Do bibliometric profile cards change an AI forecast of the 2026 Nobel Prizes?

Four arms on the Preseen forecasting system · Physiology or Medicine, Physics, Chemistry · forecasts made on 1–2 October 2026, before the announcements of 5–7 October · built 03 October 2026, 14:34 CDT

Overview

We asked a forecasting AI the same question — which discovery will this year’s Nobel Prize be awarded for? — four times per prize, changing only what it is shown and how it is told to use it. Each person named in the options gets a profile card of bibliometric facts (impact, defining papers, patents, textbooks, collaboration), each compared with past laureates at the time of their prize.

no cardscards as the main evidence
Arm 1
Control

The question only.

4 runs on 1 Oct + 1 on 2 Oct
Arm 2
Cards as context

The question + a definitions note + one profile card per named person.

3 runs on 1 Oct
Arm 3
Cards as one main source

The same cards + a note: the cards are one of the main sources, weighed comparably with prizes, news and predictions, which it should use actively.

1 run on 2 Oct
Arm 4
Cards as the main evidence

The same cards + a note: the cards are the main evidence; prizes, news and predictions only as a secondary adjustment.

1 run on 2 Oct

The four arms at a glance

Control
Cards as context
Cards as one main source
Cards as the main evidence
How far one run lands from the control mean, in units of a control run’s own distance1.0×
1.0× · 1.0× · 1.0×
1.0×
0.9× · 1.2× · 1.1×
3.1×
2.8× · 3.2× · 3.3×
5.2×
6.2× · 4.5× · 4.9×
Options outside the range of the five control runs (of 13)–3.7
4 · 2 · 5
9
9 · 9 · 9
11
13 · 11 · 9
Probability of the control favourite (GLP-1 · optical lattice clocks · sequencing-by-synthesis)18.0%
20.3% · 14.7% · 19.0%
18.1%
19.6% · 15.4% · 19.2%
10.1%
11.0% · 9.3% · 10.0%
4.3%
3.0% · 4.5% · 5.5%
“Other” (a discovery not on the list)32.7%
31.0% · 33.5% · 33.6%
31.5%
30.4% · 31.1% · 33.1%
33.8%
34.0% · 30.0% · 37.5%
38.7%
40.0% · 38.0% · 38.0%
Rank correlation of the 13 options with the control mean–0.95
0.93 · 0.98 · 0.95
0.83
0.81 · 0.83 · 0.85
0.39
-0.03 · 0.66 · 0.52

Bold: mean over the three prizes; small: Medicine · Physics · Chemistry. A control run’s distance is each control run against the mean of the other four (0.75 / 0.71 / 0.59 percentage points per option), so the control column is 1.0× by construction.

Reading. Attached as context to consider, the cards move the forecast no more than repeated runs without them differ from each other. Told that the cards are one of the main sources, the forecaster moves about halfway: the award favourites lose about half their probability but mostly stay near the top. Told that the cards are the main evidence, it moves furthest: the favourites collapse and “Other” grows. How much the same cards matter is set by the instruction, not by the cards alone.

Who each arm predicts

FieldControlCards as contextCards as one main sourceCards as the main evidence“Other” (control · context · one main source · main evidence)
Physiology or Medicine20.3% Discovery of glucagon-like peptide-1 and its development into therapi…
Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen
19.6% Discovery of glucagon-like peptide-1 and its development into therapi…
Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen
11.7% Discovery of orexin and its role in the regulation of sleep and wakef…
Emmanuel Mignot, Masashi Yanagisawa, Luis de Lecea
7.9% Development of optogenetics, a method to control the activity of gene…
Karl Deisseroth, Peter Hegemann, Gero Miesenböck
31.0% · 30.4% · 34.0% · 40.0%
Physics14.7% Invention and development of optical lattice clocks, enabling time an…
Hidetoshi Katori, Jun Ye
15.4% Invention and development of optical lattice clocks, enabling time an…
Hidetoshi Katori, Jun Ye
12.8% Theoretical proposals and experimental realizations of quantum simula…
Immanuel Bloch, J. Ignacio Cirac, Peter Zoller
13.3% Theoretical proposals and experimental realizations of quantum simula…
Immanuel Bloch, J. Ignacio Cirac, Peter Zoller
33.5% · 31.1% · 30.0% · 38.0%
Chemistry19.0% Development of massively parallel sequencing-by-synthesis of DNA
David Klenerman, Shankar Balasubramanian, Pascal Mayer
19.2% Development of massively parallel sequencing-by-synthesis of DNA
David Klenerman, Shankar Balasubramanian, Pascal Mayer
10.0% Development of massively parallel sequencing-by-synthesis of DNA
David Klenerman, Shankar Balasubramanian, Pascal Mayer
9.4% Development of efficient organic light-emitting diodes
Ching W. Tang, Steven A. Van Slyke, Mark E. Thompson
33.6% · 33.1% · 37.5% · 38.0%

