TheraRadar
Data updated: May 26, 2026

AZILSARTAN MEDOXOMIL (azilsartan kamedoxomil)

Trial Activity: Declining
Cardiovascular Approved 2022-07-20

Azilsartan medoxomil tablets are indicated for the treatment of hypertension in adults, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes, including the class to which this drug principally belongs.

Source: FDA Label • Lupin

Development Insights

Takeda conducting 12 trials (100%)
4 indications explored (Focused)
hypertension (10 trials)
essential hypertension (2 trials)
diabetes (2 trials)
1
Indication
--
Phase 3 Trials
3
Years on Market

Details

Status
Prescription
First Approved
2022-07-20
Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: AZILSARTAN KAMEDOXOMIL

AZILSARTAN MEDOXOMIL Approval History

2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2022 to 2024
Jul 2024 SUPPL
Label · Labeling
Jul 2022 ORIGINAL
Update

What AZILSARTAN MEDOXOMIL Treats

1 FDA approvals

Originally approved for its first indication in 2022 .

  • Other (1)

AZILSARTAN MEDOXOMIL Boxed Warning

FETAL TOXICITY When pregnancy is detected, discontinue azilsartan medoxomil tablets as soon as possible [see Warnings and Precautions ( 5.1 ) and Use in Specific Populations ( 8.1 )] . Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus [see Warnings and Precautions ( 5.1 ) and Use in Specific Populations ( 8.1 )] . WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue az...

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Clinical Trial Registry

7 trials
Trial Sponsor ID Phase Status Title
NCT02480764 results posted TAK-491_305 U1111-1159-5579 Ph 3 completed Azilsartan Medoxomil (TAK-491) Compared to Valsartan in Chinese Participants With Hypertension
NCT02517866 results posted AZI-P4-002 U1111-1156-8501 Ph 4 completed Azilsartan Medoxomil in the Treatment of Essential Hypertension and Type 2 Diabetes in Asia
NCT02203916 results posted TAK-491_307 U1111-1130-9186 Ph 3 completed Azilsartan Medoxomil (TAK-491) Compared to Placebo in Korean Adults With Hypertension
NCT01496430 results posted TAK-491_304 U1111-1125-1197 Ph 3 terminated Efficacy and Safety of Azilsartan Medoxomil Used in Combination With Metformin in Participants With Hypertension and Diabetes
NCT00760214 results posted 01-06-TL-491-020 2007-002583-10, U1111-1113-8982 Ph 3 completed Efficacy and Safety Study of Azilsartan Medoxomil Compared to Ramipril for Treating Essential Hypertension
NCT00847626 results posted TAK-491CLD_302 2008-004218-28, U1111-1113-8735 Ph 3 completed Efficacy and Safety of Azilsartan Medoxomil Combined With Chlorthalidone in Participants With Moderate to Severe Hypertension
NCT00696436 results posted 01-06-TL-491-019 U1111-1113-9161 Ph 3 completed An Efficacy and Safety Study of Azilsartan Medoxomil Compared to Valsartan and Olmesartan in Participants With Essential Hypertension.
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

AZILSARTAN MEDOXOMIL FDA Label Details

Indications & Usage

Azilsartan medoxomil tablets are indicated for the treatment of hypertension in adults, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes, including the class to which this drug principally belongs. There are no controlled trials demonstrating risk reduction with azilsartan medoxomil tablets. Control of high blood pressure should be part of comprehensive cardiovascular...

⚠️ BOXED WARNING

WARNING: FETAL TOXICITY When pregnancy is detected, discontinue azilsartan medoxomil tablets as soon as possible [see Warnings and Precautions ( 5.1 ) and Use in Specific Populations ( 8.1 )] . Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment