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Polypoidal Choroidal Vasculopathy (PCV)Phase 4NCT07365371

A Prospective, Multicenter, Open-label, Randomized Clinical Trial to Evaluate the Efficacy, Durability, and Safety of Aflibercept 8mg in Different Treatment Regimens in Chinese Patients With Polypoidal Choroidal Vasculopathy (PCV)

A Phase 4 study testing Aflibercept Intravitreous Injection in people with Polypoidal Choroidal Vasculopathy (PCV) and Neovascular Age Related Macular Degeneration (AMD), run by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine at 20 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical trial is to investigate the efficacy, durability, and safety of aflibercept 8 mg in treating Polypoidal Choroidal Vasculopathy (PCV) in Chinese naive patients. The main questions it aims to answer are: 1. Read more about this study

Who is it for?
Ages 50 years and older
What is being tested?
Aflibercept Intravitreous Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
174 participants
Where
20 sitesChina
Study dates
1 Jan 2026to 31 Dec 2027
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients who fully understand the content, process, and possible AE of the study and capable of giving written informed consent form.
  • Male or female, age ≥ 50 years, at the time of signing the informed consent form.
  • Women of childbearing potential (WOCBP) must agree to practice a double method of contraception of a medically acceptable method of contraception with an annual failure rate of less than 1% (see Appendix 1) with a barrier contraceptive (such as condom) during the study and for 4 months after discontinuation of study treatment. Women are considered not of childbearing potential if they are surgically sterile (i.e., hysterectomy, bilateral oophorectomy, or bilateral salpingectomy) or > 1 year postmenopausal. WOCBP must have negative results of pregnancy test at screening and must not be pregnant, breast feeding, lactating, or planning to become pregnant, breast feed or donate ova during the study and for 4 months after discontinuation of study treatment.
  • All male participants with female partners of childbearing potential must agree to practice a double method of contraception of a medically acceptable method of contraception with an annual failure rate of less than 1% (see Appendix 1) with a barrier contraceptive (such as condom), and must agree to abstain from sperm donation during and for 4 months after participation in the study.
  • Ocular Inclusion Criteria for Study Eye: Sufficiently clear ocular media and adequate pupillary dilatation to allow acquisition of good quality retinal images to confirm diagnosis.
  • Ocular Inclusion Criteria for Study Eye: Confirmed diagnosis, by the investigator, of symptomatic macular PCV defined by the following: a. Active macular polypoidal lesions shown by ICGA, AND presence of CNV involving the macula area within the 6.0 mm ETDRS zone as identified by the investigator using multimodal images. b. BCVA scores of 78~24 ETDRS letters, inclusive (20/32 to 20/320 approximate Snellen equivalent), using the ETDRS protocol and assessed at the initial testing distance of 4 meters on study Day 1 Note: If both eyes meet the inclusion criteria, the eye with the worst visual acuity (VA) at the screening visit will be designated as the study eye. If both eyes have the same VA, the Investigator and patient will determine the study eye.

Who cannot join

  • Treatment with investigational therapy (anti-VEGF, corticosteroid, laser photocoagulation, panretinal or macular, and PDT) or approved medications for PCV treatment prior to initiation of study treatment on study Day 1.
  • Allergy or hypersensitivity to any of the compounds/excipients in the study interventions formulations.
  • Uncontrolled blood pressure (defined as systolic >160 mmHg or diastolic >95 mmHg). Participants may be treated with up to 3 agents known to have anti-hypertensive effects for arterial hypertension to achieve adequate blood pressure control. This limit applies to drugs that could be used to treat hypertension even if their primary indication in the participant was not for blood pressure control. Any recent changes in medications known to affect blood pressure need to be stable for 12 weeks prior to screening.
  • History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug, might affect interpretation of the results of the study, or renders the participant at high risk for treatment complications.
  • Any other conditions that the Investigator considers may affect the patients' informed consent or adherence to the study protocol, completion of the test according to the study procedure, or the patients' participation in the test may affect the test results or their own safety.
  • Pregnant or breastfeeding.
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  • Ocular Exclusion Criteria for Study Eye: Any history or presence of macular pathology unrelated to PCV affecting vision or contributing to the presence of macular hemorrhage, IRF, or SRF.
  • Ocular Exclusion Criteria for Study Eye: Retinal pigment epithelial tear involving the macula on study Day 1.
  • Ocular Exclusion Criteria for Study Eye: On FA/ fundus photograph (FP): a. Subretinal hemorrhage of >4 macular photocoagulation study disc area and/or that involves the fovea b. Fibrosis or atrophy of >50% of the total lesion area and/or that involves the fovea
  • Ocular Exclusion Criteria for Study Eye: Any concurrent intraocular condition (e.g., amblyopia, aphakia, retinal detachment, cataract, DR or maculopathy, or epiretinal membrane with traction) that, in the opinion of the investigator, could either reduce the potential for visual improvement or require medical or surgical intervention during the study a. Current vitreous hemorrhage on study Day 1 b. Uncontrolled glaucoma c. Any cataract surgery or treatment for complications of cataract surgery with steroids or YAG laser capsulotomy within 3 months prior to study Day 1 d. Any other intraocular surgery (e.g., pars plana vitrectomy, glaucoma surgery, corneal transplant, or radiotherapy) e. Prior periocular pharmacological or IVT treatment (including anti-VEGF medication) for other retinal diseases • Evidence of infectious blepharitis, keratitis, scleritis, or conjunctivitis in either eye within 4 weeks of the screening visit f. Any intraocular inflammation/infection in either eye within 12 weeks of the screening visit g. History of idiopathic or autoimmune uveitis in the study eye.

