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

Drug to Prevent Pneumonia in the Tube Fed

Phase 4
Terminated
Conditions
Pneumonia
Neurological Dysphagia
Interventions
First Posted Date
2015-02-09
Last Posted Date
2015-02-09
Lead Sponsor
Chinese University of Hong Kong
Target Recruit Count
93
Registration Number
NCT02358642
Locations
๐Ÿ‡ญ๐Ÿ‡ฐ

Prince of Wales Hospital, Hong Kong, Hong Kong

A Phase 3 Study of LJPC-501 in Patients With Catecholamine-Resistant Hypotension

Phase 3
Completed
Conditions
Distributive Shock
High Output Shock
Sepsis
Catecholamine-resistant Hypotension (CRH)
Interventions
Drug: Placebo
First Posted Date
2015-01-14
Last Posted Date
2018-03-27
Lead Sponsor
La Jolla Pharmaceutical Company
Target Recruit Count
344
Registration Number
NCT02338843
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Joseph M. Still Research Foundation, Inc., Augusta, Georgia, United States

๐Ÿ‡บ๐Ÿ‡ธ

Eastern Idaho Regional Medical Center, Idaho Falls, Idaho, United States

๐Ÿ‡บ๐Ÿ‡ธ

Pulmonary Associates of Mobile, PC, Mobile, Alabama, United States

and more 112 locations

A Phase 1 Study of LJPC-501 in Patients With Hepatorenal Syndrome

Phase 1
Terminated
Conditions
Hepatorenal Syndrome Type I and Type II
Interventions
First Posted Date
2013-07-24
Last Posted Date
2016-03-03
Lead Sponsor
La Jolla Pharmaceutical Company
Target Recruit Count
6
Registration Number
NCT01906307
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Annette C. & Harold C. Simmons Transplant Institute @ Baylor University Medical Center, Dallas, Texas, United States

Comparison of Beta-blocker Versus Angiotensin Receptor Blocker for Suppression of Aneurysm Expansion in Patients With Small Abdominal Aortic Aneurysm and Hypertension (BASE Trial)

Phase 4
Completed
Conditions
Small Abdominal Aortic Aneurysm
Interventions
Drug: Beta-blocker-Atenolol 50mg, PO(peroral), Once daily
First Posted Date
2013-07-22
Last Posted Date
2019-03-28
Lead Sponsor
Yonsei University
Target Recruit Count
19
Registration Number
NCT01904981
Locations
๐Ÿ‡ฐ๐Ÿ‡ท

Severance Hospital, Seoul, Korea, Republic of

ACE Inhibitors Combined With Exercise for Seniors - Pilot Study

Completed
Conditions
Hypertension
Aging
Interventions
Behavioral: Exercise
Drug: ACE inhibitor + exercise
Drug: Thiazide diuretic + exercise
First Posted Date
2013-07-03
Last Posted Date
2017-07-05
Lead Sponsor
University of Florida
Target Recruit Count
104
Registration Number
NCT01891513
Locations
๐Ÿ‡บ๐Ÿ‡ธ

UF Institute on Aging Clinical and Translational Research Building, Gainesville, Florida, United States

Evaluation of Lysine-Specific Demethylase 1

Not Applicable
Withdrawn
Conditions
Hypertension
First Posted Date
2012-10-08
Last Posted Date
2017-07-12
Lead Sponsor
Brigham and Women's Hospital
Registration Number
NCT01702688
Locations
๐Ÿ‡บ๐Ÿ‡ธ

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

Are There Protective Effects of Antioxidants, Calcium Channel Blocker and Angiotensin Receptor Blocker Against Extracorporeal Shockwaves Lithotripsy Induced Renal Injury?

Phase 4
Completed
Conditions
Kidney Calculi
Interventions
First Posted Date
2012-08-29
Last Posted Date
2014-10-09
Lead Sponsor
Mansoura University
Target Recruit Count
160
Registration Number
NCT01675362
Locations
๐Ÿ‡ช๐Ÿ‡ฌ

Urology and Nephrology Center, Mansoura, Egypt

Vascular Dysfunction in Diabetes: Genes and Hormones

Terminated
Conditions
Diabetes Mellitus
First Posted Date
2012-01-18
Last Posted Date
2022-11-09
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
100
Registration Number
NCT01511042
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Brigham and Women's Hospital- 221 Longwood Avenue, Boston, Massachusetts, United States

Comparison of Nebivolol and Metoprolol With Exercise and Angiotensin II in Hypertensive Patients

Phase 4
Completed
Conditions
Hypertension
Interventions
Procedure: Forearm blood flow
Procedure: Microneurography
Procedure: Rhythmic handgrip exercise
Procedure: Lower body negative pressure
First Posted Date
2012-01-02
Last Posted Date
2020-07-07
Lead Sponsor
University of Texas Southwestern Medical Center
Target Recruit Count
46
Registration Number
NCT01502787
Locations
๐Ÿ‡บ๐Ÿ‡ธ

UT Southwestern Medical Center, Dallas, Texas, United States

Genetic Mechanisms in Human Hypertension

Terminated
Conditions
Hypertension
First Posted Date
2011-10-20
Last Posted Date
2021-05-12
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
150
Registration Number
NCT01456208
Locations
๐Ÿ‡บ๐Ÿ‡ธ

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

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