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

Purpose

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, related to patient characteristics. Additionally, safety, tolerability, and efficacy will be assessed in a subsequent open label treatment period.

Condition

  • Bipolar Disorder I or II with a Major Depressive Episode

Eligibility

Eligible Ages
Between 18 Years and 70 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • 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 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

Exclusion Criteria

  • 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

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
ALTO-100
Participants will receive ALTO-100 40 mg tablet twice daily, from Day 1 to Week 6 in the double blind (DB) treatment period. Eligible participants who enter the open label (OL) treatment period will receive ALTO-100 40 mg tablet twice daily from OL baseline until the end of OL period/early termination visit (Up to 7 weeks).
  • Drug: ALTO-100
    ALTO-100 40 mg tablet BID
Placebo Comparator
Placebo DB
Participants will receive matching placebo tablet twice daily, from Day 1 to Week 6 in the double blind (DB) treatment period.
  • Drug: Placebo
    Placebo tablet BID

Recruiting Locations

More Details

Status
Recruiting
Sponsor
Alto Neuroscience

Study Contact

Alto Neuroscience
650-200-0412
clinical@altoneuroscience.com