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 0.49

Rules 1.1.0 · as of 14 Sep 2026

Quote

“I think we're gonna have a good safety profile and I think we'll have statistical significance, but that remains to be seen and we'll know before the end of the year.”
· Healing the Heart of Humanity: Legalizing Psychedelic Medicine - Rick Doblin, Ph.D. | Third Wave · podcast

Doblin on The Third Wave episode 173 expects the second MDMA Phase 3 study to show a good safety profile and statistical significance, with results known before the end of 2022.

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 ›
MAPP2 Phase 3 trial of MDMA-assisted therapy for PTSD 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 ›
31 Dec 2022 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 › · “before the end of the year”
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 › B · “I think we'll have statistical significance”
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-0009 · deadline 31 Dec 2022 · bin B
Registry entry

MAPP2 (NCT04077437), the second Phase 3 trial of MDMA-assisted therapy for PTSD, reports its prespecified primary endpoint met with statistical significance.

TRUE on the date of the sponsor's topline release, the ClinicalTrials.gov results posting or the peer-reviewed publication that first reports that MAPP2 (NCT04077437), the second Phase 3 trial of MDMA-assisted therapy for PTSD, met its prespecified primary endpoint (change in CAPS-5 total severity score versus placebo with therapy) with statistical significance as reported by the sponsor. FALSE on the date the sponsor first reports that the primary endpoint was not met, and FALSE at the deadline when no primary-endpoint result has been reported. Secondary endpoints, interim analyses and pooled analyses do not count. Resolution source: the ClinicalTrials.gov record NCT04077437 (results section), with the sponsor's topline press release or the first publication fixing the date.

Resolution source: ClinicalTrials.gov record NCT04077437 (results); sponsor topline press release or first publication as the secondary source

Readings: 'the second phase three study looks good' reads as MAPP2 meeting its prespecified primary endpoint with statistical significance.

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 2022
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 5 Jan 2023 · checked through 13 Sep 2026
Resolver note
Criterion: the first of the sponsor topline release, the CT.gov results posting or the publication that reports the prespecified primary endpoint (CAPS-5 change vs placebo with therapy) met with statistical significance. The sponsor release of 2023-01-05 states that MAPP2 (NCT04077437; 104 randomized) 'met both the primary endpoint as measured by the change from baseline in CAPS-5' and the key secondary SDS endpoint; it gives no p-value. Significance is confirmed by the peer-reviewed report (Nature Medicine, 2023-09-14: LS mean CAPS-5 change -23.7 vs -14.8, P<0.001, d=0.7) and by the CT.gov results section (first posted 2023-10-11). Date fixed at the topline release, the earliest of the three. The 2024 CRL and the 2026 NDA resubmission concern approval, not this trial-result event.
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 ›
0.49 = (0.70 − 0)²
Happened laterFor items scored false whose event later happened: the months between the deadline and the outcome date. Median and quartiles are reported. Method ›
Yes, 1 month after the deadline
Adversarial recheck

upheld (evidence): The 2023-01-05 release (PR Newswire and mapsbcorp.com) says MAPP2 'met both the primary endpoint as measured by the change from baseline in CAPS-5 and the key secondary endpoint', but it gives no p-value and never says 'statistically significant'; the parent MAPS post of the same day gives no efficacy statistic at all. One could push the date to the Nature Medicine paper (2023-09-14, P<0.001) or the ClinicalTrials.gov results posting (2023-10-11). I do not: a sponsor's statement that a trial 'met' its prespecified primary endpoint is the standard report that the prespecified test reached significance, the publication confirmed it, and the criterion accepts significance 'as reported by the sponsor'. No earlier disclosure exists; the 2022-11-17 completion release only promised topline results in Q1 2023. Occurred on 2023-01-05 stands.

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

Registry

Timeline

1 claim against 39 events in the field.

saiddueevent
20 Mar 2023 · Karuna Therapeutics (KarXT, EMERGENT-3): Karuna reports positive phase 3 EMERGENT-3, its third positive registrational Ka24 May 2023 · ELEKT-D (ketamine vs ECT): NEJM publishes ELEKT-D: subanesthetic IV ketamine was noninferior to ECT in 403 21 Jul 2023 · Neurolief (Relivion DP, MOOD trial): Neurolief reports a positive interim analysis of its MOOD pivotal trial of at-ho31 Aug 2023 · Usona Institute (PSIL201): JAMA publishes Usona's phase 2 PSIL201: a single 25 mg psilocybin dose beat niac14 Sep 2023 · MAPS PBC (MAPP2): Nature Medicine publishes confirmatory phase 3 MAPP2 of MDMA-assisted therapy in5 Oct 2023 · Johnson & Johnson (Spravato, ESCAPE-TRD): NEJM publishes ESCAPE-TRD: esketamine nasal spray beat quetiapine XR on remissio30 Nov 2023 · Cybin (CYB003): Cybin reports positive phase 2 topline for deuterated psilocybin analog CYB003 i14 Dec 2023 · MindMed (MM120, phase 2b GAD): MindMed reports positive phase 2b of MM120 (LSD) in GAD with dose-dependent HAM-5 Jan 2024 · Stanford Medicine / VETS (magnesium-ibogaine): Nature Medicine publishes Stanford's open-label magnesium-ibogaine study in 30 s20 Mar 2024 · Usona Institute (uAspire / PSIL301): Usona launches phase 3 uAspire: single 25 mg psilocybin dose vs placebo in about30 May 2024 · Johnson & 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 autMAPS / 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 adMAPP2 PHASE 3 TRI…MAPP2 Phase 3 trial of MDMA-assisted therapy for PTSD meets its primary endpoint · stated 12 Dec 2022MAPP2 Phase 3 trial of MDMA-assisted therapy for PTSD meets its primary endpoint · restated 12 Dec 2022 · p 70%MAPP2 Phase 3 trial of MDMA-assisted therapy for PTSD meets its primary endpoint · miss 31 Dec 202270%TODAY2023202420252026

Trial outcomes