TRIAL RESULTS · SIDE EFFECTS

Angiotensin II side effects

ANSWER

In 1 placebo-controlled trial with posted results, the most common side effects of Angiotensin II were Multi-organ failure 15.3% (placebo 14.6%), septic shock 11.0% (placebo 6.3%), atrial fibrillation 10.4% (placebo 10.1%). Read from ClinicalTrials.gov on 2026-10-03. Not medical advice.

Trial register

Trials with posted results

3

with an arm on Angiotensin II, of 364 registered

Against placebo

1

placebo-controlled trials

People in those trials

163

on Angiotensin II · 158 on placebo

Read

2026-10-03

ClinicalTrials.gov

VS PLACEBO

Most common side effects, Angiotensin II beside placebo

All 147 reported events
Multi-organ failure15.3%14.6%
Septic shock11.0%6.3%
Atrial fibrillation10.4%10.1%
Thrombocytopenia9.2%6.3%
Hypokalaemia8.0%6.3%
Hypotension8.0%4.4%
Anaemia6.7%5.7%
Delirium5.5%0.6%
Hypertension5.5%5.7%
Pleural effusion4.9%5.1%

Share of people with each side effect in 1 placebo-controlled trial with posted results: 163 people on Angiotensin II (all doses), 158 on placebo, same trials. Listed only when reported for at least half of the people on Angiotensin II. Source: ClinicalTrials.gov, read 2026-10-03. Not medical advice.

ALL TRIALS

The 100 most reported of 147 side effects reported

Every trial with posted results and an arm on Angiotensin II (n ≥ 20), all phases, by people affected. Placebo is shown where placebo-controlled trials reported the same event. Comparator arms are not counted.