Trial locations and contacts

20 sites in 1 country. Contact the study team or a site near you to ask about taking part.

20 sites in 1 country

China20 sites
  • Beijing Hospital

    Beijing, Beijing Municipality

    Hong Dai, +86-13910280398, dai-hong@x263.net

  • Beijing Tongren Hospital, CMU

    Beijing, Beijing Municipality

    Zhaoyang Wang, +86-15921108602, zhaokekewzy@hotmail.com

  • The Second People's Hospital Of Foshan

    Foshan, Guangdong

    Xiangbin Kong, +86-13929994766, xiangbin_kong@sina.com

  • The Second Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang

    Zhiqing Chen, +86-13588069151, 626619258@qq.com

  • The First Affiliated Hospital Of Harbin Medical University

    Harbin, Heilongjiang

    Hong Zhang, +86-13804505456, 13804505456@163.com

  • Jiaxing Hospital of T.C.M

    Jiaxing, Zhejiang

    Lijun Jiang, +86-13567331008, Eye200@163.com

  • The Second Norman Bethune Hospital Of Jilin University

    Jilin City, Jilin

    Jun Xiao, +86-13069247911, xiaoj@jlu.edu.cn

  • Shandong Provincial Hospital

    Jinan, Shandong

    Han Zhang, +86-13705310696, zhanghan0696@139.com

  • The First Affiliated Hospital of Kunming Medical University

    Kunming, Yunan

    Ling Yuan, +86-13808727321, yuanling8061@163.com

  • Affiliated Eye Hospital of Nanchang University

    Nanchang, Jiangxi

    Zhipeng You, +86-13970032654, yzp74@sina.com

  • Jiangsu Province Hospital , The First Affiliated Hospital with Nanjing Medical University

    Nanjing, Jiangsu

    Weiwei Zhang, +86-15996356000, 15996356000@139.com

  • Eye & ENT Hospital of Fudan University

    Shanghai, Shanghai Municipality

    Wei Liu, +86-13916679479, bfgf14@aliyun.com

  • Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai

  • Shanxi Eye Hospital

    Taiyuan, Shanxi

    Guohong Zhou, +86-15834030980, guohongzhou2005@163.com

  • Tianjin Eye Hospital

    Tianjin, Tianjin Municipality

    Mei Han, +86-13114977372, hanmay69@sina.com

  • Affiliated Hospital Of Shandong Second Medical University

    Weifang, Shandong

    Aijun Deng, +86-15966077166, dengaijun@hotmail.com

  • Renmin Hospital Of Wuhan University

    Wuhan, Hubei

    Xuan Xiao, +86-15327218573, xiaoxuan1111@whu.edu.cn

  • Xi' AN No.1 Hospital

    Xi'an, Shaanxi

    Huiqin Lu, +86-13389255280, 13389255280@163.com

  • The First People's Hospital Of Xianyang

    Xianyang, Shaanxi

    Min Wang, +86-15191068813, angin2001@126.com

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan

    Liping Du, +86-13838191481, dulplab@foxmail.com

Other trials in China

About this study

The goal of this clinical trial is to investigate the efficacy, durability, and safety of aflibercept 8 mg in treating Polypoidal Choroidal Vasculopathy (PCV) in Chinese naive patients. The main questions it aims to answer are:

  1. What is the change in Best Corrected Visual Acuity (BCVA) at Week 52 from baseline in different treatment regimens?
  2. What proportion of patients achieve sustained disease control after receiving the loading dose?
Read more

Participants will:

  • Receive intravitreal aflibercept 8 mg loading doses (3 initial monthly doses).
  • In Arm A:
  • Undergo reinjections based on disease activity, with follow-up examinations every 4 weeks until week 48.
  • Return for an end-of-study visit at week 52.
  • In Arm B:
  • Undergo an examination at week 12 and subsequent treatments based on disease activity, with a maximum interval of 20 weeks and a minimum interval of 8 weeks between doses if the disease remains inactive.
  • Return for an end-of-study visit at week 52.

This study will assess the efficacy, safety and durability of aflibercept 8mg in these 2 regimens.

