Page last updated: 2024-11-12

angiotensinogen

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Angiotensinogen: An alpha-globulin of about 453 amino acids, depending on the species. It is produced by the liver in response to lowered blood pressure and secreted into blood circulation. Angiotensinogen is the inactive precursor of the ANGIOTENSINS produced in the body by successive enzyme cleavages. Cleavage of angiotensinogen by RENIN yields the decapeptide ANGIOTENSIN I. Further cleavage of angiotensin I (by ANGIOTENSIN CONVERTING ENZYME) yields the potent vasoconstrictor octapeptide ANGIOTENSIN II; and then, via other enzymes, other angiotensins also involved in the hemodynamic-regulating RENIN-ANGIOTENSIN SYSTEM. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

angiotensinogen (1-14): Asp-Arg-Val-Tyr-Ile-His-Pro-Phe-His-Leu-Leu-Val-Tyr-Ser; MW 1759; human = Asp-Arg-Val-Tyr-Ile-His-Pro-Phe-His-Leu-Val-Ile-His-Asn [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID16133225
MeSH IDM0001208
PubMed CID16136896
MeSH IDM0001208

Synonyms (14)

Synonym
angiotensinogen
renin substrate tetradecapeptide porcine, >=97% (hplc)
angiotensinogen from porcine plasma, lyophilized powder, 1,500-3,000 units/g protein
64315-16-8
hypertensinogen
NCGC00167226-01
20845-02-7
angiotensinogen (tetradecapeptide renin substrate), 5-l-isoleucine-
angiotensinogen (1-14)
porcine renin substrate tetradecapeptide
DTXSID701346983
angiotensinogen (1-14) porcine
CS-0656363
HY-P4774

Research Excerpts

Overview

Angiotensinogen (AGT) is a glycosylated globulin found in serum, which can regulate blood pressure and body fluid homeostasis. Angiotenogen is an essential component of the renin-angiotensIn system.

ExcerptReferenceRelevance
"Angiotensinogen (AGT) is a glycosylated globulin found in serum, which can regulate blood pressure and body fluid homeostasis."( Fluorescence detection of the human angiotensinogen protein by the G-quadruplex aptamer.
Jiang, H; Juhas, M; Xi, H; Zhang, Y, 2022
)
1.72
"Angiotensinogen (AGT) is a key component of renin-angiotensin-aldosterone system (RAAS), which plays central role in blood pressure homeostasis. "( Computational analyses prioritize and reveal the deleterious nsSNPs in human angiotensinogen gene.
Goswami, AM, 2020
)
2.23
"Angiotensinogen (AGT) is a critical protein in the renin-angiotensin-aldosterone system and may have an important role in the pathogenesis of pre-eclampsia. "( Measurement of the total angiotensinogen and its reduced and oxidised forms in human plasma using targeted LC-MS/MS.
Barrett, DA; Carrell, RW; Dahabiyeh, LA; Pipkin, FB; Read, RJ; Tooth, D; Yan, Y, 2019
)
2.26
"Angiotensinogen (ANG) is a macromolecular precursor of angiotensin, which regulates blood pressure and electrolyte balance. "( Escherichia coli-based production of recombinant ovine angiotensinogen and its characterization as a renin substrate.
Abe, E; Biswas, KB; Boku-Ikeda, A; Ebihara, A; Higuma, A; Inagaki, K; Inayama, A; Iwamoto, S; Nabi, AH; Nakagawa, T; Nishikawa, K; Ohno, S; Shibata, N; Suzuki, F; Tsuyuzaki, T; Yamaguchi, T; Yamashita, S; Yokogawa, T, 2016
)
2.12
"Angiotensinogen (AGT) is an important precursor in tissue RAS."( Expression of angiotensinogen during hepatic fibrogenesis and its effect on hepatic stellate cells.
Liu, H; Lu, P; Yang, L; Yin, H, 2011
)
1.45
"The angiotensinogen gene (AGT) is a thrifty gene which increases the risk for common disease with growth of civilization via sodium and body fluid retention."( Salt sensitivity of Japanese from the viewpoint of gene polymorphism.
Ishikawa, K; Katsuya, T; Ogihara, T; Rakugi, H; Sugimoto, K, 2003
)
0.8
"Angiotensinogen is an essential component of the renin-angiotensin system. "( Angiotensinogen M235T polymorphism and the risk of myocardial infarction and stroke among hypertensive patients on ACE-inhibitors or beta-blockers.
Breteler, MM; Danser, AH; de Boer, A; Hofman, A; Klungel, OH; Schelleman, H; Stricker, BH; van Duijn, CM; Witteman, JC; Yazdanpanah, M, 2007
)
3.23
"Angiotensinogen is a glycoprotein with intriguing structural similarities to the serine proteinase inhibitors but with only one known function: to act as a substrate in the enzymatic generation of angiotensin peptides. "( Location and secretion of brain angiotensinogen.
Sernia, C, 1995
)
2.02
"Angiotensinogen is thought to be an acute-phase protein, since its plasma concentrations increase in response to some inflammatory conditions, e.g. "( The response of hepatic angiotensinogen secretion to experimental inflammatory stimuli. A comparison with acute-phase proteins.
Hackenthal, E; Klett, C, 1993
)
2.04
"Angiotensinogen is a serum glycoprotein which is primarily synthesized in the liver and converted into the octapeptide hormone angiotensin-II in circulation. "( Multiple CCAAT binding proteins regulate the expression of the angiotensinogen gene.
Kumar, A; Qasba, P; Siddiqui, MA; Zhao, YY, 1993
)
1.97
"Angiotensinogen is an alpha 2-globulin involved in the maintenance of blood pressure and electrolyte balance. "( Linkage of Agt and Actsk-1 to distal mouse chromosome 8 loci: a new conserved linkage.
Abel, KJ; Abonia, JP; Chapman, VM; Eddy, RL; Elliott, RW; Gross, KW; Shows, TB, 1993
)
1.73
"Angiotensinogen is a glycoprotein synthesized mainly in hepatocytes and secreted into the circulation. "( [Structure and regulation of the expression of the angiotensinogen gene].
Ibarra-Rubio, ME; Pedraza-Chaverrí, J,
)
1.83
"Angiotensinogen is a unique substrate of the RAS."( Activation of angiotensinogen gene in cardiac myocytes by angiotensin II and mechanical stretch.
Hibi, K; Ishigami, T; Ishii, M; Kihara, M; Nyui, N; Tamura, K; Toya, Y; Umemura, S, 1998
)
1.38
"Angiotensinogen (AGT) is a unique substrate of the renin-angiotensin system and fibronectin (FN) is an important component of the extracellular matrix. "( Expression of renin-angiotensin system and extracellular matrix genes in cardiovascular cells and its regulation through AT1 receptor.
Chen, Q; Chen, YE; Dzau, VJ; Horiuchi, M; Nyui, N; Pratt, RE; Takasaki, I; Tamura, K; Tamura, N; Umemura, S, 2000
)
1.75
"Angiotensinogen is a precursor of the multifunctional octapeptide hormone, angiotensin II. "( Structure and expression of the mouse angiotensinogen gene.
Fukamizu, A; Murakami, K; Sagara, M; Takahashi, S; Tamura, K; Tanimoto, K, 1992
)
2