Side effectOrgan systemAngiotensin IIPlaceboTrials
Multi-organ failureGeneral disorders15.3% (25 of 163)14.6%1
Septic shockInfections and infestations11.0% (18 of 163)6.3%1
Atrial fibrillationCardiac disorders10.4% (17 of 163)10.1%1
ThrombocytopeniaBlood and lymphatic system disorders8.7% (16 of 183)6.3%2
HypokalaemiaMetabolism and nutrition disorders8.0% (13 of 163)6.3%1
HypotensionVascular disorders8.0% (13 of 163)4.4%1
thrombocytopeniaBlood and lymphatic system disorders65.0% (13 of 20)-1
tachycardiaCardiac disorders60.0% (12 of 20)-1
AnaemiaBlood and lymphatic system disorders6.7% (11 of 163)5.7%1
DeliriumPsychiatric disorders5.5% (9 of 163)0.6%1
HypertensionVascular disorders5.5% (9 of 163)5.7%1
Pleural effusionRespiratory, thoracic and mediastinal disorders4.9% (8 of 163)5.1%1
Acute kidney injuryRenal and urinary disorders4.9% (8 of 163)6.3%1
Respiratory failureRespiratory, thoracic and mediastinal disorders4.9% (8 of 163)7.0%1
Cardiac arrestCardiac disorders4.3% (7 of 163)5.7%1
HypophosphataemiaMetabolism and nutrition disorders3.7% (6 of 163)7.0%1
AgitationPsychiatric disorders3.7% (6 of 163)5.1%1
BradycardiaCardiac disorders3.7% (6 of 163)5.7%1
Ventricular tachycardiaCardiac disorders3.1% (5 of 163)1.9%1
Peripheral ischaemiaVascular disorders3.1% (5 of 163)1.9%1
infectionInfections and infestations25.0% (5 of 20)-1
SepsisInfections and infestations1.8% (3 of 163)1.3%1
Cardio-respiratory arrestCardiac disorders1.8% (3 of 163)3.2%1
Deep vein thrombosisVascular disorders1.8% (3 of 163)0.0%1
ShockVascular disorders1.8% (3 of 163)1.9%1
Acute respiratory failureRespiratory, thoracic and mediastinal disorders1.8% (3 of 163)3.2%1
PneumoniaInfections and infestations1.2% (2 of 163)1.9%1
Failure to thriveMetabolism and nutrition disorders1.2% (2 of 163)0.6%1
Acute myocardial infarctionCardiac disorders1.2% (2 of 163)1.3%1
Cardiogenic shockCardiac disorders1.2% (2 of 163)2.5%1
TachycardiaCardiac disorders1.2% (2 of 163)0.0%1
Ventricular fibrillationCardiac disorders1.2% (2 of 163)0.0%1
hyperglycemiaEndocrine disorders10.0% (2 of 20)-1
Abdominal abscessInfections and infestations0.6% (1 of 163)0.0%1
Abdominal infectionInfections and infestations0.6% (1 of 163)0.0%1
Enterobacter bacteraemiaInfections and infestations0.6% (1 of 163)0.0%1
Liver abscessInfections and infestations0.6% (1 of 163)0.0%1
Necrotising fasciitisInfections and infestations0.6% (1 of 163)0.0%1
Pulmonary sepsisInfections and infestations0.6% (1 of 163)0.0%1
TracheobronchitisInfections and infestations0.6% (1 of 163)0.0%1
Hepatic cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0.6% (1 of 163)0.0%1
Pancreatic carcinoma metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)0.6% (1 of 163)0.0%1
Metabolic acidosisMetabolism and nutrition disorders0.6% (1 of 163)0.0%1
Mental status changePsychiatric disorders0.6% (1 of 163)0.0%1
Brain hypoxiaNervous system disorders0.6% (1 of 163)0.0%1
Brain injuryNervous system disorders0.6% (1 of 163)1.3%1
Cerebral infarctionNervous system disorders0.6% (1 of 163)0.0%1
Depressed level of conciousnessNervous system disorders0.6% (1 of 163)0.0%1
HemiparesisNervous system disorders0.6% (1 of 163)0.0%1
Hypoxic-ischaemic encephalopathyNervous system disorders0.6% (1 of 163)0.0%1
Ischaemic strokeNervous system disorders0.6% (1 of 163)0.0%1
Toxic leukoencephalopathyNervous system disorders0.6% (1 of 163)0.0%1
ArrhythmiaCardiac disorders0.6% (1 of 163)0.0%1
Atrioventricular blockCardiac disorders0.6% (1 of 163)0.0%1
Cardiopulmonary failureCardiac disorders0.6% (1 of 163)0.0%1
Right ventricular dysfunctionCardiac disorders0.6% (1 of 163)0.0%1
Supraventricular tachycardiaCardiac disorders0.6% (1 of 163)2.5%1
Distributive shockVascular disorders0.6% (1 of 163)2.5%1
Shock haemorrhagicVascular disorders0.6% (1 of 163)0.0%1
VasospasmVascular disorders0.6% (1 of 163)0.0%1
Acute pulmonary oedemaRespiratory, thoracic and mediastinal disorders0.6% (1 of 163)0.0%1
AspirationRespiratory, thoracic and mediastinal disorders0.6% (1 of 163)0.0%1
BronchomalaciaRespiratory, thoracic and mediastinal disorders0.6% (1 of 163)0.0%1
HypoxiaRespiratory, thoracic and mediastinal disorders0.6% (1 of 163)0.0%1
Pharyngeal haemorrhageRespiratory, thoracic and mediastinal disorders0.6% (1 of 163)0.0%1
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders0.6% (1 of 163)0.6%1
PneumothoraxRespiratory, thoracic and mediastinal disorders0.6% (1 of 163)1.9%1
Pulmonary oedemaRespiratory, thoracic and mediastinal disorders0.6% (1 of 163)0.0%1
Respiratory arrestRespiratory, thoracic and mediastinal disorders0.6% (1 of 163)0.0%1
Gastrointestinal mucosal exfoliationGastrointestinal disorders0.6% (1 of 163)0.0%1
HaematemesisGastrointestinal disorders0.6% (1 of 163)0.0%1
Intestinal ischaemiaGastrointestinal disorders0.6% (1 of 163)1.9%1
Hepatic failureHepatobiliary disorders0.6% (1 of 163)0.6%1
Hepatic function abnormalHepatobiliary disorders0.6% (1 of 163)0.0%1
Hepatic vascular thrombosisHepatobiliary disorders0.6% (1 of 163)0.0%1
Liver disorderHepatobiliary disorders0.6% (1 of 163)0.0%1
Skin discolourationSkin and subcutaneous tissue disorders0.6% (1 of 163)0.0%1
Skin necrosisSkin and subcutaneous tissue disorders0.6% (1 of 163)0.0%1
Muscle necrosisMusculoskeletal and connective tissue disorders0.6% (1 of 163)0.0%1
RhabdomyolysisMusculoskeletal and connective tissue disorders0.6% (1 of 163)0.0%1
Renal failureRenal and urinary disorders0.6% (1 of 163)0.6%1
Renal impairmentRenal and urinary disorders0.6% (1 of 163)0.0%1
Device dislocationGeneral disorders0.6% (1 of 163)0.0%1
PyrexiaGeneral disorders0.6% (1 of 163)0.0%1
Alanine aminotransferase increasedInvestigations0.6% (1 of 163)0.0%1
Blood lactic acid increasedInvestigations0.6% (1 of 163)0.0%1
Electrocardiogram ST segment elevationInvestigations0.6% (1 of 163)0.0%1
Liver function test abnormalInvestigations0.6% (1 of 163)0.0%1
Staphylococcus test positiveInvestigations0.6% (1 of 163)0.0%1
Gastrointestinal anastomotic leakInjury, poisoning and procedural complications0.6% (1 of 163)0.0%1
Gastrostomy tube site complicationInjury, poisoning and procedural complications0.6% (1 of 163)0.0%1
deep vein thrombosisVascular disorders5.0% (1 of 20)-1
atrial fibrillationCardiac disorders5.0% (1 of 20)-1
worsening septic shockGeneral disorders5.0% (1 of 20)-1
cardiac arrestCardiac disorders5.0% (1 of 20)-1
BacteraemiaInfections and infestations0.0% (0 of 163)0.6%1
Cardiac valve vegetationInfections and infestations0.0% (0 of 163)0.6%1
Clostridium difficile colitisInfections and infestations0.0% (0 of 163)0.6%1
Clostridium difficile sepsisInfections and infestations0.0% (0 of 163)0.6%1
PeritonitisInfections and infestations0.0% (0 of 163)0.6%1

