Evaluating ALTO-300 for treating major depressive disorder
Official title: A Randomized, Double-Blind, Placebo-Controlled Study of ALTO-300 With an Open-Label Extension in Adults With Major Depressive Disorder
Run by Alto Neuroscience · NCT05922878 · Data updated 2026-11-12
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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 325 (estimated) |
| Sponsor | Alto Neuroscience Industry-sponsored |
| Locations | 75 sites (Phoenix, Arizona and 74 other locations) |
| Status | Recruiting |
| Started | June 8, 2023 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT05922878 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults diagnosed with moderate to severe major depressive disorder who are currently stable on a single antidepressant.
✕Probably not a fit
Patients with unstable medical conditions, bipolar disorder, or those using sleep medications 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 assess the efficacy of ALTO-300 compared to a placebo when used alongside a standard antidepressant in patients diagnosed with moderate to severe major depressive disorder (MDD). Participants must have been on a stable dose of an SSRI, SNRI, or bupropion for at least six weeks prior to enrollment. The study will analyze how patient characteristics influence the treatment outcomes. The trial is designed to provide insights into the potential benefits of ALTO-300 in enhancing depression treatment.
Why it matters
Potential benefit: If successful, this treatment could offer a new adjunctive option for patients struggling with major depressive disorder.
How similar studies have gone: While this approach is being explored, similar studies have shown promise in evaluating adjunctive treatments for depression.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Have a diagnosis of moderate to severe major depressive disorder (MDD) * At Visit 1, currently taking a stable dose of 1 or 2 antidepressants (e.g., SSRI, SNRI, bupropion, or gepirone) for at least 6 weeks with no dose modifications in the past 2 weeks by Visit 2 * 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 * Nightly use of sleep medication * Diagnosed bipolar disorder, psychotic disorder, or dementia * Current moderate or severe substance use disorder * Has a history of hypersensitivity or allergic reaction to ALTO-300 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 200
Phoenix, Arizona, United States Recruiting -
Site 193
Rogers, Arkansas, United States Recruiting -
Site 218
Bellflower, California, United States Recruiting -
Site 335
Lafayette, California, United States Recruiting -
Site 335
Lafayette, California, United States Recruiting -
Site 219
Mather, California, United States Recruiting
Show 44 more locations
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Site 267
Moorpark, California, United States Recruiting -
Site 197
Temecula, California, United States Recruiting -
Site 343
Denver, Colorado, United States Recruiting -
Site 221
Tampa, Florida, United States Recruiting -
Site 238
Fayetteville, Georgia, United States Recruiting -
Site 236
Boise, Idaho, United States Recruiting -
Site 288
Worcester, Massachusetts, United States Recruiting -
Site 240
Mankato, Minnesota, United States Recruiting -
Site 265
Minneapolis, Minnesota, United States Recruiting -
Site 264
St Louis, Missouri, United States Recruiting -
Site 344
Las Vegas, Nevada, United States Recruiting -
Site 114
Albuquerque, New Mexico, United States Recruiting -
Site 283
New York, New York, United States Recruiting -
Site 287
Rose Hill, North Carolina, United States Recruiting -
Site 268
Winston-Salem, North Carolina, United States Recruiting -
Site 202
Cincinnati, Ohio, United States Recruiting -
Site 316
Austin, Texas, United States Recruiting -
Site 239
Conroe, Texas, United States Recruiting -
Site 275
Houston, Texas, United States Recruiting -
Site 320
Houston, Texas, United States Recruiting -
Site 353
Plano, Texas, United States Recruiting -
Site 234
San Marcos, Texas, United States Recruiting -
Site 235
Stephenville, Texas, United States Recruiting -
Site 277
Fairfax, Virginia, United States Recruiting -
Site 189
Phoenix, Arizona, United States Withdrawn -
Site 187
Yuma, Arizona, United States Active not recruiting -
Site 318
Carlsbad, California, United States Active not recruiting -
Site 217
Glendale, California, United States Active not recruiting -
Site 209
Los Angeles, California, United States Active not recruiting -
Site 194
Mission Viejo, California, United States Terminated -
Site 203
Colorado Springs, Colorado, United States Active not recruiting -
Site 345
Evergreen, Colorado, United States Active not recruiting -
Site 349
Evergreen, Colorado, United States Active not recruiting -
Site 214
Norwalk, Connecticut, United States Withdrawn -
Site 159
Clermont, Florida, United States Terminated -
Site 225
Miami Gardens, Florida, United States Active not recruiting -
Site 190
Miami Lakes, Florida, United States Active not recruiting -
Site 161
Okeechobee, Florida, United States Active not recruiting -
Site 220
West Palm Beach, Florida, United States Active not recruiting -
Site 224
Savannah, Georgia, United States Active not recruiting -
Site 208
Snellville, Georgia, United States Terminated -
Site 293
Stone Mountain, Georgia, United States Not yet recruiting -
Site 317
Blackfoot, Idaho, United States Withdrawn -
Site 119
Boise, Idaho, United States Active not recruiting
+25 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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Dupilumab for Major Depressive Disorder
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-
Accelerated vs Standard iTBS for Major Depression
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-
Psilocybin with Structured Integrated Reframing Therapy for trauma-related MDD and PTSD
This trial tests whether psilocybin therapy, alone or with Structured Integrated Reframing Therapy (SIRT), helps people with trauma-related major depressive disorder who are already on a stable antidepressant.
-
Magnesium Bisglycinate Added to Your Depression Treatment
This study tests whether adding magnesium bisglycinate to your current antidepressant can help reduce depressive symptoms and improve sleep and daily functioning for adults with major depressive disorder.
-
Motif XCS System for treatment-resistant depression
This study tests whether the Motif XCS System is safe and tolerable and might help people with treatment-resistant major depressive disorder.
-
A Phase 3 test of DT120 for major depressive disorder
DT120 is tested against placebo in adults with major depressive disorder to see if it can help reduce depressive symptoms.
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.