Combating the SARS-CoV2 pandemic will require the fast development of effective preventive vaccines. Regulatory agencies may open accelerated approval pathways for vaccines if an immunological marker can be established as a mediator of a vaccine's protection. A rich source of information for identifying such correlates are large-scale efficacy trials of COVID-19 vaccines, where immune responses are measured subject to a case-cohort sampling design. We propose two approaches to estimation of mediation parameters in the context of case-cohort sampling designs. We establish the theoretical large-sample efficiency of our proposed estimators and evaluate them in a realistic simulation to understand whether they can be employed in the analysis of COVID-19 vaccine efficacy trials.
A Bayesian semi-parametric approach to causal mediation for longitudinal mediators and time-to-event outcomes with application to a cardiovascular disease cohort study
Dealing with positivity violations in mediation analysis via weighted controlled effects, with application to assessing immune correlates of protection in antigen-experienced participants
Department of Statistics, University of Washington(华盛顿大学统计学系);Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center(弗雷德·哈钦森癌症中心疫苗与传染病部)
Identifying and Estimating Causal Direct Effects Under Unmeasured Confounding
McGill University(麦吉尔大学);Research Institute of the McGill University Health Centre(麦吉尔大学健康中心研究所);Harvard T.H. Chan School of Public Health(哈佛大学陈曾熙公共卫生学院);University of North Carolina at Chapel Hill(北卡罗来纳大学教堂山分校);Fred Hutchinson Cancer Center(弗雷德·哈钦森癌症中心);University of California, Berkeley(加州大学伯克利分校)