Effects

Angiotensinogen (AGT) gene has an important role in RAS and was shown to be related to MVP. Repletion has a beneficial effect on both renal function and blood pressure probably due to marked generation of the potent vasoconstrictor angiotenin II.

Angiotensinogen (AGT) has been shown to have a role in cardiac hypertrophy. depletion of the AGT gene in spontaneously hypertensive rats (SHR) has not been investigated. The angiotensInogen gene has been linked with human essential hypertension in whites but the relationship in Asian populations has been less consistent.

ExcerptReferenceRelevance
"Angiotensinogen (AGT) has a central role in maintaining blood pressure and fluid balance. "( Dynamic regulation of the angiotensinogen gene by DNA methylation, which is influenced by various stimuli experienced in daily life.
Demura, M; Demura, Y; Saijoh, K; Takeda, Y, 2015
)
2.16
"The angiotensinogen (AGT) gene has an important role in RAS and was shown to be related to MVP."( Angiotensinogen M235T associated with mitral valve prolapse in young Han Chinese male.
Chang, WT; Kao, WT; Lung, FW, 2008
)
2.27
"Angiotensinogen repletion has a beneficial effect on both renal function and blood pressure probably due to marked generation of the potent vasoconstrictor angiotensin II which consequently inhibits renin secretion."( Renin-angiotensin system, blood pressure homeostasis and renal function in galactosamine-induced fulminant hepatic failure in the guinea pig.
Brachtel, D; Wernze, H, 1988
)
1
"The angiotensinogen (AGT) gene has been considered to be implicated in the development of cancer. "( AGT M235T variant is not associated with risk of cancer.
Chen, J; Lin, J; Liu, C, 2015
)
0.98
"Angiotensinogen (AGT) has been shown to have a role in cardiac hypertrophy, while depletion of the AGT gene in spontaneously hypertensive rats (SHR) has not been investigated. "( Nanoparticle-mediated RNA interference of angiotensinogen decreases blood pressure and improves myocardial remodeling in spontaneously hypertensive rats.
Du, Q; Jin, T; Lu, P; Sheng, J; Wang, YQ; Yuan, LF, 2015
)
2.12
"The angiotensinogen gene has been linked with human essential hypertension in whites but the relationship in Asian populations has been less consistent. "( Linkage of angiotensinogen gene polymorphisms with hypertension in a sibling study of Hong Kong Chinese.
Deng, HB; Fang, YJ; Li, CX; Thomas, GN; Tomlinson, B; Tzang, CH; Xu, ZL; Yang, M, 2010
)
1.31
"The angiotensinogen gene locus has been associated with essential hypertension in most populations analyzed to date. "( Hypercontrols in genotype-phenotype analysis reveal ancestral haplotypes associated with essential hypertension.
Alfaro-Ruiz, L; Balam-Ortiz, E; Carrillo, K; Elizalde, A; Esquivel-Villarreal, A; Fernandez-Lopez, JC; Figueroa-Genis, E; Gutierrez, R; Hidalgo, A; Huerta-Hernandez, D; Jimenez-Sanchez, G; Kobori, H; Muñoz-Monroy, O; Rodriguez, M; Urushihara, M, 2012
)
0.94
"The angiotensinogen (AGT) gene has been shown to be involved in the development of coronary heart disease (CHD). "( AGT gene polymorphisms (M235T, T174M) are associated with coronary heart disease in a Chinese population.
Li, Q; Li, X; Li, Y; Ren, J; Wang, Y; Wang, Z; Ye, M, 2013
)
0.95
"Angiotensinogen has been proposed as a possible link between obesity and hypertension because the adipocyte produces angiotensinogen and contains the enzymes required for its conversion. "( Sympathetic activity and response to ACE inhibitor (enalapril) in normotensive obese and non-obese subjects.
Amador, N; Guizar, JM; Malacara, JM; Paniagua, R; Pérez-Luque, E,
)
1.57
"Angiotensinogen (AGT) gene has been regarded as one of the candidate genes for essential hypertension. "( Genotyping the -6A/G functional polymorphism in the core promoter region of angiotensinogen gene by microchip electrophoresis.
Fung, Y; Lin, B; Liu, Z; Qin, J; Wu, D; Zhou, X; Zhu, N, 2005
)
2
