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.

Not admitted · Not a forecast

Rules 1.1.0 · as of 14 Sep 2026

Quote

Not a forecast

“But you're not guaranteed that approval at that first meeting. Sometimes, it's gonna take years.”
· Saving MDMA VII: This isn't The First Drug to Have Problems Getting Approved · substack post Paid

Lesson drawn from the flibanserin (Addyi) history (NDA 2009, denials, approval with REMS in 2015) and applied to MDMA-AT: approval is not guaranteed at the first decision and can take years.

Descriptive, retrospective, or a statement of preference; no future state asserted.