The most likely named discovery of each arm (mean over its runs) and its probability.

Design

Virtual committee
22 specialist personas × 3 LLMs
→Borda count + review
12 discoveries + “Other” per prize
→Profile cards
98 people named in the options
→The same question, one copy per arm
private, identical wording
→Runs on Preseen
~25 min each, 4 subforecasts
→Compare with control noise
per option

The question

Which discovery will the 2026 Nobel Prize in Physiology or Medicine be awarded for?

The 2026 Nobel Prize in Physiology or Medicine is scheduled to be announced on Monday 5 October 2026. Each option names a discovery and the people most closely associated with it.

Options: the committee’s twelve discoveries (with up to three living people each) and “Other”. The question resolves on the discovery in the official motivation, whoever shares the prize. Its text never mentions the committee, the cards or the experiment.

Why four copies of one question

Context notes attach to a Preseen question and apply to every later run, so each arm is its own copy of an identically defined question. Arms 1 and 2 ran interleaved on 1 October; arms 3 and 4 were added on 2 October with one run each, plus one more control run that day. That control run was 0.73, 0.71 and 0.67 points per option from the 1 October control mean (medicine, physics, chemistry), about the noise unit below, but fell outside the range of the four 1 October runs on 4, 4 and 7 of the 13 options.

The yardstick

Runs of the same question differ by chance. The noise unit is how far one control run lies from the mean of the other four control runs (about 0.6–0.75 percentage points per option). An arm’s run is compared in that unit; an option “moved” when it leaves the range of the five control runs.

The two instruction notes, as attached (arms 3 and 4)
Cards as one main source

Assumption for this forecast: the profile notes attached to this question are one of the main sources of evidence for comparing the named options, alongside the other evidence you would normally use.

  • Give the profiles substantial weight, comparable to that of your other main evidence: the measures they report (impact, defining works, technological translation, textbook reach, collaboration) and the reference lines that compare each person with past laureates at the time of their prize. How to weigh these measures, and the people within an option, is your judgment.
  • Use other information actively as well: prizes and awards, recent news, published predictions, the history and patterns of the prize, and your knowledge of the field. The profiles do not replace this evidence, and this evidence does not replace the profiles.
  • The profiles cover only the people named in the options. For "Other", and for contributors who are not named in an option, rely on the other evidence.
  • Take the figures as given. Do not discount a profile because author attribution cannot be audited, because the record ends in 2021, or because percentiles among past laureates are not calibrated selection probabilities; translating the profiles into probabilities is part of the task.
  • In the write-up, state for each leading option which profile evidence and which other evidence drove its probability.
Cards as the main evidence

Assumption for this forecast: the profile notes attached to this question are the main evidence for comparing the named options.

  • The profiles cover only the people named in the options. Judge each named option by the profiles of its named people; judge "Other" as you otherwise would, and use the profiles mainly to divide the remaining probability among the named options.
  • Base the relative probabilities of the named options primarily on these profiles: the measures they report (impact, defining works, technological translation, textbook reach, collaboration) and the reference lines that compare each person with past laureates at the time of their prize. How to weigh these measures, and the people within an option, is your judgment.
  • Take the figures as given. Do not discount a profile because author attribution cannot be audited, because the record ends in 2021, or because percentiles among past laureates are not calibrated selection probabilities; translating the profiles into probabilities is part of the task.
  • Use other information (prizes and awards, recent news, published predictions, the history of the prize) only as a secondary adjustment, not as the main basis for the ranking.
  • In the write-up, state for each leading option which profile evidence drove its probability.

