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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR VALSARTAN


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505(b)(2) Clinical Trials for VALSARTAN

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Formulation NCT04047940 ↗ A Study of LY900020 in Healthy Chinese Participants Completed Eli Lilly and Company Phase 1 2019-11-29 This study will evaluate three new formulations of LY900020; a fixed dose, combination drug developed for people with type 2 diabetes mellitus. The study will be conducted in healthy participants to investigate the effect of different tablet formulations on the amount of LY900020 in the bloodstream. Side effects and tolerability will be documented. The study will last about 10 weeks for each participant, including screening and follow up. Screening is required within 28 days prior to entering the study.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for VALSARTAN

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00034840 ↗ Telmisartan vs. Valsartan in Patients With Mild to Moderate Hypertension Following a Missed Dose Completed Bayer Phase 4 2001-10-01 The primary objectives are to demonstrate that MICARDIS® (telmisartan) is statistically superior to Diovan® (valsartan) in reducing diastolic blood pressure (DBP) following a missed dose at the end of a 6 to 8-week treatment period as measured by the 24-hour ABPM mean and to demonstrate that MICARDIS® is statistically superior to Diovan® in reducing DBP during the last 6-hours of the 24-hour dosing interval as measured by ABPM following a dose of active study medication at the end of a 6 to 8-week treatment period.
NCT00034840 ↗ Telmisartan vs. Valsartan in Patients With Mild to Moderate Hypertension Following a Missed Dose Completed GlaxoSmithKline Phase 4 2001-10-01 The primary objectives are to demonstrate that MICARDIS® (telmisartan) is statistically superior to Diovan® (valsartan) in reducing diastolic blood pressure (DBP) following a missed dose at the end of a 6 to 8-week treatment period as measured by the 24-hour ABPM mean and to demonstrate that MICARDIS® is statistically superior to Diovan® in reducing DBP during the last 6-hours of the 24-hour dosing interval as measured by ABPM following a dose of active study medication at the end of a 6 to 8-week treatment period.
NCT00034840 ↗ Telmisartan vs. Valsartan in Patients With Mild to Moderate Hypertension Following a Missed Dose Completed Boehringer Ingelheim Phase 4 2001-10-01 The primary objectives are to demonstrate that MICARDIS® (telmisartan) is statistically superior to Diovan® (valsartan) in reducing diastolic blood pressure (DBP) following a missed dose at the end of a 6 to 8-week treatment period as measured by the 24-hour ABPM mean and to demonstrate that MICARDIS® is statistically superior to Diovan® in reducing DBP during the last 6-hours of the 24-hour dosing interval as measured by ABPM following a dose of active study medication at the end of a 6 to 8-week treatment period.
NCT00089518 ↗ Optimal Treatment for Kidney Disease in HIV Infected Adults Withdrawn National Institute of Allergy and Infectious Diseases (NIAID) Phase 3 1969-12-31 The angiotensin receptor blocker (ARB) valsartan is a drug commonly used to treat high blood pressure. Valsartan may also help slow down the progression of kidney disease in HIV infected people. The purpose of this study is to compare valsartan and antiretroviral therapy (ART) to ART alone in slowing kidney disease progression in people with HIV.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for VALSARTAN

Condition Name

Condition Name for VALSARTAN
Intervention Trials
Hypertension 163
Heart Failure 37
Essential Hypertension 20
Healthy 19
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Condition MeSH

Condition MeSH for VALSARTAN
Intervention Trials
Hypertension 176
Heart Failure 74
Essential Hypertension 35
Diabetes Mellitus 27
[disabled in preview] 0
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Clinical Trial Locations for VALSARTAN

Trials by Country

Trials by Country for VALSARTAN
Location Trials
United States 700
Italy 181
China 114
Spain 88
Korea, Republic of 86
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Trials by US State

Trials by US State for VALSARTAN
Location Trials
New Jersey 47
California 30
New York 26
Texas 26
Pennsylvania 25
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Clinical Trial Progress for VALSARTAN

Clinical Trial Phase

Clinical Trial Phase for VALSARTAN
Clinical Trial Phase Trials
PHASE4 6
PHASE3 8
PHASE2 3
[disabled in preview] 4
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Clinical Trial Status

Clinical Trial Status for VALSARTAN
Clinical Trial Phase Trials
Completed 252
Recruiting 49
Not yet recruiting 30
[disabled in preview] 24
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Clinical Trial Sponsors for VALSARTAN

Sponsor Name

Sponsor Name for VALSARTAN
Sponsor Trials
Novartis 91
Novartis Pharmaceuticals 56
Boehringer Ingelheim 7
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Sponsor Type

Sponsor Type for VALSARTAN
Sponsor Trials
Other 333
Industry 249
NIH 9
[disabled in preview] 7
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Last updated: October 28, 2025

inical Trials Update, Market Analysis, and Projection for Valsartan


Introduction
Valsartan, a notable angiotensin II receptor blocker (ARB), has historically played a critical role in managing hypertension and heart failure. Its market dynamics, influenced by clinical trials and regulatory landscape, have undergone significant shifts over recent years, notably following its association with safety concerns related to impurities. This article synthesizes current clinical trial updates, performs a comprehensive market analysis, and provides future projections to aid industry stakeholders in strategic planning.


Clinical Trials Update

Current Status and Ongoing Research
Despite its patent expiration, Valsartan remains a focus of clinical investigation. The majority of ongoing trials aim to explore its expanding therapeutic indications and evaluate long-term safety profiles. Notably, recent studies scrutinize its efficacy in renal protection and cardiovascular events among diverse patient populations, supplementing its conventional indications.

