Principles for Covariate Adjustment in Analyzing Randomized Clinical Trials

09/24/2020
by   Ting Ye, et al.
0

In randomized clinical trials, adjustments for baseline covariates at both design and analysis stages are highly encouraged by regulatory agencies. A recent trend is to use a model-assisted approach for covariate adjustment to gain credibility and efficiency while producing asymptotically valid inference even when the model is incorrect. In this article we present three principles for model-assisted inference in simple or covariate-adaptive randomized trials: (1) guaranteed efficiency gain principle, a model-assisted method should often gain but never hurt efficiency; (2) validity and universality principle, a valid procedure should be universally applicable to all commonly used randomization schemes; (3) robust standard error principle, variance estimation should be heteroscedasticity-robust. To fulfill these principles, we recommend a working model that includes all covariates utilized in randomization and all treatment-by-covariate interaction terms. Our conclusions are based on asymptotic theory with a generality that has not appeared in the literature, as most existing results are about linear contrasts of outcomes rather than the joint distribution and most existing inference results under covariate-adaptive randomization are special cases of our theory. Our theory also reveals distinct results between cases of two arms and multiple arms.

READ FULL TEXT

Please sign up or login with your details

Forgot password? Click here to reset