Angiotensin II (Giapreza)

Also known as: LJPC-501

FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval FDA-approved 2 applications
Randomized controlled trials 29 of 720 publications on PubMed
Registered clinical trials 344 56 active
Adverse event reports 754 707 classified as serious
  • Angiotensin II (Giapreza) is an FDA-approved drug, marketed as Giapreza, Angiotensin (first approval: December 21, 2017).
  • PubMed lists 720 publications mentioning it, including 29 randomized controlled trials and 265 animal-only studies.
  • ClinicalTrials.gov lists 344 registered studies testing it (56 active).
  • FDA's adverse event system (FAERS) holds 754 reports mentioning it; 707 classified as serious. Reports do not prove causation.

Research topics

  • Vasoconstrictor Agents 65
  • Shock 34
  • Shock, Septic 34
  • Norepinephrine 31
  • Renin-Angiotensin System 26
  • Renin 20
  • Vasoplegia 18
  • Sepsis 17
  • Angiotensin-Converting Enzyme Inhibitors 15
  • Hypotension 14

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
NDA209360 GIAPREZA Approved, marketed December 21, 2017 LA JOLLA PHARMA
ANDA216966 ANGIOTENSIN ll ACETATE Approved, marketed June 3, 2025 GLAND

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 720
  • Human (MeSH) 359
  • Animal only 265
  • Clinical trials 33
  • Randomized controlled trials 29
  • Systematic reviews & meta-analyses 18
  • Case reports 47
  • Retracted 0

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
344
Active
56
With posted results
61

