Re-randomization tests in clinical trials

Stat Med. 2019 May 30;38(12):2292-2302. doi: 10.1002/sim.8093. Epub 2019 Jan 22.

Abstract

As randomization methods use more information in more complex ways to assign patients to treatments, analysis of the resulting data becomes challenging. The treatment assignment vector and outcome vector become correlated whenever randomization probabilities depend on data correlated with outcomes. One straightforward analysis method is a re-randomization test that fixes outcome data and creates a reference distribution for the test statistic by repeatedly re-randomizing according to the same randomization method used in the trial. This article reviews re-randomization tests, especially in nonstandard settings like covariate-adaptive and response-adaptive randomization. We show that re-randomization tests provide valid inference in a wide range of settings. Nonetheless, there are simple examples demonstrating limitations.

Keywords: conditional error rate; covariate-adaptive randomization; permutation tests; response-adaptive randomization; unconditional error rate.

Publication types

  • Review

MeSH terms

  • Bias
  • Computer Simulation
  • Humans
  • Probability
  • Random Allocation*
  • Randomized Controlled Trials as Topic / methods*
  • Research Design*
  • Sample Size