"Angiotensinogen transcripts have been identified in the brain, liver, kidney, and various parts of the intestine of sea bream, an observation, which probably implies the presence of a local RAS at the tissue level."( Positive feedback of hepatic angiotensinogen expression in silver sea bream (Sparus sarba).
Ge, W; Wong, MK; Woo, NY, 2007
)
1.35
"The angiotensinogen (AGT) gene has been implicated as a risk factor in essential hypertension."( Angiotensinogen promoter sequence variants in essential hypertension.
Guruju, M; Kumar, A; Prater, A; Velez, DR; Vinukonda, G; Williams, SM, 2006
)
2.26
"Angiotensinogen has been assumed to be an acute-phase protein, because some forms of acute inflammation, eg, the injection of lipopolysaccharide or cellite or partial hepatectomy, increased the hepatic synthesis of angiotensinogen. "( Angiotensinogen: an acute-phase protein?
Hackenthal, E; Hasmann, T; Klett, C; Soden, M, 1994
)
3.17
"The angiotensinogen (AGT) gene has been implicated as a candidate gene of high blood pressure. "( Rapid detection and prevalence of the variants of the angiotensinogen gene in patients with essential hypertension.
Morise, T; Takeda, R; Takeuchi, Y, 1995
)
1.1
"The angiotensinogen gene has been linked to the development of essential hypertension, and a M235T variant of this gene, associated with increased plasma levels of angiotensinogen, is more common in hypertensives than in normotensive controls in various populations. "( Angiotensinogen-M235T genotype and post-transplant hypertension.
Beige, J; Distler, A; Engeli, S; Offermann, G; Sharma, AM; Weber, A, 1996
)
2.29
"Angiotensinogen has been identified as a non-inhibitory member of the serine proteinase inhibitor family."( Angiotensinogen: molecular biology, biochemistry and physiology.
Broughton Pipkin, F; Kalsheker, N; Morgan, L, 1996
)
2.46
"Angiotensinogen (AGT) has been linked to hypertension. "( Intravenous angiotensinogen antisense in AAV-based vector decreases hypertension.
Galli, SM; Kimura, B; Mohuczy, D; Phillips, MI; Tang, X; Zhang, YC, 1999
)
2.13
"Angiotensinogen has been identified as one of the acute-phase reactants. "( Angiotensinogen production by rat hepatoma cells is stimulated by B cell stimulatory factor 2/interleukin-6.
Itoh, N; Matsuda, T; Ohtani, R; Okamoto, H, 1989
)
3.16

Actions

ExcerptReferenceRelevance
"Angiotensinogen (AGT) plays important roles in the regulation of blood pressure."( AGT M235T polymorphism contributes to risk of preeclampsia: evidence from a meta-analysis.
Bai, Y; Deng, Y; Gong, Y; Huang, J; Ni, S; Zhang, Y; Zhou, R, 2012
)
1.1

Treatment

ExcerptReferenceRelevance
"Angiotensinogen treatment induced a strong decrease in endothelial cell proliferation of the chorioallantoic membrane vasculature, as shown by incorporation of bromo-deoxyuridine."( Angiotensinogen impairs angiogenesis in the chick chorioallantoic membrane.
Brand, M; Corvol, P; Gasc, JM; Lamandé, N; Larger, E, 2007
)
2.5

Toxicity

ExcerptReferenceRelevance
" The aim of this study was to identify genetic markers related to the pharmacokinetics, pharmacodynamics, and adverse effects of quetiapine."( Pharmacogenetics of quetiapine in healthy volunteers: association with pharmacokinetics, pharmacodynamics, and adverse effects.
Abad-Santos, F; Borobia, A; Cabaleiro, T; Carcas, A; López-Rodríguez, R; Novalbos, J; Ochoa, D; Román, M, 2015
)
0.42

Pharmacokinetics

ExcerptReferenceRelevance
"5 h in non-treated rats, and the half-life of slower phase significantly increased to 10."( Role of the kidney in the plasma clearance of angiotensinogen in the rat: plasma clearance and tissue distribution of 125I-angiotensinogen.
Matsui, T; Okamoto, H; Takahashi, K; Takano, M; Yayama, K; Yoshiya, M, 1995
)
0.55
" The terminal half-life (T1/2beta) was increased (130 versus 82 minutes) and the metabolic clearance rate (MCR) was decreased (0."( Angiotensinogen concentrations and renin clearance : implications for blood pressure regulation.
Bohlender, J; Ganten, D; Luft, FC; Ménard, J, 2000
)
1.75

