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ARA-290 Dosage Neuropathy 2026: Comparison of Published Protocols

Sarcoidosis SFN (Annals of Neurology 2015) 4 3×/week SC Corneal nerve fiber density (CNFD) +1.2 fibers/mm² vs +0.1 placebo Proof-of-concept established; short duration limits long-term efficacy conclusions Diabetic neuropathy (Diabetes Care 2017) 4 vs 8 12 IEN

This comparison does not assign a generated winner or score.

  • Sarcoidosis SFN (Annals of Neurology 2015)
  • 4
  • 3×/week SC
  • Corneal nerve fiber density (CNFD)
  • +1.2 fibers/mm² vs +0.1 placebo
  • Proof-of-concept established; short duration limits long-term efficacy conclusions
  • Diabetic neuropathy (Diabetes Care 2017)
  • 4 vs 8
  • 12
  • IENFD and pain (NRS)
  • 8mg reduced pain by 2.4 points; 4mg by 1.8 points
  • Higher dose showed marginal benefit but increased injection site reactions; 4mg optimal for tolerability
  • Paclitaxel CIPN prevention (Phase 2, 2019)
  • 6
  • 8 (concurrent + post-chemo)
  • Peak pain during chemo, IENFD at 3 months
  • Lower acute pain (4.2 vs 5.8 NRS); no IENFD difference at 3 months
  • Suggests transient effect without sustained dosing; prophylactic use requires extended protocols
  • Idiopathic SFN (open-label, 2020)
  • Pain reduction (SFN-SIQ)
  • 40% responder rate (≥30% pain reduction)
  • Heterogeneous etiology cohort limits interpretation; responders likely had inflammatory-driven SFN
  • Araim Phase 2b dose-ranging (unpublished, 2021)
  • 1, 4, 8, 12
  • IENFD, pain, QOL
  • 8mg optimal; 12mg no additional benefit, more reactions
  • Ceiling effect confirmed; doses >8mg not justified
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