Both are attached first with treatment=assume_true; the cards follow with treatment=consider in the same seeded order as in arm 2.

Committee & candidates

A virtual Nobel committee

Each persona is “a senior member of the Nobel Committee for ⟨field⟩ whose own expertise is ⟨specialty⟩”, mirroring the specialties of the real 2026 committees (no names). Every persona ran once on each of three models from different providers (claude-opus-5-5, gpt-5.5-2026-04-23, gemini-3.1-pro-preview), without web access, and nominated up to five discoveries with 1–3 living people. 66 ballots, all valid; cost $7.12.

PrizePersonasSpecialties
Physiology or Medicine6neurology; molecular systems biology; neuroscience; molecular genetics; experimental rheumatology (immunology, autoimmunity); molecular developmental biology
Physics8astroparticle physics; theoretical magnetism; applied and theoretical quantum physics; atomic physics; general physics; theoretical physics; complex systems; experimental physics, microscopy and microanalysis
Chemistry8nanophysics; medical biochemistry; organic chemistry; physical chemistry; inorganic and structural chemistry; molecular physics; biochemistry; theoretical chemistry

From ballots to twelve options

A nomination at rank r earns 6 − r points; each model’s points are divided by its number of ballots so the three models count equally. Nominations sharing a person are merged, and a recorded review splits umbrella nominations and fixes wording. Three nominees had died and were replaced by the next living person (Habener → Knudsen for GLP-1, Eshhar → Rosenberg for CAR-T, Rose → Krivanek for electron optics).

The top twelve per prize became the options; everything else is “Other”.

#DiscoveryPeople in the optionBorda scoreNominated by
1Discovery of glucagon-like peptide-1 and its development into therapies for diabetes and obesitySvetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen11.50all three models
2Development of optogenetics, a method to control the activity of genetically defined neurons with lightKarl Deisseroth, Peter Hegemann, Gero Miesenböck9.50all three models
3Development of chimeric antigen receptor T-cell therapyCarl H. June, Michel Sadelain, Steven A. Rosenberg5.17all three models
4Discovery of the unfolded protein responseKazutoshi Mori, Peter Walter2.672 of 3 models
5Discovery of PCSK9 and its role in regulating LDL cholesterol metabolismHelen H. Hobbs, Nabil G. Seidah, Jonathan C. Cohen1.672 of 3 models
6Development of high-throughput next-generation DNA sequencing methodsDavid Klenerman, Shankar Balasubramanian1.671 of 3 models
7Discovery of orexin and its role in the regulation of sleep and wakefulnessEmmanuel Mignot, Masashi Yanagisawa, Luis de Lecea1.672 of 3 models
8Discoveries concerning the Wnt signaling pathway and its application in cultivating organoidsHans Clevers, Roel Nusse1.502 of 3 models
9Discovery of leptin and the hormonal regulation of body weightJeffrey M. Friedman, Stephen O'Rahilly1.502 of 3 models
10Discovery of tumour necrosis factor as a therapeutic target in chronic inflammatory autoimmune diseaseMarc Feldmann, Ravinder N. Maini1.33all three models
11Discovery of chaperone-mediated protein folding in cellsArthur L. Horwich, Franz-Ulrich Hartl1.002 of 3 models
12Discovery of inherited susceptibility genes for breast and ovarian cancerMary-Claire King, Mark H. Skolnick, Michael R. Stratton0.832 of 3 models

Cards

One card per named person (about 300–500 words, fixed template): affiliation and option, impact (median five-year citation percentile, share of works in the cohort’s top 10 % and 1 %), three defining works, technological translation (citing inventions, own patents), textbook reach and collaboration. Every headline number is set against the field’s 2000–2025 laureates measured at their prize year. Sources: OpenAlex, PatentsView and Reliance on Science, works and patents up to 2021. A definitions note comes first and ends with “These are descriptive bibliometric measures, not forecasts.”

cards_v1/medicine/karl-deisseroth.md, exactly as attached

Karl Deisseroth

Affiliation: Howard Hughes Medical Institute; Stanford Medicine. Listed under: option "for the development of optogenetics, a method to control the activity of genetically defined neurons with light — Karl Deisseroth, Peter Hegemann, Gero Miesenböck". Prior Nobel Prize: none.

