Kalshi Adds FDA Drug Trial Prediction Markets

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TLDR Kalshi added new markets letting users bet on clinical trial outcomes and FDA approval decisions. The company says market pricing could reveal information that often stays hidden during drug development. The first contracts include a therapy from Gilead and Arcellx for multiple myeloma. A separate market covers AR1001, an Alzheimer’s drug currently in Phase III testing. FDA data shows almost three in ten required trials failed to report results on time.

Kalshi is adding a new category of markets focused on drug research. The platform will let users place trades on whether experimental medicines pass clinical trials and win approval from the Food and Drug Administration.

This is a shift for the company. Kalshi has mostly built its business around sports, weather, and political outcomes.

The company frames this move as more than gambling. It says public prediction markets can surface information that usually stays hidden while drugs move through development.

Why Kalshi Is Entering Drug Research

Drug trial reporting has faced criticism for years. Companies are required to post results on ClinicalTrials.gov, but many do not follow through.

An FDA review found that close to three in ten studies subject to mandatory disclosure rules never submitted their results. That leaves gaps in public knowledge about how treatments are performing.

Kalshi argues that trading prices could fill some of that gap. Instead of waiting on company press releases, users could watch probabilities shift in real time based on trading activity.

The idea is that investors, doctors, researchers, and patients would all have access to the same live data. Kalshi says the rollout will happen gradually and follow existing regulatory rules.

First Markets Set to Launch

One of the first contracts tracks the FDA’s expected December decision on anito-cel. The therapy is a CAR-T treatment for relapsed


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