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CompletedNCT05666804PROUDUpdated Dec 15, 2025

Study Assessing the Efficacy and Safety of a Personalized Monotherapy Regimen of Brolucizumab in Patients With Symptomatic Macular Polypoidal Choroidal Vasculopathy

A Phase 3 interventional study of Brolucizumab 6mg and Brolucizumab 6mg in Macular Polypoidal Choroidal Vasculopathy (PCV), sponsored by Novartis Pharmaceuticals. Completed at 15 sites in South Korea. Open to participants aged 50 Years to 100 Years. Per ClinicalTrials.gov, last updated 2025-12-15.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
148
Allocation
Randomized
Ages
50 Years to 100 Years
Sex
All
01

Study summary

This study is a 60-week, two-arm, randomized, open-label, active-controlled, multi-center study in patients with Polypoidal choroidal vasculopathy (PCV) who have not previously received anti-Vascular endothelial growth factor (VEGF) treatment.

Read the detailed description

The purpose of this study is to measure the change in Best-corrected visual acuity (BCVA) with brolucizumab 6 mg Personalized regimen compared with Brolucizumab 6 mg Standard q12w/q8w regimen in participants with Polypoidal choroidal vasculopathy (PCV).

  • The study duration will be up to 60 weeks.
  • The treatment duration will be up to 56 weeks.
  • The visit frequency is not fixed and may be reduced or extended depending on whether disease activity is controlled.

In the Personalized regimen arm, the first loading injection will be performed for all participants. After 4 weeks, treatment response will be judged. If there is no disease activity, injection interval will be extended to 8 weeks. The participants with presence of disease activity will continue 4-week loading injections up to 3 monthly loading dose and commence the Treat-and-extend (T\&E) phase thereafter. In the T\&E phase, the treatment interval can be extended by 4 weeks at a time based on Investigator's judgment of visual and/or anatomic outcomes. The maximal treatment interval is 16 weeks. At the Investigator's discretion, a participant with no disease activity or improvement of disease activity (e.g., reduction of fluid) may also be maintained on the same interval. If disease activity recurs, the interval should be shortened by 4 weeks at a time or to a minimal interval of 8 weeks.

In the Standard q12w/q8w regimen arm, all participants will receive three loading injections every 4 weeks. After loading injection, participants with no disease activity at Week 16 will receive study treatment q12w at Week 20, Week 32, and Week 44. If there is disease activity at any scheduled treatment visit, the study intervals will be adjusted to 8 weeks thereafter. Treatment intervals can be increased to 12 weeks after a treatment visit with no disease activity.

02

Conditions studied

  • Macular Polypoidal Choroidal Vasculopathy (PCV)

Keywords

  • Neovascular age-related macular degeneration
  • polypoidal choroidal vasculopathy
  • anti-vascular endothelial growth factor
  • brolucizumab
  • personalized regimen
  • treat-and-extend
  • Retina damage
  • Retinal disease
  • Vascular disease
  • Eye disease
  • blind spot
  • fluid leak into or under the retina
  • blood leak into or under the retina
  • macular polypoidal choroidal vasculopathy (PCV)
  • PCV
03

In context

Polypoidal Choroidal Vasculopathy

54 studies on the registry are indexed under Polypoidal Choroidal Vasculopathy; 6 are open to participants now.

This study's enrollment of 148 is above the median of 50 across 39 interventional studies indexed under Polypoidal Choroidal Vasculopathy.

Browse Polypoidal Choroidal Vasculopathy studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Signed must be obtained prior to participation in the study.
  2. Participants ≥ 50 years of age at Screening.

    Study eye:

  3. Presence of active polypoidal lesions in the macula as shown by Indocyanine green angiography (ICGA) AND presence of serosanguinous maculopathy, i.e., exudative or hemorrhagic features involving the macula on color fundus photography (CFP), Fluorescein angiography (FA) and spectral domain optical coherence tomography (SD-OCT) AND presence of Intraretinal fluid (IRF) or Subretinal fluid (SRF) that affects the central subfield as seen by SD-OCT.
  4. Best-corrected visual acuity (BCVA) score must be ≤ 78 and ≥ 24 letters at 4 meters starting distance using early treatment diabetic retinopathy study (ETDRS) visual acuity charts at both Screening and Baseline.
  5. Greatest liner dimension (GLD) of the total lesion area (branching vascular network [BVN] + polypoidal lesion) \< 5400 μm (equivalent to 9 macular photocoagulation study [MPS] Disc Area) as delineated by Indocyanin green angiography (ICGA).

