ARA-290
EPO derivative targeted for small fiber neuropathy; phase 2 exists for sarcoidosis, not an approved analgesic.
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Quick summary
ARA-290 (cibinetide) is a short peptide inspired by EPO's B-helix. It was designed to signal repair/anti-inflammation via IRR (EPOR-β common) without significantly stimulating erythropoiesis. Most cited for: symptoms and corneal nerve fiber density in small fiber neuropathy associated with sarcoidosis.
Studied for
How it works
Agonism of the innate repair complex → anti-inflammatory and axonal repair pathways in models; minimal hematopoiesis vs EPO.
What the research says
Randomized pilots in sarcoidosis/SFN (Molecular Medicine 2012–2013). Extensions and phase 2b with signals in corneal fiber area and symptoms. No approval; do not extrapolate to generic neuropathies or for “wellness neuroprotection”.
Evidence level
C — small pilot/phase 2 trials; no consolidated phase 3 / approval
What's most reported
- Improvement in neuropathic symptom scores in small studies
- Increase in corneal nerve fiber density/area (biomarker)
- Community: broad neuropathic pain — not demonstrated outside of trial contexts
Common side effects
In trials: generally described as well-tolerated short-term in small populations; the complete post-marketing profile does not exist because there is no approval.
Combines / does not combine
Does not replace management of sarcoidosis/neuropathy by a specialist. No validated stacks.
Frequently asked questions
No. It is structurally related but was designed not to act like classic EPO.
No.
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Educational content. Not medical advice or usage guidelines. Investigational products are not approved medications unless otherwise indicated.
