Sarcoidosis Small-Fiber Neuropathy
In a randomized, double-blind pilot study, ARA 290 improved small-fiber neuropathy symptom scores and physical functioning in sarcoidosis patients, with no safety concerns.
Heij et al. 2012
An EPO-derived peptide studied for calming inflammation and nerve repair
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ARA-290 is also called cibinetide. It is a peptide made of 11 amino acids, taken from one section of erythropoietin. That is the hormone that drives red blood cell production. ARA-290 was designed to keep the tissue repair signaling while leaving out the red blood cell effect. Research has measured its activity at the innate repair receptor, a two-part receptor complex, and examined nerve and inflammation endpoints.
EPO helix-B surface derived 11-amino-acid peptide
The pathways ARA-290 acts on — and what each one does. The animation traces its signal outward from the compound to every target it engages.
ARA-290 (cibinetide) is an 11-amino-acid peptide engineered from the helix-B surface of erythropoietin (EPO). It selectively activates the innate repair receptor (IRR) — a heterocomplex of the EPO receptor and the β-common receptor (CD131) — the tissue-protective arm of EPO signaling, without engaging the classical receptor that drives red-cell production.
Through the innate repair receptor, ARA-290 dampens pro-inflammatory signaling and promotes its resolution, reducing collateral tissue damage from the injury and immune response — a mechanism characterized in both preclinical and clinical research.
IRR activation engages JAK2/STAT3, PI3K/Akt, and anti-apoptotic Bcl-2-family pathways, supporting cell survival and small-nerve-fiber regeneration despite the peptide's very short plasma half-life.
The main areas ARA-290 is being studied for — and the study-reported figures behind them.
In a randomized, double-blind pilot study, ARA 290 improved small-fiber neuropathy symptom scores and physical functioning in sarcoidosis patients, with no safety concerns.
Heij et al. 201228 days of ARA 290 significantly improved neuropathic symptoms and initiated regrowth of small nerve fibers, including increased corneal nerve fiber density.
Dahan et al. 2013In rodent models, ARA 290 dose-dependently reduced mechanical and cold allodynia for up to 20 weeks, coupled with suppression of the spinal microglia response.
Swartjes et al. 2014ARA 290 was engineered from EPO's tertiary structure to deliver tissue-protective and anti-inflammatory effects via the innate repair receptor, without stimulating erythropoiesis.
Brines et al. 2008An interactive 3D model rendered from the compound record — rotate and explore its structure.
C55H89N19O20
Every batch of ARA-290 is sent to an accredited independent laboratory before it ships. Here is what we screen for.
| Chemical Name | ARA-290 (Cibinetide) |
| Sequence | pGlu-Glu-Gln-Leu-Glu-Arg-Ala-Leu-Asn-Ser-Ser (11 aa) |
| Molecular Weight | 1,257.3 Da |
| Molecular Formula | C₅₅H₈₉N₁₉O₂₀ |
| CAS Number | 1208243-50-8 |
| Form | Lyophilized powder |
| Purity | ≥99% (HPLC verified) |
| Testing | Third-party HPLC, Mass Spec, Endotoxin |
| Storage | -20°C for long-term stability |
| Solubility | Sterile or bacteriostatic water |
| COA | Included with every order |
ARA-290 (cibinetide) is a synthetic 11-amino-acid peptide engineered from the helix-B surface domain of erythropoietin (EPO). It was designed to activate EPO's tissue-protective, anti-inflammatory signaling through the innate repair receptor — without the red-blood-cell-stimulating activity of native EPO.
The IRR is a heterocomplex of the EPO receptor and the β-common receptor (CD131). It mediates EPO's protective and regenerative effects in tissue, distinct from the classical homodimeric EPO receptor that controls erythropoiesis. ARA-290 selectively activates this repair receptor.
No. ARA-290 is non-erythropoietic — it does not engage the receptor pathway that drives red-cell production, so it does not raise hematocrit. That separation of tissue protection from erythropoiesis is the central rationale behind its design.
Phase 2 studies in sarcoidosis-associated small-fiber neuropathy reported improved neuropathic symptom scores, increased corneal nerve fiber density, and regrowth of small nerve fibers, with a favorable safety profile. Preclinical models also show long-term reduction of neuropathic pain behaviors.
No. Research-grade ARA-290 sold here is strictly for in vitro laboratory research and analytical applications. It is not a drug and is not intended for human or veterinary use, consumption, or any clinical application.
Independent published research indexed from PubMed and peer-reviewed journals — not Eon Peptides claims.
Not for human or veterinary use. For in-vitro laboratory research only. These statements have not been evaluated by the FDA; this product is not intended to diagnose, treat, cure, or prevent any disease. Sold exclusively to qualified researchers and institutions.