The structure activity relationships of a series of 2-alkyl-6-(acylamino)-3-[((2'-acylaminosulfonyl)biphenyl-4-yl)methyl]quinazolin-4-(3H)-ones were studied to identify balanced angiotensin II antagonists capable of potent binding to both AT1 and AT2 angiotensin receptor subtypes.The optimization of the substitution pattern led to the discovery of a potent, balanced quinazolinone antagonist L-162,393, which displayed long lasting blockade of angiotensin pressor response in rats, dogs and rhesus monkeys.