Conditions studied

  • Hypertension 76
  • Heart Failure 16
  • Septic Shock 13
  • Chronic Kidney Disease 11
  • Diabetic Nephropathy 11
  • Proteinuria 9
  • Cardiovascular Diseases 9
  • Sepsis 8
  • COVID-19 8
  • Type 2 Diabetes 7
  • Obesity 7
  • Essential Hypertension 7
Study Status Phase Start
Real-world Comparative Effectiveness and Safety of Jardiance in Chinese Patients With Heart Failure of Reduced Ejection Fraction
NCT07044700 Boehringer Ingelheim
Not yet recruiting — January 31, 2028
PCI With GDMT Versus GDMT Alone for Patients With Ischemic Cardiomyopathy and Reduced LVEF
NCT07349979 Nanjing First Hospital, Nanjing Medical University
Not yet recruiting N/A December 30, 2026
Mechanistic Assessment of Norepinephrine Therapy vs. Angiotensin-II in Septic Shock
NCT06746753 Wake Forest University Health Sciences
Not yet recruiting Phase 4 Nov 2026
Beta-2 Adrenergic Receptor Polymorphic Variants: An Endotype of Salt Sensitive Hypertension (Beta2AR).
NCT07832942 Brigham and Women's Hospital
Not yet recruiting N/A Nov 2026
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of HW243040 in Healthy Participants
NCT07841522 The Third Xiangya Hospital of Central South University
Not yet recruiting Phase 1 September 30, 2026
QUARTET-DKD: Quadruple Therapy for Type 2 Diabetic Nephropathy
NCT07775846 Huijie Zhang
Not yet recruiting Phase 4 September 1, 2026
A Trial Evaluating Safety, Tolerability and Efficacy of CTX340 in Participants With Hypertension
NCT07758634 CRISPR Therapeutics AG
Recruiting Phase 1, Phase 2 August 8, 2026
Angiotensin II for Post Cardiac Surgery Vasoplegia (ANGII_V)
NCT07671365 Methodist Healthcare System of San Antonio
Not yet recruiting Phase 4 Jul 2026
Pharmacological Optimization in Prevention in Heart Failure: A Sex-gap?
NCT07295522 IRCCS Policlinico S. Donato
Recruiting Phase 4 March 31, 2026
Triple Antihypertensive Medication After Intracerebral Hemorrhage for Blood Pressure Control
NCT07458880 The University of Hong Kong
Recruiting N/A March 1, 2026
Show 40 more studies
Study Status Phase Start
Radioembolization With Intra-arterial Angiotensin II to Improve Tumor-absorbed Dose (RADIANT)
NCT07312292 Niek Wijnen
Recruiting Phase 2 January 1, 2026
AI-Enabled Electrocardiogram-Guided Guideline-Directed Medical Therapy on Incident Left Ventricular Dysfunction: A Target Trial Emulation Study
NCT07355023 Tri-Service General Hospital (TSGH)
Recruiting N/A January 1, 2026
Synthetic Angiotensin II/Giapreza in Pediatric Patients With Refractory Hypotension
NCT07212686 Northwell Health
Enrolling by invitation Phase 4 October 28, 2025
A Study on the Safety and Clinical Efficacy of Guominkang in the Treatment of Diabetic Kidney Disease
NCT07907965 Beijing University of Chinese Medicine
Active, not recruiting Phase 2 October 20, 2025
Losartan to Improve Outcomes After Multi-ligament Knee Injury
NCT06933706 Brigham and Women's Hospital
Recruiting Phase 2 October 1, 2025
Zilebesiran in Patients With Hypertension Not Adequately Controlled and With Either Established Cardiovascular Disease or High Risk for Cardiovascular Disease
NCT07181109 Alnylam Pharmaceuticals
Recruiting Phase 3 September 6, 2025
Immediate Fracture Risk After Antihypertensive Drug Initiation
NCT06964217 Ajou University School of Medicine
Not yet recruiting — June 1, 2025
ANG-First Trial (Angiotensin II as First-Line Vasopressor Therapy in Cardiac Surgery)
NCT06487585 University of Maryland St. Joseph Medical Center
Recruiting Phase 4 May 6, 2025
Early Angiotensin II in the Emergency Department
NCT06693726 Brett A Faine
Recruiting Phase 4 April 1, 2025
Reducing Cardiac-surgery Associated Acute Kidney Injury Occurence by Administering Angiotensin II
NCT06615102 Universität Münster
Recruiting Phase 3 March 31, 2025
Cardiovascular Effects of Angiotensin-(1-7) in Obesity Hypertension
NCT06482853 Milton S. Hershey Medical Center
Recruiting Early phase 1 January 23, 2025
Vascular Effects of High-Salt After Preeclampsia
NCT06749418 Anna Stanhewicz, PhD
Recruiting Early phase 1 January 2, 2025
A Trial to Evaluate Efficacy and Safety of Buloxibutid in People With Idiopathic Pulmonary Fibrosis.
NCT06588686 Vicore Pharma AB
Active, not recruiting Phase 2 December 9, 2024
Efficacy and Safety of Telitacicept in IgAN
NCT06654596 Ruijin Hospital
Recruiting N/A December 6, 2024
Comparison of Angiotensin II to Standard Dose Vasopressors on Change in Arterial Elastance
NCT07568275 The Cleveland Clinic
Active, not recruiting Early phase 1 November 15, 2024
Clinical Response of EXTOR (Amlodipine/Valsartan) in Newly Diagnosed Hypertensive Patients.
NCT06625346 The Searle Company Limited Pakistan
Recruiting — September 28, 2024
Angiotensin II Stress Test. Renin Kinetics During Treatment of Vasoplegic Shock With Angiotensin II.
