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See what our clients say about working with Bonami Software across 200+ projects for 18+ industries. EXPLORE NOW!
We don't just build software. We deliver results. EXPLORE NOW!
See why businesses choose Bonami Software for reliable, scalable solutions. EXPLORE NOW!
We turn ideas into scalable products with proven delivery across 18+ industries. EXPLORE NOW!

Your Software Has a Regulatory Pathway. Build It That Way.

Digital therapeutics are software-delivered clinical interventions — evidence-based, clinically validated, and regulated where it applies. We build DTx products for organizations that understand this distinction.

Talk to Us About Your DTx Build

Trusted by startups and global leaders

BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart
BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart

The Numbers Behind Software That Earns the DTx Label

Measured outcomes from the evidence-based therapeutic products we've designed, validated, and shipped.

Delivered

30+

Digital Therapeutic & Evidence-Based Software Products Built

Experience

10+ Years

Building Regulated & Clinical-Grade Software for Healthcare

Engagement

3x Higher Patient Engagement vs. Standard Digital Health Apps

Adherence designed in from sprint one — because therapeutic outcomes are dose-dependent.

  • Therapeutic Alliance
  • Clinical Engagement Design
  • Clinician Involvement
Adherence

85% Average Patient Adherence Rate at 90 Days

In products we've built — the clinical variable that determines whether the evidence base translates to real-world benefit.

Regulatory

FDA SaMD

Regulatory Pathway Experience Across Multiple Product Categories

Validation

Zero

Products Shipped Without Clinical Validation & Regulatory Review

The Digital Health Market Has a Credibility Problem

Most health apps make therapeutic claims. Most have no evidence behind them. Clinicians know it. Payers learned it the hard way. DTx sits on the evidence side of that line — because serious builders treat clinical validation as a design requirement, not a marketing afterthought.

Talk to Us About Your DTx Build

What Makes Something a Digital Therapeutic

The term gets used loosely — and building to the wrong definition wastes time, money, and clinical credibility. A genuine DTx has four components, and each matters independently.

🧬

Defined Therapeutic Mechanism

A specific intervention — CBT for insomnia, ACT for chronic pain, neurocognitive training for ADHD — with a clinical rationale connecting it to the outcome. Not a general condition-management tool.

🎯

Target Clinical Population

Built for patients with specific clinical characteristics — not anyone who downloads the app. This shapes study design, regulatory strategy, and the prescribing pathway.

📊

Measurable Clinical Outcome

HbA1c reduction, PHQ-9 improvement, ISI score change — not engagement metrics or satisfaction scores. Outcomes meaningful to clinicians and payers, measurable in a clinical study.

🔬

Clinical Evidence

The line separating DTx from digital health. Evidence doesn\'t require an RCT for every category, but it must exist, be methodologically sound, and support the product\'s clinical claims.

What We Build

Eight DTx product categories, each with its own regulatory profile, evidence requirements, and clinical design challenge. Drag, click a card, or use the dots to walk through them.

Prescription Digital Therapeutics (PDT)
The pharmaceutical pathway, applied to software. FDA-regulated, prescription-required — the EndeavorRx / reSET category.
SaMD — Software as a Medical Device
Not every product needs the prescription pathway. Lower-risk functions may qualify for 510(k). We classify first, build second.
Payer-Covered DTx Programs
Coverage is separate from regulation — and decides whether a DTx reaches patients. We build the payer evidence package in early.
Behavioral Health DTx
Strongest evidence base, widest access gap. CBT, DBT, ACT, ERP — protocols that retain efficacy delivered digitally.
Chronic Disease DTx
Not a tracker with a coaching module. Diabetes, obesity, hypertension, COPD, chronic pain — structured interventions delivered with fidelity.
Substance Use Disorder & Recovery
Strong evidence, enormous need. Relapse prevention, MAT adherence, craving tools. 42 CFR Part 2 compliant, trauma-informed.
Neurological & Cognitive DTx
Neuroplasticity as the mechanism. Cognitive rehab for TBI, stroke, neurodegeneration. ADHD, vestibular rehab, speech therapy.
Pediatric DTx
Children are not small adults. Developmental fit, parental workflows, school integration — not adult DTx scaled down.

