Forecast Ledgerinterventional psychiatry and psychedelic medicineQuoted, dated predictions scored against public outcomes under one written method. Every score links to the words, the rule and the evidence.

Pending · due 15 Apr 2029

Rules 1.1.0 · as of 14 Sep 2026

Quote

“then I would say the two three four years after all the other psychedelics which Mia Tha is doing will come to Market as well so let's say 5 years from now the world or the landscape for mental health treatments will be really radically different from from what they know in a very good way”
· The Big Picture with Psychedelic Medicine: An Interview with Christian Angermayer (YouTube, Psychedelic Vantage) · interview

Psychedelic Vantage, April 2024. After MDMA and psilocybin, Angermayer expects atai's other psychedelics on the market two to four years later; in five years mental health treatment will be radically different.

Intake

EventA proposition written from a template on the asset, with a resolution criterion and a named public source, before the outcome is looked up. The same event resolves every person's items on it. Method ›
A major regulator approves an atai psychedelic therapeutic
AreaOne of five topic classes: regulatory decisions, clinical trial outcomes, company and market outcomes, payer and policy, practice adoption. Every event has one area. Method ›
Regulatory decisions
DeadlineThe date by which the event must happen for the item to be true. It comes only from the person's words through the anchor table. Method ›
15 Apr 2029 AnchorThe fixed table that turns the person's own words ('by 2026', 'Q2', 'within two years') into a deadline. The coder never invents a date. Method › · “two three four years after ... let's say 5 years from now”
Probability
0.90 LexiconThe fixed five-bin table that turns a phrase into a probability. The strongest phrase in the claim sentence decides; coders never read tone. Method › · binOne of five lexicon steps: A 'will' 0.90, B 'probably' 0.70, C 'may' 0.50, D 'unlikely' 0.30, E 'never' 0.10. A stated number goes to the nearest bin for calibration only. Method › A · “I would say ... will come to Market”
Base rateThe probability a published external study gives an event of that class and stage, fixed at intake. Halved when the item window is shorter than the class median time to decision. Never learned from the ledger's own items. Method ›
phase2_to_approval_all · 0.15 · halvedWhen the item window is shorter than the base-rate class's median time to decision, the base rate is halved. The halved value is an upper bound that favours the person. Method › to 0.07 (window shorter than the median 72 months)
Tags
affiliated, retrospective
Coder BCohen's kappa: agreement between two coders beyond chance, from -1 to 1. Reported for admit, event, deadline, bin and asserts from the second-coder match test. Method ›
admittedA statement that passed intake: sincere, the person's own claim, forward-looking, inside the five areas, and not excluded by a reason code. Only admitted statements become items. Method › · event E-0029 · deadline 15 Apr 2029 · bin A
Registry entry

The FDA or another major regulator approves a psychedelic therapeutic developed, owned or partnered by atai Life Sciences for any indication.

TRUE on the date the FDA approval letter or Drugs@FDA entry, or the approval entry in the database of another major regulator (EMA, MHRA, TGA or another national agency), or atai's approval announcement, is dated for a psychedelic therapeutic, for any indication, that atai Life Sciences (or its successor company) developed, owns, or holds under a licence, co-development or partnering agreement at the time of approval. A psychedelic therapeutic is a compound its sponsor or the regulator describes as a psychedelic or an entactogen; esketamine and ketamine are excluded. A complete response letter, a positive advisory vote or opinion, a filing acceptance, a designation, or a compassionate or special-access scheme is not an approval. FALSE when no such approval appears in Drugs@FDA or another major regulator's database by the deadline.

Resolution source: Drugs@FDA or the approving regulator's database; atai Life Sciences press release as a secondary source

Readings: 'if we succeed, and if we medicalise psychedelics' = FDA approval of an atai-affiliated psychedelic; FDA, not atai, decides approval.

How to read
The event, criterion and deadline were written at intake, before the outcome1 if the registry event happened on or before the item's deadline, 0 if it did not. Written by a resolver who never sees p. Method › was looked up. Coder B coded the statement independently.

Coder A

Resolution

State
PendingAn item whose deadline has not passed. Counted, never scored. Method ›
Effective deadlineAn item enters the score only when its deadline has passed and the outcome is true or false. A claim already known true still waits for its deadline. Method ›
15 Apr 2029
Outcome1 if the registry event happened on or before the item's deadline, 0 if it did not. Written by a resolver who never sees p. Method ›
not occurred · checked through 13 Sep 2026
Resolver note
No FDA, EMA, MHRA, TGA or other approval exists for any psychedelic developed, owned or partnered by atai Life Sciences or its successor AtaiBeckley (a Lilly subsidiary since 2026-09-11). FDA's 2026 novel approvals list holds no psychedelic or entactogen; the company's Q2 2026 10-Q calls itself clinical-stage; Lilly's July 2026 deal terms place BPL-003 (mebufotenin, 5-MeO-DMT) in Phase 3 and VLS-01 (DMT) in Phase 2b, with CVR payments contingent on future US approval. COMP360 (Compass Pathways, in which atai held only a shrinking equity stake, not a licence or partnership) is still in rolling NDA submission with modules due in Q4 2026 and no approval. The Drugs@FDA search form cannot be queried by GET, so the FDA approvals list was used instead.
BrierThe squared gap between a probability and the outcome, (p - o)^2. 0 is perfect, 0.25 is the constant coin flip, 1 is confidently wrong. Lower is better. Method ›
Not scored
How to read
State at window close; the outcome comes from the registry, the score from the rule.

