Cognitive

ARA-290

Also known as: Cibinetide, ARA 290

Clinical Trials
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Key Facts: ARA-290

Category
Cognitive
FDA Status
Not FDA Approved
Clinical Status
Phase II/III Clinical Trials - Orphan Drug Designation (US/EU)
Administration
Subcutaneous injection
Typical Dose
4 mg daily
Frequency
Once daily
Evidence Level
Phase II/III Trials
Duration
28-day courses in trials
Also Known As
Cibinetide, ARA 290

What to Expect

An 11-amino acid peptide derived from erythropoietin (EPO) that activates the innate repair receptor. Unlike EPO, it has no erythropoietic activity but provides cytoprotective, anti-inflammatory, and tissue-protective effects.

Mechanism of Action

ARA-290 selectively activates the innate repair receptor (IRR), a heterodimer of EPOR and CD131 (β common receptor). This receptor is expressed on damaged and inflamed tissues. Activation triggers anti-apoptotic, anti-inflammatory, and tissue-protective pathways without stimulating red blood cell production.

Research Summary

Phase II/III clinical trials for diabetic neuropathy show improvement in corneal nerve fiber density and small fiber function. Orphan Drug Designation granted in both US and EU for sarcoidosis treatment. Studies demonstrate efficacy in small fiber neuropathy, neuropathic pain, and sarcoidosis-related symptoms. Being developed by Araim Pharmaceuticals.

Clinical Status:Phase II/III Clinical Trials - Orphan Drug Designation (US/EU)
Trial Progress:Phase II
Pre
I
II
III
IV
FDA

Dosing Information

Phase II/III Trials·Multiple clinical trials, Orphan Drug Designation

Typical Dosing

Community experience

Common Dose

4 mg daily

Range

4-8 mg daily

Frequency

Once daily

Cibinetide. Clinical trial doses. Used for neuropathy and sarcoidosis. Non-erythropoietic EPO derivative.

Research Dosing

Scientific studies

Doses from clinical trial protocols

Doses from Studies

Duration

28-day courses in trials

Administration

Subcutaneous injection

Timing & Administration

Best Time to Take

Consistent daily timing

Once daily

Food Recommendation

With or without food

Why This Timing?

Clinical trials used once-daily dosing at consistent times

Possible Side Effects

Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.

  • Generally well-tolerated in trials
  • Injection site reactions
  • No erythropoietic effects (no blood thickening)
  • Not FDA approved

References

Related Peptides

Peptides commonly compared with ARA-290 or used in similar applications.

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Educational Information Only

This information is provided for educational purposes only and is not intended as medical advice. Always consult with qualified healthcare providers before making any decisions about peptides or other substances. The protocols listed reflect doses observed in research studies, not recommendations.