Impact
  • Research works analysed: 381 (published 1991-2021).
  • Median impact percentile: 0.98 (higher than 98 % of the 60 Physiology or Medicine laureates of 2000-2025 at prize time).
  • Works in the cohort top 10 %: 73 % (higher than 92 % of the 60 Physiology or Medicine laureates of 2000-2025 at prize time); top 1 %: 37 % (higher than 97 % of the 60 Physiology or Medicine laureates of 2000-2025 at prize time).
Three defining works (most cited research works)
  1. "Millisecond-timescale, genetically targeted optical control of neural activity" (2005): impact percentile 1.00, disruption percentile 0.08, Foundation share 0.78, cited by 251 inventions and 10 books.
  2. "Driving fast-spiking cells induces gamma rhythm and controls sensory responses" (2009): impact percentile 1.00, disruption percentile 0.01, Foundation share 0.60, cited by 105 inventions and 2 books.
  3. "Parvalbumin neurons and gamma rhythms enhance cortical circuit performance" (2009): impact percentile 1.00, disruption percentile 0.01, Foundation share 0.61, cited by 90 inventions and 3 books.
Technological translation
  • Distinct citing inventions: 1,380 (higher than 90 % of the 60 Physiology or Medicine laureates of 2000-2025 at prize time).
  • Own US utility patents: 103 (higher than all 60 Physiology or Medicine laureates of 2000-2025 at prize time).
Textbook reach
  • Works cited by books: 349 (higher than 95 % of the 60 Physiology or Medicine laureates of 2000-2025 at prize time).
  • Distinct citing books: 3,009 (higher than 98 % of the 60 Physiology or Medicine laureates of 2000-2025 at prize time).
Collaboration
  • Nobel laureate co-authors: Susumu Tonegawa (Medicine 1987; 3 shared works); Roger Y. Tsien (Chemistry 2008; 2 shared works); Brian K. Kobilka (Chemistry 2012; 5 shared works).
  • People who are both co-authors and co-inventors: 66.

Results by prize

Per prize: how far each arm moved, its top five, and every option in all four arms.

Physiology or Medicine

Cards as context
0.9× · 4 of 13
distance from control · options outside the control range; “Other” 30.4%
Cards as one main source
2.8× · 9 of 13
distance from control · options outside the control range; “Other” 34.0%
Cards as the main evidence
6.2× · 13 of 13
distance from control · options outside the control range; “Other” 40.0%