Safety Profile and Regulatory Reassessment
In 2018, concerns emerged regarding contamination with nitrosamines, specifically N-nitrosodimethylamine (NDMA), classified as probable carcinogens. This led to extensive recalls and re-evaluations by regulatory agencies such as the FDA and EMA, which mandated rigorous testing for impurities and reformulation. Subsequent clinical trials have focused on confirming the safety of reformulated Valsartan products and monitoring potential adverse effects associated with residual impurities.

Innovations and Pharmacovigilance
There is burgeoning interest in exploring fixed-dose combinations, such as Valsartan with hydrochlorothiazide, enhancing patient compliance. Trials also examine its role within combination regimens for resistant hypertension. These investigations suggest a movement toward optimizing therapeutic efficacy while ensuring safety, aligning with personalized medicine trends.


Market Analysis

Historical Market Dynamics
Prior to the impurity crisis, Valsartan dominated the ARB market, accounting for a substantial share of antihypertensive prescriptions. Its patent expiration in 2012 led to increased generic competition, driving prices downward but expanding access globally. The contamination scare temporarily suppressed sales, with a marked decline in 2018, before a gradual market resurgence due to reformulated, regulatory-compliant products.

Current Market Landscape
The global Valsartan market is expected to value approximately USD 1.7 billion in 2023, with a compound annual growth rate (CAGR) of 3-5% projected through 2030. Factors influencing this include increasing hypertension prevalence, expanding therapeutic indications, and the continued shift toward generic formulations. Markets in North America and Europe constitute major revenue streams, supported by robust healthcare infrastructure and stringent regulatory standards.

Regulatory Impact and Market Recovery
Post-2018, regulatory agencies mandated comprehensive testing protocols, leading to reformulation and relabeling of Valsartan products. This regulatory environment initially destabilized supply chains but ultimately enhanced market stability by restoring consumer confidence. The emergence of generic competitors facilitated price reductions and increased accessibility, particularly in emerging markets such as India and Southeast Asia.

Emerging Trends Impacting Market Trajectory
Innovative formulations, including fixed-dose combinations and novel delivery systems, are expected to catalyze market growth. Additionally, ongoing research into Valsartan’s potential for novel indications, like diabetic nephropathy, could open new revenue streams. The evolving landscape underscores the importance of regulatory compliance and product innovation in maintaining market share.


Market Projection

Forecast for 2023–2030
The Valsartan market is projected to achieve a CAGR of 4%, reaching approximately USD 2.2 billion by 2030. This growth will be driven by increasing global hypertensive populations, especially in low- and middle-income countries, rising awareness, and expanding treatment guidelines emphasizing ARBs as first-line therapy.

Regional Outlook

  • North America: Continues to lead due to high hypertension prevalence and healthcare spending. Regulatory clarity and patient-centric formulations will bolster growth.
  • Europe: Benefiting from stringent safety regulations, the European market will see steady recovery with a focus on reformulated products.
  • Asia-Pacific: Exhibiting the fastest growth, driven by expanding healthcare infrastructure, rising hypertension rates, and increased market penetration of generics.
  • Latin America and Middle East & Africa: Markets are gradually expanding, with increased acceptance of ARBs and entry of local generic manufacturers.

Challenges and Opportunities

  • Regulatory hurdles: Continued monitoring for impurities and adherence to new safety standards could delay market expansion.
  • Patent expirations: Optimization for generics and biosimilars ensures sustained competitiveness.
  • Emerging therapeutic roles: Investigations into Valsartan’s efficacy for cardio-renal protection open potential for new indications and targeted marketing strategies.

Conclusion

Valsartan remains a pivotal antihypertensive agent amidst a complex regulatory and competitive landscape. Its clinical development continues, emphasizing safety and expanding indications, which will influence its future utility. Market recovery post-impurity concerns illustrates resilience, with a steady growth trajectory aligned with rising global cardiovascular disease burden. Industry players focusing on compliance, innovation, and regional expansion are positioned to capitalize on the drug's long-term prospects.


Key Takeaways

  • Active Clinical Investigations: Current trials focus on safety post-impurity reformulation and exploring new therapeutic uses, such as renal protection.
  • Market Resilience: Despite setbacks from regulatory issues, Valsartan's market is recovering through formulation improvements and expanding indications.
  • Growth Drivers: Rising hypertension prevalence, demographic shifts, and increased generic drug adoption accelerate market growth.
  • Regulatory Landscape: Compliance with impurity testing and safety standards remains paramount to market stability and growth.
  • Future Outlook: Projected steady CAGR of approximately 4% through 2030, with emerging opportunities for combination therapies and new indications.

FAQs

1. What led to the market decline of Valsartan in 2018?
The decline stemmed from contamination with nitrosamines, particularly NDMA, leading to recalls and regulatory action aimed at ensuring product safety [1].

2. How have reforms addressed safety concerns related to Valsartan?
Manufacturers reformulated products to remove impurities, and regulatory agencies mandated rigorous testing, restoring market confidence and ensuring safety standards are met [1].

3. What are the key future applications being explored for Valsartan?
Research is ongoing into its potential benefits for diabetic nephropathy, resistant hypertension, and combination therapies to improve disease management [2].

4. How does market competition impact Valsartan’s pricing and availability?
Patent expiry facilitated entry of generics, increasing affordability and accessibility, especially in emerging markets, while intensifying competition among manufacturers [3].

5. What regulatory trends should stakeholders monitor moving forward?
Stakeholders must stay abreast of impurity testing standards, safety recalls, and approval processes for formulations that incorporate new indications or delivery systems.


References

[1] U.S. Food and Drug Administration. "Valsartan Recall and Safety Information." 2018.
[2] ClinicalTrials.gov. "Ongoing Trials Involving Valsartan." Accessed 2023.
[3] IQVIA. "Generic Drugs Market Analysis." 2022.


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