Science Library · Innate repair receptor

ARA-290 the science.

ARA-290 (also called cibinetide) is an 11-amino-acid peptide derived from a non-erythropoietic region of erythropoietin (EPO). It was designed to engage the innate repair receptor without the blood-cell-stimulating activity of EPO, and — unlike most compounds in this catalog — it has been evaluated in published human clinical trials. The summary below reflects peer-reviewed research.

View the ARA-290 product page

11 aa
Peptide length
IRR
Receptor target
Clinical
Evidence stage
Human & animal
Model systems
ARA-290 research vial

How it works

Mechanism at a glance

Compound
ARA-290 (cibinetide)
Action
Activates innate repair receptor
Effect
Anti-inflammatory & tissue protection
Studied for
Small-fiber neuropathy models

Evidence to date

Evidence to date: preclinical work plus published early-phase human trials. Not FDA-approved.

What it is

ARA-290 is a short synthetic peptide that corresponds to a structural region of erythropoietin associated with tissue protection rather than red-blood-cell production. EPO is best known as the hormone that drives erythropoiesis, but researchers identified a separate tissue-protective signaling activity mediated by a distinct receptor complex. ARA-290 was engineered to selectively activate that pathway.

Because it does not stimulate erythropoiesis, ARA-290 has been used as a research tool for studying anti-inflammatory and repair signaling without the hematologic effects of full-length EPO. It is an investigational compound — not an approved medicine.

The pathway under study: the innate repair receptor

ARA-290 research is organized around a receptor complex often described as the innate repair receptor (IRR):

  • Tissue-protective signaling — the IRR is studied as a heteromeric complex (involving the β-common receptor) that is upregulated in injured tissue and linked to cell survival.
  • Inflammation resolution — investigators examine how IRR activation modulates immune-cell behavior and pro-inflammatory signaling.
  • Neuronal & metabolic models — small nerve fibers and metabolic stress are common experimental contexts.

What research has explored

ARA-290 has both preclinical and early-phase human research:

  • Sarcoidosis-associated small-fiber neuropathy (2013). A published study reported that ARA-290 was associated with changes in symptom scores and corneal nerve-fiber measures in patients with sarcoidosis-associated small nerve-fiber loss.
  • Corneal nerve-fiber imaging (2017). A follow-up study using corneal confocal microscopy examined cibinetide’s effect on corneal nerve-fiber abundance in the same patient population.
  • Mechanistic reviews. Review articles have summarized ARA-290’s rationale as an innate-repair-receptor agonist for neuropathy research.

These human studies are early-phase and investigational. ARA-290 is not FDA-approved, and this material is supplied for research use only.

Current state of the evidence

ARA-290 is an investigational compound with published early-phase human data in addition to preclinical work. It is not FDA-approved, and no approved indication, dosing, or therapeutic claim applies. ARA-290 is supplied strictly as a research material for laboratory investigation.

Compound Snapshot

At a glance

Identity

What is ARA-290?

Type
Synthetic peptide (EPO-derived)
Also known as
Cibinetide
Amino acids
11
Primary target
Innate repair receptor (IRR)
Research family
Tissue repair / immune
Use classification
Research Use Only
PubChem Database

Evidence base

Research maturity

Investigational Early-phase human data Not FDA-approved
Maturity Clinical (early phase) Preclinical work plus published early-phase human trials; still investigational.
Status Not FDA-approved No approved indication, dosing, or therapeutic claim. Supplied for research use only.

Sources & References

Peer-reviewed research and database records

Molecular Medicine / PubMed

ARA 290 improves symptoms in patients with sarcoidosis-associated small nerve fiber loss and increases corneal nerve fiber density

2013 · PMID 24136731 · DOI 10.2119/molmed.2013.00122 View Source

Investigative Ophthalmology & Visual Science / PubMed

Cibinetide Improves Corneal Nerve Fiber Abundance in Patients With Sarcoidosis-Associated Small Nerve Fiber Loss

2017 · PMID 28475703 · DOI 10.1167/iovs.16-21291 View Source

Expert Opinion on Investigational Drugs / PubMed

ARA 290 for treatment of small fiber neuropathy in sarcoidosis

2014 · PMID 24555851 · DOI 10.1517/13543784.2014.892072 View Source

ClinicalTrials.gov

ARA-290 / cibinetide clinical study registry search

U.S. clinical study registry records for ARA-290 and cibinetide. View Source

For research use only. Not for human or veterinary use. These products have not been evaluated by the FDA. Nothing on this page is medical advice or a therapeutic claim.

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