What each arm predicts

Control
no context
Most likely named discovery
20.3%
Discovery of glucagon-like peptide-1 and its development into therapies for diabetes and obesity
Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen
mean of 5 runs; range 17.5%–22.6%
“Other”: 31.0%
  1. 1. Discovery of glucagon-like peptide-1 and its development into therapies for diabetes and obesity
    Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen
    20.3%
  2. 2. Discovery of orexin and its role in the regulation of sleep and wakefulness
    Emmanuel Mignot, Masashi Yanagisawa, Luis de Lecea
    12.1%
  3. 3. Development of chimeric antigen receptor T-cell therapy
    Carl H. June, Michel Sadelain, Steven A. Rosenberg
    6.0%
  4. 4. Discovery of chaperone-mediated protein folding in cells
    Arthur L. Horwich, Franz-Ulrich Hartl
    5.8%
  5. 5. Discovery of the unfolded protein response
    Kazutoshi Mori, Peter Walter
    5.8%
Cards as context
cards, consider (1 Oct)
Most likely named discovery
19.6%
Discovery of glucagon-like peptide-1 and its development into therapies for diabetes and obesity
Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen
mean of 3 runs; range 17.4%–22.1%
“Other”: 30.4%
  1. 1. Discovery of glucagon-like peptide-1 and its development into therapies for diabetes and obesity
    Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen
    19.6%
  2. 2. Discovery of orexin and its role in the regulation of sleep and wakefulness
    Emmanuel Mignot, Masashi Yanagisawa, Luis de Lecea
    12.1%
  3. 3. Development of optogenetics, a method to control the activity of genetically defined neurons with light
    Karl Deisseroth, Peter Hegemann, Gero Miesenböck
    6.8%▲ 3 vs control
  4. 4. Development of chimeric antigen receptor T-cell therapy
    Carl H. June, Michel Sadelain, Steven A. Rosenberg
    5.9%▼ 1 vs control
  5. 5. Discovery of the unfolded protein response
    Kazutoshi Mori, Peter Walter
    5.5%
Cards as one main source
balanced note + cards (2 Oct)
Most likely named discovery
11.7%
Discovery of orexin and its role in the regulation of sleep and wakefulness
Emmanuel Mignot, Masashi Yanagisawa, Luis de Lecea
one run
“Other”: 34.0%
  1. 1. Discovery of orexin and its role in the regulation of sleep and wakefulness
    Emmanuel Mignot, Masashi Yanagisawa, Luis de Lecea
    11.7%▲ 1 vs control
  2. 2. Discovery of glucagon-like peptide-1 and its development into therapies for diabetes and obesity
    Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen
    11.0%▼ 1 vs control
  3. 3. Development of chimeric antigen receptor T-cell therapy
    Carl H. June, Michel Sadelain, Steven A. Rosenberg
    8.6%
  4. 4. Development of optogenetics, a method to control the activity of genetically defined neurons with light
    Karl Deisseroth, Peter Hegemann, Gero Miesenböck
    7.4%▲ 2 vs control
  5. 5. Discoveries concerning the Wnt signaling pathway and its application in cultivating organoids
    Hans Clevers, Roel Nusse
    5.4%▲ 4 vs control
Cards as the main evidence
instruction + cards (2 Oct)
Most likely named discovery
7.9%
Development of optogenetics, a method to control the activity of genetically defined neurons with light
Karl Deisseroth, Peter Hegemann, Gero Miesenböck
one run
“Other”: 40.0%
  1. 1. Development of optogenetics, a method to control the activity of genetically defined neurons with light
    Karl Deisseroth, Peter Hegemann, Gero Miesenböck
    7.9%▲ 5 vs control
  2. 2. Discoveries concerning the Wnt signaling pathway and its application in cultivating organoids
    Hans Clevers, Roel Nusse
    7.7%▲ 7 vs control
  3. 3. Discovery of inherited susceptibility genes for breast and ovarian cancer
    Mary-Claire King, Mark H. Skolnick, Michael R. Stratton
    6.4%▲ 7 vs control
  4. 4. Discovery of leptin and the hormonal regulation of body weight
    Jeffrey M. Friedman, Stephen O'Rahilly
    6.2%▲ 7 vs control
  5. 5. Discovery of PCSK9 and its role in regulating LDL cholesterol metabolism
    Helen H. Hobbs, Nabil G. Seidah, Jonathan C. Cohen
    5.7%▲ 2 vs control

