CibinetideARA-290
An EPO-derived peptide with erythropoietin's tissue protection but none of its blood effects.
Erythropoietin's tissue-protective half, separated from its blood-building half. Splitting one molecule's two jobs is a strategy the field is only starting to use.
Identity
- Class
- Synthetic 11-mer from erythropoietin's helix-B domain
- Source
- Synthetic; models the helix-B surface of erythropoietin
- Receptor
- Innate repair receptor — the EPOR/β-common (CD131) heteroreceptor
Key properties
Evidence floorClinicalREF1CLIN1Approximate values for the native hormone; engineered analogs are often deliberately larger and far longer-acting. Each figure carries its own provenance tier, and the floor is the weakest of them - the Standard.
Mechanism
Erythropoietin protects tissue through a receptor distinct from the one that raises red cells: the innate repair receptor, an EPOR/β-common-chain heteromer that appears on injured and inflamed tissue. ARA-290 is a short peptide reproducing only the helix-B face of EPO that engages this receptor — delivering EPO's anti-inflammatory, tissue-protective signaling with no erythropoietic (hematocrit-raising) action, and therefore none of EPO's thrombotic liability.
Reference notes
- It decouples EPO's two jobs: tissue protection (kept) from red-cell production (dropped) — the entire design rationale.
- Human phase 2 trials targeted neuropathic pain — notably sarcoidosis-associated small-fiber neuropathy — and diabetic complications.
- The evidence is promising but unsettled: an investigational clinical-stage peptide, not an approved drug.
Common questions
- What is Cibinetide (ARA-290)?
- An EPO-derived peptide with erythropoietin's tissue protection but none of its blood effects. Structurally it is Synthetic 11-mer from erythropoietin's helix-B domain.
- How does ARA-290 work?
- Erythropoietin protects tissue through a receptor distinct from the one that raises red cells: the innate repair receptor, an EPOR/β-common-chain heteromer that appears on injured and inflamed tissue. ARA-290 is a short peptide reproducing only the helix-B face of EPO that engages this receptor — delivering EPO's anti-inflammatory, tissue-protective signaling with no erythropoietic (hematocrit-raising) action, and therefore none of EPO's thrombotic liability.
- How strong is the evidence for ARA-290?
- PeptideHormone grades ARA-290 at the "Investigational" evidence tier — it is under active human investigation — promising, but not yet settled. It is catalogued as a community research peptide outside the approved-drug system, and the tier is an editorial judgment about the public literature that can change as the science does.
- What is the half-life of ARA-290?
- The reported circulating half-life of ARA-290 is ~2 min (effects outlast clearance).
Selected literature
Curated peer-reviewed reviews, sourced from PubMed. Selected for relevance, not exhaustive — open any entry on PubMed for the full record and its primary citations.
- 1.Cibinetide Improves Corneal Nerve Fiber Abundance in Patients With Sarcoidosis-Associated Small Nerve Fiber Loss and Neuropathic Pain · Investigative ophthalmology & visual science, 2017 · PMID 28475703
- 2.The Non-Erythropoietic EPO Analogue Cibinetide Inhibits Osteoclastogenesis In Vitro and Increases Bone Mineral Density in Mice · International journal of molecular sciences, 2021 · PMID 35008482
- 3.A Phase 2 Clinical Trial on the Use of Cibinetide for the Treatment of Diabetic Macular Edema · Journal of clinical medicine, 2020 · PMID 32674280
External references
ARA-290 in the public knowledge graph — the same entity resolved across the authoritative chemistry and protein databases.