The role of randomization inference in unraveling individual treatment effects in early phase vaccine trials

TL;DR

This paper reviews and extends methods for exact randomization inference of individual treatment effect quantiles in early vaccine trials, demonstrating their application through simulations and real HIV vaccine study data.

Contribution

It systematically reviews and extends randomization inference methods for quantiles of individual treatment effects, applicable to various trial designs.

Findings

Methods are effective in simulation studies.

Application to HIV vaccine trials demonstrates practical utility.

Code is publicly available for replication.

Abstract

Randomization inference is a powerful tool in early phase vaccine trials when estimating the causal effect of a regimen against a placebo or another regimen. Randomization-based inference often focuses on testing either Fisher's sharp null hypothesis of no treatment effect for any participant or Neyman's weak null hypothesis of no sample average treatment effect. Many recent efforts have explored conducting exact randomization-based inference for other summaries of the treatment effect profile, for instance, quantiles of the treatment effect distribution function. In this article, we systematically review methods that conduct exact, randomization-based inference for quantiles of individual treatment effects (ITEs) and extend some results to a special case where na\"ive participants are expected not to exhibit responses to highly specific endpoints. These methods are suitable for completely randomized trials, stratified completely randomized trials, and a matched study comparing two non-randomized arms from possibly different trials. We evaluate the usefulness of these methods using synthetic data in simulation studies. Finally, we apply these methods to HIV Vaccine Trials Network Study 086 (HVTN 086) and HVTN 205 and showcase a wide range of application scenarios of the methods. R code that replicates all analyses in this article can be found in first author's GitHub page at https://github.com/Zhe-Chen-1999/ITE-Inference.