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RecruitingBipolar Disorder I or II With a Major Depressive Episode

ALTO-100 in Bipolar Disorder With Depression (BD-D)

Eligible age

18–70 yrs

Accepts

All genders

Locations

14 states

Healthy volunteers

No

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About this study

The purpose of this study is to assess antidepressant efficacy differences between ALTO-100 and placebo during the Double-Blind period in patients with bipolar disorder I or II with current major depressive episode, when used adjunctively to a mood stabilizer and/or atypical antipsychotic, related to patient characteristics. Additionally, safety, tolerability, and efficacy will be assessed in a subsequent open label treatment period.

Sponsor: Alto Neuroscience

You may qualify if…

  • 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, and asenapine) 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

You may not qualify if…

  • 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 recruiting

Arizona

Chandler · Phoenix · Yuma

Arkansas

Fayetteville · Little Rock

California

Imperial · Los Angeles · Mather · Oceanside

Colorado

Colorado Springs

Florida

Lauderhill

Georgia

Atlanta · Peachtree Corners

Maryland

Baltimore · Bel Air · Gaithersburg

Nebraska

Lincoln

Nevada

Las Vegas

New Jersey

Toms River

New Mexico

Albuquerque

Ohio

North Canton · Westlake

Source: ClinicalTrials.gov · NCT06656416 · last updated 2025-07-16

ALTO-100 in Bipolar Disorder With Depression (BD-D) · TrialPath