NCT06539234 University Medical Centre Maribor
Recruiting — August 1, 2024
Efficacy and Safety of Angiotensin II Injection Versus Placebo in Patients With Refractory Distributed Shock
NCT06351150 Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
Recruiting Phase 3 July 23, 2024
Safety and Efficacy of Angiotensin (1-7) in Persons With Moderate to Severe Traumatic Brain Injury
NCT06282965 University of Arizona
Recruiting Phase 1, Phase 2 May 28, 2024
A Study of Angiotensin-II Receptor Blocker on Cardiovascular Remodeling (VALUE Trial)
NCT06150560 Mayo Clinic
Recruiting Phase 3 April 1, 2024
The Effect of Vasopressor Therapy on Renal Perfusion in Septic Shock
NCT06234592 King's College Hospital NHS Trust
Recruiting N/A January 5, 2024
Evaluation of the Effect of Finerenone on Renal Function in Patients With Type 2 Diabetes and Chronic Kidney Disease
NCT06838416 Second Affiliated Hospital of Soochow University
Recruiting — November 17, 2023
Efficacy and Safety of Endovascular Recanalization for Acute Basilar Artery Occlusion With Extended Time Window (ANGEL-BAO)
NCT06101667 Beijing Tiantan Hospital
Active, not recruiting N/A November 16, 2023
Losartan to Reduce Radiation Induced Fibrosis in Breast Cancer Patients
NCT05637216 Shaw Cancer Center
Active, not recruiting Phase 2 August 17, 2023
Vascular Biomarkers Predictive of the Progression From Hypertensive Disorders in Pregnancy to Preeclampsia in Pregnant Women
NCT04520048 Assistance Publique - Hôpitaux de Paris
Recruiting N/A August 11, 2023
Sensitivity of Angiotensin II Type II Receptors in Women Following Preeclampsia
NCT05937841 Anna Stanhewicz, PhD
Active, not recruiting Early phase 1 June 28, 2023
Effects of Percutaneous Transluminal Renal Angioplasty of Atherosclerotic Renal Artery Stenosis in High-Risk Patients.
NCT05834803 University of Aarhus
Recruiting N/A June 26, 2023
Impact of Intensive Treatment of SBP on Brain Perfusion, Amyloid, and Tau (IPAT Study)
NCT05331144 Rong Zhang
Active, not recruiting Phase 2 October 25, 2022
Impact of Bromocriptine on Clinical Outcomes for Peripartum Cardiomyopathy
NCT05180773 Dennis M. McNamara, MD, MS
Recruiting Phase 4 July 27, 2022
Angiotensin II in Liver Transplantation
NCT04901169 University of California, San Francisco
Active, not recruiting Phase 2, Phase 3 June 28, 2022
A Study of the Efficacy and Safety of DMX-200 in Patients With FSGS Who Are Receiving an ARB
NCT05183646 Dimerix Bioscience Pty Ltd
Recruiting Phase 3 May 30, 2022
Angiotensin 2 for AKI After OLT
NCT04592744 University of California, Los Angeles
Active, not recruiting Phase 4 April 8, 2022
Safety and Efficacy of ACEI in Alport Syndrome Patients With COL4A3/COL4A4/COL4A5 Variants
NCT05133050 Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
Not yet recruiting N/A January 1, 2022
Effect of Sacubitril/Valsartan on Cardiac Function in Hypertensive Patients Stratified by BMI: A Real World Study
NCT05498675 Beijing Friendship Hospital
Recruiting — September 1, 2021
Pediatric Hypertension and the Renin-Angiotensin SystEm (PHRASE)
NCT04752293 Wake Forest University Health Sciences
Recruiting — May 19, 2021
Secondhand Tobacco Smoke and Cardiovascular Disease
NCT04715568 University of California, San Francisco
Recruiting Phase 4 March 30, 2021
LVAD Versus GDMT in Ambulatory Advanced Heart Failure Patients
NCT04768322 Hospices Civils de Lyon
Recruiting N/A February 24, 2021
A Study of the Safety, Tolerability, Pharmacokinetics and Efficacy of Treatment With AP1189 in Patients With iMN and Severe Proteinuria
NCT04456816 SynAct Pharma Aps
Recruiting Phase 2 August 31, 2020
Angiotensin Receptor Blockers in Aortic Stenosis
NCT04913870 Institut universitaire de cardiologie et de pneumologie de Québec, University Laval
Recruiting Phase 4 February 1, 2020
Asian Diabetes Outcomes Prevention Trial
NCT04286399 National Heart Centre Singapore
Recruiting Phase 4 July 1, 2019

All 344 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
754
Serious
707
With death outcome
168

Most reported reactions

  • Drug ineffective 83
  • Off label use 49
  • Death 43
  • Hypotension 40
  • Renal failure acute 34
  • Toxicity to various agents 33
  • Acute kidney injury 30
  • Lactic acidosis 30
  • Diarrhoea 28
  • Blood creatinine increased 27
  • Hypertension 26
  • Renal failure 24

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

FDA prescribing information

Official US prescribing information. Dosing sections are intentionally not shown.

  • Giapreza HUMAN PRESCRIPTION DRUG La Jolla Pharmaceutical Company July 22, 2026
  • ANGIOTENSIN II HUMAN PRESCRIPTION DRUG Gland Pharma Limited June 4, 2025

Source: DailyMed / openFDA

Change history

No changes since monitoring began on October 30, 2026.