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.

True · Brier 0.04

Rules 1.1.0 · as of 14 Sep 2026

Quote

“phase 2B the last study was phenomenally successful yeah so I would say the likelihood of a successful phase three is very very hard”
· atai Life Sciences: Psychedelics, Mental Health, & Drug Development w/ Founder Christian Angermayer (YouTube, After Earnings) · podcast

After Earnings, May 2024. Angermayer rates the likelihood of a successful Compass Phase 3 as very high based on Phase 2b.

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 COMP360 (psilocybin) Phase 3 trial in treatment-resistant depression meets its primary endpoint
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 ›
Trial outcomes
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 ›
None stated · undated panelItems with no deadline in the person's words, scored on a uniform 24-month window from the statement date. Part of the headline panel since rules 1.1.0; also shown on its own. Method ›, 24-month window to 8 May 2026
Probability
0.80 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 › B · “the likelihood of a successful phase three is very very high” · coders disagreed on the bin (B vs A); mean of 0.70 and 0.90
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 ›
None in the table
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-0127 · deadline none · bin A
Registry entry

A Phase 3 trial of COMP360 (synthetic psilocybin) in treatment-resistant depression reports its prespecified primary efficacy endpoint met with statistical significance.

TRUE on the date of the first Compass Pathways topline press release, ClinicalTrials.gov results posting or peer-reviewed publication that reports a Phase 3 trial of COMP360 (synthetic psilocybin) in treatment-resistant depression as having met its prespecified primary efficacy endpoint with statistical significance against the control arm, as reported by the sponsor. A Phase 2 result, a secondary endpoint, an interim analysis, a long-term follow-up report and a conference abstract without the primary estimate do not count. Resolution source: Compass Pathways topline press releases, with ClinicalTrials.gov results as the secondary source. FALSE at the deadline when the first reported Phase 3 primary endpoint missed significance, or when no Phase 3 primary result is reported.

Resolution source: Compass Pathways topline press releases; ClinicalTrials.gov results as the secondary source

Readings: 'A successful phase three' reads as the prespecified primary efficacy endpoint met with statistical significance.; The first Phase 3 trial to report its primary result resolves the event.

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
True
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 ›
8 May 2026
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 ›
occurred on 23 Jun 2025 · checked through 14 Sep 2026
Resolver note
The first Phase 3 trial to report its primary result met it. Compass Pathways states on 2025-06-23 that COMP005 achieved its prespecified primary endpoint: MADRS change from baseline at week 6, 25 mg COMP360 versus placebo, difference -3.6 points, p<0.001, in 258 participants with treatment-resistant depression. The second Phase 3 trial, COMP006 (25 mg versus 1 mg, difference -3.8 points, p<0.001), also met its primary endpoint, but the first report fixes the date. Accessed date used for the COMP006 release because its publication date was not read from the page.
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 ›
0.04 = (0.80 − 1)²
Adversarial recheck

upheld (state): Argued the state should be not_occurred, on the ground that a topline press release is the sponsor's own claim and no results are posted on ClinicalTrials.gov. The criterion settles it: the endpoint must be met 'as reported by the sponsor'. Compass Pathways reports COMP005 (NCT05624268, 258 participants) as achieving its prespecified primary efficacy endpoint against the placebo control, MADRS change from baseline at week 6, mean difference -3.6 points for 25 mg versus placebo, p<0.001, on 2025-06-23. That is the first Phase 3 primary result reported for COMP360 in TRD, so it fixes the date; the second trial, COMP006, only confirms the direction. State and date stand. One evidence defect: the COMP006 item carries 2026-09-14, the access date, in place of its publication date.

How to read
State at window close; the outcome comes from the registry, the score from the rule.

Registry

Receding horizon

Angermayer promised A COMP360 (psilocybin) Phase 3 trial in treatment-resistant depression meets its primary endpoint 2 times; it happened on 23 Jun 2025.

promised datehappened
2025202620252026TODAY2024-05-08: by 2026-05-08 · p 0.802024-09-30: by 2026-09-30 · p 0.70HAPPENED 2025-06-23X SAID ON · Y PROMISED BY · DASHED: PROMISED = SAID · DOT AREA = P

Cluster E-0127

Timeline

1 claim against 29 events in the field.

