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 0.81

Rules 1.1.0 · as of 14 Sep 2026

Quote

“Without further ado, the side effect profile of an effective treatment for Treatment-resistant depression, Anxious Depression, Smoking Cessation, and OCD, with more indications on the way…”
· What Are the Side Effects of Transcranial Magnetic Stimulation (TMS) Treatment? · substack post

Introduction to a review of TMS side effects (2024-01-04). The author, who provides TMS at Radial, lists the current TMS indications (treatment-resistant depression, anxious depression, smoking cessation, OCD) and asserts more indications are coming.

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 authorizes a TMS device for a new indication
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 ›
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 4 Jan 2026
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 · “on the way”
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
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 ›
not admittedA statement that failed intake for a logged reason code. Listed and counted, never scored. Method › (Vague or promotional) · event new · deadline none · bin –
Registry entry

The FDA grants a 510(k) clearance, De Novo authorization or PMA approval for a transcranial magnetic stimulation device for a disease or condition beyond those authorized for any TMS device at the statement date.

TRUE on the decision date in the FDA 510(k), De Novo or PMA database of a marketing authorization, dated after 2024-01-04, for a transcranial magnetic stimulation device whose indications-for-use statement names a disease or condition that no TMS device was authorized for on 2024-01-04. Conditions already authorized at the statement date (major depressive disorder including treatment-resistant depression, anxious depression, smoking cessation, obsessive-compulsive disorder, migraine for single-pulse TMS) do not count. A new population or protocol within an authorized condition, a breakthrough designation, an investigational device exemption or a non-US authorization does not count. Resolution source: the FDA 510(k) Premarket Notification database, with the De Novo and PMA databases for other pathways. FALSE at the deadline when no such authorization appears there.

Resolution source: FDA 510(k) Premarket Notification database; De Novo and PMA databases for other pathways

Readings: 'indications' = FDA-authorized indications for use of TMS devices. The forecaster lists the four conditions he treats as current; they are the FDA-cleared psychiatric and addiction indications at the statement date.; 'more indications' = at least one disease or condition new to TMS as a device class; one authorization for one new condition suffices. Any TMS manufacturer counts, since the forecaster names none.; A population expansion or a protocol change within an already authorized condition is not a new indication; a listed condition under another name (MDD for TRD) is not new.; TRD counts as MDD.; The forecaster counts anxious depression as its own indication, so a new patient population for a listed disorder counts as a new indication.

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
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 ›
4 Jan 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 3 Jun 2026 · checked through 13 Sep 2026
Resolver note
FDA 510(k) K260402 (Wave Neuroscience MeRT System) has decision date 2026-06-03 under 21 CFR 882.5802 with new product code SIG; the indications for use name an adjunct for treatment of adult patients with PTSD. PTSD was not an authorized TMS indication on 2024-01-04 (authorized: MDD/TRD, anxious depression, OCD, smoking cessation, sTMS migraine), so TRUE on 2026-06-03. Earlier check: every TMS 510(k) decided 2024-01-05 to 2026-06-02 carried product code OBP (MDD) or QCI (OCD); the adolescent MDD clearances (Neuronetics K231926, 2024-03-22; BrainsWay K251391, 2025-11-07) and accelerated protocols are population or protocol changes that the criterion excludes; no TMS PMA and no other new TMS product code exist. One registry reading says a new population counts; the criterion as written excludes it and governs here. Under that reading the date would be 2024-03-22 (K231926).
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 ›
0.81 = (0.90 − 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, 5 months after the deadline
Adversarial recheck

escalated (criterion): Verified K260402 (Wave Neuroscience MeRT, new product code SIG, 21 CFR 882.5802, decision 2026-06-03, PTSD) in the FDA 510(k) database and openFDA. openFDA lists 24 OBP (MDD) and 2 QCI (OCD) clearances from 2024-01-05 to 2026-09-13, no new QMD or OKP entries, and SIG as the only new TMS product code. Population and protocol clearances (NeuroStar adolescents K231926 2024-03-22; Magstim K243869; MagVenture K251119; BrainsWay K251391; Nexstim K252358) are excluded by the criterion text. Magstim's 2025-07-09 'pain' clearance is peripheral nerve stimulation held since K992911 (2000), not a new TMS condition. So under the criterion as written 2026-06-03 is right. But reading 5 says 'a new patient population for a listed disorder counts as a new indication', which makes K231926 (2024-03-22) the first-true date, 26 months earlier and possibly inside deadlines the criterion text resolves FALSE. Criterion and readings contradict each other; a human must pick which governs.

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

Registry

Receding horizon

Muir promised FDA authorizes a TMS device for a new indication 2 times; it happened on 3 Jun 2026.

promised datehappened
2024202520262027202820242025202620272028TODAY2024-01-04: by 2026-01-04 · p 0.902026-03-23: by 2028-03-23 · p 0.90HAPPENED 2026-06-03X SAID ON · Y PROMISED BY · DASHED: PROMISED = SAID · DOT AREA = P

Cluster E-0019

Timeline

1 claim against 60 events in the field.

saiddueevent
13 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-024.4 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 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, crLOUISIANA LEGISLATURE: SB 43 BECOMES ACT 956 WITHOUT THE GOVERNOR'S SIGNATURE AFTER UNANIMOUS VOTES, CRFDA AUTHORIZES A…FDA authorizes a TMS device for a new indication · stated 4 Jan 2024FDA authorizes a TMS device for a new indication · restated 4 Jan 2024 · p 90%FDA authorizes a TMS device for a new indication · miss 4 Jan 202690%TODAY20252026

Regulatory decisions