Better Science. Better Medicine.

Clinical Development Pipeline

Better is developing prescription digital therapeutics across the cardiometabolic disease spectrum. Our lead candidates are in type 2 diabetes, hypertension and hyperlipidemia.

Scientific Areas of Interest

We are interested in exploring the use of digital therapeutics alone or in combination with drugs to treat cardiometabolic diseases linked to alterations in the gut microbiome, metabolic inflammation, endothelial dysfunction, insulin resistance, and/or hepatic lipid metabolism.

Cardiovascular Disease

  • Behavioral therapy has demonstrated plaque regression and improvement in risk factors in coronary artery disease (CAD), yet highly accessible behavioral therapies for the secondary prevention of MI/CVA in those with established CAD are still needed

  • Familial hypercholesterolemia typically requires combination drug therapy and still results in poor cardiovascular outcomes even with optimal lipid lowering, likely due to suboptimal non-lipid risk factor status. The potential to improve outcomes using a digital therapeutic to enhance cholesterol sequestration and excretion while also optimizing non-lipid risk factors should be evaluated;

  • Novel multi-component treatment approaches are needed for resistant hypertension. In addition to out-of-office blood pressure monitoring, and personalized drug regimens, behavioral therapy may be particularly effective in those with salt-sensitivity.

Non-Alcoholic Fatty Liver Disease (NAFLD)

  • NAFLD responds to behavioral therapy in a dose-response manner;

  • Emerging evidence suggests that non-alcoholic steatohepatitis (NASH) may also respond to intensive behavioral therapy, but more rigorous outcome trials are needed;

  • There is a critical need to advance therapeutic approaches, given the burgeoning epidemic of NAFLD and NASH, and absence of FDA-approved therapies.

Chronic Kidney Disease (CKD)

  • Modifiable behaviors and poorly controlled cardiometabolic risk factors lead to the progression of CKD and premature mortality;

  • Behavioral therapy to optimize lifestyle and cardiometabolic factors in concert with pharmacotherapy should be evaluated for improved outcomes in CKD.

Beyond Cardiometabolic Conditions

Increasingly, it is appreciated that there are shared pathways of pathophysiology, such as inflammation and immune activation, that underlie the development of cardiometabolic conditions as well as conditions in other disease classes, such as alzheimer’s disease, multiple sclerosis and certain cancers. This suggests that Better’s digitally-delivered behavioral therapies may have a therapeutic role that extends far beyond cardiometabolic diseases.