Last reviewed · How we verify
Angiotensin Ii (ANGIOTENSIN)
Angiotensin II works by binding to its receptor, triggering a cascade of signals that ultimately lead to the constriction of blood vessels.
Angiotensin II, marketed by La Jolla Pharma, is an approved treatment for septic or other distributive shock, leveraging its mechanism of action through receptor binding to constrict blood vessels. The drug's key strength lies in its unique mechanism, which addresses a critical unmet need in shock management. The primary risk is the key composition patent expiry in 2028, which could introduce generic competition and impact revenue.
At a glance
| Generic name | ANGIOTENSIN |
|---|---|
| Sponsor | La Jolla Pharma |
| Drug class | Vasoconstrictor [EPC] |
| Modality | Recombinant protein |
| Therapeutic area | Hematology |
| Phase | FDA-approved |
| First approval | 2025 |
Mechanism of action
Angiotensin II raises blood pressure by vasoconstriction and increased aldosterone release. Direct action of angiotensin II on the vessel wall is mediated by binding to the G-protein coupled-angiotensin II receptor type 1 on vascular smooth muscle cells, which stimulates Ca 2+ /calmodulin-dependent phosphorylation of myosin and causes smooth muscle contraction.
Approved indications
- Septic or other distributive shock
Common side effects
- Thromboembolic events
- Thrombocytopenia
- Tachycardia
- Delirium
- Acidosis
- Fungal infection
- Deep vein thrombosis
- Hyperglycemia
- Peripheral ischemia
Drug interactions
- Angiotensin converting enzyme (ACE) inhibitors
- Angiotensin II Receptor Blockers (ARB)
Key clinical trials
- Pharmacological Optimization in Prevention in Heart Failure: A Sex-gap? (PHASE4)
- Radioembolization With Intra-arterial Angiotensin II to Improve Tumor-absorbed Dose (RADIANT) (PHASE2)
- The STOP-MED CTRCD Trial (PHASE4)
- Optimal Blood Pressure for the prevenTIon of Major vAscuLar Events in Patients With DIABETES Mellitus (OPTIMAL-DIABETES) (NA)
- Prognostic Interest of Vasorin in Septic Shock (NA)
- Efficacy and Safety of Sacubitril/Valsartan in African American Patients With Heart Failure With Reduced Ejection Fraction
- Influenza Vaccination, ACEI and ARB in the Evolution of SARS-CoV2 Infection
- Angiotensin II in Liver Transplantation (PHASE2,PHASE3)
Patents
| Patent | Expiry | Type |
|---|---|---|
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| FDA label | Mechanism, indications, dosing, boxed warnings, drug interactions |
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
| FDA Orange Book | Patents + exclusivity |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Angiotensin Ii CI brief — competitive landscape report
- Angiotensin Ii updates RSS · CI watch RSS
- La Jolla Pharma portfolio CI