Compound-Compound Interactions

ExcerptReferenceRelevance
" In case of isolated hypertension, M235M genotype (gene AGT) was more frequent, in case of hypertension combined with metabolic syndrome, the frequency of genotypes A1166C and C1166C of the gene AGTR1 was higher in comparison with population data."( Analysis of Polymorphism of Angiotensin System Genes (ACE, AGTR1, and AGT) and Gene ITGB3 in Patients with Arterial Hypertension in Combination with Metabolic Syndrome.
Aissa, AA; Azova, MM; Frolov, VA; Gigani, OO; Kubanova, AP; Zotova, TY, 2016
)
0.43

Bioavailability

ExcerptReferenceRelevance
"Our design approach led to compounds with high in vitro affinity and specificity for renin, favourable bioavailability and excellent oral efficacy in lowering blood pressure in primates."( Structure-based drug design: the discovery of novel nonpeptide orally active inhibitors of human renin.
Cohen, NC; Cumin, F; Fuhrer, W; Göschke, R; Grütter, MG; Maibaum, J; Rahuel, J; Rasetti, V; Rüeger, H; Stutz, S; Wood, JM, 2000
)
0.31
"Diabetes and hypertension independently contribute to renal injury, and the major mechanisms involved are increased reactive oxygen species (ROS) bioavailability and renin-angiotensin system (RAS) activation."( Activation of adenosine receptors improves renal antioxidant status in diabetic Wistar but not SHR rats.
Afonso, J; Albino-Teixeira, A; Morato, M; Patinha, D; Sousa, T, 2014
)
0.4

Dosage Studied

ExcerptRelevanceReference
" In a preliminary study, intramuscular administration of 25 mg/kg/day of arachidonyl (2-aminoethyl)phosphonate (18) to the hypertensive rat caused pronounced reduction (50 mm) in blood pressure within 3 days; upon continued dosage (15 mg/kg/day) of 18 for an additional 4 days, plasma renin activity was found to be 16 ng/0."( Synthesis of lysophosphatidylethanolamine analogs that inhibit renin activity.
Lee, HL; Pavanaram, SK; Sen, S; Smeby, RR; Turcotte, JG; Yu, CS, 1975
)
0.25
" The dose-response curves were similar to controls, although the Nottingham Long-Evans control strain drank significantly less in response to some doses of the peptides."( Thirst in Brattleboro rats.
Fitzsimons, JT; Fuller, LM, 1988
)
0.27
" In addition, a close dose-response relationship was found in the cultures supplemented with T3."( Effect of thyroid hormones on angiotensinogen production in the rat in vivo and in vitro.
Jimenez, E; Montiel, M; Morell, M; Ruiz, M, 1987
)
0.56
" Each dosage of each formulation was ingested by three women."( Comparison of pharmacodynamic properties of various estrogen formulations.
Brenner, PF; Dozono-Takano, R; Eggena, P; Lobo, RA; Mashchak, CA; Mishell, DR; Nakamura, RM, 1982
)
0.26
" Although the source of PRA in BNX is unknown, the enzyme appears functionally normal as evidenced by the dose-response to a single renin inhibitor."( Renin and renin inhibition in anephric man.
Abraham, PA; Katz, SA; Murray, RD; Opsahl, JA; Smith, KL, 1993
)
0.29
"Thirty THM aged 12 weeks were distributed equally to a lisinopril dosage group, a hydralazine dosage group, and an untreated group."( Tissue-localized angiotensin II enhances cardiac and renal disorders in Tsukuba hypertensive mice.
Fukamizu, A; Ishikawa, K; Kai, T; Kurooka, A; Murakami, K; Shimada, S; Sugimura, K; Takenaka, T, 1998
)
0.3
" Dose-response curves for drinking response to intracerebroventricular injections of ANG II were compared between SD and TG rats."( Glial angiotensinogen regulates brain angiotensin II receptors in transgenic rats TGR(ASrAOGEN).
Bader, M; Böhm, M; Bricca, G; Ganten, D; Monti, J; Schinke, M, 2001
)
0.79
" After adjusting for age, ethnicity (for total sample), gender, body mass index, systolic BP, and homeostasis model assessment index of insulin resistance, mean levels for both LVM and LVMI showed a significant decreasing trend with increasing gene dosage of the A(-6) allele in white subjects, African American subjects, and the total sample."( G-6A polymorphism of the angiotensinogen gene and its association with left ventricular mass in asymptomatic young adults from a biethnic community: the Bogalusa Heart Study.
Berenson, GS; Boerwinkle, E; Chen, W; Li, S; Patel, DA; Srinivasan, SR, 2005
)
0.63
" RI was compared to the ARB, candesartan (3 mg/kg/day PO), and to the ACEI, enalapril (60 mg/kg/day PO) in a 4-week dosing paradigm."( A nonpeptide, piperidine renin inhibitor provides renal and cardiac protection in double-transgenic mice expressing human renin and angiotensinogen genes.
Carlson, T; Kowala, MC; Leadley, R; Major, TC; Okerberg, C; Olszewski, B; Ostroski, R; Rosebury, W; Schroeder, R, 2008
)
0.55
" Oral dosing of aliskiren, enalapril or losartan provided a similar maximal reduction in MAP and duration of efficacy in telemetrised dTG rats."( Characterization of a stable, hypertensive rat model suitable for the consecutive evaluation of human renin inhibitors.
Auger, A; Binkert, C; Cromlish, W; Fischli, W; Harris, J; Hess, P; Liu, S; Percival, MD; Riendeau, D; St-Jacques, R; Steiner, B; Toulmond, S, 2011
)
0.37
" Admistration of naringenin at the dosage of 10 and 20 mg/kg to sepsis rats caused significant reduction in the sepsis-induced apoptosis of kidney cells, accompanied by decrease in Bax and increase in Bcl-2 expression."( Protective Effects of Naringenin in a Rat Model of Sepsis-Triggered Acute Kidney Injury via Activation of Antioxidant Enzymes and Reduction in Urinary Angiotensinogen.
Chen, Y; Cui, W; Hu, G; Liu, J; Mu, L; Qiao, L, 2019
)
0.71
" The ratio of values associated with morning versus evening dosing was defined as the morning to evening (M/E) ratio."( Chronotherapy with a Renin-angiotensin System Inhibitor Ameliorates Renal Damage by Suppressing Intrarenal Renin-angiotensin System Activation.
Aoki, T; Fujikura, T; Ishigaki, S; Isobe, S; Kato, A; Matsuyama, T; Miyajima, H; Ohashi, N; Sato, T; Yasuda, H, 2020
)
0.56
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (3,471)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990618 (17.80)18.7374
1990's838 (24.14)18.2507
2000's1028 (29.62)29.6817
2010's828 (23.85)24.3611
2020's159 (4.58)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 66.05