saiddueevent
30 May 2024 · Johnson & Johnson (seltorexant, MDD3001): J&J reports phase 3 MDD3001: adjunctive seltorexant met all primary and secondarJOHNSON & JOHNSON (SELTOREXANT, MDD3001): J&J REPORTS PHASE 3 MDD3001: ADJUNCTIVE SELTOREXANT MET ALL PRIMARY AND SECONDAR11 Aug 2024 · MAPS / Lykos (Psychopharmacology): Psychopharmacology retracts three MDMA-assisted therapy papers by MAPS/Lykos aut22 Oct 2024 · Alto Neuroscience (ALTO-100): Alto's biomarker-selected phase 2b of ALTO-100 in MDD misses its primary MADRS e11 Nov 2024 · AbbVie (emraclidine, EMPOWER-1/2): AbbVie's muscarinic agonist emraclidine, acquired via the $8.7B Cerevel deal, fa18 Nov 2024 · Cybin (CYB003): Cybin reports 12-month phase 2 follow-up for CYB003 in MDD with sustained respon3 Dec 2024 · US Department of Veterans Affairs: VA announces funding for its first study of MDMA-assisted therapy in decades, fo9 Dec 2024 · Relmada Therapeutics (REL-1017): Relmada halts its two remaining phase 3 trials of esmethadone after a futility s2 Jan 2025 · Neumora Therapeutics (navacaprant, KOASTAL-1): Neumora's phase 3 KOASTAL-1 of kappa-opioid antagonist navacaprant in MDD misses3 Feb 2025 · GH Research (GH001): GH Research reports its phase 2b of inhaled mebufotenin (5-MeO-DMT) GH001 in TRD12 Feb 2025 · Alto Neuroscience (ALTO-300): Alto reports a favorable interim analysis of its EEG-biomarker phase 2b of adjun3 Mar 2025 · Neumora Therapeutics (navacaprant): Neumora halts one navacaprant depression trial and redesigns the KOASTAL-2 and K6 Mar 2025 · Johnson & Johnson (aticaprant, VENTURA): J&J stops the phase 3 VENTURA program of kappa-opioid antagonist aticaprant in M22 Apr 2025 · Bristol Myers Squibb (Cobenfy, ARISE): Phase 3 ARISE misses: adjunctive Cobenfy did not significantly beat placebo on P23 Jun 2025 · Compass Pathways (COMP360, COMP005): Compass reports phase 3 COMP005 met its primary endpoint: a single 25 mg COMP3601 Jul 2025 · atai Life Sciences / Beckley Psytech (BPL-003): Phase 2b of single-dose intranasal BPL-003 (5-MeO-DMT) in TRD meets primary and 4 Sep 2025 · MindMed (MM120): JAMA publishes MindMed's phase 2b of MM120 in GAD, the first placebo-controlled 22 Sep 2025 · Johnson & Johnson (seltorexant, MDD3005): Phase 3 MDD3005 misses its primary endpoint: seltorexant showed only numerically3 Dec 2025 · Bristol Myers Squibb (Cobenfy, ADEPT-2): BMS delays the ADEPT-2 phase 3 readout in Alzheimer's disease psychosis to end-217 Feb 2026 · Compass Pathways (COMP360, COMP006): Second phase 3 COMP006 meets primary endpoint: two 25 mg COMP360 doses 3 weeks a5 Mar 2026 · Helus Pharma (HLP004 / CYB004, GAD): Helus reports phase 2 signal-detection results for deuterated DMT HLP004 in mode1 Apr 2026 · Alto Neuroscience (ALTO-101): Alto's phase 2 proof-of-concept of ALTO-101 in cognitive impairment associated w8 Apr 2026 · AtaiBeckley (BPL-003): AtaiBeckley publishes phase 2a data of BPL-003 in TRD patients on SSRIs (CNS Dru26 May 2026 · US Department of Veterans Affairs: VA launches its MDMA-assisted therapy trial for veterans with PTSD and alcohol u15 Jun 2026 · Neumora Therapeutics (navacaprant, KOASTAL-2/3): KOASTAL-2 and KOASTAL-3 both miss; Neumora discontinues navacaprant after three 22 Jun 2026 · Definium Therapeutics (DT120 / MM120, Emerge): Phase 3 Emerge of single-dose DT120 (LSD) ODT 100 µg in MDD meets its primary en7 Jul 2026 · Compass Pathways (COMP360, COMP006): COMP006 26-week (Part B) data show benefit of two 25 mg doses maintained on aver21 Jul 2026 · Helus Pharma (HLP003 / CYB003, APPROACH): Helus completes enrollment in the phase 3 APPROACH study of HLP003 as adjunctive12 Aug 2026 · Definium Therapeutics (DT120 / MM120, Voyage): Phase 3 Voyage of DT120 ODT 100 µg in GAD meets its primary HAM-A endpoint at we9 Sep 2026 · Compass Pathways (COMP360, COMP005 Part C): Compass reports 52-week open-label COMP005 data: participants who received an adA COMP360 (PSILOC…A COMP360 (psilocybin) Phase 3 trial in treatment-resistant depression meets its primary endpoint · stated 8 May 2024A COMP360 (psilocybin) Phase 3 trial in treatment-resistant depression meets its primary endpoint · restated 8 May 2024 · p 80%A COMP360 (psilocybin) Phase 3 trial in treatment-resistant depression meets its primary endpoint · hit 23 Jun 202580%TODAY20252026

Trial outcomes