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.

Pending · due 25 Feb 2028

Rules 1.1.0 · as of 14 Sep 2026

Quote

“There is now a named trial — the Kale Award trial — specifically designed to address whether bilateral stimulation is superior to unilateral for suicidal ideation. It’s years out from results.”
· Dr. Paul Fitzgerald Took Questions at Brain Stimulation 2025 · substack post Paid

Right-sided stimulation and suicidality section. The author notes a named trial (Kale Award trial) that tests bilateral versus unilateral TMS for suicidal ideation and states its results are years away.

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 ›
Kale Award trial (bilateral versus unilateral TMS for suicidal ideation) reports its primary result
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 25 Feb 2028
Probability
0.10 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 · “It's years out from results” · denialA statement that the event will not happen. Its probability on the event side is 1 minus the bin value. Method ›
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
denial, 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-0060 · deadline none · bin A
Registry entry

The Kale Award trial reports its primary comparison of bilateral versus unilateral stimulation for suicidal ideation (either direction).

TRUE on the date of the first public report of the Kale Award trial's primary outcome result: the peer-reviewed primary results publication, the investigators' topline release, or a results posting in the trial's registry entry, whichever is first. The result may favour bilateral, unilateral or neither; the event is about a primary result being reported. A protocol publication, a recruitment update, an interim safety report or a conference abstract without the primary outcome estimate does not count. FALSE at the deadline when no such report is dated by then. Resolution source: the peer-reviewed primary results publication (PubMed), with the trial registry entry as the secondary source.

Resolution source: Kale Award trial primary results publication (PubMed); trial registry entry as secondary source

Readings: The trial is identified only by the author's words: 'the Kale Award trial', designed to test whether bilateral stimulation is superior to unilateral for suicidal ideation, discussed in Paul Fitzgerald's Brain Stimulation 2025 session. No registry number or sponsor is given, so none is written.; The claim is about timing, so the event resolves on the first public report of the primary outcome in either direction, not on which arm wins.; 'It's years out from results' is read as a denial that a primary result is reported within the undated 24-month window from the statement date (2026-02-25 to 2028-02-25). A coder who reads the sentence as relayed session information would reject as REPORT or NOT_FORECAST.

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
PendingAn item whose deadline has not passed. Counted, never scored. Method ›
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 ›
25 Feb 2028
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
The trial is identified as COMBAT-SI (NCT05377177, UC San Diego, PI Cory Weissman): the only registered randomized comparison of bilateral versus unilateral (accelerated theta burst) stimulation for suicidal ideation, funded by NIMH career-development award K23MH138746, a 'K award', which matches the forecaster's 'Kale Award'. As of 2026-09-13 the registry shows status Recruiting, no results posted, estimated primary completion 2029-08-01; PubMed has no publication of its primary outcome, and no other bilateral-vs-unilateral suicidal-ideation RCT has reported. Not occurred as of the check date. The link to Paul Fitzgerald's Brain Stimulation 2025 session could not be verified; if the forecaster meant another trial, the identification can be challenged.
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 ›
Not scored
How to read
State at window close; the outcome comes from the registry, the score from the rule.

Registry

Timeline

1 claim against 10 events in the field.

saiddueevent
5 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 adCOMPASS PATHWAYS (COMP360, COMP005 PART C): COMPASS REPORTS 52-WEEK OPEN-LABEL COMP005 DATA: PARTICIPANTS WHO RECEIVED AN ADKALE AWARD TRIAL…Kale Award trial (bilateral versus unilateral TMS for suicidal ideation) reports its primary result · stated 25 Feb 2026Kale Award trial (bilateral versus unilateral TMS for suicidal ideation) reports its primary result · restated 25 Feb 2026 · p 10%10%TODAY20272028

Trial outcomes