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index66.05 (24.57)
Research Supply Index8.21 (2.92)
Research Growth Index4.60 (4.65)
Search Engine Demand Index116.80 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (66.05)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials78 (2.16%)5.53%
Trials0 (0.00%)5.53%
Reviews404 (11.20%)6.00%
Reviews0 (0.00%)6.00%
Case Studies10 (0.28%)4.05%
Case Studies0 (0.00%)4.05%
Observational12 (0.33%)0.25%
Observational0 (0.00%)0.25%
Other3,102 (86.02%)84.16%
Other8 (100.00%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (49)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Exercise and Intensive Vascular Risk Reduction in Preventing Dementia [NCT02913664]Phase 2/Phase 3513 participants (Actual)Interventional2017-02-02Completed
Balance of Angiotensin II Receptors in Vessel Function After Preeclampsia [NCT06157580]Early Phase 130 participants (Anticipated)Interventional2023-12-01Recruiting
Influence of Blockade of the Renin-angiotensin System for Preservation of Cognitive Function, Hormonal Counter-regulatory Response, Symptomatology and Cardiac Repolarisation During Hypoglycaemia in Patients With Type 1 Diabetes [NCT01116180]9 participants (Actual)Interventional2010-04-30Completed
A Dose Finding Trial for Angiotensin II in Hypertensive Adults on Angiotensin Converting Enzyme Inhibitors and Angiotensin Receptor Blockers With Anesthesia-Mediated Hypotension [NCT03733145]Phase 160 participants (Anticipated)Interventional2019-10-03Recruiting
Biomarker-guided Implementation of Angiotensin-II (AT-II) to Reduce the Occurrence of Kidney Damage After Cardiac Surgery [NCT05199493]Phase 364 participants (Actual)Interventional2021-12-27Completed
A Randomised, Placebo-controlled, Double-Blind, Multicentre Efficacy and Safety Study of LJPC-501 in Paediatric Patients > 2 to 17 Years of Age With Catecholamine-Resistant Hypotension Associated With Distributive Shock [NCT03623529]Phase 2100 participants (Anticipated)Interventional2018-08-31Recruiting
PARENT Trial Pilot Pulmonary Artery Pressure Reduction With ENTresto (Sacubitril/Valsartan) [NCT02788656]Phase 44 participants (Actual)Interventional2016-09-30Terminated(stopped due to Inadequate Recruitment)
Impact of Intensive Treatment of Systolic Blood Pressure on Brain Perfusion, Amyloid, and Tau in Older Adults (IPAT Study) [NCT05331144]Phase 2180 participants (Anticipated)Interventional2022-10-25Recruiting
Angiotensin II as a First-line Vasopressor for Distributive Shock During or After Heart Transplantation or Durable Left Ventricular Assist Device Implantation: A Pilot Study [NCT04904562]Phase 440 participants (Anticipated)Interventional2022-06-01Recruiting
Caveolin-1 and Vascular Dysfunction [NCT01426529]Phase 1120 participants (Anticipated)Interventional2010-10-01Active, not recruiting
Angiotensin II for Septic Shock Treatment: Effects On Macro- and Microcirculation A Randomized, Controlled Pilot Trial (ANGSTROM Trial) [NCT03302650]Phase 320 participants (Anticipated)Interventional2019-04-01Suspended(stopped due to The drug is not available)
Angiotensin II in Liver Transplantation (AngLT-1): A Pilot Randomized Controlled Trial [NCT04901169]Phase 2/Phase 350 participants (Anticipated)Interventional2022-06-28Recruiting
Evaluation of the Potential Benefit of Renin-angiotensin System Inhibitors (RASi, ACEi/ARB) in High-risk Patients With COVID-19. The COVID-RASi Trial [NCT04591210]Phase 31,155 participants (Anticipated)Interventional2021-01-27Active, not recruiting
Investigating the Interaction of Apelin and Angiotensin II Peripheral Resistance Vessels in Vivo in Man [NCT00901745]12 participants (Anticipated)Interventional2009-05-31Completed
A Pilot Crossover Randomised Controlled Trial of Angiotensin II in Critically Ill Patients With Severe Sepsis and Acute Renal Failure [NCT00711789]Phase 212 participants (Anticipated)Interventional2010-02-28Recruiting
Role of Angiotensin II in Insulin-induced Microvascular Activity [NCT01024543]18 participants (Actual)Interventional2006-10-31Completed
