Evaluating ALTO-100 for treating depression in bipolar disorder
Official title: A Randomized, Double-Blind, Placebo-Controlled Study Followed by Open-Label Treatment of ALTO-100 in Adults With Bipolar Disorder Currently Experiencing a Major Depressive Episode
Run by Alto Neuroscience · NCT06656416 · Data updated 2026-11-12
This study is testing if a new medication called ALTO-100 can help people with bipolar disorder who are having a major depressive episode feel better compared to a placebo.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Alto Neuroscience Industry-sponsored |
| Locations | 68 sites (Birmingham, Alabama and 67 other locations) |
| Status | Recruiting |
| Started | October 2, 2024 |
| Main results expected | September 2027 |
| Study ends | October 2027 |
| Registry record updated | October 13, 2026 |
| Trial ID | NCT06656416 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults diagnosed with bipolar disorder I or II who are currently experiencing a major depressive episode and are stable on a mood stabilizer.
✕Probably not a fit
Patients with unstable medical conditions, severe substance use disorders, or those with a history of allergic reactions to ALTO-100 may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to compare the antidepressant effects of ALTO-100 against a placebo in patients diagnosed with bipolar disorder I or II who are experiencing a major depressive episode. Participants will be receiving a mood stabilizer and will be monitored for safety, tolerability, and efficacy during a double-blind phase followed by an open-label treatment period. The study seeks to understand how patient characteristics may influence treatment outcomes.
Why it matters
Potential benefit: If successful, this study could provide a new effective treatment option for patients suffering from depression associated with bipolar disorder.
How similar studies have gone: While there have been studies on bipolar disorder treatments, the specific approach of using ALTO-100 in this context is novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Have a diagnosis of BD-I or BD-II as well as BD-D * At baseline, taking a mood stabilizer, lithium (LI) or lamotrigine (LMG) or valproic acid (VPA, any form) or combination of Li + LMG or Li + VPA and/or taking an approved atypical antipsychotic medication (olanzapine, quetiapine, lurasidone, risperidone, ziprasidone, cariprazine, aripiprazole, lumateperone, asenapine, Iloperidone and Milsaperidone) for at least 6 weeks with no dose modifications in the past 2 weeks * Willing to comply with all study assessments and procedures * Must not be pregnant or breastfeeding at time of enrollment or throughout study Exclusion Criteria: * Evidence of unstable medical condition * Concurrent use of any prohibited medications or substance use disorder * Diagnosed psychotic disorder (other than mania or depression) * Current moderate or severe substance use disorder * Has a history of hypersensitivity or allergic reaction to ALTO-100 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
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Site 6000
Phoenix, Arizona, United States Recruiting -
Site 6133
Little Rock, Arkansas, United States Recruiting -
Site 6153
Chino, California, United States Recruiting -
6069
Los Angeles, California, United States Recruiting -
Site 6016
Mather, California, United States Recruiting -
Site 6111
Sacramento, California, United States Recruiting
Show 44 more locations
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Site 6120
San Jose, California, United States Recruiting -
Site 6112
Colorado Springs, Colorado, United States Recruiting -
Site 6174
Jacksonville, Florida, United States Recruiting -
Site 6123
Pinellas Park, Florida, United States Recruiting -
Site 6015
Tampa, Florida, United States Recruiting -
Site 6064
Peachtree Corners, Georgia, United States Recruiting -
Site 6113
Chicago, Illinois, United States Recruiting -
Site 6132
Carmel, Indiana, United States Recruiting -
Site 6076
Bel Air, Maryland, United States Recruiting -
Site 6062
Gaithersburg, Maryland, United States Recruiting -
Site 6182
Towson, Maryland, United States Recruiting -
Site 6188
Worcester, Massachusetts, United States Recruiting -
Site 6184
Ann Arbor, Michigan, United States Recruiting -
Site 6155
Ann Arbor, Michigan, United States Recruiting -
Site 6178
Grand Rapids, Michigan, United States Recruiting -
Site 6122
Flowood, Mississippi, United States Recruiting -
Site 6144
Las Vegas, Nevada, United States Recruiting -
Site 6104
Las Vegas, Nevada, United States Recruiting -
Site 6066
Toms River, New Jersey, United States Recruiting -
Site 6014
Albuquerque, New Mexico, United States Recruiting -
Site 6170
Amherst, New York, United States Recruiting -
Site 6137
New York, New York, United States Recruiting -
Site 6127
Cary, North Carolina, United States Recruiting -
Site 6187
Rose Hill, North Carolina, United States Recruiting -
Site 6029
Cincinnati, Ohio, United States Recruiting -
Site 6075
Westlake, Ohio, United States Recruiting -
Site 6116
Austin, Texas, United States Recruiting -
Site 6105
Beaumont, Texas, United States Recruiting -
Site 6176
Dallas, Texas, United States Recruiting -
Site 6107
Dallas, Texas, United States Recruiting -
Site 6175
Houston, Texas, United States Recruiting -
Site 6053
Plano, Texas, United States Recruiting -
Site 6177
Fairfax, Virginia, United States Recruiting -
Site 6409
Derby, United Kingdom Recruiting -
Site 6403
Edinburgh, United Kingdom Recruiting -
Site 6401
Glasgow, United Kingdom Recruiting -
Site 6402
Liverpool, United Kingdom Recruiting -
Site 6408
London, United Kingdom Recruiting -
Site 6407
London, United Kingdom Recruiting -
Site 6400
Newcastle upon Tyne, United Kingdom Recruiting -
Site 6404
Oxford, United Kingdom Recruiting -
Site 6406
Southampton, United Kingdom Recruiting -
Site 6405
York, United Kingdom Recruiting -
Site 6074
Birmingham, Alabama, United States Withdrawn
+18 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Alto Neuroscience
- Email: clinical@altoneuroscience.com
- Phone: 650-200-0412
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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ALTO-207 for adults with treatment-resistant depression
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.
-
Evaluating ALTO-101 for cognitive impairment in schizophrenia
This study is testing a new skin patch called ALTO-101 to see if it can help improve thinking skills in people with schizophrenia.
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Evaluating ALTO-300 for treating major depressive disorder
This study is testing if adding ALTO-300 to standard antidepressants can help people with moderate to severe depression feel better compared to a placebo.
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.