Summary
Valsartan has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Chronic Kidney Disease would be drug repurposing rather than first-in-human development. This does not mean it is approved for Chronic Kidney Disease. ClinicalTrials.gov lists 8 registered trials linking Valsartan to Chronic Kidney Disease: 1 is currently recruiting; 2 have completed; 5 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 4 (NCT00741585). It plans or enrolled 21983 participants. Registration activity spans 2008 to 2022. The literature layer holds 13 publications for this pair: 5 Cochrane reviews, 1 meta-analysis, 1 systematic review, 1 randomised controlled trial publication and 5 clinical trial publications. Publication years run from 2024 to 2026. Because at least one synthesis-level source exists (systematic review, meta-analysis or Cochrane review), this pair has been assessed beyond single studies, although the synthesis may concern a different indication.
The RepurpOS disease-intelligence file for Chronic Kidney Disease ranks 534 candidate therapeutics from Open Targets, ChEMBL, DGIdb and PubMed; only a minority carry direct clinical evidence, and this page covers one of those. Spontaneous remission context recorded for the condition: GFR decline averages 2-5 mL/min/year on standard care (ACE/ARB + blood pressure control); progression to end-stage renal disease (ESRD) in ~20-30% at 10 years for moderate CKD; reversal essentially impossible once structural fibrosis established.
Evidence table
| Evidence tier | A · Strong |
|---|---|
| Evidence score | 75.0 (trials 25.0, literature 30.0, tier 15, approved bonus 5.0) |
| Registered trials | 8 total: 1 recruiting, 0 active / not yet recruiting, 2 completed, 5 other |
| Linked publications | 13 (5 Cochrane reviews, 5 clinical trial publications, 1 meta-analysis, 1 systematic review, 1 randomised controlled trial publication) |
| Agent type | Drug (Small molecule) |
| Development stage (any indication) | Approved |
| Mechanism / class | inhibitor; inhibitor |
| Data sources | DGIdb |
| Linked via biomarker / target | AGTR1 |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
| NCT ID | Title | Status | Phase | Enrolment |
|---|---|---|---|---|
| NCT00741585 | Prognostic Value of the Circadian Pattern of Ambulatory Blood Pressure for Multiple Risk Assessment 2008 | completed | Phase 4 | 21,983 |
| NCT00858299 | The Change of Urinary Angiotensinogen Excretion After Valsartan Treatment in Patients With Persistent Proteinuria 2009 | status unknown | Phase 4 | 500 |
| NCT02299310 | Effect of Valsartan vs Perindopril on HOMA-IR Index in Patients With Chronic Kidney Disease 2014 | status unknown | Phase 4 | 60 |
| NCT01377285 | Renoprotection by Pentoxifylline and Angiotensin Receptor Blocker in Chronic Kidney Disease (CKD) 2010 | status unknown | Phase 4 | 350 |
| NCT04263922 | Huaiqihuang Granule in the Treatment of Primary Glomerulonephritis of Stage CKD3 2020 | status unknown | Phase 4 | 466 |
| NCT01617681 | Efficacy, Safety and Tolerability of Multiple Doses of Valsartan in Children With Hypertension With or Without CKD 2012 | completed | Phase 3 | 127 |
| NCT05279742 | Enhancing the Natriuretic Peptide System in HFpEF 2022 | enrolling by invitation | PHASE1, PHASE2 | 60 |
| NCT05271448 | Continuing or Discontinuing ACE/ARBs in Patients With Chronic Kidney Disease Undergoing Coronary Angiography 2021 | status unknown | Not applicable | 600 |
Published literature
- Cochrane review The effectiveness and safety of sacubitril/valsartan in real-world dialysis patients with heart failure reduced ejection fractionTu KC, Weng YC, Liao CT et al. · Medicine · 2026 · PMID 41630233
- Meta-analysis Efficacy of ARNIs on hard renal outcomes in heart failure with and without chronic kidney disease: when endpoint definition matters-an updated meta-analysisCianciolo G, Vetrano D, Tomassetti A et al. · ESC heart failure · 2026 · PMID 42247581
- Clinical trial publication On-treatment systolic blood pressure and preserved kidney function in hypertensive patients with proteinuria. The VALUE TrialOlsen E, Mariampillai JE, Schmieder RE et al. · Blood pressure · 2025 · PMID 40765469
