Reimagining the inhaler for the digital era.

We build Respiro, the connected respiratory platform for inhaled medicine. Smart inhaler sensors and a regulated data layer turn everyday inhaler use into adherence, technique and real-world evidence. It's built for the people who breathe easier with them, and for the pharma, clinicians and partners who build on the data.

The Respiro connected platform: the RS01X connected inhaler, the patient app on a phone, and a clinician dashboard on a laptop.
ISO 13485:2016 certified CE-marked under EU MDR GDPR · EU data protection Milan, Italy
The gap

Inhaled medicine only works when it's used right. After the prescription, the picture goes dark.

Make the medicine, deliver the care, build the technology or study the outcomes: between visits, everyone is working blind. Respiro is built to close that gap.

Adherence is low

Doses get missed and mistimed, and no one knows until control slips, or an attack lands someone in hospital.

Technique is usually wrong

Most people don't use their inhaler correctly, so much of the dose never reaches the lungs, and the mistake goes unseen.

The data disappears

What happens between appointments is invisible: to patients, to clinicians, and to the brands that made the therapy.

The Respiro platform

From the inhaler to the insight, the whole stack.

Connected respiratory care is no longer a pilot. It's infrastructure. Respiro is that stack: inhaler sensors, a regulated cloud, and the apps built on it. Take it end to end, or plug in at any layer.

One platform. Take it whole, or just the engine.

End to end

We build the sensor (even a custom one for your therapy), power it with our algorithms and regulated cloud, and deliver it to patients through our own apps. The Respiro app people hold today is exactly this.

See the full platform

Your experience, our engine

Already have an app or digital therapeutic? Embed the Respiro Connect SDK and pull our APIs: you keep the experience, we're the connected-respiratory engine underneath. Integration by design.

See integration options

Clinically validated in earlier Respiro studies. See the evidence.

Who we work with

Built for your part of respiratory care.

However you take the platform, what you build on it depends on who you are. Each team starts from the same validated, regulated foundation, then takes it where their work needs it to go.

For Pharma

Digital companion apps, real-world evidence and drug-device combination products that extend the life and value of an inhaled therapy.

Explore pharma solutions

For Providers

Remote monitoring, exacerbation-risk flags and clinic-ready reports that make every respiratory consultation shorter and better informed.

Explore clinical solutions

For Partners

The Respiro Connect SDK, open APIs and white-label options to embed our connected-inhaler intelligence inside your own digital-health product or device.

Explore integration

For Researchers

Objective, time-stamped adherence and inhaler-technique data for clinical trials, digital endpoints and academic studies, with the rigour to stand up to peer review.

Explore collaborations
Evidence & rigour

The numbers that matter, and the science behind them.

In earlier Respiro studies, patients who could see their own adherence and technique had better outcomes, and lower costs from poorly-controlled disease. The numbers rest on years of peer-reviewed research and a certified quality system.

+5.9
Better asthma control
Points gained on the Asthma Control Test (vs +2.9 with usual care) · randomised controlled trial (p=0.007).
ERS 2022 · RCT →
73%
Improved inhaler technique
Share of patients whose technique improved over follow-up (p<0.0001).
RDD 2026 →
€466
Lower cost of care, per patient / year
Average annual saving vs usual care · randomised controlled trial (p=0.04).
ERS 2022 · RCT →
82%
Medication adherence
Mean adherence in a real-world pharmacy service, well above the ~20% often seen in practice.
RDD 2026 →
The science behind the numbers
10+Peer-reviewed publications on connected inhaler use
6,000+Participants across studies and programmes
40+Clinical and commercial programmes supported
Published in
Chest European Respiratory Journal J. Aerosol Medicine & Pulmonary Drug Delivery
Explore the evidence & research
Newsroom

What's happening at Amiko.

See all news
ResearchMay 2026

73% of patients improved their inhaler technique

At Respiratory Drug Delivery 2026, a pharmacy-led evaluation in asthma and COPD found nearly three in four patients improved their inhalation technique with Respiro — across three different inhalers.

Read the results
ResearchJuly 2025

A PNRR project with ARTES 4.0 to build better sensors, faster

With ARTES 4.0 and PNRR backing, we brought CFD simulation and automation to the next generation of inhaler sensors: up to 40% less development time, so better connected hardware reaches patients sooner.

Read more
ResearchMarch 2025

RS01X's measurements, validated in a clinical study

A peer-reviewed study tested how accurately RS01X reads each inhalation against a laboratory reference. Across 97 people with asthma, COPD and healthy lungs, agreement was near-perfect.

Read more

Let's build the future of respiratory care.

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