MedPath

Angiotensin II

Generic Name
Angiotensin II
Brand Names
Giapreza
Drug Type
Biotech
CAS Number
4474-91-3
Unique Ingredient Identifier
M089EFU921
Background

Angiotensin II is under investigation for the treatment of Sepsis, Septic Shock, Diabetes Mellitus, and Acute Renal Failure. Angiotensin II has been investigated for the treatment, basic science, and diagnostic of Hypertension, Renin Angiotensin System, and Idiopathic Membranous Nephropathy.

As of December 21, 2017 the FDA approved La Jolla Pharmaceutical's Giapreza (angiotensin II) Injection for Intravenouse Infusion for the indication of acting as a vasoconstrictor to increase blood pressure in adults with septic or other distributive shock. The novelty of the medication lies in the fact that it is the first and only use of synthetic human angiotensin II to help maintain body blood pressure.

Shock is the inability to maintain blood flow to vital tissues and the potential resultant organ failure and death within hours, no matter young or o ld. As distributive shock is the most common type of shock in the inpatient setting and affects up to one third of patients in the intensive care unit, the FDA determined that there is a need for treatment options for critically ill hypotensive patients who do not adequately respond to currently available therapies.

Indication

Angiotensin II is a vasoconstrictor indicated for increasing blood pressure in adults with septic or other distributive shock .

Associated Conditions
Hypotension

Angiotensin II in Liver Transplantation

Phase 2
Recruiting
Conditions
Liver Transplant; Complications
Vasoplegia
Interventions
First Posted Date
2021-05-25
Last Posted Date
2025-05-21
Lead Sponsor
University of California, San Francisco
Target Recruit Count
50
Registration Number
NCT04901169
Locations
🇺🇸

University of California, San Francisco, San Francisco, California, United States

Prospective Monitoring of Angiotensin Receptor Neprilysin Inhibitor in Older Adults With Heart Failure and Frailty

Conditions
Heart Failure, Systolic
Frailty
Interventions
First Posted Date
2021-02-08
Last Posted Date
2021-02-15
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
40000
Registration Number
NCT04743063
Locations
🇺🇸

Brigham And Women's Hospital, Boston, Massachusetts, United States

The COVID-RASi Trial (COVID-19)

Phase 3
Active, not recruiting
Conditions
COVID-19
Cardiovascular Diseases
Interventions
First Posted Date
2020-10-19
Last Posted Date
2024-02-02
Lead Sponsor
Ottawa Heart Institute Research Corporation
Target Recruit Count
1155
Registration Number
NCT04591210
Locations
🇧🇷

Hospital Eduardo Campos da Pessoa Idosa, Estancia, Recife, Brazil

🇲🇽

Hospital General Regional No 2, El Marques, Queretaro, Mexico

🇧🇷

Hospital Agamenom Magalhaes, Recife, PE, Brazil

and more 28 locations

Angiotensin 2 for AKI After OLT

Phase 4
Conditions
Acute Kidney Injury
Cirrhosis, Liver
End Stage Liver DIsease
Liver Transplant; Complications
Interventions
First Posted Date
2020-10-19
Last Posted Date
2023-12-21
Lead Sponsor
University of California, Los Angeles
Target Recruit Count
30
Registration Number
NCT04592744
Locations
🇺🇸

Michael Y Lin, Los Angeles, California, United States

Renin and Renal Biomarker Response to Angiotensin II

Phase 4
Completed
Conditions
Acute Kidney Injury
Septic Shock
Interventions
Other: Standard of Care
First Posted Date
2020-09-22
Last Posted Date
2023-08-09
Lead Sponsor
Alexander Flannery
Target Recruit Count
30
Registration Number
NCT04558359
Locations
🇺🇸

University of Kentucky HealthCare Chandler Medical Center, Lexington, Kentucky, United States

Angiotensin II in the Perioperative Management of Hypotension in Kidney Transplant Recipients

Phase 4
Completed
Conditions
Postoperative Hypotension
Shock
Hypotension and Shock
Kidney Transplant; Complications
Shock, Surgical
Intraoperative Hypotension
Interventions
First Posted Date
2020-08-27
Last Posted Date
2022-12-21
Lead Sponsor
University of Illinois at Chicago
Target Recruit Count
20
Registration Number
NCT04529005
Locations
🇺🇸

University of Illinois Hospital and Health Sciences System, Chicago, Illinois, United States

Efficacy and Safety of Angiotensin II Use in Coronavirus Disease(COVID)-19 Patients With Acute Respiratory Distress Syndrome

Conditions
Acute Respiratory Distress Syndrome
COVID
Interventions
Drug: Interleukin-1 receptor antagonist
First Posted Date
2020-05-29
Last Posted Date
2021-08-04
Lead Sponsor
Guy's and St Thomas' NHS Foundation Trust
Target Recruit Count
50
Registration Number
NCT04408326
Locations
🇬🇧

Guy's & St Thomas' Hospital, London, United Kingdom

Controlled evaLuation of Angiotensin Receptor Blockers for COVID-19 respIraTorY Disease

Phase 4
Completed
Conditions
COVID-19
Coronavirus Disease 2019
Interventions
First Posted Date
2020-05-19
Last Posted Date
2022-03-17
Lead Sponsor
The George Institute
Target Recruit Count
787
Registration Number
NCT04394117
Locations
🇦🇺

Western Health, St Albans, Victoria, Australia

🇮🇳

Christian Hospital, Nabarangpur, India

🇦🇺

Alfred Health, Melbourne, Victoria, Australia

and more 19 locations

ARB, ACEi, DRi Effects on COVID-19 Course Disease

Completed
Conditions
Hypertension
COVID-19
Interventions
First Posted Date
2020-04-28
Last Posted Date
2023-03-21
Lead Sponsor
Medical Practice Prof D. Ivanov
Target Recruit Count
112
Registration Number
NCT04364984
Locations
🇺🇦

Medical Practice Prof D.Ivanov, Kiev, Please Select, Ukraine

Coronavirus (COVID-19) ACEi/ARB Investigation

Phase 4
Suspended
Conditions
Hypertension
COVID-19
Interventions
Drug: Thiazide or Thiazide-like diuretics
Drug: ACE inhibitor
First Posted Date
2020-04-01
Last Posted Date
2020-06-30
Lead Sponsor
National University of Ireland, Galway, Ireland
Target Recruit Count
2414
Registration Number
NCT04330300
Locations
🇮🇪

University Hospital Galway, Galway, Ireland

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