Last Updated: September 25, 2026

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.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for valsartan

Condition Name

Condition Name for valsartan
Intervention Trials
Hypertension 164
Heart Failure 38
Essential Hypertension 20
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Condition MeSH

Condition MeSH for valsartan
Intervention Trials
Hypertension 177
Heart Failure 75
Essential Hypertension 35
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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 115
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 7
PHASE3 8
PHASE2 5
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Clinical Trial Status

Clinical Trial Status for valsartan
Clinical Trial Phase Trials
Completed 253
Recruiting 51
Not yet recruiting 30
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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 337
Industry 250
NIH 9
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Valsartan Clinical Trials Update, Market Analysis, and Exclusivity/Generic Risk Outlook

Last updated: July 25, 2026

Valsartan is an angiotensin II receptor blocker (ARB) used for hypertension, heart failure, and post-myocardial infarction indications. The commercial market is dominated by branded and authorized generic products, with pricing pressure driven by widespread generic entry. Near-term development activity is concentrated on fixed-dose combinations, formulation differentiation, and regulatory lifecycle management rather than new chemical entity (NCE) discovery.

What is the current clinical trials landscape for valsartan (2024–2026)?

Clinical development activity for valsartan continues, but most programs focus on incremental improvements, regional bridging, and combination products rather than new mechanisms. The active pipeline tends to cluster around:

  • Combination ARBs and ARB plus other antihypertensives for hypertension and cardiovascular risk.
  • Formulation work, including extended-release or bioavailability/variability reduction, where sponsors seek differentiation or regulatory leverage.
  • Label expansions or geographic submissions for existing indications, typically tied to local standards.

Because valsartan is off-patent in many jurisdictions and heavily genericized, trial designs typically target regulatory endpoints such as bioequivalence, pharmacokinetics, tolerability, and comparative safety rather than hard outcome superiority. For investment and licensing decisions, the pipeline signal is less “new efficacy” and more “manufacturing and IP strategy.”

Which trial types dominate valsartan studies?

  • Bioequivalence trials for generics, authorized generics, and line extensions.
  • Comparative tolerability or switching studies in hypertension.
  • Fixed-dose combination trials aimed at adherence and blood-pressure response endpoints.
  • Bridging studies for pediatric or region-specific label language where required.

What endpoints are most common in valsartan trials?

  • Change in systolic and diastolic blood pressure (short-term).
  • Safety assessments focused on renal function and hyperkalemia risk, aligned with class effects.
  • PK parameters (AUC, Cmax, Tmax) for formulation and combination approvals.

How big is the global valsartan market, and what growth drivers matter?

Valsartan is a high-volume cardiovascular drug with mature penetration. Growth is primarily driven by:

  • Population growth and aging in key markets.
  • Ongoing substitution into formularies for ARB class adherence.
  • Use in heart failure and post-MI regimens where clinicians choose ARBs when ACE inhibitors are not tolerated.

Pricing is the key constraint. The generic-dominant ecosystem reduces unit prices, making volume and mix shifts the primary growth levers.

Market structure: branded vs generic

  • Branded products face structural compression from generic competition across major markets.
  • Authorized generics and multiple generic SKUs drive margin erosion.
  • Portfolio strategy shifts toward combinations and product differentiation where possible.

Regional commercialization patterns

  • US: generic dominance; branded presence is largely historical or via managed brand/authorized generic strategies.
  • EU and UK: high generic penetration; line extensions and combination products often drive incremental demand.
  • Emerging markets: slower transition in some countries historically, but continued generic rollout is typical once local approvals mature.

When does valsartan lose exclusivity, and what launches could occur next?

Valsartan exclusivity is not a single event because exclusivity and patent protection vary by jurisdiction and by product. In the US, the practical launch timing is driven by:

  • Orange Book-listed patents tied to specific NDCs and dosage forms.
  • Expiration of composition and method-of-use patents (where applicable).
  • Generic applicants’ Paragraph IV litigation and settlement dynamics where they exist.

In most cases, valsartan’s base composition patents have long since expired, and the dominant risk is not “re-entry after exclusivity,” but the frequency of new generic filings for remaining brand/formulation-specific patents and the continued rollout of authorized generics around contested listings.

What triggers an FDA generic launch risk?

  • Expiry of the last Orange Book patent listed for the target reference product/dosage form.
  • Successful Paragraph IV resolution (or a final judgment) that clears the relevant patents.
  • Platform exclusivity expiration for any covered exclusivity granted to a particular reference or sponsor.

What is the most likely US generic entry scenario?

Given valsartan’s maturity, generic entry risk is best modeled as:

  • Ongoing SKU-level approvals for multiple strengths and dosage forms.
  • Price competition and switching among interchangeable products rather than a single “cliff” launch date.
  • Continued opportunistic entries after final patent expiry for specific product presentations.

What is the Orange Book status of valsartan, and how many patents still matter?

Orange Book coverage for valsartan has historically been dominated by patents for specific dosage forms, formulations, and methods-of-use rather than broad composition blocks. For commercial risk assessment, the key is the count and category of Orange Book patents per reference product and strength.

In practice, investors and litigators should focus on:

  • Composition-of-matter patents: typically expired for the active moiety.
  • Method-of-use patents: can persist longer depending on specific claims and jurisdictions.
  • Formulation or manufacturing process patents: can constrain certain bioequivalent transitions if claims are still enforced or not designed around.

Because Orange Book listings are NDC-specific and change as patents expire, the effective “how many still matter” answer is product- and strength-dependent. For a launch forecast, the correct unit of analysis is “last-to-expire patent per target NDC/presentation,” not “valsartan overall.”

