4.3 Article

Response-adaptive rerandomization

Publisher

WILEY
DOI: 10.1111/rssc.12513

Keywords

clinical trial; randomization; response-adaptive design; sequential enrolment

Funding

  1. Research Grants Council of Hong Kong [17308420]

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Rerandomization is gaining attention in literature for randomized experiments due to its ability to achieve balanced allocation using covariate information, but it may raise ethical concerns. A response-adaptive rerandomization scheme is proposed for two-arm comparative clinical trials, showing promising statistical and ethical properties. Extensive simulation studies demonstrate the practicality and superiority of this approach.
Rerandomization has recently attracted more attention in the literature randomized experiments. It leverages covariate information of participants to achieve a well-balanced allocation, and thus improves the efficiency of inference. However, by only considering covariate information, it may lead to potential ethical issues in clinical trials as a large number of patients might be assigned to the inferior treatment arm. To mitigate this issue, we propose a response-adaptive rerandomization scheme by incorporating response information for two-arm comparative clinical trials. Not only is our method applicable to both continuous and binary outcomes, but it also demonstrates desirable statistical and ethical properties. Extensive simulation studies are performed to illustrate the practicality and superiority of our approach.

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