Globalbit

Globalbit is an Israeli custom software development company. This page is a case study about Pfizer (Pharma & Digital Health). Globalbit built I Grow for Pfizer — a mobile game that turned daily growth hormone injections from a nightly battle into a space adventure. Children play with their parents before every injection while the app tracks injection sites, ensures body rotation, and sends real compliance data to physicians. Recognized as Pfizer's Most Innovative Project 2015. Pfizer's Most Innovative Project 2015. Gamified injection compliance for children with growth hormone deficiency. Proprietary body-site rotation algorithm ensures even distribution. Real-time clinical data synced to physician dashboard. Growth percentile tracking. Medical-grade encrypted data pipeline. Built in 6 months with child psychologists and clinical research. Children initiated treatment through play.

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We Turned a Needle Into a Space Mission

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Pfizer
Pfizer 2015

Most Innovative Project — global recognition

Daily Game

children initiated treatment through play

Real Data

first-ever injection compliance tracking for doctors

A Mobile Game That Made Children Want Their Injection

Pfizer came to us with a real problem: children with growth hormone deficiency weren't getting consistent treatment. We assembled a team of mobile developers, game designers, and researchers — and spent the first two weeks in clinics, watching what actually happens at injection time.

What we built was I Grow: a space adventure that children play with their parents before every injection. The hero needs the growth hormone to fly. The child picks the injection site. The app rotates locations across the body and sends real compliance data to the treating physician. No more guessing.

I Grow app — superhero characters in space, the game children play before their daily growth hormone injection

We built a universe kids would come back to

Our game designers applied principles of child development and behavioral psychology throughout the design process, iterating on character concepts and gameplay mechanics until the experience proved capable of sustaining engagement over months, not days.

The result was a fully developed universe: superheros, planets exploration missions, alien encounters, and a reward system directly tied to treatment consistency. Every progression loop was intentionally structured to reinforce habit formation, intrinsic motivation, and long-term adherence.

[ THE CHALLENGE ]

Daily Injections, Nightly Battles, Zero Data

Growth hormone deficiency affects thousands of children. The treatment works — but only if injections happen consistently, in different body locations, every single day. In practice, compliance was terrible. And nobody had the data to prove it.

  • -Kids fight the needleGrowth hormone deficiency requires daily injections. Every evening becomes a battle. Parents are exhausted, kids are terrified, and some nights the injection just doesn't happen. Missed doses mean slower growth and worse outcomes.
  • -Injections cluster in the same spotsThe drug needs to be injected across different body areas for proper absorption. But children resist — they want the spot that hurts least. Parents give in. The result: uneven distribution, tissue damage at overused sites, and reduced drug effectiveness.
  • -Doctors are flying blindNo one tracks where injections actually go, how often they happen, or when doses are missed. At the quarterly checkup, the doctor asks the parents. The parents guess. Treatment decisions get made on incomplete information.

"Parents told us the hardest part wasn't the medical side. It was watching their child cry every night and knowing they had to do it again tomorrow."

What If the Child Actually Wanted the Injection?

Most adherence apps remind you to take medicine. They nag and track. When we started the project, our team spent time with families and quickly realized: reminders weren't the problem. The problem was dread. So we asked a different question: what if the child looked forward to injection time? What if the injection became the gateway to game time, parent time, and adventure time?

We designed the game loop around the daily injection ritual. The child picks a superhero, explores a planet, meets aliens. But to launch the spaceship, the hero needs the growth hormone. The child taps where to inject - and our rotation algorithm maps it to the child's own body, ensuring even distribution across sessions. The injection happens. Then the adventure continues.

[ WHAT WE BUILT ]

A Game That Tracks, Rotates, and Reports

We built I Grow as three systems in one: a children's game, a clinical tracking engine, and a physician dashboard. Each layer had to work independently — and together. Here's how we structured it.

[ 01 ]

A game kids actually want to play

Before every injection, the child plays a space adventure with their parent. They pick a superhero, explore galaxies, meet aliens, collect presents. The game creates a positive ritual — something the child looks forward to instead of dreading.
[ 02 ]

The hero needs the injection to fly

Here's the clever part: before the spaceship launches, the hero needs their growth hormone. The child picks where on the hero's body to inject. The game maps this to the child's own body — and makes sure the sites rotate evenly across sessions.
[ 03 ]

Body mapping with built-in rotation

The app tracks every injection site over time and guides the next injection to an underused area. No more clustering. No more tissue damage. The child thinks they're helping their hero prepare for space travel. The app is building a medically correct distribution map.
[ 04 ]

Real clinical data, securely delivered

Every injection is logged: date, time, body site, dose. Data syncs to a physician dashboard through encrypted channels. For the first time, doctors get actual compliance data — not parent recall from three months ago.
[ 05 ]

Doctor dashboard with growth tracking

Physicians see injection history, body-site distribution heatmaps, dose compliance trends, and growth percentile charts. They can compare treatment plans against actual adherence. Data-driven decisions replace guesswork.
Growth percentile tracking chart showing child's growth trajectory over timeHeight and weight data tracking dashboard with clinical measurements over time

The dashboard we built for doctors

We designed and built the physician-facing dashboard from scratch — growth percentile curves, injection compliance timelines, and body-site distribution maps. Our backend team built the secure data pipeline that syncs every data point through encrypted channels meeting pharmaceutical regulatory standards. For the first time, doctors could compare treatment plans against actual adherence — and adjust dosing based on evidence, not parent recall.

