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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!

Build Your DTx the Regulated Way.

We build digital therapeutics as evidence-based, clinically validated, software-delivered clinical interventions — regulated where it applies.

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

Book Your Free Demo

See it working on your own workflows. We reply within 24 hours.

  • Your idea is 100% protected by our NDA
BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart
Turing
BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart
Turing

Award-Winning Digital Therapeutics (DTx) Development

100 Fastest Growth Companies
Global Spring Winner
Top App Development Company
AWS Partner Network
Google Cloud Partner
Highly Rated on Trustpilot
Verified Agency
Top App Development Company
ASSOCHAM Member
100 Fastest Growth Companies
Global Spring Winner
Top App Development Company
AWS Partner Network
Google Cloud Partner
Highly Rated on Trustpilot
Verified Agency
Top App Development Company
ASSOCHAM Member

The Numbers Behind Software That Earns the DTx Label

Measured outcomes from 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 Patient Engagement vs. Standard 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 at 90 Days

In products we've built — the variable that decides whether the evidence base delivers real-world benefit.

Regulatory

FDA SaMD

Regulatory Pathway Experience Across Multiple Product Categories

Validation

Zero

Products Shipped Without Clinical Validation & Regulatory Review

Digital Health Has a Credibility Problem

Most health apps make therapeutic claims with no evidence. DTx sits on the evidence side — treating clinical validation as a design requirement, not a marketing afterthought.

Talk About Your DTx

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, each mattering independently.

Defined Therapeutic Mechanism

A specific intervention — CBT for insomnia, ACT for chronic pain — tied to the outcome.

Target Clinical Population

Built for defined clinical characteristics, not anyone who downloads the app.

Measurable Clinical Outcome

HbA1c, PHQ-9, ISI score change — not engagement or satisfaction metrics.

Clinical Evidence

Methodologically sound evidence supporting the product\'s clinical claims.

What We Build

Eight DTx product categories, each with its own regulatory profile, evidence requirements, and clinical design challenge.

Prescription Digital Therapeutics (PDT)
FDA-regulated, prescription-required software.
SaMD — Software as a Medical Device
Lower-risk functions may qualify for 510(k).
Payer-Covered DTx Programs
Payer evidence built in from the start.
Behavioral Health DTx
CBT, DBT, ACT, ERP delivered digitally.
Chronic Disease DTx
Structured interventions, not trackers.
Substance Use Disorder & Recovery
Relapse prevention, MAT adherence, craving tools.
Neurological & Cognitive DTx
Cognitive rehab for TBI, stroke, ADHD.
Pediatric DTx
Developmental fit and parental workflows.

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 — conversations that 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, with automated administration, data export, and longitudinal tracking.

  • Protocol Fidelity Tracking

    Protocol Fidelity Tracking

    Protocol Fidelity Tracking

    Tracks which sessions were completed, in what order, with what engagement — the fidelity data essential to the 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 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 Adherence, Not Regulation

Most digital health products see steep drop-off within weeks. Since outcomes are dose-dependent, adherence is a clinical variable — we make it a primary design constraint from sprint one.

Discuss 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 its clinical target and the 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

Technology decisions follow the regulatory and clinical model, not the other way around.

The Full Stack of What DTx Compliance Involves

Beyond HIPAA, DTx carries FDA, clinical research, and international standards.

Who Builds DTx With Us

From pharma and CROs to DTx startups — 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 DTx has a defined mechanism, target population, measurable outcomes, and study-backed evidence.

[ 2 ]

Do we need FDA clearance to build a digital therapeutic?

It depends on intended use. Software that treats, prevents, or diagnoses a condition is a medical device; wellness software may not be.

[ 3 ]

How long does it take to build a DTx product?

A single-indication behavioral DTx runs eight to fourteen months; a multi-module product with full regulatory documentation, fourteen to twenty-four.

[ 4 ]

What clinical expertise do you bring?

We're software builders, not clinicians — ten years in clinical environments, working alongside your protocol and study-design experts.

[ 5 ]

How do you approach patient safety?

Crisis detection is non-negotiable. PHQ-9 item 9 monitoring, crisis flows, emergency routing, and FDA post-market adverse event reporting.

[ 6 ]

Who owns the product?

You do. Full IP transfer at project close — code, protocol and regulatory documentation. 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 DTx conversation.

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