Angiotensin 2 as a Novel Treatment for Hepatorenal Syndrome [NCT04048707]Phase 248 participants (Anticipated)Interventional2021-07-01Not yet recruiting
Intravenous AII for the Treatment of Severe Hypotension in High Output Shock: A Pilot Study [NCT01393782]Phase 120 participants (Actual)Interventional2011-07-31Completed
Physiologic Investigation of the Renin Angiotensin Aldosterone Axis in HIV [NCT01407237]30 participants (Actual)Observational2012-01-31Completed
Intraoperative Angiotensin 2 for the Prevention of Kidney Injury After Liver Transplant [NCT04592744]Phase 430 participants (Anticipated)Interventional2022-04-08Enrolling by invitation
Blood Pressure Lowering Effects of Angiotensin-(1-7) in Primary Autonomic Failure [NCT02591173]Early Phase 17 participants (Actual)Interventional2016-02-29Terminated(stopped due to Difficulty recruiting)
[NCT01049646]12 participants (Anticipated)Interventional2010-01-31Completed
[NCT01015937]50 participants (Actual)Interventional2008-03-31Completed
DPP3, Angiotensin II, and Renin Kinetics in Sepsis (DARK-Sepsis) Pilot: Serum Biomarkers to Predict Response to Angiotensin II vs. Standard-of-care Vasopressor Therapy in the Treatment of Septic Shock, a Randomized Controlled Pilot Trial [NCT05824767]Phase 440 participants (Anticipated)Interventional2023-04-17Recruiting
Open-label, Randomized, Single Center, Paralleled Clinical Study to Evaluate Adherence Improvement Fixed-dose Combination of Olostar Tab. in Patients With Hypertension and Dyslipidemia [NCT04061824]Phase 4150 participants (Actual)Interventional2016-05-24Completed
Angiotensin II in the Perioperative Management of Hypotension in Kidney Transplant [NCT04529005]Phase 420 participants (Actual)Interventional2020-08-13Completed
The Renin-Aldosterone Axis in Postural Tachycardia Syndrome [NCT00962949]Phase 128 participants (Actual)Interventional2009-04-30Completed
Vascular Function in Health & Disease: Rehabilitation for Hypertension; Exercise and Skeletal Muscle Afferent Feedback [NCT02966665]Phase 1420 participants (Anticipated)Interventional2008-09-30Recruiting
The Effect of Early Administration of Dapagliflozin in ST Elevation Myocardial Infarction Patients Presenting With Left Ventricular Systolic Dysfunction [NCT05045274]300 participants (Anticipated)Interventional2021-12-31Not yet recruiting
A Randomized Controlled Pilot Trial of Angiotensin II Versus Vasopressin as Second-line Vasopressor in the Treatment of Septic Shock [NCT05193370]Phase 40 participants (Actual)Interventional2022-01-03Withdrawn(stopped due to Funding and protocol changes. Replaced with new pilot trial.)
Effects of Angiotensin II Receptor Blockers (ARB) and Angiotensin Converting Enzyme Inhibitors (ACEI) on Progression of Silent Brain Infarction and Cognitive Decline in Japanese Patients With Essential Hypertension in the Elderly [NCT00126516]Phase 4395 participants (Actual)Interventional2004-05-31Completed
A Randomized, Controlled Study on Calcium Channel Blocker Versus Angiotensin II Antagonists in the Hypertensive Patients With Type 2 Diabetes Mellitus Under the Inadequately Controlled Blood Pressure With Angiotension II Antagonists [NCT00144144]Phase 4300 participants Interventional2004-09-30Active, not recruiting
Prospective Monitoring of Angiotensin Receptor Neprilysin Inhibitor in Older Adults With Heart Failure and Frailty [NCT04743063]40,000 participants (Anticipated)Observational2021-01-14Active, not recruiting
Prospective Randomized Multicentric Open Label Study to Evaluate Rituximab Treatment for Idiopathic Membranous Nephropathy (IMN) [NCT01508468]Phase 380 participants (Actual)Interventional2012-01-17Completed
Evaluation of Lysine-Specific Demethylase 1 As An Epigenetic Regulator of Salt Sensitive Hypertension [NCT01702688]0 participants (Actual)Interventional2012-07-31Withdrawn
Efficacy and Safety of Angiotensin II Use in COVID-19 Patients With Acute Respiratory Distress Syndrome [NCT04408326]50 participants (Anticipated)Observational2020-06-01Recruiting
The Role of Angiotensin Type I Receptor in the Regulation of Human Coronary Vascular Function [NCT00001629]Phase 349 participants Interventional1997-07-31Completed