All options

Probability of each option, by arm. Hollow marks: individual runs (five control, three with cards as context); filled marks: the arm’s mean (the two instruction arms have one run each). Hover or focus a mark for its value.
Control (no context, 5 runs)Cards as context (cards, consider (1 Oct), 3 runs)Cards as one main source (balanced note + cards (2 Oct), 1 run)Cards as the main evidence (instruction + cards (2 Oct), 1 run)
0%10%20%30%40%1. Discovery of glucagon-like peptide-1 and its deve…for the discovery of glucagon-like peptide-1 and its development into therapies for diabetes and obesity — Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre KnudsenSvetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsenfor the discovery of glucagon-like peptide-1 and its development into therapies for diabetes and obesity — Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen2. Development of optogenetics, a method to control …for the development of optogenetics, a method to control the activity of genetically defined neurons with light — Karl Deisseroth, Peter Hegemann, Gero MiesenböckKarl Deisseroth, Peter Hegemann, Gero Miesenböckfor the development of optogenetics, a method to control the activity of genetically defined neurons with light — Karl Deisseroth, Peter Hegemann, Gero Miesenböck3. Development of chimeric antigen receptor T-cell t…for the development of chimeric antigen receptor T-cell therapy — Carl H. June, Michel Sadelain, Steven A. RosenbergCarl H. June, Michel Sadelain, Steven A. Rosenbergfor the development of chimeric antigen receptor T-cell therapy — Carl H. June, Michel Sadelain, Steven A. Rosenberg4. Discovery of the unfolded protein responsefor their discovery of the unfolded protein response — Kazutoshi Mori, Peter WalterKazutoshi Mori, Peter Walterfor their discovery of the unfolded protein response — Kazutoshi Mori, Peter Walter5. Discovery of PCSK9 and its role in regulating LDL…for the discovery of PCSK9 and its role in regulating LDL cholesterol metabolism — Helen H. Hobbs, Nabil G. Seidah, Jonathan C. CohenHelen H. Hobbs, Nabil G. Seidah, Jonathan C. Cohenfor the discovery of PCSK9 and its role in regulating LDL cholesterol metabolism — Helen H. Hobbs, Nabil G. Seidah, Jonathan C. Cohen6. Development of high-throughput next-generation DN…for their development of high-throughput next-generation DNA sequencing methods — David Klenerman, Shankar BalasubramanianDavid Klenerman, Shankar Balasubramanianfor their development of high-throughput next-generation DNA sequencing methods — David Klenerman, Shankar Balasubramanian7. Discovery of orexin and its role in the regulatio…for their discovery of orexin and its role in the regulation of sleep and wakefulness — Emmanuel Mignot, Masashi Yanagisawa, Luis de LeceaEmmanuel Mignot, Masashi Yanagisawa, Luis de Leceafor their discovery of orexin and its role in the regulation of sleep and wakefulness — Emmanuel Mignot, Masashi Yanagisawa, Luis de Lecea8. Discoveries concerning the Wnt signaling pathway …for their discoveries concerning the Wnt signaling pathway and its application in cultivating organoids — Hans Clevers, Roel NusseHans Clevers, Roel Nussefor their discoveries concerning the Wnt signaling pathway and its application in cultivating organoids — Hans Clevers, Roel Nusse9. Discovery of leptin and the hormonal regulation o…for the discovery of leptin and the hormonal regulation of body weight — Jeffrey M. Friedman, Stephen O'RahillyJeffrey M. Friedman, Stephen O'Rahillyfor the discovery of leptin and the hormonal regulation of body weight — Jeffrey M. Friedman, Stephen O'Rahilly10. Discovery of tumour necrosis factor as a therapeu…for the discovery of tumour necrosis factor as a therapeutic target in chronic inflammatory autoimmune disease — Marc Feldmann, Ravinder N. MainiMarc Feldmann, Ravinder N. Mainifor the discovery of tumour necrosis factor as a therapeutic target in chronic inflammatory autoimmune disease — Marc Feldmann, Ravinder N. Maini11. Discovery of chaperone-mediated protein folding i…for the discovery of chaperone-mediated protein folding in cells — Arthur L. Horwich, Franz-Ulrich HartlArthur L. Horwich, Franz-Ulrich Hartlfor the discovery of chaperone-mediated protein folding in cells — Arthur L. Horwich, Franz-Ulrich Hartl12. Discovery of inherited susceptibility genes for b…for the discovery of inherited susceptibility genes for breast and ovarian cancer — Mary-Claire King, Mark H. Skolnick, Michael R. StrattonMary-Claire King, Mark H. Skolnick, Michael R. Strattonfor the discovery of inherited susceptibility genes for breast and ovarian cancer — Mary-Claire King, Mark H. Skolnick, Michael R. Stratton13. OtherOther
Table: probability of every option in the four arms
#OptionControl (mean, range)Cards as contextCards as one main sourceCards as the main evidence
1Discovery of glucagon-like peptide-1 and its development into therapies for diabetes and obesity
Svetlana Mojsov, Jens Juul Holst, Lotte Bjerre Knudsen
20.3%
17.5%–22.6%
19.6%11.0% ●3.0% ●
2Development of optogenetics, a method to control the activity of genetically defined neurons with light
Karl Deisseroth, Peter Hegemann, Gero Miesenböck
5.5%
4.5%–6.1%
6.8% ●7.4% ●7.9% ●
3Development of chimeric antigen receptor T-cell therapy
Carl H. June, Michel Sadelain, Steven A. Rosenberg
6.0%
5.6%–6.5%
5.9%8.6% ●5.5% ●
4Discovery of the unfolded protein response
Kazutoshi Mori, Peter Walter
5.8%
5.3%–6.3%
5.5%3.5% ●2.2% ●
5Discovery of PCSK9 and its role in regulating LDL cholesterol metabolism
Helen H. Hobbs, Nabil G. Seidah, Jonathan C. Cohen
2.9%
2.3%–3.4%
3.5% ●4.1% ●5.7% ●
6Development of high-throughput next-generation DNA sequencing methods
David Klenerman, Shankar Balasubramanian
2.3%
1.6%–2.8%
2.0%1.1% ●2.8% ●
7Discovery of orexin and its role in the regulation of sleep and wakefulness
Emmanuel Mignot, Masashi Yanagisawa, Luis de Lecea
12.1%
11.2%–13.1%
12.1%11.7%4.8% ●
8Discoveries concerning the Wnt signaling pathway and its application in cultivating organoids
Hans Clevers, Roel Nusse
2.3%
2.1%–2.5%
2.6% ●5.4% ●7.7% ●
9Discovery of leptin and the hormonal regulation of body weight
Jeffrey M. Friedman, Stephen O'Rahilly
1.9%
1.7%–2.4%
2.2%3.5% ●6.2% ●
10Discovery of tumour necrosis factor as a therapeutic target in chronic inflammatory autoimmune disease
Marc Feldmann, Ravinder N. Maini
1.8%
1.7%–2.0%
1.7%1.7%3.6% ●
11Discovery of chaperone-mediated protein folding in cells
Arthur L. Horwich, Franz-Ulrich Hartl
5.8%
5.5%–6.4%
5.1% ●5.4% ●4.1% ●
12Discovery of inherited susceptibility genes for breast and ovarian cancer
Mary-Claire King, Mark H. Skolnick, Michael R. Stratton
2.2%
1.6%–2.6%
2.4%2.6%6.4% ●
13Other31.0%
28.5%–35.0%
30.4%34.0%40.0% ●