How does valsartan patent strength compare with other ARBs (losartan, irbesartan, telmisartan)?

Valsartan competes in a class where most members are similarly mature. Patent strength differences tend to be driven by:

  • Whether any member retains enforceable method-of-use or formulation patents in major markets.
  • Whether key manufacturers have built durable, NDC-specific patent estates around combination products.

Relative to other ARBs:

  • Valsartan is widely genericized and typically shows less remaining brand-level patent leverage than newer entrants.
  • The competition for market share focuses on combination portfolios, price, and supply-chain reliability.

What formulations and fixed-dose combinations are most commercially relevant for valsartan?

Valsartan’s commercial relevance increasingly concentrates in:

  • Fixed-dose combinations: valsartan plus hydrochlorothiazide (HCTZ) and valsartan plus other antihypertensives depending on region.
  • Strength and dosage-form variants designed for interchangeability and ease of prescribing.
  • Formulation lifecycle management to reduce manufacturing variability and improve patient adherence.

How do combination products change the IP and generic risk picture?

Combination products create separate patent universes:

  • Separate Orange Book listings per combo product and strength.
  • Additional method-of-use or fixed-dose regimen claims when included.
  • More complex manufacturing validation, which can raise practical barriers even when composition patents are expired.

What patent litigation affects valsartan, including Paragraph IV challenges and settlements?

For a drug as mature as valsartan, patent litigation tends to be:

  • Cyclical and NDC-specific rather than systemic across all valsartan products.
  • Driven by the existence of remaining Orange Book-listed patents tied to specific formulations or dosage forms.

When Paragraph IV challenges occur, settlements typically define:

  • Entry dates for particular generic applicants.
  • Carve-outs by strength, dosage form, or NDC.

From a market forecasting perspective, litigation matters most as a timing variable for specific SKUs, not as a broad blocker of generic competition.

What regulatory issues impact valsartan supply and marketability (recalls, NDMA, nitrosamine risk)?

Nitrosamine contamination risk has shaped the valsartan market environment across multiple product lines historically. Regulators required:

  • Investigation and control plans.
  • Updated manufacturing controls and testing.
  • Label and product management where affected lots were detected.

This type of issue can temporarily disrupt supply and alter short-term pricing and availability, even when the drug is genericized.

Commercial projection: how will valsartan perform into 2026?

A practical projection framework treats valsartan as a volume-plus-mix business with pricing drag:

  • Volume: supported by continued guideline use for hypertension and heart failure populations.
  • Mix: supported by increased use of combinations and by country-specific formulary dynamics.
  • Price: pressured by continued generic entry and authorized generic competition.
  • Operational risk: controlled by ongoing quality compliance and nitrosamine monitoring requirements.

Base-case forecast (directional)

  • Continued market growth in units, but flatter or declining revenue in many regions due to unit price erosion.
  • Combination products outperform single-ingredient equivalents on revenue resilience.
  • Supply stability becomes a differentiator when quality events are localized to specific manufacturers or sites.

Downside and upside scenarios

  • Downside: renewed quality or nitrosamine findings affecting supply and triggering substitution to other ARBs, plus faster-than-expected SKU-level generic erosion.
  • Upside: stabilization in pricing driven by consolidation among suppliers, improved quality consistency, and sustained mix shift toward combos.

Which companies are likely to compete most aggressively for valsartan market share?

Competition comes from:

  • Large generic manufacturers with broad ARB portfolios and manufacturing scale.
  • Authorized generic strategies tied to branded reference products where applicable.
  • Regional generics with local pricing leverage, especially where tendering and reimbursement favor lowest-cost equivalents.

In forecasting, the competitive set is best treated as “lowest landed cost SKUs with dependable supply” rather than as a single branded competitor.

What R&D is still rational for valsartan sponsors?

With the core molecule mature, rational R&D typically targets:

  • Combination portfolio expansion within ARB and antihypertensive classes.
  • Formulation refinement to reduce variability and meet evolving quality test requirements.
  • Patient-focused delivery strategies that improve adherence (once regulatory and IP are cleared for the specific jurisdictions and products).
  • Lifecycle management aligned with manufacturing excellence and compliance.

Key takeaways

  • Valsartan development activity is mainly incremental: combinations, formulations, and regulatory bridging rather than major mechanism innovation.
  • The market is mature and genericized; unit growth is likely, but revenue growth depends on mix and pricing stabilization.
  • Exclusivity and launch timing are NDC-specific and driven by Orange Book patent tail risk and SKU-level patent cliffs, not by a single “valsartan expiration date.”
  • Litigation and Paragraph IV events, where they occur, are most relevant for specific strengths and dosage forms.
  • Regulatory quality and nitrosamine risk management can drive short-term supply and pricing volatility by manufacturer and lot, not by active ingredient alone.

FAQs

  1. What are the most common FDA pathways used for generic valsartan approvals?
  2. How do fixed-dose combinations like valsartan/HCTZ change exclusivity and generic switching risk?
  3. Which nitrosamine testing and control requirements matter most for valsartan manufacturers?
  4. What types of valsartan patents typically survive longer: method-of-use vs formulation vs manufacturing process?
  5. How should investors model revenue risk for mature generics like valsartan under accelerating SKU-level competition?

References

  1. U.S. Food and Drug Administration. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. FDA.
  2. U.S. Food and Drug Administration. Drug Safety Communications and Nitrosamine-Related Updates (valsartan and other ARBs). FDA.
  3. European Medicines Agency. Nitrosamine guidance and updates for ARBs (where applicable). EMA.

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