Prognosis of SARS-Cov 2 Positive Patients Receiving Angiotensin Converting Enzyme Inhibitors (ACE-I) and Angiotensin II Receptor Antagonists (ARBs) [NCT04357535]314 participants (Actual)Observational2020-05-10Completed
Vascular Disease and Hbp: Pai-1, Insulin and Genes (Crc): Hypertension Phenotype [NCT01456208]150 participants (Actual)Observational [Patient Registry]1999-10-31Terminated(stopped due to Funding stopped)
Renin and Renal Biomarker Response to Angiotensin II Versus Controls in Septic Shock: An Open-Label Study [NCT04558359]Phase 430 participants (Actual)Interventional2020-10-19Completed
Effects of Nebivolol Versus Metoprolol on Blood Flow Responses to Exercise and Angiotensin II in Hypertensive Patients [NCT01502787]Phase 446 participants (Actual)Interventional2009-04-30Completed
The Role of Angiotensin Type I Receptor in the Regulation of Human Peripheral Vascular Function [NCT00001628]Phase 336 participants Interventional1997-07-31Completed
An Open-label, Single-arm, Single-center Study Evaluating the Hemodynamic Response to Angiotensin-II When Used as the Second Vasopressor Agent for Septic Shock [NCT06122987]Phase 450 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Therapeutic Drug Use in Patients With Chronic Kidney Disease (CKD): a Multicenter Retrospective Real-world Study [NCT05818995]10,000 participants (Anticipated)Observational2022-07-01Active, not recruiting
Protective Effects of Angiotensin-(1-7) in Peripheral Arterial Disease [NCT03240068]Early Phase 16 participants (Actual)Interventional2017-09-01Terminated(stopped due to Study funding ended prior to completion.)
Non-Modulation Phenotype and Vascular Dysfunction in Diabetes Mellitus [NCT01511042]100 participants (Actual)Observational [Patient Registry]1999-12-31Terminated
Anti-Angiotensin II Type 1 Receptor Antibodies and Kidney Transplant Outcomes [NCT03466775]1,845 participants (Actual)Observational2008-01-01Completed
An Open-Label, Multi-Center Study of LJPC-501 in Pediatric Patients Who Remain Hypotensive Despite Receiving Fluid Therapy and Vasopressor Therapy [NCT03431077]Phase 22 participants (Actual)Interventional2018-02-11Completed
Metabolic Effects of Angiotensin-(1-7) [NCT02646475]Phase 119 participants (Anticipated)Interventional2016-02-29Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00962949 (4) [back to overview]Aldosterone Level
NCT00962949 (4) [back to overview]Cortisol Level
NCT00962949 (4) [back to overview]Mean Arterial Blood Pressure Change
NCT00962949 (4) [back to overview]Plasma Renin Activity
NCT01502787 (3) [back to overview]Blood Pressure During Angiotensin II Infusion
NCT01502787 (3) [back to overview]Blood Pressure During Exercise
NCT01502787 (3) [back to overview]Forearm Blood Flow
NCT02788656 (6) [back to overview]Change in NT-proBNP
NCT02788656 (6) [back to overview]Determine the Change in Distance Walked During a Standard 6 Minute Walk Test From Baseline
NCT02788656 (6) [back to overview]Difference Between Mean Change in Mean Pulmonary Artery Pressure (PAPm) With Sacubitril/Valsartan Compared to the Mean Change in PAPm With Continued ACEi/ARB
NCT02788656 (6) [back to overview]Mean Change in PAPm in Both Groups on Sacubitril/Valsartan
NCT02788656 (6) [back to overview]The Acute Change in PAPm After the First Administration of Sacubitril/Valsartan
NCT02788656 (6) [back to overview]The Difference Between Mean Change in PAPm From Baseline on Sacubitril/Valsartan Compared to ACEI/ARB
NCT04529005 (7) [back to overview]Duration of ATII Vasopressor Usage in the Intraoperative Setting
NCT04529005 (7) [back to overview]Number (and Percentage) of Patients With Arrhythmias
NCT04529005 (7) [back to overview]Number (and Percentage) of Patients With Delayed Graft Function
NCT04529005 (7) [back to overview]Number (and Percentage) of Patients With Fungal Infections
NCT04529005 (7) [back to overview]Number (and Percentage) of Patients With Hyperglycemia
NCT04529005 (7) [back to overview]Number (and Percentage) of Patients With Peripheral/Visceral Ischemia
NCT04529005 (7) [back to overview]Number (and Percentage) of Patients With Thrombosis

