Mechanism
Erythropoietin innate repair receptor signalling
Selective activation of the tissue-protective erythropoietin receptor complex without clinically meaningful erythropoiesis.
Canonical mechanism for ARA-290 and cibinetide.
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Biological pathway
ARA-290 is designed to activate the innate repair receptor, a heteromeric complex associated with anti-inflammatory, cytoprotective and tissue-repair signalling.
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Evidence summary
Small phase 2 studies in sarcoidosis and diabetic neuropathy report symptom and small-fibre signals, but confirmatory evidence is limited.
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Limitations
The receptor model and clinical relevance remain under investigation; findings cannot be generalised to unregulated products.
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Peptides linked to this mechanism
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Conditions in scope