peptide wiki

ARA-290

aka Cibinetide

Healing & Recovery

Mechanism

ARA-290 (Cibinetide) is a synthetic 11-amino-acid peptide derived from the helix-B surface of erythropoietin (EPO), developed by Araim Pharmaceuticals. It selectively activates the innate repair receptor (IRR) for anti-inflammatory, tissue-protective, and neuroprotective signaling without stimulating erythropoiesis. ARA-290 is not FDA-approved; it has received FDA Fast Track and Orphan Drug designations for sarcoidosis-associated small fiber neuropathy and remains in clinical development as of April 2026.

Identification

CAS number1208243-50-8
Molecular formulaC51H84N16O21
SequenceUEQLERALNSS
Typical dose4 mg/day subcutaneous (clinical trial dosing for diabetic neuropathy and sarcoidosis-associated small fiber neuropathy)
Half-life~20 minutes terminal half-life (after 4 mg SC injection; biological effect may persist 24–72 hours)

Vendors selling ARA-290

VendorSizePriceListed purityTrust
Glacier Aminos 10 mg $54.99 99
BioLongevity Labs 15 mg $95.00 96
Orbitrex Peptides $49.99 95
Ion Peptide $59.00 95
Peptide Tech 12 mg $59.99 94
Mile High Compounds $49.99 94
Riptide Wellness $80.99 92
Skye Peptides 16 mg $84.00 90
Peptidology 10 mg $54.99 89
Peptidology 11 mg $54.99 89
Peptide Plugs 10 mg $50.00 89
Verified Peptides 12 mg $65.00 86
EZ Peptides 10 mg $48.00 85
Simple Peptide 10 mg $76.00 85
Peptidegurus 10 mg 84
Peptidegurus 16 mg 84
Ascension Peptides 10 mg $79.99 84
OROS Research 30 mg 79
OROS Research 32 mg 79
Qing Li Peptide 63
Certified Peptides 16 mg $92.00 62
Peptiatlas 51
Mandy 10 mg $58.00 43
Strate Labs 10 mg $24.95
AMC Essentials 30 mg $99.99
Alpha Omega 10 mg $76.00
Atomik Labz 16 mg $79.00
Biotech Peptides 16 mg $88.00
Bulk Peptides 10 mg $180.00
Core Peptides 16 mg $92.00
Flawless Compounds
Genetic Peptide 5 mg $50.00
Genetic Peptide 16 mg $50.00
Kimera Chems $51.99
Modern Research Peptides 10 mg $37.99
Paramount Peptides 14 mg $77.00
Peptide Crafters 16 mg $50.00
Peptira $49.00
Platinum Lion $69.99
Solution Peptides 16 mg $79.00
Soma Peptides 16 mg $76.00
Southern Aminos 10 mg $44.25

Research

Immunometabolic dysregulation drives selective executive cognitive dysfunction in male db/db mice
Alasousi D, Braysh K, D'Souza L, Islam S, Alhawaj F, Nizam R, John S, Williams MR, Albuloushi A, Altarrah D, Al-Hussaini H, Carare RO, Al-Mulla F, Alzaid F, Al-Onaizi M. · Neurobiology of disease (2026) · animal

Type 2 diabetes (T2D) is associated with cognitive impairment, with executive functions such as cognitive flexibility being particularly vulnerable.

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Peptide-Based Approaches for Pain Relief and Healing in Wounds
Kołodyńska K, Kamysz W, Kleczkowska P. · International journal of molecular sciences (2026) · review

A wound has been defined as a disruption of tissue integrity. Pain, bleeding, and the risk of infection are inherent features of wounds, while chronic wounds are often accompanied by serous exudate.

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Beyond perfusion: a review of peptide radiopharmaceuticals for cardiovascular imaging
Krol VE, Sharma V, Kusmirek JE, Zahid M, Johnson DR, Pandey MK. · Npj imaging (2025) · review

Cardiology is continually evolving towards increased personalization with targeted diagnostics and therapeutics.

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Early monocyte modulation by the non-erythropoietic peptide ARA 290 decelerates AD-like pathology progression
Al-Onaizi MA, Thériault P, Lecordier S, Prefontaine P, Rivest S, ElAli A. · Brain, behavior, and immunity (2022) · animal

Alzheimer's disease (AD) pathology is characterized by amyloid-β (Aβ) deposition and tau hyper-phosphorylation, accompanied by a progressive cognitive decline. Monocytes have been recently shown to play a major role in modulating Aβ pathology, and thereby have been pointed as potential therapeutic targets.

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Synthesis and evaluation of <sup>99m</sup>Tc-DOTA-ARA-290 as potential SPECT tracer for targeting cardiac ischemic region
Mohtavinejad N, Hajiramezanali M, Akhlaghi M, Bitarafan-Rajabi A, Gholipour N. · Iranian journal of basic medical sciences (2021) · animal

Objectives Myocardial infarction caused by ischemia of heart tissue is the main reason for death worldwide; therefore, early detection can reduce mortality and treatment costs.