Registry

Receding horizon

Angermayer promised A major regulator approves an atai psychedelic therapeutic 3 times; it has not happened.

promised datehappened
2025202620272028202920252026202720282029TODAY2024-04-15: by 2028-04-15 · p 0.802024-04-15: by 2029-04-15 · p 0.902024-05-08: by 2026-05-08 · p 0.90X SAID ON · Y PROMISED BY · DASHED: PROMISED = SAID · DOT AREA = P

Cluster E-0029

Timeline

1 claim against 60 events in the field.

saiddueevent
16 Apr 2024 · European Medicines Agency: EMA holds a multi-stakeholder workshop 'Psychedelics: towards an EU regulatory f21 May 2024 · DOJ / DEA: DOJ publishes proposed rule to transfer marijuana from Schedule I to Schedule II4 Jun 2024 · FDA PDAC / Lykos Therapeutics (midomafetamine): FDA Psychopharmacologic Drugs Advisory Committee votes against MDMA-assisted the4 Jun 2024 · FDA Psychopharmacologic Drugs Advisory Committee: Advisory committee votes 2-9 that MDMA-assisted therapy is not shown effective f7 Jun 2024 · DEA: DEA stays the June 10, 2024 administrative hearing on Schedule I placement of DO9 Aug 2024 · FDA / Lykos Therapeutics: FDA issues a complete response letter (dated August 8) for MDMA capsules for PTS9 Aug 2024 · Lykos Therapeutics (midomafetamine): FDA issues a Complete Response Letter for MDMA-assisted therapy in PTSD and asks29 Aug 2024 · DEA: DEA publishes notice of an administrative hearing on the proposed marijuana resc26 Sep 2024 · Bristol Myers Squibb (Cobenfy / KarXT): FDA approves Cobenfy (xanomeline-trospium), the first muscarinic agonist for sch4 Nov 2024 · FDA / Janssen: FDA approves Spravato labeling supplement S-015 (package insert revision).5 Nov 2024 · Massachusetts voters: Massachusetts Question 4, a regulated natural psychedelics measure, fails with 419 Nov 2024 · DEA and HHS: Third temporary extension of telemedicine flexibilities for controlled medicatio31 Dec 2024 · Colorado Natural Medicine Division: Colorado begins accepting natural medicine business license applications; the re31 Dec 2024 · FDA / Janssen: FDA approves Spravato REMS modification S-013.13 Jan 2025 · DEA Administrative Law Judge: DEA's chief ALJ cancels the January 21, 2025 marijuana rescheduling hearing pend17 Jan 2025 · DEA: DEA publishes proposed rule creating special registrations for telemedicine pres17 Jan 2025 · DEA and HHS: Final rules allow a six-month buprenorphine supply via audio-only telemedicine a21 Jan 2025 · FDA / Johnson & Johnson: FDA approves Spravato (esketamine) as monotherapy for adults with treatment-resi21 Jan 2025 · Johnson & Johnson (Spravato): FDA approves Spravato as the first monotherapy for treatment-resistant depressio24 Mar 2025 · DEA and HHS: DEA and HHS delay the effective date of the buprenorphine and VA telemedicine fi24 Mar 2025 · FDA / Janssen: FDA approves Spravato REMS modification S-018; the REMS still requires certified31 Mar 2025 · Colorado Natural Medicine Division: Colorado issues its first healing center license to The Center Origin (announced7 Apr 2025 · New Mexico Governor Lujan Grisham: Governor signs SB 219, the Medical Psilocybin Act (effective June 20, 2025): DOH15 May 2025 · FDA / Janssen: FDA approves Spravato REMS modification S-021: minor revision to the Patient Mon16 May 2025 · FDA Commissioner Marty Makary: Makary tells NewsNation the FDA will give psychedelic trial data 'an expeditious24 Jun 2025 · HHS Secretary Robert F. Kennedy Jr.: At a House Energy and Commerce hearing, Kennedy says HHS is 'working very hard' 10 Jul 2025 · Czech Senate: Czech Senate gives final approval to a law allowing medical use of psilocybin fr11 Jul 2025 · BfArM (Germany): BfArM approves the EU's first compassionate use programme for psilocybin in trea18 Jul 2025 · Otsuka / Lundbeck (Rexulti, PTSD): FDA advisory committee votes against brexpiprazole plus sertraline for PTSD, cit31 Jul 2025 · FDA / Janssen: FDA