- Clinical trial publication Obesity and Risk of Kidney Outcomes in Heart Failure With Preserved Ejection Fraction: A Participant-Level Pooled Analysis of 4 Contemporary TrialsLassen MCH, Ostrominski JW, Claggett BL et al. · JACC. Heart failure · 2025 · PMID 40494011
- Clinical trial publication Low Achieved Systolic Blood Pressure Related to Kidney Protection in Diabetic and Non-Diabetic High-Risk Hypertensive PatientsOlsen E, Søraas CL, Schmieder RE et al. · American journal of hypertension · 2025 · PMID 40397037
- Clinical trial publication Switching From ARBs to Sacubitril/Valsartan Safely Improves 24-Hour Ambulatory Blood Pressure in Patients With Advanced Chronic Kidney DiseaseKinguchi S, Ishiga K, Wakui H et al. · American journal of hypertension · 2025 · PMID 40063419
- Clinical trial publication Effects of valsartan vs amlodipine and achieved lower blood pressure on the incidence of end-stage kidney disease: The VALUE TrialOlsen E, Jamerson K, Schmieder RE et al. · European journal of internal medicine · 2025 · PMID 39694747
- Cochrane review Updates in chronic kidney disease management: A systematic reviewAmmar A, Edwin SB, Whitney R et al. · Pharmacotherapy · 2025 · PMID 40152479
- Cochrane review Efficacy and safety of sacubitril-valsartan in hypertension patients with end-stage kidney disease on maintenance dialysis: a meta-analysisNguyen DV, Pham GT, Pham SN et al. · Journal of hypertension · 2025 · PMID 39927814
- Cochrane review Efficacy and safety of angiotensin receptor-neprilysin inhibition in heart failure patients with end-stage kidney disease on maintenance dialysis: A systematic review and meta-analysisNguyen DV, Le TN, Truong BQ et al. · European journal of heart failure · 2025 · PMID 39252524
- Cochrane review Efficacy of Modern Therapies for Heart Failure with Reduced Ejection Fraction in Specific Population Subgroups: A Systematic Review and Network Meta-AnalysisLavalle C, Mariani MV, Severino P et al. · Cardiorenal medicine · 2024 · PMID 39284285
- Randomized controlled trial Cardiovascular-kidney-metabolic overlap in heart failure with preserved ejection fraction: Cardiac structure and function, clinical outcomes, and response to sacubitril/valsartan in PARAGON-HFLassen MCH, Ostrominski JW, Claggett BL et al. · European journal of heart failure · 2024 · PMID 38932589
- Systematic review The role of sacubitril/valsartan in abnormal renal function patients combined with heart failure: a meta-analysis and systematic analysisYang X, Jin J, Cheng M et al. · Renal failure · 2024 · PMID 38869007
Mechanism and notes
Recorded mechanism or class: inhibitor; inhibitor.
OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in DGIdb, in this case via the biomarker or target AGTR1. The tier describes how well the drug-disease link is documented, not how well the drug works.
Frequently asked questions
Is Valsartan approved for Chronic Kidney Disease?
Valsartan has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Chronic Kidney Disease would be drug repurposing rather than first-in-human development. This does not mean it is approved for Chronic Kidney Disease. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Valsartan in clinical trials for Chronic Kidney Disease?
ClinicalTrials.gov lists 8 registered trials linking Valsartan to Chronic Kidney Disease: 1 is currently recruiting; 2 have completed; 5 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 4 (NCT00741585). It plans or enrolled 21983 participants. Registration activity spans 2008 to 2022.
What does the evidence show for Valsartan in Chronic Kidney Disease?
Valsartan has both completed registered trials and synthesis-level publications linked to Chronic Kidney Disease. That is the strongest profile in this database, but the summaries here do not extract effect sizes, so read the linked reviews for direction and magnitude of benefit. OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in DGIdb, in this case via the biomarker or target AGTR1. The tier describes how well the drug-disease link is documented, not how well the drug works.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-07-05. Page built 2026-10-07.