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Nerve / anti-inflammatory

ARA-290

Also known as Cibinetide

Targets nerve pain and inflammation without affecting blood counts.

Emerging evidence

Overview

ARA-290, also known as Cibinetide, is a synthetic peptide designed to target a specific receptor in the body called the innate repair receptor. Unlike erythropoietin (EPO), which acts on the same family of receptors but primarily affects red blood cell counts, ARA-290 is engineered to access only the tissue-protective side of that receptor - providing anti-inflammatory and neuroprotective benefits without altering blood counts. How it works: ARA-290 activates the innate repair receptor to reduce neuropathic pain and inflammation. This receptor plays a role in tissue healing and nerve protection, and activating it helps calm the inflammatory environment around damaged nerves and tissues. Who tends to use it: ARA-290 is most commonly considered by people dealing with nerve-related pain - small-fiber neuropathy in particular is an area where it has been studied - as well as those seeking general recovery support or immune modulation. Its goal weights sit primarily at recovery and secondarily at immune support and longevity. What to expect: ARA-290 is not a fast-acting analgesic. It works over a course of weeks, supporting tissue and nerve recovery through an anti-inflammatory mechanism rather than blocking pain signals directly. How it is taken: ARA-290 is given by subcutaneous injection, in a dose range of 1-4 mg, once daily. Timing within the day is flexible. Protocols typically run 4-12 weeks. Safety notes: ARA-290 is described as well tolerated in the context of small-fiber neuropathy use. There are no exclusion flags for pregnancy or cancer history. It is an investigational compound without FDA approval. It pairs with BPC-157 in recovery-focused protocols. Your specific dose, timing, and protocol length are set in consultation with a licensed provider in the PepDepo network.

At a glance

Route
SC injection
Dose
1-4 mg
Frequency
Daily
Timing
Any time
Cycle
4-12 weeks

Combining

Stacks well with: BPC-157

Safety

Used for small-fiber neuropathy; well tolerated.

Regulatory: Investigational.

Questions

What makes ARA-290 different from EPO?

Both interact with the same receptor family, but ARA-290 is engineered to activate only the innate repair receptor - the tissue-protective branch - without affecting red blood cell production or blood counts.

What conditions is ARA-290 most often used for?

Small-fiber neuropathy is the most studied application. More broadly it is used for recovery support and immune modulation in investigational protocols.

How is ARA-290 taken?

By subcutaneous injection, once daily, at a general dose range of 1-4 mg. Timing is flexible. Protocols typically run 4-12 weeks.

Is ARA-290 FDA-approved?

No. ARA-290 is an investigational compound.

Are there people who should not use ARA-290?

The record carries no exclusion flags for pregnancy or cancer history, and it is described as well tolerated. A clinician review is still required to determine whether it is appropriate for you individually.

What peptides can be combined with ARA-290?

BPC-157 is listed as a synergistic companion for recovery-focused protocols.

Want a personalized protocol?

Exact dosing is set with a licensed provider in the PepDepo network. This page is education, not a prescription.

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Education only, not medical advice. Peptides discussed are for informational purposes and many are not FDA-approved. Eligibility, prescribing, compounding, and dispensing are handled by appropriately licensed entities. Exact protocols and dosing are set with a licensed provider in the PepDepo network at consult. Content is pending clinical review.