Vial Guide

ARA-290 10 mg vial

How much bacteriostatic water to add to a 10 mg vial of ARA-290, the syringe units for each common dose, and how many doses the vial holds.

Water
1 mL
Strength
10 mg/mL
Common dose
4 mg
Draw
40 units0.40 mL
Doses per vial
2

The short answer

Mixed with 1 mL of bacteriostatic water, a 10 mg vial of ARA-290 holds 10 mg/mL. A 4 mg dose is then 40 units (0.40 mL) on a U-100 insulin syringe, and the vial holds about 2 doses of that size. Taken 1× per day, it lasts about 3 days.

Human studies. Phase 2 trials in small-fiber neuropathy (sarcoidosis and type 2 diabetes). A small 12-week Phase 2 trial in diabetic macular edema found no gain in vision or retinal thickness. Not approved.
ARA-290 page

How much water

The water only sets the strength; the dose and the number of doses in the vial stay the same. Draws are on a U-100 insulin syringe, where 1 unit is 0.01 mL.

Water addedStrengthPer syringe unitDraw for 4 mg
1 mL10 mg/mL100 mcg40 units (0.40 mL)
2 mL5 mg/mL50 mcg80 units (0.80 mL)
3 mL3.333 mg/mL33.3 mcg1.20 mL

Dose chart

Syringe units for each common dose at each water volume. Select a cell to open it in the calculator.

DoseWater added
1 mL2 mL3 mL
1 mg
2 mg
2.5 mg
4 mg
5 mg
7.5 mg
8 mg

Draws over 100 units show in mL. Faded values are under 2 units, which is hard to measure. Check that your vial holds the larger volumes.

Where the doses come from

  • Trial 4 mg once daily for 28 days. 1 mg and 8 mg were also tested; 4 mg met the main goal.

Doses are what labels, trials or community reports reference, not recommendations. ARA-290’s page has the cycle, side effects, cautions and sources.

Mixing and storage

  1. PrepareLet a refrigerated vial come to room temperature, and wipe both stoppers with an alcohol swab.
  2. Add 1 mLDraw 1 mL of bacteriostatic water and let it run slowly down the inside wall of the vial.
  3. Swirl, don’t shakeSwirl gently until the powder dissolves and the liquid is clear.
  4. Label itWrite the date and the strength, 10 mg/mL, on the vial.

Storage: Powder cold, dry and dark. Mixed: 2–8 °C.

The reconstitution guide covers each step, and the units page explains syringe markings.

Questions

How much water do I add to a 10 mg vial of ARA-290?

There’s no single right amount: the water only sets the strength. With 1 mL of bacteriostatic water, a 10 mg vial holds 10 mg/mL. With 2 mL it’s 5 mg/mL; with 3 mL it’s 3.333 mg/mL. Less liquid makes each dose a smaller draw; more makes small doses easier to measure.

How many units is 4 mg of ARA-290?

With 1 mL in a 10 mg vial, 4 mg is 40 units (0.40 mL) on a U-100 insulin syringe. With 2 mL, 80 units (0.80 mL); with 3 mL, 1.20 mL.

How many doses are in a 10 mg vial of ARA-290?

About 2 doses of 4 mg, or 1 of 7.5 mg or 1 of 8 mg. Taken 1× per day at 4 mg, it lasts about 3 days.

How long does a mixed vial of ARA-290 keep?

Powder cold, dry and dark. Mixed: 2–8 °C.

Sources

  • Araim: cibinetide regenerates small nerve fibers in sarcoidosis (Phase 2b)
  • ARA 290 in type 2 diabetes (University of Manchester)
  • Lois et al., cibinetide for diabetic macular edema (J Clin Med 2020) PMID 32674280

The math on this page uses the doses and storage on ARA-290’s page.