Source: ClinicalTrials.gov posted results, read 2026-10-03. A trial lists events above its own reporting threshold, so a rare event may be missing from some trials. Not medical advice.

FDA LABEL

What the FDA label says

Giapreza NDA209360 · label of 2026-07-22 Regulator

The most common adverse reactions reported in greater than 10% of GIAPREZA treated patients were thromboembolic events.

Full label, section 6, on DailyMed

ANGIOTENSIN II ANDA216966 · label of 2025-06-04 Regulator

The most common adverse reactions reported in greater than 10% in Angiotensin II treated patients were thromboembolic events.

Full label, section 6, on DailyMed

QUESTIONS

Does angiotensin ii cause Multi-organ failure?

In 1 placebo-controlled trial with posted results, 15.3% of people on angiotensin ii reported Multi-organ failure, against 14.6% on placebo. Source: ClinicalTrials.gov, read 2026-10-03. Not medical advice.

Does angiotensin ii cause septic shock?

In 1 placebo-controlled trial with posted results, 11.0% of people on angiotensin ii reported septic shock, against 6.3% on placebo. Source: ClinicalTrials.gov, read 2026-10-03. Not medical advice.

Does angiotensin ii cause atrial fibrillation?

In 1 placebo-controlled trial with posted results, 10.4% of people on angiotensin ii reported atrial fibrillation, against 10.1% on placebo. Source: ClinicalTrials.gov, read 2026-10-03. Not medical advice.

Does angiotensin ii cause thrombocytopenia?

In 1 placebo-controlled trial with posted results, 9.2% of people on angiotensin ii reported thrombocytopenia, against 6.3% on placebo. Source: ClinicalTrials.gov, read 2026-10-03. Not medical advice.

Does angiotensin ii cause hypokalaemia?

In 1 placebo-controlled trial with posted results, 8.0% of people on angiotensin ii reported hypokalaemia, against 6.3% on placebo. Source: ClinicalTrials.gov, read 2026-10-03. Not medical advice.

REGISTERED STUDIES

364 registered clinical trials of Angiotensin II

The 10 most recently updated are listed.

NCT06746753
Mechanistic Assessment of Norepinephrine Therapy vs. Angiotensin-II in Septic Shock
Status: NOT_YET_RECRUITING · Updated 2026-09-24
NCT06539234
Angiotensin II Stress Test. Renin Kinetics During Treatment of Vasoplegic Shock With Angiotensin II.
Status: RECRUITING · Updated 2026-09-16
NCT06693726
Early Angiotensin II in the Emergency Department
Status: RECRUITING · Updated 2026-09-02
NCT07775846
QUARTET-DKD: Quadruple Therapy for Type 2 Diabetic Nephropathy
Status: NOT_YET_RECRUITING · Updated 2026-08-20
NCT04715568
Secondhand Tobacco Smoke and Cardiovascular Disease
Status: RECRUITING · Updated 2026-08-19
NCT07181109
Zilebesiran in Patients With Hypertension Not Adequately Controlled and With Either Established Cardiovascular Disease or High Risk for Cardiovascular Disease
Status: RECRUITING · Updated 2026-08-19
NCT06588686
A Trial to Evaluate Efficacy and Safety of Buloxibutid in People With Idiopathic Pulmonary Fibrosis.
Status: ACTIVE_NOT_RECRUITING · Updated 2026-08-17
2025-524783-38-00
Spironolactone and SGLT2 inhibitor to Address Fontan circulatory failure and Enhance Resilience: The SAFER-Fontan trial
Status: UNKNOWN · Updated 2026-08-14
2023-504597-37-00
A pivotal Phase 3, multicenter, randomized, double-blind, placebo-controlled study of the efficacy and safety of DMX-200 in patients with focal segmental glomerulosclerosis (FSGS) who are receiving an angiotensin II receptor blocker (ARB)
Status: UNKNOWN · Updated 2026-08-12
NCT06150560
A Study of Angiotensin-II Receptor Blocker on Cardiovascular Remodeling (VALUE Trial)
Status: ENROLLING_BY_INVITATION · Updated 2026-08-11

WEEKLY

Register Watch, weekly

New trials, approvals and enforcement actions. One email a week.