Prescription patterns of sacubitril/valsartan among patients with hypertension in Japan - Summary - MDSpire

Analysis of Sacubitril/Valsartan Prescribing Trends in Hypertensive Patients in Japan

  • By

  • Aya F. Ozaki

  • Hisanaga Nomura

  • Tomohiro Terada

  • Eri T. Kato

  • Ali A. Naqvi

  • Julie T. Nguyen

  • Yuki Kunitsu

  • July 17, 2026

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Objective:

To describe real-world prescribing patterns of sacubitril/valsartan (S/V) among patients with hypertension in Japan.

Approach:
  • Study Design: A retrospective cohort study using a nationwide Japanese electronic health record database from August 2020 to October 2023.
  • Patient Selection: Included adults with hypertension newly prescribed S/V, excluding those with heart failure.
  • Data Assessment: Evaluated concomitant antihypertensive medications, S/V dosing, and discontinuation patterns over 90 days.
Key Findings:
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Interpretation:

S/V is predominantly prescribed in combination with CCBs, with a significant proportion receiving it as monotherapy. The findings indicate a need for further studies on the safety and efficacy of S/V-based combinations.

Limitations:
  • The study did not include patients with heart failure, limiting the generalizability of findings.
  • Limited guidance exists on optimizing first-line agents before S/V initiation.
Conclusion:

The study highlights the common use of S/V in combination with CCBs among hypertensive patients in Japan, emphasizing the need for further research on combination regimens.

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