Exclusion criteria

Exclusion Criteria:

Ocular conditions:

  1. Concomitant conditions or ocular disorders in the study eye at Screening or Baseline which could, in the opinion of the Investigator, prevent response to study treatment or may confound interpretation of study results, compromise visual acuity or require planned medical or surgical intervention during the first 12-month study period.
  2. Any active intraocular or periocular infection or active intraocular inflammation (IOI) (e.g., infectious conjunctivitis, keratitis, scleritis, endophthalmitis, infectious blepharitis, uveitis) in study eye or fellow eye at Screening or Baseline.
  3. Uncontrolled glaucoma in the study eye defined as intraocular pressure (IOP) > 25 mmHg on medication, or according to Investigator's judgment, at Screening or Baseline.
  4. Any Polypoidal choroidal vasculopathy (PCV) masquerades like macular aneurysms, macular telangiectasia, etc. in study eye.
  5. Total area of subretinal hemorrhage larger than 9 DA (Disc Area) or comprising ≥ 50% of the lesion area or presence of vitreous hemorrhage in study eye.

    Ocular treatments in the study eye:

  6. Previous treatment with any anti-Vascular endothelial growth factor (VEGF) drugs or drugs at any time prior to Baseline.
  7. Previous use of intraocular or periocular within the 6-month period prior to Baseline.
  8. Macular laser photocoagulation (focal/grid) or Photodynamic therapy (PDT) at any time prior to Baseline and peripheral laser photocoagulation within 3 months prior to Baseline.

    Systemic conditions or treatments:

  9. Stroke or myocardial infarction during the 6-month period prior to Baseline.
  10. Systemic anti-VEGF therapy any time prior to Baseline.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
148 participants (actual)

Study arms

  • Experimental
    Personalized regimen arm

    1\~3 x 4-week loading injections and one 8-week injection, followed by Treat-and-extend (T\&E) regimen up to Week 56

    Drug: Brolucizumab 6mg

  • Active comparator
    Standard regimen arm

    3 x 4-week loading injections and disease activity assessment at week 16 followed by q12w/q8w up to Week 56

    Drug: Brolucizumab 6mg

Interventions

  • Brolucizumab 6mg (intravitreal) Personalized regimen arm: 1\~3 x 4-week loading injections and one 8-week injection, followed by Treat-and-extend (T\&E) regimen up to Week 56

    Also known as: Beovu

  • Brolucizumab 6mg(intravitreal) Standard q12w/q8w regimen arm: 3 x 4-week loading injections and disease activity assessment at week 16 followed by q12w/q8w up to Week 56

    Also known as: Beovu

06

What researchers measure

Primary outcomes

  1. Average change in Best Corrected Visual Acuity (BCVA) from Baseline at a period from Week 48 to Week 60

    BCVA will be assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts

    Time frame: from Week 48 to Week 60

Secondary outcomes

  1. Number of participants with last completed treatment interval of 12 weeks and/or 16-weeks with no disease activity at a period from Week 48 to Week 60

    As assessed by: BCVA with ETDRS charts Anatomical retinal evaluation of Spectral Domain Optical Coherence Tomography (SD-OCT) images Color fundus photography (CFP) and vascular leakage evaluation by Fluorescein angiography (FA) Polypoidal lesion and Branching vascular network (BVN) evaluation by Indocyanine Green Angiography (ICGA)

    Time frame: Week 12, Week 16, and from Week 48 to Week 60

  2. Distribution of last completed treatment interval with no disease activity up to Week60

    As assessed by: BCVA with ETDRS charts Anatomical retinal evaluation of Spectral Domain Optical Coherence Tomography (SD-OCT) images Color fundus photography (CFP) and vascular leakage evaluation by Fluorescein angiography (FA) Polypoidal lesion and Branching vascular network (BVN) evaluation by Indocyanine Green Angiography (ICGA)

