ARA290

ARA-290 (Cibinetide)

Healing ImmuneResearch Phase 2

ARA-290 (Cibinetide) is an 11-amino acid peptide derived from erythropoietin (EPO) that selectively activates the innate repair receptor (IRR) without erythropoietic effects. Tissue repair has been reported in animal injury models, and it is described as having neuroprotective properties.

Educational summary. Every effect described below is drawn from the cited published research and describes what was observed in research subjects — not a promise of results, a dose recommendation, or an endorsement for human use. Many peptides are not FDA-approved. Consult a licensed healthcare provider before making any health decision. Full disclaimer.

8 studies referenced · Last reviewed Oct 1, 2026 · Reviewed by The Peptide Dispatch Editorial Team · How we research & label content

TL;DR — ARA-290 (Cibinetide) at a Glance

ARA-290 (Cibinetide) is an investigational compound tested in mid-stage (phase 2) human trials. ARA-290 (Cibinetide) is an 11-amino acid peptide derived from erythropoietin (EPO) that selectively activates the innate repair receptor (IRR) without erythropoietic effects.

Half-lifeNot established in published research
How it's given in studiesSubcutaneous injection, Intravenous
Research stagePhase 2
Dosing
Published research: 1, 4 or 8 mg/day subcutaneous for 28 days in humans with sarcoidosis small-fiber neuropathy (phase 2b, n=64)
details1, 4 or 8 mg/day s.c. for 28 days in humans with sarcoidosis small-fiber neuropathy (phase 2b, n=64); 4 mg/day s.c. self-administered for 28 days in type 2 diabetes (phase 2)
Community-reportedCommunity-reported: 2–4 mg, subcutaneous injection, Intravenous

Published-research dosing is what was given in the cited studies (species and units as reported). Community-reported dosing is what users describe, not from clinical studies. Neither is a recommendation. Not medical advice.

Where each point comes from: Clinicalhuman trials and FDA labels   Lab / animalrodent, cell and ex vivo studies   Community-reporteduser experience and commonly used protocols, not from clinical studies

How It Works

In plain terms: It is a small piece designed from the hormone EPO that is thought to switch on the body's tissue-protection signals without making more red blood cells. Proposed mechanism: a non-erythropoietic peptide designed from erythropoietin that interacts selectively with the innate repair receptor, which mediates tissue protection (Brines 2015). That receptor is described as a heterodimer of the EPO receptor and CD131/βc receptor whose activation triggers anti-inflammatory and tissue-protective signalling (JAK2/STAT5, PI3K/Akt, NF-κB suppression) without stimulating red blood cell production.

Effects Reported in Research

How to read this: Each item below is an effect observed in research subjects in the cited studies — think of Dexter, our stand-in research subject. These are findings from the literature, not results you should expect, and not medical advice.

  • Lab / animalTissue repair reported in animal injury models
  • ClinicalIn a phase 2 RCT in type 2 diabetes, neuropathic symptoms improved over 28 days
  • ClinicalIn a phase 2 randomized controlled trial in type 2 diabetes: improved metabolic control over 28 days (Brines 2015)
  • ClinicalPer the phase 2 trial report: engineered from erythropoietin to be non-erythropoietic (Brines 2015)

What Users Report (Community, Not Clinical)

Commonly reported protocol

Community-reportedSome users report running ARA-290 (Cibinetide) at 2–4 mg (subcutaneous injection, intravenous). This is not a recommendation.

What users report

  • Community-reportedNeuroprotective effects
  • Community-reportedAnti-inflammatory activity
  • Community-reportedWound healing promotion

Side effects users report

  • Community-reportedTransient headache
  • Community-reportedFatigue (uncommon)

Side effects reported in studies are listed separately below.

Community reports are anecdotal, vary widely in product quality and purity, and are not medical advice. Talk to a licensed provider.

Side Effects and Safety Notes

  • ClinicalNo safety signals reported in 28-day phase 2 trials (small samples)
  • Injection site reactions
  • Long-term human safety data are lacking

What is ARA-290 (Cibinetide)?

ARA-290, also known as Cibinetide, is a novel peptide that represents a breakthrough in separating the tissue-protective properties of erythropoietin from its blood cell-stimulating effects. Developed by Araim Pharmaceuticals, the peptide is an 11-amino acid linear sequence derived from the helix B surface of EPO. It selectively activates the innate repair receptor (IRR) — a heterodimer of the EPO receptor and the beta common receptor (CD131) — which is expressed on damaged or stressed tissues. This selectivity is intended to separate tissue-protective signaling from EPO's erythropoietic effects; tissue repair and reduced inflammation have been reported in animal injury models. Phase 2 clinical trials have been completed in sarcoidosis-associated small nerve fiber loss (a phase 2b RCT, n=64, reported improved corneal nerve fiber area at 4 mg) and in type 2 diabetes (improved neuropathic symptoms over 28 days).

