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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 178 (estimated) |
| Sponsor | Alto Neuroscience Industry-sponsored |
| Locations | 63 sites (Dothan, Alabama and 62 other locations) |
| Status | Recruiting |
| Started | May 20, 2026 |
| Main results expected | November 2027 |
| Study ends | December 2027 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07553637 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
- Study coordinator: Alto Neuroscience
- Email: clinical@altoneuroscience.com
- Phone: 510-512-3668
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
French Minds: a French, Multimodal Cohort Study of Severe Psychiatric Disorders and Healthy Controls
This study tests whether people with mood, psychotic, or autism disorders can be grouped into more similar subtypes based on social withdrawal and anhedonia, across ages 15 to 60.
-
DHEA add-on to standard antidepressants for treatment-resistant depression
This trial tests whether adding 100 mg/day of DHEA to patients’ current antidepressant treatment helps people with treatment-resistant depression feel better.
-
One-Day cTBS Over the Precuneus and iTBS Over the Left PFC for Treatment-Resistant Depression
This study tests whether a one-day accelerated TMS session targeting the precuneus or the left dorsolateral prefrontal cortex can reduce depressive symptoms in adults with treatment-resistant depression, compared with sham stimulation.
-
Predicting Treatment Response in Psychiatric Disorders Using Biological Markers
This study tests whether biological markers can predict which patients with psychiatric conditions will respond to treatment.
-
Cannabidiol Oil as an Add-on for Treatment-Resistant Major Depression
This study tests whether full-spectrum CBD oil added to standard antidepressants can help adults with treatment-resistant major depression.
-
Biomarker-guided antidepressant choice to see if rTMS or ketamine works best for you
This study tests whether brain and behavior markers can help match people with major depression to either rTMS or ketamine to see which works better for them.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.