    Time frame: up to Week 60

  3. Distribution of the maximal intervals with no disease activity up to Week 60

    As assessed by: BCVA with ETDRS charts Anatomical retinal evaluation of Spectral Domain Optical Coherence Tomography (SD-OCT) images Color fundus photography (CFP) and vascular leakage evaluation by Fluorescein angiography (FA) Polypoidal lesion and Branching vascular network (BVN) evaluation by Indocyanine Green Angiography (ICGA)

    Time frame: up to Week 60

  4. Distribution of the last interval at a period from Week 48 to Week 60

    As assessed by: BCVA with ETDRS charts Anatomical retinal evaluation of Spectral Domain Optical Coherence Tomography (SD-OCT) images Color fundus photography (CFP) and vascular leakage evaluation by Fluorescein angiography (FA) Polypoidal lesion and Branching vascular network (BVN) evaluation by Indocyanine Green Angiography (ICGA)

    Time frame: from Week 48 to Week 60

  5. Time from the last loading injection to the first visit with no disease activity

    As assessed by: BCVA with ETDRS charts Anatomical retinal evaluation of Spectral Domain Optical Coherence Tomography (SD-OCT) images Color fundus photography (CFP) and vascular leakage evaluation by Fluorescein angiography (FA) Polypoidal lesion and Branching vascular network (BVN) evaluation by Indocyanine Green Angiography (ICGA)

    Time frame: Up to Week 60

  6. Occurrence of at least two successive treatment intervals with no disease activity ≥ 12-week or two successive treatment intervals with no disease activity of 16-week up to Week 60

    As assessed by: BCVA with ETDRS charts Anatomical retinal evaluation of Spectral Domain Optical Coherence Tomography (SD-OCT) images Color fundus photography (CFP) and vascular leakage evaluation by Fluorescein angiography (FA) Polypoidal lesion and Branching vascular network (BVN) evaluation by Indocyanine Green Angiography (ICGA)

    Time frame: up to Week 60

  7. Average change in BCVA from Baseline up to a period from Week 48 to Week 60

    BCVA will be assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts

    Time frame: from Week 48 to Week 60

  8. Occurrence of BCVA improvement of ≥ 10 and ≥ 15 letters from Baseline at a period from Week 48 to Week 60

    BCVA will be assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts

    Time frame: Baseline, and from Week 48 to Week 60

  9. Occurrence of BCVA ≥ 69 letters at a period from Week 48 to Week 60

    BCVA will be assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts

    Time frame: from Week 48 to Week 60

  10. Average change in BCVA from Baseline up to a period from Week 48 to Week 60 categorized into 2 groups, lower half of Baseline BCVA and upper half of Baseline BCVA

    BCVA will be assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts

    Time frame: Baseline, and from Week 48 to Week 60

  11. Number of participants with complete polypoidal lesion regression at Week 12 and at a period from Week 48 to Week 60

    Polypoidal lesion and Branching vascular network (BVN) evaluation by Indocyanine Green Angiography (ICGA). Polypoidal regression is defined as: Complete polypoidal regression: complete disappearance of any hyper-cyanescent polypoidal lesion previously identified at Baseline Partial polypoidal regression is defined as either partial regression in number (i.e., fewer hyper-cyanescent lesions) compared with Baseline or in size (i.e., smaller hyper-cyanescent lesion) compared with Baseline

    Time frame: at Week 12, and from Week 48 to Week 60

  12. Number of participants with inactive polypoidal lesions at Week 12 and at a period from Week 48 to Week 60

    Polypoidal lesion and Branching vascular network (BVN) evaluation by Indocyanine Green Angiography (ICGA). Inactive polypoidal lesion is defined as the Absence of polypoidal lesions on ICGA or in case polypoidal lesions were identified or the Absence of new or persistent fluid on OCT or the Absence of leakage on angiography

    Time frame: at Week 12, and from Week 48 to Week 60

  13. Change in number and area of polypoidal lesions from Baseline at Week 12 and at a period from Week 48 to Week 60

    Polypoidal lesion and Branching vascular network (BVN) evaluation by Indocyanine Green Angiography (ICGA).

