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.

False · Brier 0.48

Rules 1.1.0 · as of 14 Sep 2026

Quote

“that will end up, we hope, by the end of 2023, getting permission to sell. And we will sell not to maximize profits, but to maximize benefits. And so we think that we will reach sustainability in the middle of 2024.”
· The Joe Rogan Experience #1661 - Rick Doblin (transcript) · podcast

Doblin on Joe Rogan #1661 says the MAPS Public Benefit Corporation hopes to have permission to sell MDMA by the end of 2023 and expects financial sustainability by mid 2024.

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 ›
FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD
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 ›
31 Dec 2023 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 › · “by the end of 2023”
Probability
0.70 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 · “will end up, we hope, ... getting permission to sell” · coders disagreed on the bin (A vs C); mean of 0.90 and 0.50
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 ›
phase3_to_approval_psychiatry · 0.56 · 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 0.28 (window shorter than the median 36 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-0001 · deadline 31 Dec 2023 · bin C
Registry entry

The FDA approves midomafetamine (MDMA-assisted therapy) for post-traumatic stress disorder.

TRUE on the date the FDA approval letter or Drugs@FDA entry (or the sponsor's approval announcement) for midomafetamine (MDMA-assisted therapy) for post-traumatic stress disorder is dated, on any review cycle and under any sponsor name. A complete response letter, a positive advisory vote, a filing acceptance, a breakthrough designation or an expanded-access program is not an approval. A label narrower than PTSD (for example a PTSD subgroup or severity band) counts if the claim's indication reasonably includes it and the reading is logged at intake; a label that requires a REMS or a psychological-intervention component counts. Resolution source: Drugs@FDA, with the sponsor's press release as a secondary source. FALSE at the deadline when no such approval appears in Drugs@FDA.

Resolution source: Drugs@FDA; sponsor press release as a secondary source

Readings: Approval under any sponsor name (Lykos Therapeutics, MAPS PBC or a successor) counts; the entry is on the asset.; Eventual approval on any review cycle counts; the first-cycle proposal for the Lykos NDA under review in June 2024 (owen-1072, owen-1090, owen-1137, doblin-0031) is merged into this event.; 'As it stands' (owen-1072) and 'at this stage' (owen-1090) refer to the NDA review cycle pending on the statement date; in the merged event a complete response letter is not an approval and does not by itself resolve the event.; MDMA-assisted therapy, MDMA-AT and midomafetamine name the same asset.; 'MDMA' and 'get over the line' = FDA approval of the midomafetamine (MDMA-assisted therapy) NDA for PTSD that the post discusses; approval of MDMA for any other indication does not count.; A label with a REMS or a mandated psychological-intervention component counts as 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 C

Resolution

State
False
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 ›
31 Dec 2023
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
Not approved as of 2026-09-13. The Drugs@FDA data (openFDA mirror) return no application for midomafetamine, while the same query returns NDA 211243 for esketamine as a control; FDA's 2026 novel drug approvals list (current to 2026-09-11) has no MDMA, midomafetamine or Rysanso entry. History: the Lykos NDA 215455 received a complete response letter in August 2024, which is not an approval under the criterion. Resilient Pharmaceuticals (successor to MAPS PBC and Lykos) resubmitted the NDA in early August 2026 (MAPS statement 2026-08-10; Psychedelic Alpha 2026-08-12); that review is pending and no approval letter, Drugs@FDA entry or sponsor approval announcement exists.
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 ›
0.48 = (0.69 − 0)²
Base-rate Brier
0.32
RestatementsAll of one person's items on one registry event. A cluster is one observation in every metric, so a claim repeated six times still gets one vote. Method ›
doblin-0118doblin-0121doblin-0143doblin-0257doblin-0258doblin-0015doblin-0018doblin-0159
How to read
State at window close; the outcome comes from the registry, the score from the rule.

Registry

Receding horizon

Doblin promised FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD 26 times; it has not happened.

promised datehappened
201720182019202020212022202320242025202620272028201720182019202020212022202320242025202620272028TODAY2016-04-04: by 2018-04-04 · p 0.902016-04-07: by 2021-12-31 · p 0.702016-08-15: by 2021-12-31 · p 0.702017-04-19: by 2021-12-31 · p 0.702017-09-05: by 2021-12-31 · p 0.702018-08-18: by 2021-12-31 · p 0.702018-11-18: by 2021-12-31 · p 0.702019-04-01: by 2021-12-31 · p 0.902019-04-01: by 2021-12-31 · p 0.902019-04-18: by 2021-12-31 · p 0.702019-06-12: by 2021-12-31 · p 0.502019-12-02: by 2021-12-02 · p 0.902020-05-01: by 2022-12-31 · p 0.702020-06-11: by 2022-06-11 · p 0.902020-07-22: by 2022-12-31 · p 0.702020-08-20: by 2022-08-20 · p 0.502020-10-23: by 2023-12-31 · p 0.702020-11-06: by 2023-12-31 · p 0.702020-12-13: by 2022-12-13 · p 0.702020-12-13: by 2023-06-30 · p 0.502021-06-04: by 2023-12-31 · p 0.702021-06-04: by 2023-12-31 · p 0.702021-07-21: by 2023-12-31 · p 0.702021-07-21: by 2023-12-31 · p 0.802021-08-25: by 2023-12-31 · p 0.502021-10-27: by 2023-10-31 · p 0.702021-10-27: by 2023-12-31 · p 0.702021-12-02: by 2023-12-31 · p 0.702022-01-05: by 2023-09-30 · p 0.702022-01-05: by 2024-01-05 · p 0.902022-06-29: by 2024-06-29 · p 0.702022-11-01: by 2024-06-30 · p 0.702023-01-05: by 2025-01-05 · p 0.502023-01-23: by 2024-12-31 · p 0.502023-01-25: by 2024-05-31 · p 0.702023-09-14: by 2024-12-31 · p 0.702023-09-29: by 2025-09-29 · p 0.702024-02-19: by 2024-06-30 · p 0.702024-06-01: by 2024-08-31 · p 0.702024-08-16: by 2026-08-16 · p 0.702024-12-27: by 2026-12-27 · p 0.902024-12-27: by 2027-12-27 · p 0.702025-03-12: by 2025-09-12 · p 0.502025-05-09: by 2025-11-09 · p 0.502025-05-09: by 2027-05-09 · p 0.902026-01-07: by 2028-01-07 · p 0.90X SAID ON · Y PROMISED BY · DASHED: PROMISED = SAID · DOT AREA = P

