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Peptide Profile

ARA-290

Cibinetide · Innate Repair Receptor agonist

ARA 290 (cibinetide) is a synthetic 11-amino-acid peptide derived from the helix B region of erythropoietin (EPO), engineered to activate the innate repair receptor (IRR) — a tissue-protective heteroreceptor complex comprising…

Longevity & CellularInvestigationalResearch Only
Used forlongevityrecovery
Half-life
~2 min (IV); ~10–20 min (SC)
Routes
subcutaneous, intravenous

Educational research information — not medical advice. Review primary sources and consult a qualified professional before any decision.

Educational research tools — not medical advice.

Overview

What ARA-290 is

About ARA-290

Non-hematopoietic EPO analogue; activates innate repair receptor (IRR/EPOR/CD131 complex) without erythropoietic effects; promotes tissue repair and nerve healing

ARA 290 (cibinetide) is a synthetic 11-amino-acid peptide derived from the helix B region of erythropoietin (EPO), engineered to activate the innate repair receptor (IRR) — a tissue-protective heteroreceptor complex comprising the EPO receptor and the β-common receptor (CD131) — without engaging the classical erythropoietic EpoR homodimer, thereby separating EPO's tissue-protective signaling from its hematopoietic effects. By selectively engaging the IRR rather than the erythropoietic receptor, cibinetide activates anti-inflammatory and anti-apoptotic intracellular pathways in neurons, endothelium, and other metabolically active tissues without causing erythrocytosis, hypertension, or thrombosis, making it a candidate for neuropathy and inflammatory tissue injury contexts. Randomized, double-blind Phase 2 clinical trials have demonstrated that cibinetide improves metabolic control and neuropathic symptom scores in patients with type 2 diabetes, and a separate study demonstrated improved corneal nerve fiber abundance in patients with sarcoidosis-associated small fiber neuropathy — providing human proof-of-concept for both diabetic and inflammatory peripheral neuropathy applications. Cibinetide (ARA 290) is an investigational compound that has not received FDA approval for any indication; Phase 2 data supports further investigation in peripheral neuropathies, but no Phase 3 completion or regulatory filing has occurred as of 2025.

ARA-290 Benefits & Research Areas

neuropathic pain relieftissue repairanti-inflammatorymetabolic improvement

Research Signals

Population research notes

30s40s50+

These signals reflect research interest areas, not treatment indications.

Pharmacokinetics

ARA-290 half-life calculator

Compound & timing

Half-lifefrom PeptideBase data
Source: "~2 min (IV); ~10–20 min (SC)" · ARA-290 (PeptideBase)
to show amount remaining
20 min
0%25%50%75%100%021426283104time since dose (min)
Plasma decay curve for ARA-290: 25% to 50% remaining at 20 min after the dose.
range (~2 min (IV); ~10–20 min (SC))slower half-life
25%–50%remaining in plasmaat 20 min after the dose
Half-life
10 – 20 min
~97% cleared after
1.7 h

Model: single-dose, first-order (single-compartment) estimate. Real clearance is multi-compartment and varies by individual and route.

The Research

What the evidence says about ARA-290

Research Evidence

based on 2 studies · 1 RCT · most recent 2026

Regulatory Status

Availability Status
Research Only
FDA Status
Investigational

Non-hematopoietic EPO analog (cibinetide) by Araim Pharma. Phase 3 for sarcoidosis peripheral neuropathy; Dutch conditional marketing authorisation applied for. No FDA approval. Investigational.

Regulatory status reflects publicly available information and may change. This is not legal or medical advice.

Research Sources

2 sources cited · 1 strong · 1 weak

1 RCT · 1 Animal

  • Cibinetide (ARA 290) reduces small nerve fiber pathology in sarcoidosis patients

    Investigative Ophthalmology & Visual Science · 2017

    Research in a phase 2b randomized trial of 64 sarcoidosis patients with small nerve fiber loss found that cibinetide 4 mg significantly increased corneal nerve fiber area (p=0.012) and improvements correlated with functional gains on the 6-minute walk test, demonstrating nerve regenerative potential for this tissue-protective peptide.

    RCTn=64StrongPMID 28475703
  • Immunometabolic dysregulation drives selective executive cognitive dysfunction in male db/db mice.