Being tested
Aflibercept Intravitreous Injection
Keywords
Polypoidal Choroidal Vasculopathy (PCV), Neovascular age related macular degeneration (AMD), Aflibercept 8mg
Medical subject headings
Polypoidal Choroidal Vasculopathy

What participants receive

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

  • Aflibercept Intravitreous InjectionDrug

    Patients will be given IVT injection(s) of IMP using standard injection techniques.

Study groups in NCT07365371
Study groupRoleWhat they receive
Arm AOtherAll enrolled patients meeting eligibility will receive intravitreal aflibercept 8 mg loading doses (3 initial monthly doses). Subsequent reinjections will be given according to the changes in patients' disease activity. If no retreatment criteria are met, no additional injections will be given, and patients will undergo follow-up examinations (including ETDRS visual acuity, findus photography, OCT-A and SD-OCT) every 4 weeks until week 48. Patients will return to the Clinical Research Unit (CRU) for an end-of-study (EOS) visit at week 52.
Receives: Drug: Aflibercept Intravitreous Injection
Arm BOtherAll enrolled patients meeting eligibility will receive intravitreal aflibercept 8 mg loading doses (3 initial monthly doses). All patients in this group will undergo an examination at week 12, including ETDRS visual acuity, fundus photography, OCT-A and SD-OCT. Subsequent treatment regime will depend on disease activity. If disease is considered inactive, the next dose will occur at week 16 (8 week interval from last dose at week 8) and subsequent dose and visit will be extended by 4 weeks up to a maximum interval of 20 weeks and minimum interval of 8 weeks between treatments if disease remains quiescent. If signs of activity are noted at any visit point, visit interval will be reduced by 4 weeks. The last dose will be administered no later than week 48. Patients will return to the CRU for an EOS visit at week 52.
Receives: Drug: Aflibercept Intravitreous Injection

What is being measured

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

  1. Best Corrected Visual Acuity (BCVA) change at Week 52 after baseline in different treatment regimens.

    BCVA (study eye and the fellow eye) examination

    Measured: up to 52 Weeks

Secondary outcomes (10)
  1. Percentage of patients gaining >15, >10, or ≥5 letters in BCVA after baseline

    BCVA (study eye and the fellow eye) examination

    Measured: up to 52 Weeks

  2. Percentage of patients achieving complete polypoidal lesion regression at Weeks 52

    SD-OCT Spectral Domain Optical Coherence Tomography, FA Fluorescein Angiography, ICGA Indocyanine Green Angiography, OCT-A Optical Coherence Tomography Angiography, FP Fundus Photography examinations

    Measured: up to 52 Weeks

  3. Percentage of patients with no active polypoidal lesion at Week 52

    SD-OCT Spectral Domain Optical Coherence Tomography, FA Fluorescein Angiography, ICGA Indocyanine Green Angiography, OCT-A Optical Coherence Tomography Angiography, FP Fundus Photography examinations

    Measured: up to 52 Weeks

  4. Change from baseline in central subfield thickness (CST) at Week 12 and 52.

    SD-OCT Spectral Domain Optical Coherence Tomography examination

    Measured: up to 12 and 52 Weeks

  5. BCVA change from baseline at Week 12

    BCVA (study eye and the fellow eye) examination

    Measured: up to 12 Weeks

  6. Percentage of patients achieving Q8W, Q12W, and Q16W treatment intervals at Week 52 in Arm B.

    Calculating the ratio

    Measured: up to 52 Weeks

  7. Percentage of patients achieving Q20W of last assigned interval at Week 52 in Arm B.

    Calculating the ratio

    Measured: up to 52 Weeks

  8. Percentage of patients achieving ≥12-week, ≥16-week and ≥20-week treatment intervals after completing loading doses in Arm A.

    Calculating the ratio

    Measured: up to 52 Weeks

  9. Total number of intravitreal injections administered through Week 52 in both arms.

    Counting

    Measured: up to 52 Weeks

  10. Incidence and severity of ocular & non-ocular adverse events.

    Recording of adverse events

    Measured: up to 52 Weeks

Timeline

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

  1. First posted26 Jan 2026
  2. Study start1 Jan 2026 (estimated)
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
174 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07365371
Sponsor's protocol ID
23106
Status last verified
Jan 2026
First submitted
9 Dec 2025
Last updated
26 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Aflibercept Intravitreous Injection in people with Polypoidal Choroidal Vasculopathy (PCV) and Neovascular Age Related Macular Degeneration (AMD), run by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine at 20 sites in China.

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 10 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: opening soon, as of the sponsor's last update on 26 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in China. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Xiaodong Sun (+86-13651765503, xdsun@sjtu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Best Corrected Visual Acuity (BCVA) change at Week 52 after baseline in different treatment regimens. (time frame: up to 52 Weeks). 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 26 Jan 2026.

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