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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 Converting Enzyme Inhibitors During Cardiopulmonary Bypass in Infants and Children

Not Applicable
Completed
Conditions
Congenital Heart Disease
Interventions
First Posted Date
2009-02-20
Last Posted Date
2017-07-26
Lead Sponsor
Vanderbilt University Medical Center
Target Recruit Count
21
Registration Number
NCT00848250
Locations
🇺🇸

Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, United States

Angiotensin in Septic Kidney Injury Trial

Phase 2
Conditions
Acute Renal Failure
Sepsis
Septic Shock
Interventions
Drug: Saline placebo
First Posted Date
2008-07-09
Last Posted Date
2011-06-23
Lead Sponsor
Austin Health
Target Recruit Count
12
Registration Number
NCT00711789
Locations
🇦🇺

The Western Hospital, Footscray, Victoria, Australia

🇦🇺

Northern Hospital, Epping, Victoria, Australia

Impact of Medical and Surgical Therapy on Functional Mitral Regurgitation

Not Applicable
Completed
Conditions
Heart Diseases
Cardiovascular Diseases
Coronary Disease
First Posted Date
2005-09-23
Last Posted Date
2014-02-19
Lead Sponsor
Baylor Research Institute
Target Recruit Count
250
Registration Number
NCT00224809
Locations
🇺🇸

Baylor Research Institute, Dallas, Texas, United States

Effect of Strict Blood Pressure Control and ACE-Inhibition on Progression of Chronic Renal Failure in Pediatric Patients

Phase 3
Completed
Conditions
Children
Chronic Renal Failure
Hypertension
Acquired Kidney Disease
Congenital Kidney Disease
Interventions
Drug: ACE Inhibition
Drug: Intensified Blood Pressure Control
First Posted Date
2005-09-22
Last Posted Date
2010-01-12
Lead Sponsor
Heidelberg University
Target Recruit Count
400
Registration Number
NCT00221845
Locations
🇨🇿

University Hospital Motol, 1st Department of Pediatrics, Prague, Czech Republic

🇩🇪

University Hospital Essen, Department of Pediatrics, Pediatric Nephrology Unit, Essen, Germany

🇫🇷

Hopital Necker, Division of Pediatric Nephrology, Paris, France

and more 30 locations

A Study on Ca Blocker Versus AII Antagonists in Hypertension With Type 2 Diabetes

Phase 4
Conditions
Hypertension
Diabetes Mellitus, Type 2
First Posted Date
2005-09-05
Last Posted Date
2006-07-14
Lead Sponsor
Advanced-J
Target Recruit Count
300
Registration Number
NCT00144144
Locations
🇯🇵

Dept. of Clinical Immunology, Clinical Bioinformatics Research Unit, Graduate School of Medicine, the University of Tokyo, Hongo, Bunkyo-ku, Tokyo, Japan

Benidipine-based Comparison of Angiotensin Receptors, β-blockers, or Thiazide Diuretics in Hypertensive Patients

Phase 4
Completed
Conditions
Cardiovascular Disease
Interventions
Drug: β-blockers
Drug: thiazide diuretics
First Posted Date
2005-08-26
Last Posted Date
2012-02-22
Lead Sponsor
Seiji Umemoto, M.D., Ph.D.
Target Recruit Count
3501
Registration Number
NCT00135551
Locations
🇯🇵

Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan

Angiotensin II Receptor Blockers (ARB) and ACE Inhibitors (ACEI) on Silent Brain Infarction and Cognitive Decline

Phase 4
Completed
Conditions
Brain Infarction
Hypertension
Interventions
Drug: Angiotensin-converting Enzyme Inhibitors
First Posted Date
2005-08-04
Last Posted Date
2013-10-30
Lead Sponsor
Nara Medical University
Target Recruit Count
395
Registration Number
NCT00126516
Locations
🇯🇵

First Department of Internal Medicine, Nara Medical University, Kashihara, Nara, Japan

The Role of Angiotensin Type I Receptor in the Regulation of Human Coronary Vascular Function

Phase 3
Completed
Conditions
Atherosclerosis
Heart Failure, Congestive
Hypertension
Myocardial Infarction
First Posted Date
2002-12-10
Last Posted Date
2008-03-04
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Target Recruit Count
49
Registration Number
NCT00001629
Locations
🇺🇸

National Heart, Lung and Blood Institute (NHLBI), Bethesda, Maryland, United States

The Role of Angiotensin Type I Receptor in the Regulation of Human Peripheral Vascular Function

Phase 3
Completed
Conditions
Atherosclerosis
Heart Failure, Congestive
Hypertension
Myocardial Infarction
First Posted Date
2002-12-10
Last Posted Date
2008-03-04
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Target Recruit Count
36
Registration Number
NCT00001628
Locations
🇺🇸

National Heart, Lung and Blood Institute (NHLBI), Bethesda, Maryland, United States

Bypass Angioplasty Revascularization Investigation in Type 2 Diabetes

Phase 3
Completed
Conditions
Diabetes Mellitus, Non-Insulin-Dependent
Cardiovascular Diseases
Coronary Disease
Insulin Resistance
Diabetes Mellitus
Heart Diseases
Interventions
Procedure: Angioplasty, Transluminal, Percutaneous Coronary, other catheter-based interventions
Procedure: Coronary Artery Bypass
Drug: Biguanides, thiazolidinediones
Drug: Insulin, sulfonylurea
First Posted Date
2000-09-29
Last Posted Date
2016-02-08
Lead Sponsor
University of Pittsburgh
Target Recruit Count
2368
Registration Number
NCT00006305
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