approves Spravato REMS modification S-024.4 Sep 2025 · FDA: FDA publicly releases the Lykos MDMA complete response letter, citing unreported4 Sep 2025 · FDA / Lykos Therapeutics: FDA publicly releases the August 2024 Lykos CRL, detailing concerns on safety re18 Sep 2025 · BrainsWay (Deep TMS): FDA clears BrainsWay's accelerated Deep TMS protocol for MDD, shortening treatme22 Sep 2025 · Otsuka / Lundbeck (Rexulti, PTSD): FDA issues a CRL for brexpiprazole plus sertraline in PTSD, citing insufficient 9 Oct 2025 · FDA / Janssen: FDA approves Spravato REMS modification S-025 with vendor-related changes to the6 Nov 2025 · Johnson & Johnson (Caplyta, adjunctive MDD): FDA approves Caplyta (lumateperone) as adjunctive treatment for MDD based on two13 Nov 2025 · BrainsWay (Deep TMS): FDA clears BrainsWay Deep TMS as an adjunct for MDD in adolescents aged 15 to 215 Dec 2025 · New Mexico Department of Health: At the Medical Psilocybin Advisory Board's first meeting, DOH says patient acces18 Dec 2025 · President Trump: Executive order directs the Attorney General to complete marijuana rescheduling 31 Dec 2025 · DEA and HHS: Fourth temporary extension of telemedicine flexibilities for controlled medicati1 Jan 2026 · Czech Republic: Czech medical psilocybin framework takes effect: psychiatrists may administer ps5 Jan 2026 · GH Research (GH001): FDA lifts the clinical hold on GH001, clearing a global phase 3 program in TRD t12 Jan 2026 · Neurolief (Proliv Rx): FDA grants PMA approval to Neurolief's Proliv Rx, the first at-home brain neurom23 Jan 2026 · FDA / Janssen: FDA approves Spravato REMS modification S-027, reverting the October 2025 vendor3 Mar 2026 · AtaiBeckley (BPL-003): AtaiBeckley reports a successful End-of-Phase 2 meeting with FDA for BPL-003 in ATAIBECKLEY (BPL-003): ATAIBECKLEY REPORTS A SUCCESSFUL END-OF-PHASE 2 MEETING WITH FDA FOR BPL-003 IN 13 Apr 2026 · FDA / Janssen: FDA approves Spravato REMS modification S-028 adding Spanish translations of REM18 Apr 2026 · President Trump: EO 14401 orders FDA priority vouchers for breakthrough psychedelics, an ibogaine23 Apr 2026 · DOJ / DEA (Acting AG Blanche): Final order moves FDA-approved marijuana products and state-licensed medical mar24 Apr 2026 · FDA: FDA awards Commissioner's National Priority Vouchers to Compass (COMP360 psilocy24 Apr 2026 · FDA / Compass Pathways: FDA grants Compass a rolling NDA submission and review for COMP360 psilocybin in24 Apr 2026 · FDA / Compass Pathways, Usona Institute, Transcend Therapeutics: FDA awards Commissioner's National Priority Vouchers to Compass (COMP360), Usona24 Apr 2026 · FDA Commissioner Marty Makary: Makary says he expects an FDA approval decision on at least one priority psyched30 Apr 2026 · Axsome Therapeutics (Auvelity / AXS-05): FDA approves Auvelity for agitation associated with Alzheimer's disease, the fir23 Jun 2026 · Louisiana Legislature: SB 43 becomes Act 956 without the governor's signature after unanimous votes, cr24 Jun 2026 · FDA / Janssen: FDA approves Spravato REMS modification S-029 with updated REMS website workflow26 Jun 2026 · Oregon Health Authority: OHA proposes fee increases for the psilocybin services program ahead of the Sept29 Jun 2026 · DEA: Expedited administrative hearing opens on broader rescheduling of marijuana, inc13 Jul 2026 · FDA (psychedelic drugs guidance): FDA finalizes 'Psychedelic Drugs: Considerations for Clinical Investigations', s14 Jul 2026 · FDA: FDA finalizes the guidance 'Psychedelic Drugs: Considerations for Clinical Inves14 Jul 2026 · FDA: FDA announces a September 14, 2026 public hearing on future therapeutic use of pA MAJOR REGULATOR…A major regulator approves an atai psychedelic therapeutic · stated 15 Apr 2024A major regulator approves an atai psychedelic therapeutic · restated 15 Apr 2024 · p 90%90%TODAY20252026202720282029

Regulatory decisions