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Macular Polypoidal Choroidal Vasculopathy (PCV)Phase 3PROUDNCT05666804

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

A Phase 3 study testing Brolucizumab 6mg in people with Macular Polypoidal Choroidal Vasculopathy (PCV), run by Novartis Pharmaceuticals at 15 sites in South Korea.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial 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 more about this study

Who is it for?
Ages 50 to 100 years
What is being tested?
Brolucizumab 6mg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
148 participants
Where
15 sitesSouth Korea
Study dates
6 Feb 2023to 10 Sep 2025
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent must be obtained prior to participation in the study.
  • Participants ≥ 50 years of age at Screening.
  • Study eye:
  • 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.
  • 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.
  • 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).

Who cannot join

  • Ocular conditions:
  • 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.
  • 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.
  • 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.
  • Any Polypoidal choroidal vasculopathy (PCV) masquerades like macular aneurysms, macular telangiectasia, etc. in study eye.
  • 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.
Show all 13Show fewer
  • Ocular treatments in the study eye:
  • Previous treatment with any anti-Vascular endothelial growth factor (VEGF) drugs or investigational drugs at any time prior to Baseline.
  • Previous use of intraocular or periocular steroids within the 6-month period prior to Baseline.
  • 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:
  • Stroke or myocardial infarction during the 6-month period prior to Baseline.
  • Systemic anti-VEGF therapy any time prior to Baseline.

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

South Korea15 sites
  • Novartis Investigative Site

    Bundang Gu, Gyeonggi-do, 13620

  • Novartis Investigative Site

    Busan, 48108

  • Novartis Investigative Site

    Busan, 49241

  • Novartis Investigative Site

    Busan, 613-815

  • Novartis Investigative Site

    Daegu, Dalseo Gu, 42602

  • Novartis Investigative Site

    Daegu, 705703

  • Novartis Investigative Site

    Daejeon, Korea, 35015

  • Novartis Investigative Site

    Gwangju, 61469

  • Novartis Investigative Site

    Seoul, Korea, 02447

  • Novartis Investigative Site

    Seoul, Korea, 03080

  • Novartis Investigative Site

    Seoul, 01000

  • Novartis Investigative Site

    Seoul, 01869

  • Novartis Investigative Site

    Seoul, 03722

  • Novartis Investigative Site

    Seoul, 05505

  • Novartis Investigative Site

    Seoul, 06273

Other trials in South Korea

About this study

Official title: A 60-week, Phase IIIb, Randomized, Multi-center Study Assessing the Efficacy and Safety of a Personalized Monotherapy Regimen of Brolucizumab in Patients With Symptomatic Macular Polypoidal Choroidal Vasculopathy (PROUD Study)

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.

Being tested
Brolucizumab 6mg
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
Medical subject headings
Polypoidal Choroidal Vasculopathy, Retinal Diseases, Vascular Diseases, Eye Diseases, Scotoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Brolucizumab 6mgDrug

    Also called Beovu

    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

  • Brolucizumab 6mgDrug

    Also called 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

Study groups in NCT05666804
Study groupRoleWhat they receive
Personalized regimen armExperimental1~3 x 4-week loading injections and one 8-week injection, followed by Treat-and-extend (T\&E) regimen up to Week 56
Receives: Drug: Brolucizumab 6mg
Standard regimen armActive comparator3 x 4-week loading injections and disease activity assessment at week 16 followed by q12w/q8w up to Week 56
Receives: Drug: Brolucizumab 6mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  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

    Measured: from Week 48 to Week 60

Secondary outcomes (21)
  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)

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: 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)

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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).

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: Up to Week 60

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Dec 2022
  2. Study start6 Feb 2023
  3. Primary completion10 Sep 2025
  4. Study completion10 Sep 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
148 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05666804
Sponsor's protocol ID
CRTH258AKR03
Acronym
PROUD
Status last verified
Dec 2025
First submitted
19 Dec 2022
Last updated
15 Dec 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Brolucizumab 6mg in people with Macular Polypoidal Choroidal Vasculopathy (PCV), run by Novartis Pharmaceuticals at 15 sites in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Average change in Best Corrected Visual Acuity (BCVA) from Baseline at a period from Week 48 to Week 60 (time frame: from Week 48 to Week 60). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Dec 2025.

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