texas, United States
    Recruiting
  • Site 7186
    Plano, Texas, United States
    Recruiting
  • Site 7177
    Fairfax, Virginia, United States
    Recruiting
  • Site 7195
    La Jolla, California, United States
    Not yet recruiting
  • Site 7159
    Palo Alto, California, United States
    Not yet recruiting
  • Site 7200
    Wilton, Connecticut, United States
    Not yet recruiting
  • Site 7151
    Annapolis, Maryland, United States
    Withdrawn
  • Site 7185
    Baltimore, Maryland, United States
    Not yet recruiting
  • Site 7178
    Grand Rapids, Michigan, United States
    Not yet recruiting
  • Site 7194
    Dayton, Ohio, United States
    Not yet recruiting
  • Site 7191
    North Myrtle Beach, South Carolina, United States
    Not yet recruiting
  • Site 7199
    Austin, Texas, United States
    Not yet recruiting
  • Site 7190
    Bryan, Texas, United States
    Not yet recruiting

+13 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.