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PainIn Clinical Trials

ARA-290

Subcutaneous injection, Intravenous
Written by Peptide Association Editorial TeamMedically reviewed by Ian Justl Ellis, MD, CPTLast reviewed Editorial policy

Overview

A synthetic 11-amino acid peptide derived from the structure of erythropoietin (EPO) that selectively activates the innate repair receptor (IRR), a heteromer of the EPO receptor and the beta common receptor (CD131). Unlike EPO, ARA-290 does not stimulate erythropoiesis or promote thrombosis.

Mechanism of Action

It produces cytoprotective, anti-inflammatory, and tissue-reparative effects by activating the IRR on neurons, immune cells, and endothelial cells.

Research Summary & Key Findings

Phase 2 trials in patients with sarcoidosis-related small fiber neuropathy showed significant improvement in corneal nerve fiber density and reduction in neuropathic pain (Dahan et al., Mol Med, 2013). Preclinical studies demonstrated neuroprotective effects in diabetic neuropathy and cardiac ischemia-reperfusion injury. The selective IRR activation without erythropoietic effects avoids the thrombotic risks that limited EPO-based neuroprotection strategies.

Clinical Status

In Clinical Trials

ARA-290 is currently undergoing clinical trials. It is not yet FDA-approved and is available only through clinical research settings or investigational protocols.

Administration Routes

Subcutaneous injectionIntravenous

References

Primary literature

Study-level citations for this compound are being verified against the primary sources before publication. The database queries above return the current indexed literature in the meantime.

Related Peptides in Pain

No lawful pathway today

ARA-290 is not FDA-approved and does not currently have a lawful prescription or compounding pathway in the United States, so there is nothing for us to sell you here and no consultation to book. That can change: eight peptides moved back to a lawful pathway in February 2026.

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One email, only if this compound's regulatory standing actually moves. Not a newsletter, not a sales sequence.

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Disclaimer: This information is provided for educational and research purposes only. It is not intended as medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting any peptide therapy. The Peptide Association does not endorse or recommend any specific treatment protocol. See our editorial policy for how this content is produced and reviewed.