ALTO-300

This randomized, double-blind, placebo-controlled study assesses ALTO-300 with an open-label extension in adults with major depressive disorder.

About

ALTO-300 is a 25 mg formulation of the atypical antidepressant agomelatine, which targets the melatonin and serotonin signaling systems and has been shown to modulate mood and circadian rhythms. This medication is approved for the treatment of depression in several countries outside of the United States. Like all antidepressants, ALTO-300 works better for some patients than others. Accordingly, establishing biological predictors may allow a better understanding of which patients may best respond to treatment with ALTO-300.

Eligibility Criteria

Inclusion Criteria

  • Have a diagnosis of moderate to severe major depressive disorder (MDD)
  • At visit two, currently taking a single SSRI, SNRI or bupropion for at least six weeks with no dose modifications in the past two weeks
  • Willing to comply with all study assessments and procedures
  • Must not be pregnant or breastfeeding at the time of enrollment or throughout the 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

Primary Investigator


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Anita Kablinger, M.D., C.P.I. is director of Clinical Research and a professor of Psychiatry and Behavioral Medicine at the Virginia Tech Carilion School of Medicine, with over 25 years of clinical and research experience.

Contact Information