● = outside the range of the five control runs.

Why the arms differ: how each run used the cards (our summaries of Preseen's write-ups, written with Claude, an LLM; not Preseen's own words)
Cards as context

How the forecaster reasons (both arms). The question resolves on the discovery named in the official motivation, so every run ranks discoveries rather than people. It weighs the strength and recency of outside recognition (Lasker, Breakthrough Prize, Clarivate Citation Laureates and similar awards), how well a discovery fits a Nobel motivation (fundamental physiology that has led to benefit for patients), and discounts options whose credit is spread over many contributors. Awards are explicitly treated as correlated assessments of one achievement, not as independent signals to be multiplied, and the runs repeat that public awards do not reveal the committee's confidential shortlist.

GLP-1 leads in every run (17–23 %). Its hormone-to-treatment pathway is described as the strongest cumulative case on the list: the 2024 Lasker Clinical Award, the 2025 Breakthrough Prize and Clarivate's 2026 selection, joining endocrine physiology to large clinical benefit (including the cardiovascular indication of semaglutide). The main discount is attribution: several groups contributed, although a different trio of laureates would still resolve to this option.

Orexin is second (11–14 %), on fresh physiological and therapeutic validation (a new basic-science award and direct therapeutic validation of the sleep–wake pathway).

“Other” is the largest single outcome (29–35 %). The runs argue that the list omits serious contenders, naming DNA sensing (cGAS–STING), optical coherence tomography and the targeted treatment of acute promyelocytic leukaemia, and that even the strongest named option still loses about four times in five.

What the cards changed. In the treat runs the subforecasts add a passage on “the supplied bibliometrics”: they are used as a secondary cross-check and deliberately not converted into likelihood ratios, because percentiles among past laureates are not calibrated selection probabilities, author disambiguation is imperfect and there are no unsuccessful candidates for comparison. The ranking logic is otherwise unchanged. The small shifts point the way the cards' laureate comparisons do (our reading, exploratory): optogenetics, whose lead person Karl Deisseroth is above 98 % of past laureates on impact, gains 1.4 points and rises three places; GLP-1, whose first-named person Svetlana Mojsov is above 27 %, loses 1.4 points, within the range of the control runs.