    Time frame: Baseline, Week 12, and from Week 48 to Week 60

  14. Average change from Baseline in central subfield thickness (CSFT) up to Week 60

    Change in CSFT from baseline up to week 60 will be analyzed by fitting mixed model repeated measures (MMRM) with observed data including treatment, visit, baseline central subfield thickness (CSFT) categories, age categories and treatment by visit interaction as factors.

    Time frame: up to Week 60

  15. Average change from Baseline in maximum thickness of intraretinal fluid (IRF) up to Week 60

    Change in maximum thickness of IRF from baseline up to week 60 will be analyzed by fitting mixed model repeated measures (MMRM) with observed data including treatment, visit, baseline central subfield thickness (CSFT) categories, age categories and treatment by visit interaction as factors.

    Time frame: up to Week 60

  16. Average change from Baseline in maximum thickness of subretinal fluid (SRF) up to Week 60

    Change in maximum thickness of SRF from baseline up to week 60 will be analyzed by fitting mixed model repeated measures (MMRM) with observed data including treatment, visit, baseline central subfield thickness (CSFT) categories, age categories and treatment by visit interaction as factors.

    Time frame: up to Week 60

  17. Average change from Baseline in maximum thickness of sub-retinal pigment epithelium (sub-RPE) fluid up to Week 60

    Change in maximum thickness of sub-RPE fluid from baseline up to week 60 will be analyzed by fitting mixed model repeated measures (MMRM) with observed data including treatment, visit, baseline central subfield thickness (CSFT) categories, age categories and treatment by visit interaction as factors.

    Time frame: up to Week 60

  18. Average change from Baseline in maximum thickness of pigment epithelial detachment (PED) up to Week 60

    Change in maximum PED thickness from baseline up to week 60 will be analyzed by fitting mixed model repeated measures (MMRM) with observed data including treatment, visit, baseline central subfield thickness (CSFT) categories, age categories and treatment by visit interaction as factors.

    Time frame: up to Week 60

  19. Number of participants with intraretinal fluid (IRF) and/or subretinal fluid (SRF) and/or sub-retinal pigment epithelium (sub-RPE) fluid up to Week 60

    As analyzed by fitting mixed model repeated measures (MMRM) with observed data including treatment, visit, baseline central subfield thickness (CSFT) categories, age categories and treatment by visit interaction as factors.

    Time frame: up to Week 60

  20. Incidence of ocular adverse events (AEs) up to Week 60

    An ocular AE is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a clinical investigation participant regarding the eye.

    Time frame: Up to Week 60

  21. Incidence of non-ocular adverse events (AEs) up to Week 60

    An AE is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a clinical investigation participant.

    Time frame: Up to Week 60

07

Study locations

15 sites
  • Novartis Investigative Site
    Daegu, Dalseo Gu 42602, South Korea
  • Novartis Investigative Site
    Bundang Gu, Gyeonggi-do 13620, South Korea
  • Novartis Investigative Site
    Daejeon, Korea 35015, South Korea
  • Novartis Investigative Site
    Seoul, Korea 02447, South Korea
  • Novartis Investigative Site
    Seoul, Korea 03080, South Korea
  • Novartis Investigative Site
    Busan, 48108, South Korea
  • Novartis Investigative Site
    Busan, 49241, South Korea
  • Novartis Investigative Site
    Busan, 613-815, South Korea
  • Novartis Investigative Site
    Daegu, 705703, South Korea
  • Novartis Investigative Site
    Gwangju, 61469, South Korea
  • Novartis Investigative Site
    Seoul, 01000, South Korea
  • Novartis Investigative Site
    Seoul, 01869, South Korea
  • Novartis Investigative Site
    Seoul, 03722, South Korea
  • Novartis Investigative Site
    Seoul, 05505, South Korea
  • Novartis Investigative Site
    Seoul, 06273, South Korea
08

References and documents

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.

Access criteria: This trial data availability is according to the criteria and process described on https://www.clinicalstudydatarequest.com/.

Data sharing details ↗ · www.clinicalstudydatarequest.com

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05666804
Responsible party
Sponsor
First posted
Dec 28, 2022
Start date
Feb 6, 2023
Primary completion
Sep 10, 2025
Completion
Sep 10, 2025
Last update
Dec 15, 2025

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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