OVERWATCH INTELLIGENCE PROFILE

ARA-290 / Cibinetide

An investigational 11-amino-acid peptide studied as a selective innate repair receptor agonist in neuropathy, inflammation, and tissue-repair research.

Innate repair receptor agonist★★★ Limited human trialsInvestigationalReviewed July 2026
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Research Snapshot

Compound classInnate repair receptor agonist
Research statusInvestigational
Evidence tier★★★ Limited human trials
Primary areasSmall-fiber neuropathy · neuroinflammation · tissue repair · metabolic complications
AvailabilityComing soon
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Mechanism & Biological Context

ARA-290 was engineered from the helix-B surface of erythropoietin to engage the proposed innate repair receptor, commonly described as an EPOR/CD131 heteroreceptor, while avoiding erythropoietic activity. Research focuses on cytoprotective, anti-inflammatory, and tissue-repair signaling.

Evidence rule

A plausible pathway is not the same as a demonstrated clinical outcome. Mechanistic, animal, and human findings are labeled separately.

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Human Evidence

Small randomized studies in sarcoidosis-associated small-fiber neuropathy reported changes in symptoms and corneal nerve-fiber measures. A phase 2 study also explored diabetic macular edema. These findings are disease-specific, relatively small, and not evidence for broad wellness or recovery claims.

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Male & Female Research

Published trials enrolled both sexes, but robust sex-stratified efficacy conclusions are not established. The male and female centers therefore present ARA-290 under nerve and inflammatory biology rather than as a sex-specific compound.

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What Is Not Established

It is not established as a general treatment for pain, injury recovery, diabetes, or neuropathy. Long-term safety, optimal patient selection, comparative efficacy, and commercial-product equivalence remain uncertain.

Regulatory note

Approval, legality, formulation, and indication are compound-specific. A research product, COA, or published mechanism does not establish medical suitability.

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Primary References

  1. Randomized pilot study in sarcoidosis-associated small-fiber neuropathy
  2. Phase 2b corneal nerve-fiber study
  3. Review of the innate repair receptor and neuropathy
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Revision History

Expanded with sex-specific interpretation, regulatory status, evidence limitations, and primary-source references.