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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 2 for Hepatorenal Syndrome

Phase 2
Withdrawn
Conditions
Hepatorenal Syndrome
Cirrhosis
Kidney Failure, Acute
Interventions
First Posted Date
2019-08-07
Last Posted Date
2024-03-06
Lead Sponsor
University of California, Los Angeles
Registration Number
NCT04048707

Statins and ARBs on Rheumatoid Activity

Phase 3
Recruiting
Conditions
Rheumatoid Arthritis
Interventions
First Posted Date
2018-12-10
Last Posted Date
2018-12-10
Lead Sponsor
Sherief Abd-Elsalam
Target Recruit Count
45
Registration Number
NCT03770702
Locations
🇪🇬

Sherief Abd-Elsalam, Tanta, Egypt

Angiotensin II in General Anesthesia

Phase 4
Completed
Conditions
Hypertension
Interventions
First Posted Date
2018-11-07
Last Posted Date
2025-05-04
Lead Sponsor
Wake Forest University Health Sciences
Target Recruit Count
31
Registration Number
NCT03733145
Locations
🇺🇸

Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, United States

A Study of LJPC-501 in Pediatric Patients With Hypotension

Phase 2
Completed
Conditions
Catecholamine-resistant Hypotension (CRH)
Distributive Shock
High Output Shock
Sepsis
Interventions
First Posted Date
2018-02-13
Last Posted Date
2018-08-07
Lead Sponsor
La Jolla Pharmaceutical Company
Target Recruit Count
2
Registration Number
NCT03431077
Locations
🇺🇸

Investigational Site, San Antonio, Texas, United States

Angiotensin II for Septic Shock Treatment

Phase 3
Suspended
Conditions
Septic Shock
Interventions
First Posted Date
2017-10-05
Last Posted Date
2019-01-16
Lead Sponsor
Cairo University
Target Recruit Count
20
Registration Number
NCT03302650
Locations
🇪🇬

Cairo University, Cairo, Egypt

Expanded Access for LJPC-501

Conditions
Catecholamine Resistant Hypotension (CRH)
Distributive Shock
High Output Shock
Sepsis
Vasodilatory Shock
First Posted Date
2017-08-10
Last Posted Date
2018-03-08
Lead Sponsor
La Jolla Pharmaceutical Company
Registration Number
NCT03245528

Risk Reduction for Alzheimer's Disease

Phase 2
Completed
Conditions
Cognitively Normal Older Adults
Hypertension
Subjective Cognitive Decline
Family History of Alzheimer's Disease
Interventions
Behavioral: Aerobic Exercise Training
Other: Usual Care
Behavioral: Stretching Exercise
First Posted Date
2016-09-26
Last Posted Date
2022-02-15
Lead Sponsor
University of Texas Southwestern Medical Center
Target Recruit Count
513
Registration Number
NCT02913664
Locations
🇺🇸

University of Kansas Medical Center Research Institute, Kansas City, Kansas, United States

🇺🇸

Washington University in St. Louis, Saint Louis, Missouri, United States

🇺🇸

Pennington Biomedical Research Center, Baton Rouge, Louisiana, United States

and more 1 locations

Pulmonary Artery Pressure Reduction With ENTresto (Sacubitril/Valsartan)

Phase 4
Terminated
Conditions
Congestive Heart Failure
Interventions
Device: Implantable Hemodynamic Monitor
Drug: Angiotensin-Converting Enzyme Inhibitor
First Posted Date
2016-06-02
Last Posted Date
2020-02-17
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
4
Registration Number
NCT02788656
Locations
🇺🇸

Brigham and Women's Hospita, Boston, Massachusetts, United States

Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia

Phase 3
Recruiting
Conditions
Community-acquired Pneumonia, Influenza, COVID-19
Interventions
Other: No systemic corticosteroid
Other: No antiviral agent for COVID-19
Other: No immune modulation for COVID-19
Drug: Standard course macrolide
Other: No antiviral agent for influenza
Drug: Local standard venous thromboprophylaxis
Other: No immunoglobulin
Other: No simvastatin
Other: No cysteamine
Other: No Immune Modulator for Influenza
Other: No vitamin C
Other: No antiplatelet
Procedure: Clinician-preferred mechanical ventilation strategy
Other: No renin-angiotensin system inhibitor
Other: No endothelial modulator
Drug: Extended course macrolide
Biological: Convalescent plasma
Drug: Therapeutic dose anticoagulation
Procedure: Protocolised mechanical ventilation strategy
Drug: P2Y12 inhibitor
Drug: Conventional low dose thromboprophylaxis
Biological: Delayed administration of convalescent plasma
Drug: Intermediate dose thromboprophylaxis
Drug: ARB + DMX-200
Drug: Amoxicillin-clavulanate
Drug: Continuation of therapeutic dose anticoagulation
First Posted Date
2016-04-13
Last Posted Date
2024-07-12
Lead Sponsor
UMC Utrecht
Target Recruit Count
20000
Registration Number
NCT02735707
Locations
🇨🇦

Toronto Western Hospital, Toronto, Ontario, Canada

🇺🇸

University of Illinois Health, Chicago, Illinois, United States

🇦🇺

Bankstown-Lidcombe Hospital, Bankstown, New South Wales, Australia

and more 405 locations

Postoperative Pain and Angiotensin II Receptor Antagonists

Phase 4
Conditions
Hypertension
Interventions
First Posted Date
2015-08-03
Last Posted Date
2015-10-08
Lead Sponsor
University of Athens
Target Recruit Count
90
Registration Number
NCT02513979
Locations
🇬🇷

Argyro Fassoulaki, Athens, Greece

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