Cluster E-0001

Timeline

1 claim against 60 events in the field.

saiddueevent
5 Jan 2022 · Health Canada: Canada Gazette publishes SOR/2021-271, restoring Special Access Program requests14 Jan 2022 · DEA: DEA proposes placing five tryptamine hallucinogens (4-OH-DiPT, 5-MeO-AMT, 5-MeO-16 Feb 2022 · FDA: FDA alerts health care professionals to potential risks of compounded ketamine n27 Jul 2022 · DEA: DEA withdraws its proposed Schedule I placement of five tryptamines after hearin19 Aug 2022 · Axsome Therapeutics (Auvelity, AXS-05): FDA approves Auvelity (dextromethorphan-bupropion), the first oral NMDA receptor29 Aug 2022 · DEA: DEA withdraws its April 2022 proposal to place DOI and DOC in Schedule I, citing6 Sep 2022 · Magnus Medical (SAINT): FDA grants 510(k) clearance to Magnus Medical's SAINT Neuromodulation System (MR8 Nov 2022 · Colorado voters: Colorado voters approve Proposition 122 (Natural Medicine Health Act), decrimina27 Dec 2022 · Oregon Health Authority: OHA adopts final administrative rules implementing Measure 109 psilocybin servic2 Jan 2023 · Oregon Psilocybin Services: Oregon Psilocybin Services begins accepting applications for manufacturer, servi3 Feb 2023 · TGA (Australia): TGA announces final decision to reschedule psilocybin (TRD) and MDMA (PTSD) to S1 Mar 2023 · DEA: DEA publishes proposed rules on telemedicine prescribing of controlled substance5 May 2023 · Oregon Psilocybin Services: Oregon issues its first psilocybin service center license (EPIC Healing Eugene);10 May 2023 · DEA and HHS: First temporary extension of COVID-19 telemedicine flexibilities for controlled 23 May 2023 · Colorado Governor Polis: Governor signs SB23-290 (Natural Medicine Regulation and Legalization), creating26 Jun 2023 · FDA: FDA issues draft guidance 'Psychedelic Drugs: Considerations for Clinical Invest1 Jul 2023 · TGA (Australia): Rescheduling takes effect: authorised psychiatrists may prescribe MDMA for PTSD 4 Aug 2023 · Sage Therapeutics / Biogen (zuranolone): FDA approves Zurzuvae (zuranolone) as the first oral treatment for postpartum de29 Aug 2023 · HHS: HHS recommends to DEA that marijuana be moved from Schedule I to Schedule III of7 Oct 2023 · California Governor Newsom: Newsom vetoes SB 58, which would have decriminalized psilocybin and other plant 10 Oct 2023 · DEA and HHS: Second temporary extension of telemedicine flexibilities for controlled medicati10 Oct 2023 · FDA: FDA warns patients and providers about risks of compounded ketamine products, in18 Oct 2023 · FDA / Janssen: FDA approves Spravato labeling supplement S-012 (package insert update).13 Dec 2023 · DEA: DEA again proposes placing DOI and DOC (phenethylamine research hallucinogens) iDEA: DEA AGAIN PROPOSES PLACING DOI AND DOC (PHENETHYLAMINE RESEARCH HALLUCINOGENS) I13 Feb 2024 · FDA / Lykos Therapeutics: FDA accepts Lykos's NDA for midomafetamine (MDMA)-assisted therapy for PTSD with7 Mar 2024 · FDA / MindMed: FDA grants Breakthrough Therapy designation to MM120 (LSD D-tartrate) for genera13 Mar 2024 · Cybin (CYB003): FDA grants Breakthrough Therapy Designation to CYB003 for adjunctive treatment o13 Mar 2024 · FDA / Cybin: FDA grants Breakthrough Therapy designation to CYB003 (deuterated psilocybin ana21 Mar 2024 · Utah Legislature: SB 266 becomes law without the governor's signature, allowing large Utah health 26 Mar 2024 · Neuronetics (NeuroStar): FDA clears NeuroStar TMS as a first-line adjunct for MDD in adolescents aged 15 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.FDA APPROVAL OF M…FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · stated 23 Oct 2020FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · restated 23 Oct 2020 · p 70%FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · restated 6 Nov 2020 · p 70%FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · restated 4 Jun 2021 · p 70%FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · restated 4 Jun 2021 · p 70%FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · restated 21 Jul 2021 · p 70%FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · restated 21 Jul 2021 · p 80%FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · restated 25 Aug 2021 · p 50%FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · restated 27 Oct 2021 · p 70%FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · restated 2 Dec 2021 · p 70%FDA approval of midomafetamine (MDMA-assisted therapy) for PTSD · miss 31 Dec 2023TODAY202120222023202420252026

Regulatory decisions