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Pear reSET

by Pear Therapeuticspeartherapeutics.com
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OVERVIEW

The first FDA-cleared prescription digital therapeutic (PDT) for Substance Use Disorder (SUD), used as an adjunct to outpatient treatment.

Pear reSET is a 12-week (90-day) prescription-only digital therapeutic (PDT) originally developed by Pear Therapeutics. It was the first software-based therapeutic to receive marketing authorization from the U.S. Food and Drug Administration (FDA) in 2017 via the De Novo pathway. The software is indicated for patients 18 years of age and older who are currently enrolled in outpatient treatment for Substance Use Disorder (SUD), excluding those whose primary substance of abuse is alcohol or opioids, or who are on opioid replacement therapy.

reSET delivers interactive treatment modules based on Cognitive Behavioral Therapy (CBT) and fluency training to reinforce abstinence from substances of abuse, such as alcohol, cocaine, marijuana, and stimulants. It is intended to be used as an adjunct to outpatient clinician-delivered care and a contingency management incentives system.

The system includes a patient application (mobile app) and a clinician dashboard that allows providers to track patient-reported substance use, cravings, and triggers, and monitor adherence to the 12-week program. Clinical trials demonstrated that adding reSET to outpatient therapy significantly improved abstinence from substances of abuse and increased retention in the outpatient treatment program compared to standard care alone.

Note on Company Status: Pear Therapeutics filed for Chapter 11 bankruptcy in April 2023. The assets, including reSET, were subsequently acquired by PursueCare in late 2023, which now commercializes and offers the product as part of its virtual addiction treatment services.

RATING & STATS

User Rating
3.9/5.0
Founded
2013

KEY FEATURES

  • FDA-cleared Prescription Digital Therapeutic (PDT)
  • 12-week Cognitive Behavioral Therapy (CBT) modules
  • Patient self-reporting (cravings, substance use, triggers)
  • Clinician dashboard for progress and adherence tracking
  • Contingency Management incentives (virtual rewards/gift cards)
  • Adjunctive therapy for Substance Use Disorder (SUD)

PRICING

Model: enterprise
Starting at: USD 90.00
Prescription-only therapeutic. The current commercializer, PursueCare, offers the 12-week course for a $90 out-of-pocket patient cost and seeks reimbursement under remote therapeutic monitoring codes. Pear Therapeutics' original price was criticized for being over $1,000.

TECHNICAL DETAILS

Deployment: saas, cloud
Platforms: ios, android, web
📱 Mobile Apps

USE CASES

Substance Use Disorder (SUD) treatment (alcohol, cocaine, marijuana, stimulants)Adjunct to outpatient counseling and contingency managementIncreasing abstinence from substances of abuseIncreasing retention in outpatient treatment programs

COMPLIANCE & SECURITY

Compliance:
FDA-cleared (De Novo, 2017)

SUPPORT & IMPLEMENTATION

Support: phone, email
Implementation Time: 1-4 weeks
Target Company Size: small, medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +First FDA-cleared Prescription Digital Therapeutic (PDT) for SUD
  • +Clinically validated to significantly improve abstinence and retention rates
  • +Provides 24/7 access to therapeutic content (CBT) outside of clinic hours
  • +Clinician dashboard provides real-time patient data to inform in-person sessions
✗ Cons:
  • -Original developer (Pear Therapeutics) is defunct; product ownership changed
  • -Short 12-week duration may be insufficient for chronic SUD
  • -Contingency Management system requires manual provider effort (e.g., in-person testing)
  • -Reimbursement challenges were a major factor in the original company's failure

ABOUT PEAR THERAPEUTICS

Other software by Pear Therapeutics:
reSET-O (Telepsychiatry & Digital Mental HealthDigital therapeutics (prescription apps))

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