Evaluating ALTO-101 for cognitive impairment in schizophrenia
Official title: Double-Blind, Placebo-Controlled Study of ALTO-101 in Patients With Schizophrenia and Cognitive Impairment
Run by Alto Neuroscience · NCT06502964 · Data updated 2026-11-12
This study is testing a new skin patch called ALTO-101 to see if it can help improve thinking skills in people with schizophrenia.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 21 Years to 55 Years |
| Sex | All |
| Enrollment | 82 (estimated) |
| Sponsor | Alto Neuroscience Industry-sponsored |
| Locations | 14 sites (Garden Grove, California and 13 other locations) |
| Status | Recruiting |
| Started | June 11, 2024 |
| Main results expected | February 2026 |
| Study ends | March 2026 |
| Registry record updated | December 26, 2025 |
| Trial ID | NCT06502964 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include individuals diagnosed with schizophrenia for at least one year who also experience cognitive impairment.
✕Probably not a fit
Patients with unstable medical conditions, acute psychiatric episodes, or other specified psychiatric disorders 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 Phase 2 clinical trial is designed to assess the efficacy of ALTO-101, a transdermal delivery system, in improving cognitive processing in patients with schizophrenia. The study employs a double-blind, placebo-controlled, two-way crossover design to compare changes in electroencephalogram (EEG) markers and cognitive measures between the treatment and placebo groups. Additionally, it aims to evaluate the pharmacokinetics, safety, and tolerability of the ALTO-101 formulation in this patient population.
Why it matters
Potential benefit: If successful, this treatment could enhance cognitive function in patients with schizophrenia, potentially improving their overall quality of life.
How similar studies have gone: While there have been studies on cognitive treatments in schizophrenia, the specific approach of using ALTO-101 in this manner is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
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: * 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
Where it's running
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Site 5038
Garden Grove, California, United States Recruiting -
Site 5063
Los Angeles, California, United States Recruiting -
Site 5106
Orange, California, United States Recruiting -
Site 5035
Walnut Creek, California, United States Recruiting -
Site 5060
Hollywood, Florida, United States Recruiting -
Site 5015
Tampa, Florida, United States Recruiting
Show 8 more locations
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Site 5064
Snellville, Georgia, United States Recruiting -
Site 5056
Chicago, Illinois, United States Recruiting -
Site 5062
Gaithersburg, Maryland, United States Recruiting -
Site 5124
Belmont, Massachusetts, United States Recruiting -
Site 5108
New York, New York, United States Recruiting -
Site 5077
New York, New York, United States Recruiting -
Site 5126
White Plains, New York, United States Recruiting -
Site 5109
New York, New York, United States Withdrawn
Study contacts
- Study coordinator: Alto Neuroscience
- Email: clinical@altoneuroscience.com
- Phone: 650-200-0412
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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.