Background

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[ PROCESS ]

From Research to Pfizer's Innovation Award in 6 Months

[ 01 ]

Clinical research and pediatric UX — 6 weeks

We worked with child psychologists to understand the treatment protocol, injection rotation requirements, and what motivates children aged 4–12. We interviewed families going through daily injections to understand the real friction points.

[ 02 ]

Game design and character development — 8 weeks

The game had to be genuinely fun — not a medical app with a cartoon skin. We designed a full universe: superhero characters with personalities, planet exploration sequences, alien encounters, and a reward system tied to consistent treatment behavior.

[ 03 ]

Clinical integration and data architecture — 6 weeks

We built the injection tracking engine, body-site rotation algorithm, and secure data pipeline to the physician dashboard. Growth chart integration, dose logging, and compliance analytics were tested against real clinical protocols.

[ 04 ]

Pilot, validation, and launch — 4 weeks

The app was tested with real families. We measured engagement, injection compliance, and body-site distribution. The results were strong enough that Pfizer recognized the project as their Most Innovative Project of 2015.

[ TECH ARCHITECTURE ]

Clinical Precision Inside a Children's Game

The tech stack had to satisfy two completely different audiences: a 6-year-old playing a space game and an endocrinologist reviewing clinical compliance data. Both had to trust the system completely.

Medical-Grade Data Security

Full encryption at rest and in transit. Role-based access control. Audit logging for every data point. The data pipeline meets pharmaceutical regulatory standards for patient health information.

Injection Site Algorithm

A proprietary rotation algorithm tracks historical injection sites and recommends the next optimal location. The algorithm accounts for recovery time, distribution evenness, and absorption patterns across body zones.

Gamification Engine

A behavioral design framework that ties treatment compliance to game progression. Reward loops, character development, and narrative unlocks are calibrated to maintain engagement over months of daily treatment.

Physician Analytics Platform

A web-based dashboard that aggregates patient data across the treating physician's caseload. Growth percentile overlays, compliance heatmaps, and dose-timing analytics support data-driven treatment decisions.
[ WHY GLOBALBIT ]

Why Pfizer Chose Globalbit for a Pediatric Health Product

Pharma companies don't hand patient-facing products to agencies that haven't worked in regulated healthcare before. Here's what gave Pfizer confidence.

[ 01 ]

We've built for pharma before

Pfizer, Johnson & Johnson, Teva — we understand the regulatory requirements, the approval processes, and the clinical validation standards that pharma companies expect. This wasn't our first regulated healthcare project.
[ 02 ]

We design products that children use

Pediatric UX is a different discipline. You're designing for two users simultaneously: the child who plays the game and the parent who manages the treatment. Both need to be engaged. Both need to trust the product.
[ 03 ]

Game design meets clinical precision

The injection rotation algorithm isn't decoration — it's a medical tool embedded inside a game. We built systems where the fun and the clinical accuracy are inseparable. That's harder than building either one alone.
[ 04 ]

We delivered a product, not a prototype

Pfizer needed a production-grade app with real data infrastructure, not a concept demo. We shipped a working product with physician dashboards, encrypted data pipelines, and a game engine — all in under six months.
[ RESULTS ]

The Nightly Battle Became a Nightly Ritual

I Grow proved that gamification isn't a gimmick when it's designed with clinical rigor. Treatment compliance improved, injection distribution evened out, and doctors got real data for the first time.

Most Innovative Project @ Pfizer 2015

Pfizer recognized I Grow as the most innovative project of the year — across all their global digital health initiatives. The approach proved that gamification could meaningfully improve treatment outcomes in pediatric care.

Kids asked to play before every injection

The nightly battle became a nightly ritual. Children initiated the game on their own — which meant they were initiating treatment. The psychological shift from resistance to anticipation was the biggest win.

Even injection distribution for the first time

Body-site tracking showed dramatically improved distribution compared to unassisted injection patterns. Fewer clustering events, reduced tissue irritation, and better drug absorption across the treatment period.

From App Store Reviews

"One of the rare apps that provides a real and longstanding value for both parents and children suffering from GHD. Now our child agrees to receive injections and then we spend quality time together playing with the app. Thank you Pfizer!"
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