HomePeptides › ARA-290

ARA-290

Cibinetide

Tier 2 · Clinical Trials
Class
Non-haematopoietic erythropoietin derivative
Molecular target
Innate repair receptor (EPOR/CD131 heterocomplex)
Sequence / structure
11-aa peptide from the EPO helix B domain
Evidence tier
Tier 2 — Clinical Trials
Category
Tissue Repair & Cytoprotection

Biology & mechanism

An elegant piece of drug design. Erythropoietin has a tissue-protective effect entirely separate from its red-cell effect, mediated by a different receptor — a heterocomplex of EPOR and the common beta receptor CD131. ARA-290 is an 11-amino-acid sequence from EPO's helix B that engages only that innate repair receptor. You get the cytoprotection without raising haematocrit, which is what made EPO itself unusable for this purpose.

What the research actually shows

Genuine clinical trials, principally in small-fibre neuropathy associated with sarcoidosis and in type 2 diabetes, reporting improvements in neuropathic symptoms and corneal nerve fibre measures. Modest sample sizes. Development has not reached approval.

Regulatory status

Not FDA-approved. Investigational, with orphan designations historically.

Safety signals

Trial safety has been favourable, and the design specifically avoids EPO's thrombotic risk by not stimulating erythropoiesis. Long-term data are limited.

No usage guidance is published here

Forge Bioenergy does not publish dosing, reconstitution, or administration protocols for any peptide. See our editorial policy for why. If you are considering any substance on this page, that conversation belongs with a licensed physician.

References & further reading

Regulatory status changes. This page reflects our reading of public sources as of July 2026 and should be independently verified before it is relied upon.

Important notice Forge Bioenergy publishes scientific reference information only. Nothing on this site is medical advice, a therapeutic claim, or a recommendation to use any substance in humans. Many peptides described here are not approved by the FDA for any use, and several are approved only for narrow indications under prescription. We do not publish dosing, administration, or usage protocols. Consult a licensed physician before making any medical decision.