ARA-290
Tested in peopleGet notified when the evidence changes.
It has been tested in people, but it is not an approved medicine. The studies are usually small.
Compiled and reviewed by the PeptideSearch Editorial Team · Status checked 2026-05-14
Also called Cibinetide / Erythropoietin-derived peptide
Derived from the hormone EPO but without its blood effects. Tested in people for nerve pain.
Official status: 503A Category 3 – nominated without adequate support · Checked 2026-05-14
Can a doctor prescribe this?
- Small pharmacy (503A)
- Category 3 — not enough evidence sent in
- Large outsourcing facility (503B)
- Never put forward to FDA
Investigational, and not approved. The FDA has "Cibinetide (ARA-290)" in Category 3 of the substances put forward for small-pharmacy (503A) compounding: what was sent in did not include enough evidence for the FDA to judge it.
503A is a pharmacy making a single prescription for one patient. 503B is a facility making batches. They are governed by separate lists. Where a category is shown, it is a position on the FDA's list of substances that have been put forward and are still being worked through — not the final list, which is set by rulemaking. Category 1 means the FDA does not plan to act against a pharmacy that makes it while the review runs.
Lab suppliers we list: 8
Doses used in research
Taken word for word from the studies and trials listed on this page. This is not a recommendation and not a dose for anyone to take.
- Study in peopleA small erythropoietin derived non-hematopoietic peptide reduces cardiac inflammation, attenuates age associated declines in heart function and prolongs healthspan.
Frontiers in cardiovascular medicine · 2022
- Study in peopleA Phase 2 Clinical Trial on the Use of Cibinetide for the Treatment of Diabetic Macular Edema.
Journal of clinical medicine · 2020
- Study in peopleCibinetide Improves Corneal Nerve Fiber Abundance in Patients With Sarcoidosis-Associated Small Nerve Fiber Loss and Neuropathic Pain.
Investigative ophthalmology & visual science · 2017
- Study in peopleTesting the antidepressant properties of the peptide ARA290 in a human neuropsychological model of drug action.
European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2015
- Study in peopleARA 290, a nonerythropoietic peptide engineered from erythropoietin, improves metabolic control and neuropathic symptoms in patients with type 2 diabetes.
Molecular medicine (Cambridge, Mass.) · 2015
- Study in peopleARA 290 improves symptoms in patients with sarcoidosis-associated small nerve fiber loss and increases corneal nerve fiber density.
Molecular medicine (Cambridge, Mass.) · 2013
- Study in peopleSafety and efficacy of ARA 290 in sarcoidosis patients with symptoms of small fiber neuropathy: a randomized, double-blind pilot study.
Molecular medicine (Cambridge, Mass.) · 2012
- Animal study, rats or miceImmunometabolic dysregulation drives selective executive cognitive dysfunction in male db/db mice.
Neurobiology of disease · 2026
- Animal study, rats or miceThe Role of Erythropoietin in Metabolic Regulation.
Cells · 2025
- Animal study, rats or miceErythropoietin-derived peptide ARA290 mediates brain tissue protection through the β-common receptor in mice with cerebral ischemic stroke.
CNS neuroscience & therapeutics · 2024
- Animal study, rats or mice[Intervention effects of erythropoietin derived peptide (HBSP) on renal injury induced by acute skeletal muscle strain in rats].
Zhongguo ying yong sheng li xue za zhi = Zhongguo yingyong shenglixue zazhi = Chinese journal of applied physiology · 2022
- Animal study, rats or miceThe erythropoietin-derived peptide ARA 284 reduces tissue wasting and improves survival in a rat model of cancer cachexia.
Journal of cachexia, sarcopenia and muscle · 2022
- Animal study, rats or miceEarly monocyte modulation by the non-erythropoietic peptide ARA 290 decelerates AD-like pathology progression.
Brain, behavior, and immunity · 2022
- Animal study, rats or miceThe Non-Erythropoietic EPO Analogue Cibinetide Inhibits Osteoclastogenesis In Vitro and Increases Bone Mineral Density in Mice.
International journal of molecular sciences · 2021
- Animal study, rats or micePotent Therapy and Transcriptional Profile of Combined Erythropoietin Derived Peptide CHBP and Caspase-3 siRNA against Kidney Ischemia/Reperfusion Injury in mice
2020
- Animal study, rats or miceTranscriptional Profiles in Ischemia/Reperfusion-Injured Murine Kidneys Synergistically Protected by Erythropoietin Derived Peptide CHBP and Caspase-3 siRNA
2020
- Animal study, rats or micePotent Therapy and Transcriptional Profile of Combined Erythropoietin-Derived Peptide Cyclic Helix B Surface Peptide and Caspase-3 siRNA against Kidney Ischemia/Reperfusion Injury in Mice.
The Journal of pharmacology and experimental therapeutics · 2020
- Animal study, rats or miceShort erythropoietin-derived peptide enhances memory, improves long-term potentiation, and counteracts amyloid beta-induced pathology.