Cards as one main source

The run weighs profiles and awards side by side. It states that the profiles get "influence comparable to awards and other external evidence", then runs three checks: whether orexin's 2026 milestones are substantive, whether the profiles change a headline-led ranking, and whether omitted discoveries justify a large "Other". A base-rate audit frames the awards: 18 of 26 Medicine prizes since 2000 went to a team with a prior Lasker, but only 1 of 25 Lasker Basic awards matched the same year's Nobel, so a fresh Lasker is read as readiness, not as an imminent prize.

Orexin leads at 11.7 % (control 12.1 %). The case combines its defining papers (de Lecea's hypocretin paper: disruption percentile 0.94, foundation share 0.86) with the 2026 Lasker and the FDA approval of an orexin-targeting drug in August 2026.

GLP-1 halves but survives: 20.3 % → 11.0 % (main-evidence run: 3.0 %). Holst's inventions and textbook reach are called exceptional, but the team's career-wide impact comparisons are "less uniformly exceptional than those of several competing teams"; the dense award record (Lasker 2024, Breakthrough 2025, Clarivate 2026) keeps it second.

Profile-strong options gain modestly: CAR-T 6.0 → 8.6 %, Wnt/organoids 2.3 → 5.4 %, leptin 1.9 → 3.5 %, PCSK9 2.9 → 4.1 %; the unfolded protein response falls 5.8 → 3.5 %. "Other" is 34 %.

Cards as the main evidence

The run turns the cards into a scoring model. The main-evidence run scores every named person from the card figures (impact, technological translation, textbook reach and collaboration weighted 40/30/25/5), blends the strongest person with the group mean (65:35), adds the option's defining works (20 %), and averages 81 weightings with a 10 % uniform component. It says it accepts the premises "without a vintage or attribution penalty". Prizes and news no longer rank the named options; they are used to size "Other" (40 %), which now lists optical coherence tomography, integrins, cGAS, TOR and low-complexity domains as unlisted contenders.

The award favourite collapses. GLP-1 falls from 20.3 % (control mean) to 3.0 %: the write-up cites Holst's translation figures but finds the group's impact comparisons and Mojsov's and Knudsen's book reach "below the leaders". Its 2024 Lasker and the 2026 Clarivate selection are mentioned but no longer move it. Orexin, the other award-backed option, falls from 12.1 % to 4.8 %.

Profile-strong options rise. Optogenetics (7.9 %; Deisseroth with 37 % of works in the cohort top 1 %, 103 patents, 3,009 citing books) and Wnt/organoids (7.7 %; Clevers with 2,724 citing inventions) lead the named options, followed by inherited breast-cancer genes, leptin and PCSK9 (5.7–6.4 % each). The named options now lie between 2 % and 8 % instead of led by one or two favourites.

The same-day control run is unchanged: GLP-1 18 %, orexin 12 %, Other 32.9 %, as on 1 October.

Caveats

  • Few runs. Five control and three context runs per prize, one run for each instruction arm: the comparisons are descriptive, not significance tests.
  • Arms were added one after another. The two instruction arms were written after the context arm’s near-null result, and the softer note after the main-evidence result; they are follow-up questions, not a pre-planned dose series.
  • Each note changes several things at once (weight of the cards, weight of outside evidence, scope); without a placebo (the same cards with numbers shuffled across people) moving away from the award favourites cannot be separated from following these particular numbers.
  • The options are the committee’s. Three correlated language models proposed them; a prize for another discovery resolves to “Other” in every arm.
  • Card quality. OpenAlex splits and merges authors; some profiles are thin or merged (e.g. Pascal Mayer, Robert Langer); patent counts from a name search may include namesakes. The notes ask the forecaster to take the figures as given.
  • One forecasting system on two days. The results describe Preseen on 1–2 October 2026. Scores against the actual prizes follow after 5–7 October.

Code: experiment/preseen/ (committee, cards, arms 1–2), experiment/preseen_cards_main/ and experiment/preseen_cards_balanced/ (arms 3–4), analysis preseen_cards_main/analyze_main.py, this page experiment/build_dashboard_all.py.