Asset profile

Sacubitril/valsartan · Entresto

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Heart Failure

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Partial signal

Also in development:Hypertension · Phase 3

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Competitive landscape

114 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 114 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Sacubitril / Valsartan (Entresto): this drugApprovedSmall moleculeNeprilysin + Angiotensin II receptor (dual)
Aprocitentan (Tryvio)ApprovedSmall moleculeEndothelin receptor (ETA/ETB, dual)
Baxdrostat (Baxfendy)ApprovedSmall moleculeAldosterone synthase (CYP11B2)
Bosentan (Tracleer)ApprovedSmall moleculeEndothelin receptor (ETA/ETB, dual)
Dapagliflozin (Farxiga / Forxiga)ApprovedSmall moleculeSGLT2
Empagliflozin (Jardiance)ApprovedSmall moleculeSGLT2
Epoprostenol (Flolan)ApprovedSmall moleculeIP receptor (prostacyclin pathway)
Ferric Carboxymaltose (Injectafer / Ferinject)ApprovedIron Complex (iv)Iron repletion
Ferric Derisomaltose (Monoferric / Monofer)ApprovedIron Complex (iv)Iron repletion
Finerenone (Kerendia)ApprovedSmall moleculeMineralocorticoid receptor
Furosemide (subcutaneous, scPharmaceuticals) (FUROSCIX)ApprovedSmall moleculeNKCC2
Furosemide (subcutaneous, SQ Innovation) (Lasix ONYU)ApprovedSmall moleculeNKCC2
Icodextrin (peritoneal Ultrafiltration) (Extraneal)ApprovedDevice Solution (peritoneal Dialysis)Peritoneal ultrafiltration
Isosorbide Dinitrate / Hydralazine (BiDil)ApprovedSmall moleculeHydralazine/isosorbide dinitrate (fixed combination)
Ivabradine (Corlanor)ApprovedSmall moleculeIf (funny) channel
Mavacamten (Camzyos)ApprovedSmall moleculeCardiac myosin (inhibitor)

…and 99 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(18 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (4)
October 2026 (1)
Early phase / not applicableHeart FailureNot yet recruiting
Est. primary completion 2026-10-31 · NCT06900803 · CT.gov ↗
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December 2026 (3)
Phase 3Congenital Heart DiseaseRecruiting
Est. primary completion 2026-12 · NCT06693674 · CT.gov ↗
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Phase 4Coronary Artery Disease, Ischemic Mitral Regurgitation, Angiotensin Receptor/Neprilysin InhibitorRecruiting
Est. primary completion 2026-12 · NCT06917664 · CT.gov ↗
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Phase 2Diabetes Mellitus, Cardiovascular Diseases, Insulin Sensitivity/Resistance, Metabolic Disease, Natriuretic Peptides, Metabolism …Recruiting
Est. primary completion 2026-12-31 · NCT04055428 · CT.gov ↗
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2027 (7)
January 2027 (1)
Phase 2/3HypertensionRecruiting
Est. primary completion 2027-01-01 · NCT04971720 · CT.gov ↗
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April 2027 (3)
Phase 1/2Heart FailureEnrolling by invitation
Est. primary completion 2027-04 · NCT05279742 · CT.gov ↗
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Phase 3Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM)Not yet recruiting
Est. primary completion 2027-04 · NCT06712030 · CT.gov ↗
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Early phase / not applicableHypertensionNot yet recruiting
Est. primary completion 2027-04-30 · NCT07853625 · CT.gov ↗
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December 2027 (3)
Phase 4Heart FailureRecruiting
Est. primary completion 2027-12 · NCT05465031 · CT.gov ↗
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Phase 2Advanced Lung CancerNot yet recruiting
Est. primary completion 2027-12-31 · NCT07261098 · CT.gov ↗
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Phase 2HFpEF, LVDD, Myocardial FibrosisRecruiting
Est. primary completion 2027-12-31 · NCT06655480 · CT.gov ↗
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2028 (6)
May 2028 (1)
Phase 4Heart FailureRecruiting
Est. primary completion 2028-05-20 · NCT07572032 · CT.gov ↗
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June 2028 (1)
Phase 1Heart FailureNot yet recruiting
Est. primary completion 2028-06-30 · NCT07856043 · CT.gov ↗
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August 2028 (2)
Phase 3Heart FailureRecruiting
Est. primary completion 2028-08 · NCT05508035 · CT.gov ↗
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Early phase / not applicableTakotsubo CardiomyopathyRecruiting
Est. primary completion 2028-08-09 · NCT07491718 · CT.gov ↗
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November 2028 (2)
Phase 1/2Heart FailureRecruiting
Est. primary completion 2028-11-30 · NCT05194111 · CT.gov ↗
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Phase 4Heart FailureRecruiting
Est. primary completion 2028-11-30 · NCT06704633 · CT.gov ↗
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2029 (1)
June 2029 (1)
Phase 4Heart FailureRecruiting
Est. primary completion 2029-06-30 · NCT07631156 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (36)
Phase 2/3 (5)
Phase 2 (32)
Phase 1/2 (4)
Phase 1 (12)
Phase 4 (54)
Early phase / not applicable (17)
Used as active comparator (4)