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A Nonhematopoietic Erythropoietin Analogue, ARA 290, Inhibits Macrophage Activation and Prevents Damage to Transplanted Islets
Watanabe M, Lundgren T, Saito Y, Cerami A, Brines M, Östenson CG, Kumagai-Braesch M. · Transplantation (2016) · animal

Background Erythropoietin exerts anti-inflammatory, antiapoptotic, and cytoprotective effects in addition to its hematopoietic action. A nonhematopoietic erythropoietin analogue, ARA 290, has similar properties.

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ARA 290 relieves pathophysiological pain by targeting TRPV1 channel: Integration between immune system and nociception
Zhang W, Yu G, Zhang M. · Peptides (2016) ·

ARA 290 is an erythropoietin-derived polypeptide that possesses analgesic and tissue protective effect in many diseases such as diabetes and cancer.

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The Use of ARA290 for the Treatment of Diabetic Macular Oedema
· ClinicalTrials.gov (2016) · rct

ARA 290-DMO is a prospective, open label, interventional, single centre, investigator led, phase II trial to examine the effect of ARA 290 on diabetic macular oedema in patients with type 1 or 2 diabetes.

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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, Petropoulos IN, Javed S, Malik RA, Cerami A, Dahan A. · Molecular medicine (Cambridge, Mass.) (2015) · rct

Although erythropoietin ameliorates experimental type 2 diabetes with neuropathy, serious side effects limit its potential clinical use. ARA 290, a nonhematopoietic peptide designed from the structure of erythropoietin, interacts selectively with the innate repair receptor that mediates tissue protection.

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ARA 290 for treatment of small fiber neuropathy in sarcoidosis
van Velzen M, Heij L, Niesters M, Cerami A, Dunne A, Dahan A, Brines M. · Expert opinion on investigational drugs (2014) · review

Introduction Painful peripheral neuropathy is a common, difficult-to-treat complication associated with a variety of diseases, including diabetes mellitus and sarcoidosis.

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ARA 290, a peptide derived from the tertiary structure of erythropoietin, produces long-term relief of neuropathic pain coupled with suppression of the spinal microglia response
Swartjes M, van Velzen M, Niesters M, Aarts L, Brines M, Dunne A, Cerami A, Dahan A. · Molecular pain (2014) · animal

Background Neuropathic pain is a difficult to treat disorder arising from central or peripheral nervous system lesions. The etiology of neuropathic pain consists of several overlapping pathways converging into an exaggerated pain state with symptoms such as allodynia and hyperalgesia.

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Study of Efficacy of ARA 290 on Corneal Nerve Fiber Density and Neuropathic Symptoms of Subjects With Sarcoidosis
· ClinicalTrials.gov (2014) · rct

The purpose of this study is to determine whether ARA 290, a new class of compound, is effective in the treatment of the neuropathic symptoms of sarcoidosis.

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ARA 290 improves symptoms in patients with sarcoidosis-associated small nerve fiber loss and increases corneal nerve fiber density
Dahan A, Dunne A, Swartjes M, Proto PL, Heij L, Vogels O, van Velzen M, Sarton E, Niesters M, Tannemaat MR, Cerami A, Brines M. · Molecular medicine (Cambridge, Mass.) (2013) · rct

Small nerve fiber loss and damage (SNFLD) is a frequent complication of sarcoidosis that is associated with autonomic dysfunction and sensory abnormalities, including pain syndromes that severely degrade the quality of life.

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ARA290 in T2D (Effects of ARA 290, an Erythropoietin Analogue) in Prediabetes and Type 2 Diabetes)
· ClinicalTrials.gov (2013) · rct

The purpose of this study is to determine whether a non-hematopoietic erythropoietin analogue, ARA 290, exerts beneficial effects on blood glucose levels and insulin secretion in persons with prediabetes (impaired glucose tolerance, IGT, or impaired fasting glucose, IFG), or drug-naive type 2 diabetes.

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Safety and efficacy of ARA 290 in sarcoidosis patients with symptoms of small fiber neuropathy: a randomized, double-blind pilot study
Heij L, Niesters M, Swartjes M, Hoitsma E, Drent M, Dunne A, Grutters JC, Vogels O, Brines M, Cerami A, Dahan A. · Molecular medicine (Cambridge, Mass.) (2012) · rct

ARA 290 (a peptide designed to activate the innate repair receptor that arrests injury and initiates cytoprotection, antiinflammation and healing) reduces allodynia in preclinical neuropathy models.

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Cognitive and Neural Effects of ARA290
· ClinicalTrials.gov (2012) · rct

Studies on the hormone Erythropoietin (EPO) have indicated that EPO may have antidepressant properties. However, EPO may cause serious side-effects with repeated administration (thrombosis), which limits its usefulness as an antidepressant.

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