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 11 May 2028

Rules 1.1.0 · as of 14 Sep 2026

Quote

“We will, of course, need to replicate these findings, and more work will be done before there’s an FDA label from somebody. But it’s coming—obviously.”
· Finally, ADHD Has A Published accelerated TMS Trial · substack post

After reviewing the third RCT showing TMS works in pediatric ADHD (first with brief iTBS at 80% threshold), the author forecasts that replication and more work are needed but an FDA label for TMS in ADHD from some company is coming. He then says payers need to hear the clamor as they have for accelerated TMS generally.

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 ADHD
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 11 May 2028
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 · “it’s coming—obviously”
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 ›
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-0063 · deadline none · bin A
Registry entry

The FDA grants a marketing authorization (510(k) clearance, De Novo grant or PMA approval) for a transcranial magnetic stimulation device whose indications for use include ADHD.

TRUE on the decision date in the FDA 510(k), De Novo or PMA database of a marketing authorization for a transcranial magnetic stimulation device, from any sponsor, whose indications for use name attention-deficit/hyperactivity disorder (adult or pediatric). Any setting of use (clinic or home) counts, as the claim names none. A breakthrough device designation, an investigational device exemption, a trial result or a publication is not an authorization. Off-label use and clinical guidelines do not count. FALSE at the deadline when no such authorization decision is dated in the FDA databases by then. Resolution source: the FDA 510(k), De Novo and PMA databases.

Resolution source: FDA 510(k), De Novo and PMA databases

Readings: 'an FDA label from somebody' = a marketing authorization for any sponsor's TMS device with ADHD in the indications for use; the forecaster names no company.; 'it' in 'it's coming' = the FDA label for TMS in ADHD, per the surrounding sentences on the pediatric ADHD iTBS trials; a pediatric-only or an adult-only ADHD indication both count.

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 ›
11 May 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
No 510(k) clearance, De Novo grant or PMA approval of a transcranial magnetic stimulation device with ADHD in its indications for use is dated by 2026-09-13. FDA product-code classifications for ADHD devices are limited to QGL (transcutaneous trigeminal nerve stimulator, the Monarch eTNS, De Novo 2019) and QFT (digital therapeutic software); the seven TMS product codes (OBP, SIG, QFF, SGE, QCI, OKP, QMD) cover MDD, PTSD, OCD, migraine and smoking cessation, not ADHD. None of the 89 TMS 510(k) records (latest K260691, decided 2026-08-23) or the three TMS-related De Novo grants names ADHD, and openFDA lists no TMS PMA. Trials, publications and off-label use do not count.
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 11 events in the field.

saiddueevent
23 Jun 2026 · Louisiana Legislature: SB 43 becomes Act 956 without the governor's signature after unanimous votes, cr24 Jun 2026 · FDA / Janssen: FDA approves Spravato REMS modification S-029 with updated REMS website workflow26 Jun 2026 · Oregon Health Authority: OHA proposes fee increases for the psilocybin services program ahead of the Sept29 Jun 2026 · DEA: Expedited administrative hearing opens on broader rescheduling of marijuana, inc13 Jul 2026 · FDA (psychedelic drugs guidance): FDA finalizes 'Psychedelic Drugs: Considerations for Clinical Investigations', s14 Jul 2026 · FDA: FDA finalizes the guidance 'Psychedelic Drugs: Considerations for Clinical Inves14 Jul 2026 · FDA: FDA announces a September 14, 2026 public hearing on future therapeutic use of p10 Aug 2026 · Resilient Pharmaceuticals (ex-Lykos, midomafetamine): Resilient resubmits the MDMA-assisted therapy NDA for PTSD without a new phase 310 Aug 2026 · Resilient Pharmaceuticals (formerly Lykos): Company resubmits its NDA for MDMA-assisted therapy for PTSD (proposed brand Rys25 Aug 2026 · DEA: DEA sends its final telemedicine special registration rule to OIRA for review; tDEA: DEA SENDS ITS FINAL TELEMEDICINE SPECIAL REGISTRATION RULE TO OIRA FOR REVIEW; T8 Sep 2026 · Definium Therapeutics (DT120): FDA grants Breakthrough Therapy Designation to DT120 (lysergide) ODT in MDD follFDA AUTHORIZES A…FDA authorizes a TMS device for ADHD · stated 11 May 2026FDA authorizes a TMS device for ADHD · restated 11 May 2026 · p 90%90%TODAY20272028

Regulatory decisions