    Neurobiol Dis · 2026

    # Summary Research found that ARA-290 improved insulin sensitivity and altered immune cell profiles in diabetic mice, but did not restore impaired executive cognitive flexibility—the selective cognitive deficit observed in the Type 2 diabetes model. This study demonstrated that the cognitive dysfunction associated with diabetes involves chronic inflammation in brain regions like the hippocampus, and that peripheral metabolic improvement alone is insufficient to rescue executive function deficits.

    AnimalWeakPMID 41933665

ARA-290 Side Effects & Safety Considerations

Research-use compound with limited human data. Evidence strength varies — see the Evidence section.

Reported (unverified — pending clinical review)

active erythrocytosis

No established clinical contraindications

Consult a qualified healthcare professional before making any health decisions. This information is educational only and does not constitute medical advice.

Third-party testing data

Limited testing data (1 verified result)

We only show a verified-testing signal once at least 3 independent lab results are on file. Below that, we show what we have without implying a confidence signal.

PeptideBase provides educational research tools and provider discovery. It does not provide medical advice, diagnosis, treatment, prescribing guidance, or dosing instructions. Consult a qualified healthcare professional before making health decisions.

Certificates of Analysis

6 COAs on record for ARA-290

PeptideBase reports these lab-published figures and does not itself test, endorse, or certify any product. Confirmed by lab results were matched against the issuing laboratory's own records — either the lab served the document, or its own hosted copy matches ours byte for byte. For every other result the badge states what is known about the lab: that it can be checked and no result is recorded yet, that it can't be checked, or that we have not reviewed it.

PeptideBase provides educational research tools and provider discovery. It does not provide medical advice, diagnosis, treatment, prescribing guidance, or dosing instructions. Consult a qualified healthcare professional before making health decisions.

Frequently Asked Questions — ARA-290

ARA 290 (cibinetide) is a synthetic 11-amino-acid peptide derived from the helix B region of erythropoietin (EPO), engineered to activate the innate repair receptor (IRR) — a tissue-protective heteroreceptor complex comprising the EPO receptor and the β-common receptor (CD131) — without engaging the classical erythropoietic EpoR homodimer, thereby separating EPO's tissue-protective signaling from its hematopoietic effects. By selectively engaging the IRR rather than the erythropoietic receptor, cibinetide activates anti-inflammatory and anti-apoptotic intracellular pathways in neurons, endothelium, and other metabolically active tissues without causing erythrocytosis, hypertension, or thrombosis, making it a candidate for neuropathy and inflammatory tissue injury contexts.

neuropathic pain relief, tissue repair, anti-inflammatory, metabolic improvement.

Research on ARA-290 primarily documents effects related to neuropathic pain relief and tissue repair and anti-inflammatory and metabolic improvement. These are areas covered in preclinical and clinical literature — individual response varies and effects depend on context of use.

Reported contraindications and considerations for ARA-290 include active erythrocytosis. This is educational information only — consult a qualified healthcare professional before use.

For ARA-290, its FDA status is investigational (not FDA-approved), and it is designated for research use only. Regulatory status reflects publicly available information and may change. This is not legal or medical advice.

15 providers in the directory currently offer ARA-290.

Across 34 research vendors tracked on PeptideBase, ARA-290 has a median price of about $4.95 per mg, typically ranging $3.91–$5.56 per mg. This reflects research-use vendor pricing, not clinical or prescription costs.

Research in a phase 2b randomized trial of 64 sarcoidosis patients with small nerve fiber loss found that cibinetide 4 mg significantly increased corneal nerve fiber area (p=0.012) and improvements correlated with functional gains on the 6-minute walk test, demonstrating nerve regenerative potential for this tissue-protective peptide.

Access

How to get ARA-290

Market Pricing

34 vendors
$3.91/mgBudget
$4.95/mgMedian
$5.56/mgPremium
$3.91
$4.95
$5.56

Price per mg varies by quantity, vendor type, and formulation. Research use only.

Data verified August 2026 · ARA-290 price intelligence

Where to buy ARA-290

15 providers
4 Clinics1 Telehealth9 Online Vendors1 Physician17 in stock

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Last updated

Cite this page

Data last updated August 26, 2026

Free to reference and republish with attribution to PeptideBase. Choose a format:

PeptideBase. (2026). ARA-290 — Per-mg Price Benchmark. Retrieved September 11, 2026, from https://peptidebase.io/peptides/ara-290

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