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BPC-157 ARA-290 Protocol Neuropathy Research: Clinical Trial Outcomes Comparison

Diabetic neuropathy pilot (2014, Molecular Medicine) ARA-290 monotherapy Type 2 diabetics with confirmed small fiber neuropathy Change in neuropathic pain scores (NPS) at 28 days 42% reduction in NPS vs 12% placebo; improved corneal nerve fiber density ARA-290

This comparison does not assign a generated winner or score.

  • Diabetic neuropathy pilot (2014, Molecular Medicine)
  • ARA-290 monotherapy
  • Type 2 diabetics with confirmed small fiber neuropathy
  • Change in neuropathic pain scores (NPS) at 28 days
  • 42% reduction in NPS vs 12% placebo; improved corneal nerve fiber density
  • ARA-290 controls inflammatory pain but doesn't reverse structural fiber loss. Efficacy peaks early then plateaus
  • Chemotherapy-induced neuropathy case series (2018, unpublished)
  • BPC-157 monotherapy (500 mcg daily × 12 weeks)
  • Post-platinum chemotherapy patients with grade 2–3 neuropathy
  • Functional recovery (grip strength, gait velocity) at 12 weeks
  • 38% improvement in functional scores; no significant pain reduction
  • BPC-157 promotes motor nerve recovery but inadequate for sensory/pain symptoms without anti-inflammatory co-treatment
  • Combined protocol case report (2021)
  • BPC-157 (250 mcg daily) + ARA-290 (2 mg 3×/week)
  • Diabetic patient with failed gabapentin therapy
  • Composite symptom reduction (pain, numbness, balance) at 16 weeks
  • 58% composite symptom improvement; maintained at 24-week follow-up
  • Dual therapy outperformed monotherapy historical controls. Staggered start (ARA-290 first) reported better tolerance
  • Rodent sciatic nerve crush model (2020, Brain Research Bulletin)
  • BPC-157 vs saline control
  • Sciatic nerve transection with surgical repair
  • Time to motor function recovery (walking pattern analysis)
  • BPC-157 group: 35% faster recovery vs control; histology showed increased myelin thickness
  • Animal data. Human translation uncertain, but mechanism validates clinical use for structural nerve repair
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