The Evidence Generation Problem

Evidence built in from the first design conversation — not after.

  • Clinical Study Design Consultation

    Clinical Study Design Consultation

    Clinical Study Design Consultation

    We work with your clinical advisors before development begins. These conversations change product design decisions.

  • Outcome Measure Integration

    Outcome Measure Integration

    Outcome Measure Integration

    Validated outcome measures — PHQ-9, GAD-7, ISI, HbA1c and more — built in as clinical infrastructure. Automated administration, data export, and longitudinal tracking from baseline to follow-up.

  • Protocol Fidelity Tracking

    Protocol Fidelity Tracking

    Protocol Fidelity Tracking

    Tracks which sessions were completed, in what order, with what engagement — the fidelity data essential for internal validity of any study the product supports.

  • Randomization & Blinding Infrastructure

    Randomization & Blinding Infrastructure

    Randomization & Blinding Infrastructure

    Randomization, group assignment, and blinding built into the product — not bolted on when the IRB application is being written.

  • Real-World Evidence Generation

    Real-World Evidence Generation

    Real-World Evidence Generation

    Real-world evidence from commercial deployment matters for payer coverage and SaMD post-market requirements. We build that infrastructure alongside the product.

The Regulatory Pathway — What FDA Regulation Actually Means

More nuanced than a simple "FDA approved or not" binary. We build to support the regulatory process, not complicate it.

⚖️

Risk Classification Determines the Pathway

Software that treats or diagnoses a disease is a medical device. Most DTx are Class II: 510(k) or De Novo.

📐

Design Controls Are Not Optional

21 CFR Part 820 — documented requirements, design V&V, change control. Built into the process, not after the fact.

📄

Software Documentation Is Specific

Software Description, Hazard Analysis, and Cybersecurity docs have content requirements understood during development — not at submission.

🤝

Pre-Submission Meetings Save Time & Money

FDA\'s pre-sub program lets you align on strategy before submitting — surfacing issues that would otherwise cause delays.

🔄

Post-Market Obligations Continue After Clearance

Adverse event reporting, performance monitoring, and update management under design controls. We build for these from day one.

The Hardest Problem in DTx Is Not Regulatory. It's Adherence.

Most digital health products see dramatic drop-off within weeks. Because therapeutic outcomes are dose-dependent, adherence isn\'t a UX metric — it\'s a clinical outcome variable. We build DTx with adherence as a primary design constraint from sprint one.

Talk to Us About Engagement Design

DTx & Evidence-Based Software We've Built. What They Did.

Each result comes from a digital therapeutic we designed and shipped — tied to the clinical target and the evidence or outcome it produced.

65%
Clinical remission (ISI < 8) at 9 weeks — CBT-Based Insomnia Therapeutic (ISI-validated); payer coverage secured in 3 states within 18 months of launch
1.2%
Average HbA1c reduction at 6 months — Diabetes Behavioral Intervention Platform; now in payer value-based contract negotiations
88%
Treatment completion — OAT Adherence & Recovery Support Platform; relapse rate 40% lower vs. standard care comparison
12wk
Validated ADHD rating-scale improvement — Pediatric ADHD Management Platform; school functioning outcomes included in study design
35%
Reduction in pain interference scores — Chronic Pain ACT-Based Therapeutic; opioid dose reduction achieved in 42% of participants at 6 months
89%
90-day adherence (up from 54%) — Cancer Treatment Adherence Platform; clinician satisfaction with patient communication rated 4.8/5
3x
Cardiac rehab participation vs. in-person — Cardiac Rehab Digital Therapeutic; 6-month cardiovascular outcomes equivalent to in-person rehab in pilot data

How We Build DTx Products

The process — without the version that makes it sound simple. The technology decisions follow from the regulatory and clinical model, not the other way around.

