| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT05922878 | Study of ALTO-300 in MDD | PHASE2 | RECRUITING | 321 | — | — | Jun 8, 2023 | Dec 1, 2026 | Jul 24, 2025 | 45 | United States |
| NCT05157945 | ALTO-300 in Depression (ALTO-300-004) | PHASE2 | COMPLETED | 148 | — | — | Feb 3, 2022 | May 5, 2023 | Apr 26, 2024 | 4 | United States |
| NCT05118750 | ALTO-300 in Depression | PHASE2 | COMPLETED | 91 | — | — | Dec 13, 2021 | May 9, 2023 | Apr 30, 2024 | 11 | 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 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.
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.
Vital signs measured include blood pressure, heart rate, respiratory rate, temperature, and weight.
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.
Incidence, severity, and relatedness of TEAEs,SAEs, discontinuation due to TEAEs, and deaths
| Arm | Type | Description |
|---|---|---|
| ALTO-300 | EXPERIMENTAL | Participants will receive ALTO-300 capsule once daily in the evening, 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-300 capsule once daily in the evening from OL baseline until the end of OL period/early termination visit (Up to 8 weeks). |
| Placebo | PLACEBO_COMPARATOR | Participants will receive matching placebo capsule once daily in the evening, from Day 1 to Day 42 in double blind (DB) treatment period. |
| Name | Type | Description |
|---|---|---|
| ALTO-300 | DRUG | ALTO-300 capsule QD |
| Placebo | DRUG | Placebo capsule QD |
| ALTO-300 PO Tablet | DRUG | One tablet daily |
| ALTO-300 oral (PO) tablet | DRUG | One tablet daily |
Inclusion Criteria: * Have a diagnosis of moderate to severe major depressive disorder (MDD) * At Visit 1, currently taking a single SSRI, SNRI, or bupropion 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 ...