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Main Authors: Zhang, Wei, Zhang, Zhiwei, Liu, Aiyi
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2505.15944
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author Zhang, Wei
Zhang, Zhiwei
Liu, Aiyi
author_facet Zhang, Wei
Zhang, Zhiwei
Liu, Aiyi
contents The treatment allocation mechanism in a randomized clinical trial can be optimized by maximizing the nonparametric efficiency bound for a specific measure of treatment effect. Optimal treatment allocations which may or may not depend on baseline covariates have been derived for a variety of effect measures focusing on the trial population, the patient population represented by the trial participants. Frequently, clinical trial data are used to estimate treatment effects in a target population that is related to but different from the trial population. This article provides optimal treatment allocations that account for the impact of such population differences. We consider three cases with different data configurations: transportation, generalization, and post-stratification. Our results indicate that, for general effect measures, optimal treatment allocations may depend on the covariate distribution in the target population but not on the configuration of data or information that describes the target covariate distribution. For estimating average treatment effects, there is a unique covariate-dependent allocation that achieves maximal efficiency regardless of the target covariate distribution and the associated data configuration.
format Preprint
id arxiv_https___arxiv_org_abs_2505_15944
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Optimal Treatment Allocations Accounting for Population Differences
Zhang, Wei
Zhang, Zhiwei
Liu, Aiyi
Methodology
The treatment allocation mechanism in a randomized clinical trial can be optimized by maximizing the nonparametric efficiency bound for a specific measure of treatment effect. Optimal treatment allocations which may or may not depend on baseline covariates have been derived for a variety of effect measures focusing on the trial population, the patient population represented by the trial participants. Frequently, clinical trial data are used to estimate treatment effects in a target population that is related to but different from the trial population. This article provides optimal treatment allocations that account for the impact of such population differences. We consider three cases with different data configurations: transportation, generalization, and post-stratification. Our results indicate that, for general effect measures, optimal treatment allocations may depend on the covariate distribution in the target population but not on the configuration of data or information that describes the target covariate distribution. For estimating average treatment effects, there is a unique covariate-dependent allocation that achieves maximal efficiency regardless of the target covariate distribution and the associated data configuration.
title Optimal Treatment Allocations Accounting for Population Differences
topic Methodology
url https://arxiv.org/abs/2505.15944