ARA-290
An 11-amino-acid peptide modeled on erythropoietin helix B, studied for tissue protection without stimulating red-blood-cell production.
What the name means
ARA-290 is the development code assigned by Araim Pharmaceuticals — the “ARA” prefix reflects the company name, and the number is a compound identifier.
Its assigned generic (INN/USAN) name is cibinetide, adopted in 2015; the “-tide” ending is the standard naming stem for peptide compounds.
In the scientific literature it is also called pyroglutamate helix-B surface peptide (pHBSP) — a name that captures both its origin in erythropoietin and its pyroglutamate N-terminus. In this log the name is treated purely as a reference identifier.
What it actually is
ARA-290 is a short synthetic peptide of 11 amino acids (an 11-mer) with a linear backbone, engineered to reproduce a surface region of the helix-B domain of erythropoietin (EPO).
Type EPO-derived tissue-protective peptide
Length 11 residues (linear)
Structure Pyroglutamate (pGlu) N-terminus
Origin EPO helix-B surface (pHBSP)
Its residue sequence is pGlu-Glu-Gln-Leu-Glu-Arg-Ala-Leu-Asn-Ser-Ser (one-letter: pE-EQLERALNSS), where the N-terminal residue is pyroglutamate, a cyclized glutamine. That single-residue ring does not make the whole peptide macrocyclic, so it is described as a linear peptide. Reported molecular formula C51H84N16O21, molecular weight approx 1257 Da.
In the development literature it is described as a selective agonist of the innate repair receptor — proposed to be a heteromeric complex of the EPO receptor (EPOR) and the beta-common receptor (CD131). This receptor model is the accepted framework in the cibinetide literature rather than a fully settled physical structure.
Where it came from
ARA-290 was designed directly from the three-dimensional structure of erythropoietin (EPO). Researchers mapped the exposed, water-facing surface of EPO helix B and built a short peptide reproducing that region.
It grew out of the tissue-protective peptide concept — the idea that EPO’s protective signaling could be captured in a small molecule that does not stimulate red-blood-cell production.
It was developed and advanced clinically by Araim Pharmaceuticals (Tarrytown, New York), with a scientific lineage associated with Michael Brines and Anthony Cerami, recurring authors on the foundational and clinical papers.
Why it was created — the thought process
Erythropoietin has two broadly separable activities: stimulating red-blood-cell production (erythropoiesis) and protecting and repairing tissue. Using full-length EPO for tissue protection carries risks such as raised red-cell mass and thrombosis.
The rationale for ARA-290 was to isolate the tissue-protective, anti-inflammatory signaling from the erythropoietic effect — giving researchers a tool to probe tissue protection and repair without raising hematocrit.
Consistent with that design goal, the peptide was reported to be non-erythropoietic in cell and animal assays while retaining tissue-protective activity. This log describes that intent only and does not assert that any therapeutic effect was established.
How it is made
As an 11-residue peptide, ARA-290 is characteristically produced by solid-phase peptide synthesis (SPPS): the chain is assembled residue by residue on a resin, then cleaved, purified by reverse-phase HPLC, and confirmed by mass spectrometry.
Its small size makes it well suited to standard synthetic peptide manufacturing rather than recombinant expression.
Pharmacokinetic characterization in healthy-volunteer studies reported a short terminal elimination half-life (on the order of about 20 minutes subcutaneous and about 2 minutes intravenous). This is a physical PK property of the molecule — not dosing, timing, or administration guidance.
Research-use-only caveat: material offered for laboratory study is a research chemical, not an approved drug product.
What the research actually shows — honestly
Honestly framed: ARA-290 / cibinetide is investigational and has not been approved by the FDA for any use; published development reached Phase 2, and the human evidence is early-stage and mixed.
Clinical studies have investigated it mainly in small-fiber neuropathy — including sarcoidosis-associated small-nerve-fiber loss and neuropathic pain — measuring outcomes such as patient-reported neuropathic symptoms and corneal nerve-fiber density. A Phase 2 study in type 2 diabetes examined neuropathic symptoms alongside metabolic measures.
Other small or exploratory human studies looked at diabetic macular edema (which reported no improvement in mean visual acuity or retinal thickness) and at emotional and cognitive processing in healthy volunteers as a neuropsychological model (where the authors concluded the findings did not clearly support an antidepressant-like profile). Preclinical work has explored mechanisms including suppression of the spinal microglia response and modulation of the TRPV1 channel.
This is research-use-only reference material. No benefit or health claim is made, and no dosing, timing, or protocol is provided. What can be said is limited to what was studied — not what was proven. Consult a physician and the primary literature for specifics.
Selected research & sources
The items below are drawn from the peer-reviewed literature (PubMed) and describe results observed in research models or reported in the clinical literature. They are listed so the evidence can be examined at its source — not to suggest any use.
- Dahan A, Dunne A, Swartjes M, et al. Mol Med. 2013. “Randomized placebo-controlled trial in sarcoidosis-associated small-nerve-fiber loss; measured neuropathic symptoms and corneal nerve-fiber density.” doi.org/10.2119/molmed.2013.00122
- Brines M, Dunne AN, van Velzen M, et al. Mol Med. 2015. “Phase 2 study in type 2 diabetes examining neuropathic symptoms and metabolic measures.” doi.org/10.2119/molmed.2014.00215
- van Velzen M, Heij L, Niesters M, et al. Expert Opin Investig Drugs. 2014. “Review summarizing two Phase 2 trials of ARA-290 in small-fiber neuropathy in sarcoidosis.” doi.org/10.1517/13543784.2014.892072
- Swartjes M, van Velzen M, Niesters M, et al. Mol Pain. 2014. “Preclinical rat study; dose-dependent relief of neuropathic pain with suppression of the spinal microglia response.” doi.org/10.1186/1744-8069-10-13
- Zhang W, Yu G, Zhang M. Peptides. 2016. “Preclinical mechanism study reporting ARA-290 inhibition of the TRPV1 channel.” doi.org/10.1016/j.peptides.2016.01.003
- Lois N, Gardner E, McFarland M, et al. J Clin Med. 2020. “Phase 2 pilot in diabetic macular edema; reported no improvement in mean visual acuity or central retinal thickness.” doi.org/10.3390/jcm9072225
- Cerit H, Veer IM, Dahan A, et al. Eur Neuropsychopharmacol. 2015. “Healthy-volunteer neuropsychological model; findings did not clearly support an antidepressant-like profile.” doi.org/10.1016/j.euroneuro.2015.09.005
Regulatory status: Investigational; not FDA-approved for any indication. Development reported through Phase 2. Research material, RUO.
◆ A reference, not a recommendation
This page explains what ARA-290 is and where it came from — the science and the story — not who should use anything, or how. These are research materials for laboratory research only; nothing here is medical, dosing, or treatment advice.
Research-use-only educational content. Factual overview; claims of clinical benefit are not implied.

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