| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT05712187 | Phase 2b Study of ALTO-100 in MDD | PHASE2 | COMPLETED | 301 | — | — | Jan 10, 2023 | Oct 24, 2024 | Sep 8, 2025 | 34 | United States |
| NCT05419869 | Pilot Decentralized Trial | PHASE2 | COMPLETED | 21 | — | — | Jun 1, 2022 | Jan 26, 2023 | Jan 18, 2024 | 2 | United States |
| NCT05117632 | ALTO-100 in MDD and/or PTSD | PHASE2 | COMPLETED | 245 | — | — | Dec 20, 2021 | Dec 9, 2022 | Dec 1, 2023 | 23 | United States |
MADRS is a clinician-administered scale designed to measure depression severity and detects changes due to antidepressant treatment. The MADRS evaluates the following 10 items: apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. Each item is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total possible score of 60. Higher scores represent a more severe condition.
The Montgomery-Åsberg Depression Rating Scale (MADRS) measures the severity of depression where smaller scores indicate less depression and higher scores suggest more severe depression. Possible scores for this 10 item version range from 0 to 60. The score change from the start of dosing (Day 1) to the end of treatment (Day 56) is the primary outcome.
The Clinical Global Impression scale - Severity (CGI-S) measures the severity of psychopathology in general where smaller scores indicate less illness and higher scores suggest more severe illness. Possible scores for this scale range from 1 to 7. The score change from Screening (Day \[-21\]) to the end of treatment (Day 56) is the primary outcome.
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Blood samples for serum chemistry and hematology will be collected for clinical laboratory testing.
The Montgomery-Åsberg Depression Rating Scale (MADRS) measures the severity of depression where smaller scores indicate less depression and higher scores suggest more severe depression. Possible scores for this 10 item version range from 0 to 60. The change from baseline to the end of the study is the primary outcome.
The Clinical Global Impression scale - Severity (CGI-S) measures the severity of psychopathology in general where smaller scores indicate less illness and higher scores suggest more severe illness. Possible scores for this scale range from 1 to 7. The change from baseline to the end of the study is the primary outcome.
The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) measures the severity of PTSD where smaller scores indicate less severe PTSD and higher scores suggest more severe PTSD. Possible scores for this 30 item version range from 0 to 120. The change from baseline to the end of the study is the primary outcome.
Vital signs measured include blood pressure, heart rate, respiratory rate, temperature, and weight.
| Arm | Type | Description |
|---|---|---|
| ALTO-100 | EXPERIMENTAL | Participants will receive ALTO-100 tablet twice daily, from Day 1 to Day 42 in double blind (DB) treatment period. Eligible participants who will enter the open label (OL) treatment period will receive ALTO-100 tablet twice daily from OL baseline until the end of OL period/early termination visit (Up to 7 weeks). |
| Placebo DB | PLACEBO_COMPARATOR | Participants will receive matching placebo tablet twice daily, from Day 1 to Day 42 in double blind (DB) treatment period. |
| Name | Type | Description |
|---|---|---|
| ALTO-100 | DRUG | ALTO-100 tablet BID |
| Placebo | DRUG | Placebo tablet BID |
| ALTO-100 PO Tablet | DRUG | Two tablets daily |
Inclusion Criteria: * Have a diagnosis of moderate to severe major depressive disorder (MDD) * At baseline, either not taking an antidepressant medication, or currently taking a single SSRI, SNRI, mirtazapine, or bupropion for at least 6 weeks with no dose modifications in the past 2 weeks * Willin...