Angiotensin I1 (Ang II), an octapeptide formed from the decapeptide angiotensin I by the proteolytic action of angiotensin-converting enzyme (ACE), plays a key role in the regulation of blood pressure and fluid and electrolyte homeostasis (for review see ref. 16). Inhibitors of ACE are used for the treatment of hypertension and congestive heart failure and in patients with left-ventricular dysfunction after myocardial infarction (22,26,27). In the past, attempts to develop Ang I1 receptor antagonists failed because they lack oral activity (25) and have unwanted agonistic properties (24). More recently specific, nonpeptide, orally active Ang 11-receptor antagonists have been developed (1,12,15,20,33,37,41,44) from imidazole derivatives first described by Furukawa et al. ( 1 3). This new class of agents provides selective blockade of the AT,-Ang I1 receptor subtype without interfering with the AT2-receptor subtype. The AT,-receptor subtype is responsible for the well-known effects of Ang 11, such as vasoconstriction, aldosterone and epinephrine release, water intake, and cellular proliferation (6,32,36), whereas the pathophysiological role of the AT2-receptor subtype is not yet well understood (63).Losartan (originally known as DuP 753) was the first orally active antagonist of the AT,-receptor subtype (1 2,32,44,46). The blood pressure-lowering effect of losartan is enhanced by its conversion to the active, hepatically-generated carboxylic acid metabolite, EXP3174 or E3174, which is about 20 times more potent than the parent compound as an AT,-receptor antagonist (47). By contrast, valsartan (originally CGP 48933) is a novel and orally active Ang I1 antagonist that does not require hepatic metabolism (5,lO). It is a highly selective antagonist of Ang 11 at the AT,-receptor subtype and does not possess agonistic properties (5). Furthermore, it is an efficacious, orally active, blood pressure-lowering agent in conscious renal hypertensive rats ( 5 ) , conscious normotensive,