Structure (Amino-Acid Sequence)

Gln-Glu-Gln-Leu-Glu-Arg-Ala-Leu-Asn-Ser-Ser (11 amino acids)

Molecular Weight: 1,257.4 Da

Molecular Formula: C50H88N16O22

Structure Details: Linear undecapeptide derived from the helix B surface of erythropoietin (EPO). Designed to mimic the EPO-IRR binding domain without activating the classical homodimeric EPO receptor responsible for erythropoiesis.

What the Studies Found

  1. Diabetic Neuropathy: Phase 2 RCT in type 2 diabetes reported improved HbA1c/lipid parameters and neuropathic symptoms over 28 days of treatment (Brines et al., Mol Med, 2015)
  2. Sarcoidosis: Phase 2b RCT (n=64) reported improved corneal nerve fiber area at 4 mg in patients with sarcoidosis-associated small nerve fiber loss (Culver et al., Invest Ophthalmol Vis Sci, 2017)
  3. Metabolic: Improved metabolic parameters including insulin sensitivity in preclinical diabetic models
  4. Anti-inflammatory: Reduced inflammatory cytokine production and tissue damage in multiple organ injury models (Brines & Cerami, Mol Med, 2012)
  5. Cardioprotection: Protection against myocardial ischemia-reperfusion injury without hematological effects reported in animal injury models

References

  1. Cibinetide Improves Corneal Nerve Fiber Abundance in Patients With Sarcoidosis-Associated Small Nerve Fiber Loss and Neuropathic Pain
    Culver DA, Dahan A, Bajorunas D, Jeziorska M, van Velzen M, Aarts LPHJ et al. Investigative ophthalmology & visual science. 2017. PMID: 28475703.
    Study type: Phase 2b RCT, n=64, 28 days.
    DOI: 10.1167/iovs.16-21291 · PubMed
  2. ARA 290, a nonerythropoietic peptide engineered from erythropoietin, improves metabolic control and neuropathic symptoms in patients with type 2 diabetes
    Brines M, Dunne AN, van Velzen M, Proto PL, Ostenson CG, Kirk RI et al. Molecular medicine (Cambridge, Mass.). 2015. PMID: 25387363.
    Study type: Phase 2 RCT in T2D, 4 mg/day s.c. x 28 d.
    DOI: 10.2119/molmed.2014.00215 · PubMed
  3. ARA 290 for treatment of small fiber neuropathy in sarcoidosis
    van Velzen M, Heij L, Niesters M, Cerami A, Dunne A, Dahan A et al. Expert opinion on investigational drugs. 2014. PMID: 24555851.
    Study type: Review of two phase 2 trials.
    DOI: 10.1517/13543784.2014.892072 · PubMed

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How ARA-290 (Cibinetide) Compares

PeptideHalf-LifeRouteResearch Status
ARA-290 (Cibinetide)No published PK data foundSubcutaneous injection, IntravenousPhase 2
BPC-157Elimination t1/2 < 30 min (rats and beagle dogs, IV and IM); IM bioavailability ~14-19% rats, 45-51% dogsSubcutaneous injectionPreclinical (animal)
Copper Peptide AHK-CuTopical (not systemically relevant)TopicalIn vitro only
GHK-CuNo published PK data foundSubcutaneous or topicalCosmetic/topical
Pentapeptide-18UnknownTopicalCosmetic/topical

Values reflect figures reported in published research. Compare any peptides side-by-side →

Frequently Asked Questions

What is ARA-290 (Cibinetide)?
ARA-290 (Cibinetide) is an 11-amino acid peptide derived from erythropoietin (EPO) that selectively activates the innate repair receptor (IRR) without erythropoietic effects. Tissue repair has been reported in animal injury models, and it is described as having neuroprotective properties.
How does ARA-290 (Cibinetide) work?
In plain terms: It is a small piece designed from the hormone EPO that is thought to switch on the body's tissue-protection signals without making more red blood cells. Proposed mechanism: a non-erythropoietic peptide designed from erythropoietin that interacts selectively with the innate repair receptor, which mediates tissue protection (Brines 2015). That receptor is described as a heterodimer of the EPO receptor and CD131/βc receptor whose activation triggers anti-inflammatory and tissue-protective signalling (JAK2/STAT5, PI3K/Akt, NF-κB suppression) without stimulating red blood cell production.
What is the research status of ARA-290 (Cibinetide)?
ARA-290 (Cibinetide) is at the following stage in the published literature: Phase 2. All information is for research and educational purposes only.
What is the half-life of ARA-290 (Cibinetide)?
Reported half-life: No published PK data found.
How is ARA-290 (Cibinetide) administered in research?
Reported administration route in the literature: Subcutaneous injection, Intravenous. This is not a recommendation for human use.

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Sources & Methodology

Dosing, half-life figures, and mechanism descriptions on this page are compiled from peer-reviewed published research, with the species and study type stated where reported. Figures labeled “Dosing used in published research” describe what was given in those studies and do not constitute dosing recommendations for any human use. Each cited paper is listed with DOI and PubMed links in the References section above. Found an error? Contact us.

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