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ClinicalTissue RepairSubQDaily or 3× weekly (trial-dependent)Partial data

ARA-290

Cibinetide · Helix B Neuropeptide

11-amino-acid peptide derived from the erythropoietin molecule that selectively activates the innate repair receptor (IRR) without erythropoietic activity. Investigated for neuropathic pain, sarcoidosis, and diabetic neuropathy.

§ 01   Overview

Overview

11-amino-acid peptide derived from the erythropoietin molecule that selectively activates the innate repair receptor (IRR) without erythropoietic activity. Investigated for neuropathic pain, sarcoidosis, and diabetic neuropathy.

Multiple Phase II trials completed. Heij et al. 2012 showed improvement in sarcoidosis neuropathy. Brines et al. 2014 demonstrated corneal nerve fiber regeneration in T2D. Araim Pharmaceuticals (now Cytoprotect Inc.) continuing development.

§ 02   Mechanism

Mechanism of action

Selectively binds the innate repair receptor (a heterodimer of EPOR and βcR, CD131) to activate anti-inflammatory and tissue-protective signaling. Does not stimulate the classical EPOR-2 homodimer and therefore does not drive erythropoiesis. Promotes Schwann cell survival, reduces neuroinflammation, and restores corneal nerve fiber density in diabetic neuropathy models.

  • 01Separates tissue-protective EPO signaling from dangerous erythropoietic effects
  • 02Improved small nerve fiber density in sarcoidosis neuropathy (Phase II)
  • 03Corneal confocal microscopy shows nerve regeneration in T2D
  • 04Anti-inflammatory without immunosuppression

§ 03   Dosing

Dosing protocol

Standard Protocol

Dose Range
4 mg IV or SubQ (trial doses)
Starting Dose
4 mg
Route
SubQ
Frequency
Daily or 3× weekly (trial-dependent)
Cycle
28-day cycles in clinical trials

Storage

Refrigerate.

§ 04   Evidence

Evidence & research

Clinical

Multiple Phase II trials completed. Heij et al. 2012 showed improvement in sarcoidosis neuropathy. Brines et al. 2014 demonstrated corneal nerve fiber regeneration in T2D. Araim Pharmaceuticals (now Cytoprotect Inc.) continuing development.

FDA Status

Investigational. Not approved.

§ 06   News

In the news

1 article from the last 12 months · updates hourly

§ 07   Sourcing

Sourcing & supply

Regulatory status

Investigational, no compounding path

Currently in active clinical trials. No compounding pathway. No brand product. The only US channels are RUO vendors that the FDA has targeted with warning letters. Assume any sourcing carries significant regulatory and quality risk.

No suppliers in our directory currently stock this compound. For investigational or research-only compounds, legitimate channels may not exist outside clinical trials.

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§ 09   Safety

Safety & side effects

Side effects

  • 01Mild injection site reactions
  • 02Generally well tolerated in Phase II

Contraindications

  • 01Limited safety data; investigational compound

§ 10   Questions

ARA-290 FAQ

What is ARA-290?
11-amino-acid peptide derived from the erythropoietin molecule that selectively activates the innate repair receptor (IRR) without erythropoietic activity. Investigated for neuropathic pain, sarcoidosis, and diabetic neuropathy. Selectively binds the innate repair receptor (a heterodimer of EPOR and βcR, CD131) to activate anti-inflammatory and tissue-protective signaling. Does not stimulate the classical EPOR-2 homodimer and therefore does not drive erythropoiesis. Promotes Schwann cell survival, reduces neuroinflammation, and restores corneal nerve fiber density in diabetic neuropathy models.
What is ARA-290 used for?
Reported uses include separates tissue-protective epo signaling from dangerous erythropoietic effects, improved small nerve fiber density in sarcoidosis neuropathy (phase ii), corneal confocal microscopy shows nerve regeneration in t2d, and anti-inflammatory without immunosuppression. Evidence strength is rated Clinical — see the evidence section for detail.
How is ARA-290 dosed?
Commonly referenced dosing is 4 mg IV or SubQ (trial doses), typically daily or 3× weekly (trial-dependent), administered SubQ. This is educational reference only; consult a licensed clinician before use.
What are the side effects of ARA-290?
Commonly reported side effects include mild injection site reactions and generally well tolerated in phase ii. This list is not exhaustive.
Is ARA-290 legal?
Currently in active clinical trials. No compounding pathway. No brand product. The only US channels are RUO vendors that the FDA has targeted with warning letters. Assume any sourcing carries significant regulatory and quality risk. FDA status: Investigational. Not approved..

§ 11   References

Selected references

  1. 01

    Heij — sarcoidosis neuropathy

    PMID: 22902574

  2. 02

    Brines — T2D corneal nerves

    PMID: 25014792

  3. 03

    Sarcoidosis Phase II

    NCT01621113

This site is for educational and research purposes only. It does not constitute medical advice. Always consult a qualified healthcare provider before using any peptide or supplement.