Library · Brain & nerves · Treatment of small fiber neuropathy and nerve protection
ARA-290 (Cibinetide)
Cibinetide, ARA290, ARA 290, Helix B surface peptide
11-amino-acid peptide derived from erythropoietin that activates the innate repair receptor for tissue protection without stimulating red blood cell production. Holds FDA orphan status for sarcoidosis and islet-transplant survival; completed a Phase 2 trial in diabetic macular edema, with preclinical work in neuropathy, Alzheimer’s, and drug-induced kidney injury.
Research score 70/100. Reference only, not a dose.
- Neuroprotective
- Anti-inflammatory
- Pain Relief
- Healing
- Neuroprotection
- US status
- Investigational
- Approval
- Phase 2 Clinical Trial (Completed). Granted orphan drug designation for sarcoidosis and pancreatic islet transplantation.
- Evidence
- Phase 2 clinical trial for Diabetic Macular Edema completed. Extensive preclinical research shows neuroprotection, organ protection (e.g., against cisplatin-induced nephrotoxicity, 2022), and potential to ameliorate frailty in mouse models.
- Research score
- 70 / 100
- Indication
- Investigational - Small Fiber Neuropathy, Sarcoidosis
- Origin
- USA
- Source category
- Brain & Nervous System
- Status group
- Investigational
Mechanism
Binds the innate repair receptor (a CD131/EPOR-beta complex), triggering JAK2/STAT3 and PI3K/Akt signaling that protects nerve tissue from apoptosis, curbs inflammation, and supports nerve regeneration and pain reduction.
Safety file
Generally well tolerated in trials, with mild, transient side effects.
- Injection site reactions
- Mild headache
- Temporary dizziness
- Transient fatigue