Kalshi to allow bets on clinical trials, FDA decisions

July 16, 2026 12:03 PM EDT

Kalshi logo appears in this illustration created on April 22, 2026. REUTERS/Dado Ruvic/Illustration

July 16 (Reuters) - Prediction market ‌platform Kalshi ​will ​start taking bets on the outcomes of clinical trials and FDA regulatory reviews, it said on ‌Thursday, making drug-development odds public for the first time.

The ⁠new markets will be launched in partnership with AppliedXL, which monitors and ‌predicts the outcomes of ‌clinical trials.

The markets allow investors to act on a view about a single drug, instead of the entire company, ​Kalshi said.

People will be able to bet only on the outcomes of late-stage trials as a part of the ⁠pilot program. Kalshi and AppliedXL will list a contract only after a trial ​finishes enrolling.

Each contract will be based on details of a named public document — the registered primary endpoint ​on ClinicalTrials.gov, the FDA approval letter ‌or the voting record of the agency's advisory committee.

AppliedXL will define the criteria for reading ⁠that document before the contract opens for trading, not after results arrive.

Contracts available at launch include more than a dozen U.S. Food ⁠and Drug Administration decisions, including whether it will approve Gilead's experimental cancer ​drug, anito-cel, and Summit Therapeutics' experimental lung cancer drug, ivonescimab.

Other bets include if an early Alzheimer's disease drug being developed by AriBio will ‌meet the main goals of a late-stage trial.

The platform will require employment verification for all ‌traders and prohibit trading by anyone who holds material nonpublic ⁠information.

Launched in 2021, Kalshi allows ‌people to bet ​on events such as sports, election outcomes and weather.

(Reporting by Sriparna Roy in Bengaluru; Editing by Sahal ‌Muhammed)



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