Aldosterone Level

(NCT00962949)
Timeframe: 1 hour

Interventionpicogram/milliliter (Mean)
Control15
Postural Tachycardia Syndrome17

[back to top]

Cortisol Level

(NCT00962949)
Timeframe: 1 hour

Interventionng/ml/h (Mean)
Control-1.4
Postural Tachycardia Syndrome-0.7

[back to top]

Mean Arterial Blood Pressure Change

(NCT00962949)
Timeframe: 1 hour

Interventionmm/Hg (Mean)
Control14
Postural Tachycardia Syndrome10

[back to top]

Plasma Renin Activity

(NCT00962949)
Timeframe: 1 hour

Interventionmicrograms/deciliter (Mean)
Control-0.6
Postural Tachycardia Syndrome-0.9

[back to top]

Blood Pressure During Angiotensin II Infusion

(NCT01502787)
Timeframe: 12 weeks after initiation of metoprolol

InterventionmmHg (Mean)
Metoprolol114
Nebivolol113

[back to top]

Blood Pressure During Exercise

(NCT01502787)
Timeframe: 12 weeks

InterventionmmHg (Mean)
Initial Treatment With Metoprolol101
Initial Treatment With Nebivolol103

[back to top]

Forearm Blood Flow

(NCT01502787)
Timeframe: 12 weeks after each specified medication

Interventionml/min (Mean)
First Intervention Metoprolol: 12 Weeks96
Second Intervention Nebivolol: 24 Weeks105

[back to top]

Change in NT-proBNP

Change in NT-proBNP from baseline to 6 weeks (NCT02788656)
Timeframe: Baseline

Interventionpg/mL (Mean)
Group A-85
Group B250

[back to top]

Determine the Change in Distance Walked During a Standard 6 Minute Walk Test From Baseline

Change in 6 minute walk distance in Group A vs. Group B at 6 weeks (NCT02788656)
Timeframe: Baseline, 6 weeks

Interventionm (Mean)
Group A36
Group B-5

[back to top]

Difference Between Mean Change in Mean Pulmonary Artery Pressure (PAPm) With Sacubitril/Valsartan Compared to the Mean Change in PAPm With Continued ACEi/ARB

Change in mean PAP in group A versus group B (NCT02788656)
Timeframe: Baseline, 6 weeks

Interventionmm Hg (Mean)
Group A0
Group B-2.5

[back to top]

Mean Change in PAPm in Both Groups on Sacubitril/Valsartan

Change in PAPm from week 12-32 (NCT02788656)
Timeframe: 20 weeks (weeks 12 to 32 of the study)

Interventionmm Hg (Mean)
Group A6
Group B2

[back to top]

The Acute Change in PAPm After the First Administration of Sacubitril/Valsartan

Change in PAPm at 3 hours (NCT02788656)
Timeframe: Baseline, 3 hours (after first dose of sacubitril/valsartan)

Interventionmm Hg (Mean)
Group A-3.5
Group B-15

[back to top]

The Difference Between Mean Change in PAPm From Baseline on Sacubitril/Valsartan Compared to ACEI/ARB

Change in PAPm on sacubitril/valsartan: Measured from baseline to week 6 (group A) and week 7-week 12 (Group B) (NCT02788656)
Timeframe: 6 weeks (week 1-6 of the study for group A, weeks 7-12 for group B)

Interventionmm Hg (Mean)
Group A0
Group B1.5

[back to top]

Duration of ATII Vasopressor Usage in the Intraoperative Setting

Duration of vasopressor usage while in the operating room measured in hours of usage presented as median and IQR. (NCT04529005)
Timeframe: Duration of usage during the transplant surgery - presented in hours

Interventionhours (Median)
Angiotensin II (Giapreza)1

[back to top]

Number (and Percentage) of Patients With Arrhythmias

The presence of arrhythmia was confirmed via EKG, flowsheet, or note documentation from the electronic medical record. (NCT04529005)
Timeframe: From date and time of study drug initiation during or after transplant operation until study drug is discontinued up to a maximum of 30 days.

InterventionParticipants (Count of Participants)
Angiotensin II (Giapreza)1

[back to top]

Number (and Percentage) of Patients With Delayed Graft Function

The presence of Delayed Graft Function was captured for each patient and defined by the need for renal replacement therapy up to 7 days post-operative. (NCT04529005)
Timeframe: From post-op to 7 days post-op

InterventionParticipants (Count of Participants)
Angiotensin II (Giapreza)2

[back to top]

Number (and Percentage) of Patients With Fungal Infections

The presence of post-operative fungal infections were captured prior to discharge as documented by the clinical care team in the electronic medical record. (NCT04529005)
Timeframe: From date and time of study drug initiation during or after transplant operation until study drug is discontinued up to a maximum of 30 days.

InterventionParticipants (Count of Participants)
Angiotensin II (Giapreza)0

[back to top]

Number (and Percentage) of Patients With Hyperglycemia

The presence of hyperglycemia was captured for each patient and was determined by those patients requiring the use of an insulin infusion after their transplant surgery. (NCT04529005)
Timeframe: From date and time of study drug initiation during or after transplant operation until study drug is discontinued up to a maximum of 30 days.

InterventionParticipants (Count of Participants)
Angiotensin II (Giapreza)1

[back to top]

Number (and Percentage) of Patients With Peripheral/Visceral Ischemia

The presence of digital or other peripheral/visceral ischemia was captured from reviewing chart documentation for each patient. (NCT04529005)
Timeframe: From date and time of study drug initiation during or after transplant operation until study drug is discontinued up to a maximum of 30 days.

InterventionParticipants (Count of Participants)
Angiotensin II (Giapreza)0

[back to top]

Number (and Percentage) of Patients With Thrombosis

Incidence of venous or arterial thrombosis occurring during the hospitalization for kidney transplant (captured by ultrasound or other diagnostic imaging) (NCT04529005)
Timeframe: From date and time of study drug initiation during or after transplant operation until study drug is discontinued up to a maximum of 30 days.

InterventionParticipants (Count of Participants)
Angiotensin II (Giapreza)0

[back to top]