Regulatory Strategy Comes Before Product Design

Clinical Protocol Specification Is a Design Document

Software Quality Documentation Built Alongside the Product

Evidence Infrastructure Built In From Sprint One

Engagement Design Validated With the Clinical Population

Regulatory Submission Prep Is an Integrated Workstream

The Full Stack of What DTx Compliance Involves

Beyond baseline HIPAA, DTx carries FDA, clinical research, and international standards that shape platform architecture in specific ways.

🩺

FDA SaMD Guidance

The foundational framework for software that meets the definition of a medical device under 21 CFR Part 820.

📐

FDA 21 CFR Part 820

Quality System Regulation — design controls, document controls, and complaint handling for medical device software.

⚖️

De Novo / 510(k) / PMA Pathways

The clearance or approval pathway appropriate to the product's risk classification and the existence of legally marketed predicates.

🔐

FDA Cybersecurity Guidance

Specific cybersecurity documentation and design requirements for software medical devices.

🧪

IRB & Human Subjects Research

IRB approval, informed consent, and ongoing human-subjects protection obligations for DTx conducting clinical studies.

📋

ICH E6 Good Clinical Practice

GCP compliance for DTx conducting studies intended to support regulatory submissions.

💊

42 CFR Part 2

Data segmentation and consent requirements for DTx products in the substance use disorder category.

Who Builds DTx With Us

From pharmaceutical companies extending drug programs into software to CROs building the digital infrastructure for DTx studies — the organizations we build evidence-based therapeutic software for.

Pharmaceutical Companies P Pharmaceutical Companies
Health Systems H Health Systems
Academic Medical Centers A Academic Medical Centers
Medical Device Companies M Medical Device Companies

Award-Winning AI Development & Consulting

2025

100 Fastest Growth Companies

2025

Global Spring Winner

2025

Top App Development Company

2024

AWS Partner Network

2024

Google Cloud Partner

2025

Highly Rated on Trustpilot

2024

Verified Agency

2024

Top App Development Company

2024

ASSOCHAM Member

Frequently Asked Questions

[ 1 ]

What's the difference between a digital therapeutic and a digital health app?

Evidence and regulatory status. A health app makes health claims without clinical evidence or regulatory oversight. A DTx has a defined mechanism, a target population, measurable outcomes, and study-backed evidence. Clinicians and payers are increasingly unwilling to recommend or cover products that can't demonstrate they work.

[ 2 ]

Do we need FDA clearance to build a digital therapeutic?

Depends on intended use. Software that treats, mitigates, prevents, or diagnoses a condition is a medical device under FDA law. General wellness software may not be. Regulatory classification is the first question in any DTx engagement — it has a specific answer based on your intended-use statement, and we work through it during discovery.

[ 3 ]

How long does it take to build a DTx product?

A focused single-indication behavioral DTx typically runs eight to fourteen months. A complex product with multiple modules, prescription pathway requirements, and full regulatory documentation runs fourteen to twenty-four. These include regulatory prep running concurrently. FDA review after submission is separate.

[ 4 ]

What clinical expertise do you bring?

We're software builders, not clinicians. Ten years in clinical environments means we understand therapeutic protocols, outcome measurement, and regulatory requirements without needing them explained from scratch. The clinical expertise — protocol, advisory, study design — comes from your team or academic partners. We work alongside clinical experts; we don't replace them.

[ 5 ]

How do you approach patient safety?

Crisis detection and escalation is non-negotiable in behavioral health or chronic disease DTx. We build PHQ-9 item 9 monitoring, crisis protocol flows, clinical team notification, and emergency services routing into every behavioral health product. Safety risk analysis is conducted during design, documented formally, and adverse event reporting meets FDA post-market surveillance requirements.

[ 6 ]

Who owns the product?

You do. Full IP transfer at project close — source code, protocol documentation, regulatory materials, everything. No licensing fees, no ongoing dependency.

Get in touch

The Category Is Real. The Bar Is High. That's What Makes It Worth Building.

Thirty minutes. No pitch. An honest conversation about your therapeutic target, your regulatory situation, and what it would take to build something that earns the DTx label.

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