Neurobiology of aging · 2019
- Animal study, rats or miceNon-erythropoietic erythropoietin-derived peptide protects mice from systemic lupus erythematosus.
Journal of cellular and molecular medicine · 2018
- Animal study, rats or miceActivation of the EPOR-β common receptor complex by cibinetide ameliorates impaired wound healing in mice with genetic diabetes.
Biochimica et biophysica acta. Molecular basis of disease · 2018
- Animal study, rats or miceCibinetide dampens innate immune cell functions thus ameliorating the course of experimental colitis.
Scientific reports · 2017
- Animal study, rats or miceThe erythropoietin-derived peptide MK-X and erythropoietin have neuroprotective effects against ischemic brain damage.
Cell death & disease · 2017
- Animal study, rats or miceARA 290, a peptide derived from the tertiary structure of erythropoietin, produces long-term relief of neuropathic pain coupled with suppression of the spinal microglia response.
Molecular pain · 2014
- Animal study, rats or miceThe erythropoietin-derived peptide ARA290 reverses mechanical allodynia in the neuritis model.
Neuroscience · 2013
- Animal study, rats or miceIntervention with an erythropoietin-derived peptide protects against neuroglial and vascular degeneration during diabetic retinopathy.
Diabetes · 2011
- Lab dish studySynthesis and evaluation of <sup>99m</sup>Tc-DOTA-ARA-290 as potential SPECT tracer for targeting cardiac ischemic region.
Iranian journal of basic medical sciences · 2021
- Human tissue in a dish, not peopleCibinetide Protects Isolated Human Islets in a Stressful Environment and Improves Engraftment in the Perspective of Intra Portal Islet Transplantation.
Cell transplantation · 2021
- Lab dish studyAn engineered non-erythropoietic erythropoietin-derived peptide, ARA290, attenuates doxorubicin induced genotoxicity and oxidative stress.
Toxicology in vitro : an international journal published in association with BIBRA · 2020
- Lab dish studyImprovement of Islet Allograft Function Using Cibinetide, an Innate Repair Receptor Ligand.
Transplantation · 2020
- Lab dish studyThe vasoreparative potential of endothelial colony-forming cells in the ischemic retina is enhanced by cibinetide, a non-hematopoietic erythropoietin mimetic.
Experimental eye research · 2019
- Lab dish studyARA 290 relieves pathophysiological pain by targeting TRPV1 channel: Integration between immune system and nociception.
Peptides · 2016
- Lab dish studyA Nonhematopoietic Erythropoietin Analogue, ARA 290, Inhibits Macrophage Activation and Prevents Damage to Transplanted Islets.
Transplantation · 2016
- Hypothesis, not a tested studyPotential role of erythropoietin receptors and ligands in attenuating apoptosis and inflammation in critical limb ischemia.
Journal of vascular surgery · 2014
- The protective effect of erythropoietin and its novel derived peptides in peripheral nerve injury.
International immunopharmacology · 2024
- Mechanistic Approach for Protective Effect of ARA290, a Specific Ligand for the Erythropoietin/CD131 Heteroreceptor, against Cisplatin-Induced Nephrotoxicity, the Involvement of Apoptosis and Inflammation Pathways.
Inflammation · 2023
- No abstract available, not yet classifiedARA290 inhibits high glucose-induced apoptosis of NRK-52E cells.
Journal of biological regulators and homeostatic agents · 2021
- Review of earlier workPharmacological Management of Diabetic Neuropathy: Current Evidence, Clinical Positioning, and Emerging Therapeutic Targets.
Current neuropharmacology · 2026
- Review of earlier workPeptides in Regenerative Medicine: A Comprehensive Review of Clinical Applications in Tissue Repair and Chronic Pain Management.
Current pain and headache reports · 2026
- Review of earlier workPhase-targeted erythropoietin derivatives for traumatic brain injury: bridging mechanisms to precision therapy.
Frontiers in neurology · 2025
- Review of earlier workA Novel Neuroprotective Derived Peptide of Erythropoietin Improved Cognitive Function in Vascular Dementia Mice.
Molecular neurobiology · 2025
- Review of earlier workThe time to develop treatments for diabetic neuropathy.
Expert opinion on investigational drugs · 2021
- Review of earlier workFlipping the molecular switch for innate protection and repair of tissues: Long-lasting effects of a non-erythropoietic small peptide engineered from erythropoietin.
Pharmacology & therapeutics · 2015
- Review of earlier workARA 290 for treatment of small fiber neuropathy in sarcoidosis.
Expert opinion on investigational drugs · 2014
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What has happened so far
- 14 May 2026503A
FDA lists "Cibinetide (ARA-290)" under 503A Category 3: Bulk Drug Substances Nominated Without Adequate Support. Read from the FDA 503A category document headed "Updated May 14, 2026".