Clinical trial Recruiting at 49 sites Phase 2 Interventional Ages 18 to 70

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

PhasePhase 2
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment200 (estimated)
SponsorAlto Neuroscience
Industry-sponsored
Locations68 sites (Birmingham, Alabama and 67 other locations)
StatusRecruiting
StartedOctober 2, 2024
Main results expectedSeptember 2027
Study endsOctober 2027
Registry record updatedOctober 13, 2026
Trial IDNCT06656416 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

  • 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
  • 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

Similar studies

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

  • 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.

    Recruiting at 40 sites Phase 2 Alto Neuroscience · Dothan, Alabama and 62 other locations · NCT07553637

  • 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.

    Recruiting at 13 sites Phase 2 Alto Neuroscience · Garden Grove, California and 13 other locations · NCT06502964

  • 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.

    Recruiting at 30 sites Phase 2 Alto Neuroscience · Phoenix, Arizona and 74 other locations · NCT05922878

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.
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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.