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 19 Aug 2028

Rules 1.1.0 · as of 14 Sep 2026

Quote

“It’s because psychedelics are all going to come with guardrails. These are in the form of Risk Evaluation and Mitigation Strategies (”REMS”).”
· Cut the Doctors In on Psychedelics: Subscriber-Only Edition · substack post Paid

The author predicts all psychedelic medicines will come with REMS guardrails on dispensing and monitoring, as Spravato does, which will limit margin-on-drug abuse.

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 ›
REMS requirement on FDA-approved psychedelic medicines
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 19 Aug 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 · “psychedelics are all going to come with guardrails ... in the form of Risk Evaluation and Mitigation Strategies”
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
conditional, 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-0023 · deadline none · bin A
Registry entry

Every psychedelic medicine the FDA approves carries a Risk Evaluation and Mitigation Strategy (REMS) on its label at approval.

Resolved on the FDA REMS database (REMS@FDA) read together with Drugs@FDA. For each drug in the psychedelic class (MDMA or midomafetamine, psilocybin, ibogaine and any other compound its sponsor or the FDA describes as a psychedelic or an entactogen; esketamine and ketamine excluded) that receives FDA approval between the statement date and the item's deadline, check whether a REMS is in force on the approval date. FALSE on the date of the first such approval that has no REMS. TRUE at the deadline if every such approval carried a REMS. If no drug in the class is approved by the deadline, the condition is unmet and the item is void. Resolution source: REMS@FDA, with Drugs@FDA for the approval dates.

Resolution source: FDA REMS database (REMS@FDA), with Drugs@FDA for approval dates

Readings: Psychedelic class: MDMA (midomafetamine), psilocybin, ibogaine, and any other compound its sponsor or the FDA describes as a psychedelic or an entactogen. Esketamine and ketamine are excluded: the author uses esketamine as the comparator, not as a member of the class.; 'Come to market' reads as FDA approval; 'with one of these REMS on the FDA-label' reads as a REMS in force on the approval date.; '100%' is the share of the class, not a probability; the confidence phrase is 'will'.

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 ›
19 Aug 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 ›
unresolvable · checked through 13 Sep 2026
Resolver note
The criterion can only be applied once the FDA approves a psychedelic-class drug. As of 2026-09-13 none is approved: Drugs@FDA (openFDA) has no entry for psilocybin, psilocin, midomafetamine/MDMA, lysergide, ibogaine, mebufotenin or DMT; FDA Novel Drug Approvals 2026 lists 39 approvals through 2026-09-11, none in the class; REMS@FDA lists no psychedelic REMS. Nearest candidates: COMP360 psilocybin NDA in rolling submission, all modules due Q4 2026, launch expected H1 2027 subject to approval (Compass, 2026-08-05); midomafetamine NDA resubmitted August 2026, decision pending (MAPS, 2026-08-10); DT120 lysergide has Phase 3 results but no NDA. The criterion says that with no class approval the condition is unmet and the item is void, so neither TRUE nor FALSE applies: unresolvable as of 2026-09-13. Re-check REMS@FDA on the approval date if a class approval arrives before the deadline.
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

Receding horizon

Muir promised REMS requirement on FDA-approved psychedelic medicines 2 times; it has not happened.

promised datehappened
20252026202720282025202620272028TODAY2024-06-14: by 2026-06-14 · p 0.902026-08-19: by 2028-08-19 · p 0.90X SAID ON · Y PROMISED BY · DASHED: PROMISED = SAID · DOT AREA = P

Cluster E-0023

Timeline

1 claim against 2 events in the field.

saiddueevent
25 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 follREMS REQUIREMENT…REMS requirement on FDA-approved psychedelic medicines · stated 19 Aug 2026REMS requirement on FDA-approved psychedelic medicines · restated 19 Aug 2026 · p 90%90%TODAY20272028

Regulatory decisions