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ARA-290 (Cibinetide) is a synthetic 11-amino acid peptide derived from the non-erythropoietic tissue-protective structure of erythropoietin (EPO). It selectively activates the innate repair receptor (IRR), a heterodimer of the EPO receptor and the IL-3 receptor beta common chain. ARA-290 is extensively studied for neuroprotection, anti-inflammatory effects, and tissue repair without stimulating erythropoiesis.
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In-depth findings from peer-reviewed preclinical and clinical studies
ARA-290 (Cibinetide) is a synthetic 11-amino acid peptide derived from the tissue-protective structure of erythropoietin (EPO). It selectively activates the innate repair receptor (IRR) — a heterocomplex of the EPO receptor and IL-3 receptor beta common chain (βcR) — without stimulating erythropoiesis. ARA-290 is studied for neuroprotection, anti-inflammatory effects, metabolic regulation, and tissue repair across multiple organ systems.
ARA-290 selectively activates the innate repair receptor (IRR), triggering anti-apoptotic and cytoprotective signaling cascades including JAK2/STAT5, PI3K/Akt, and NF-κB modulation. This provides neuroprotection without the erythropoietic side effects of EPO.
Molecular Medicine (2008)In a randomized, double-blind, placebo-controlled Phase II trial in sarcoidosis patients with small fiber neuropathy, ARA-290 significantly improved corneal nerve fiber density, neuropathic pain scores, and quality of life measures over 28 days of treatment.
Molecular Medicine (2012)ARA-290 reduces pro-inflammatory cytokine production (TNF-α, IL-6, IL-1β) and shifts macrophage polarization from M1 (pro-inflammatory) to M2 (reparative) phenotype, promoting tissue healing while dampening destructive inflammation.
Molecular Medicine (2008)In Type 2 diabetes studies, ARA-290 improved metabolic parameters including HbA1c, cholesterol levels, and body weight. The metabolic benefits appear mediated through IRR-dependent pathways in pancreatic beta cells and adipose tissue.
Diabetes & Metabolism (2014)In preclinical models of myocardial ischemia-reperfusion injury, ARA-290 reduced infarct size by up to 50%, decreased cardiomyocyte apoptosis, and preserved cardiac function through IRR-mediated anti-apoptotic signaling.
Molecular Medicine (2008)ARA-290 has demonstrated excellent safety and tolerability across multiple Phase I and Phase II clinical trials. No erythropoietic effects, thromboembolic events, or serious adverse events related to the study drug have been reported. The most common side effects were mild injection site reactions.
Molecular Medicine (2012)All findings above are sourced from peer-reviewed journals for educational reference. This product is for research purposes only — not for human consumption. Preclinical results may not translate to human outcomes.
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