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 0.01

Rules 1.1.0 · as of 14 Sep 2026

Quote

“what we learned is that we were doing great, that we didn't need to add a single person to the study and that we had a 90% or greater probability of statistical significance once the study was completed, and we had the primary outcome data for all 100”
· A Dive with the Maestro behind MDMA Psychotherapy Research - Rick Doblin - HPP 62 · podcast

Doblin reports the MAPP1 interim analysis result and the probability that the full trial reaches statistical significance.

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 ›
MAPP1 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 ›
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 26 Aug 2022
Probability
0.90 Stated · “0.9” · “a 90% or greater probability of statistical significance once the study was completed”
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
stated_number, 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-0002 · deadline none · bin –
Registry entry

MAPP1 (NCT03537014), the first 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 MAPP1 (NCT03537014), the first 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 NCT03537014 (results section), with the sponsor's topline press release or the first publication fixing the date.

Resolution source: ClinicalTrials.gov record NCT03537014 (results); sponsor topline press release or first publication as the secondary source

Readings: 'the study' that 'the other people' are finishing (doblin-0012) and 'Phase 3 results match Phase 2' (doblin-0007) both read as the first Phase 3 trial, MAPP1, meeting its primary endpoint.; Statistical significance is read at the trial's prespecified alpha on the primary endpoint, as reported by the sponsor.

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 ›
26 Aug 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 3 May 2021 · checked through 13 Sep 2026
Resolver note
Occurred. The sponsor's topline release of 2021-05-03 first reported that MAPP1 (NCT03537014, 90 participants) met its prespecified primary endpoint: MDMA-assisted therapy gave a significant reduction in CAPS-5 total severity versus placebo with therapy (p<0.0001). The peer-reviewed publication followed in Nature Medicine on 2021-05-10 (d=0.91, P<0.0001), and ClinicalTrials.gov posted results on 2021-09-16 (CAPS-5 change -24.5 vs -12.64). The 2020 interim analysis is excluded by the criterion, so the date is the earliest of the three named sources, the sponsor release.
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 ›
0.01 = (0.90 − 1)²
Adversarial recheck

upheld (date): I tried to move the date. The 2020 interim analysis is excluded by the criterion. MAPS's release of 2021-05-03 reports a significant reduction on the primary PTSD-severity measure versus placebo with therapy (p<0.0001); Nature Medicine published the paper on 2021-05-10; ClinicalTrials.gov results were first submitted 2021-08-18 and posted 2021-09-16. I found no earlier public report: MAPS's own 2021-05-21 summary says the results were announced May 3 and published May 10. The release came from MAPS, the parent of sponsor MAPS PBC, which the criterion accepts as the sponsor's topline release. Occurred on 2021-05-03 stands.

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

Registry

Receding horizon

Doblin promised MAPP1 Phase 3 trial of MDMA-assisted therapy for PTSD meets its primary endpoint 2 times; it happened on 3 May 2021.

promised datehappened
2019202020212022202320242025202620192020202120222023202420252026TODAY2019-01-14: by 2021-01-14 · p 0.702020-08-26: by 2022-08-26 · p 0.90HAPPENED 2021-05-03X SAID ON · Y PROMISED BY · DASHED: PROMISED = SAID · DOT AREA = P

Cluster E-0002

Timeline

1 claim against 44 events in the field.

saiddueevent
10 May 2021 · MAPS PBC (MAPP1): Nature Medicine publishes MAPP1 phase 3: MDMA-assisted therapy beat placebo-withMAPS PBC (MAPP1): NATURE MEDICINE PUBLISHES MAPP1 PHASE 3: MDMA-ASSISTED THERAPY BEAT PLACEBO-WITH29 Oct 2021 · Stanford (SNT/SAINT): American Journal of Psychiatry publishes double-blind sham-controlled RCT of Sta8 Aug 2022 · Karuna Therapeutics (KarXT, EMERGENT-2): Karuna reports positive phase 3 EMERGENT-2: KarXT beat placebo on PANSS total sc3 Nov 2022 · Compass Pathways (COMP360 phase 2b): NEJM publishes Compass phase 2b: a single 25 mg COMP360 psilocybin dose beat 1 m8 Dec 2022 · Relmada Therapeutics (REL-1017): Relmada's esmethadone fails a second large phase 3 depression trial two months a20 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 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 adMAPP1 PHASE 3 TRI…MAPP1 Phase 3 trial of MDMA-assisted therapy for PTSD meets its primary endpoint · stated 26 Aug 2020MAPP1 Phase 3 trial of MDMA-assisted therapy for PTSD meets its primary endpoint · restated 26 Aug 2020 · p 90%MAPP1 Phase 3 trial of MDMA-assisted therapy for PTSD meets its primary endpoint · hit 3 May 202190%TODAY202120222023202420252026

Trial outcomes