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Head-to-head

ARA-290 vs BPC-157

Both are sold as repair peptides, but only ARA-290 has randomized human data behind it. BPC-157's entire case is rodent, and neither molecule is approved.

ARA-290

Cibinetide

Clinical data

An EPO-derived tissue-protective peptide with small but real human small-fiber-neuropathy data in sarcoidosis — still investigational and unapproved.

Full ARA-290 evidence review

BPC-157

Preclinical / minimal

Almost entirely animal data; no validated human dose and no controlled efficacy trials.

Full BPC-157 evidence review

Side by side

 ARA-290BPC-157
Marketed forNeuropathy, tissue repairHealing, recovery, gut health
Evidence gradeClinical dataPreclinical / minimal
FamilyImmune / metabolicRepair / structural
Regulatory statusInvestigationalNot FDA-approved
How it's obtainedResearch-onlyResearch-only
Key human sourceHeij, Mol Med 2012Pharmaceutics review, 2026

marks a row where the two differ. Evidence grades come from our evidence matrix, which grades each molecule on the human data for the use it is marketed for.

Our verdict

ARA-290 (cibinetide) has the stronger evidence: small Phase 2 trials in sarcoidosis-associated small-fiber neuropathy showed improved symptoms and increased corneal nerve fiber measures, and a separate Phase 2 in type 2 diabetes suggested improvement in neuropathic symptoms; these were separate trials rather than any comparison against BPC-157, and each was small, on the order of a few dozen patients dosed for about four weeks. BPC-157 has no published randomized controlled trial in humans for any indication, which means no established dosing, no long-term safety profile, and no human pharmacokinetics, and the FDA flagged it in 2023 as ineligible for compounding. ARA-290 remains investigational and is not approved by any regulator, and what circulates online as either peptide is unregulated material, not the clinical-grade product used in trials.

ARA-290 fits if

ARA-290 is the better fit for a reader interested in nerve repair who wants a molecule with real, if small and short, randomized human proof-of-concept.

BPC-157 fits if

BPC-157 is the one to read if your question is tendon, muscle, or gut recovery, with the understanding that the whole case is rodent and the product is unregulated.

Where to get it

Where to get peptide therapy

Clinician-led telehealth services that prescribe compounded peptides. The specific peptides offered vary by provider — confirm ARA-290 (Cibinetide) availability before ordering.

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