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Robust CATE estimation using novel ensemble methods
Oshri Machluf1, Tzviel Frostig1, Tomer Milo1
1Research Department, PhaseV Trials, Inc., Cambridge, MA, USA.
Journal of Biopharmaceutical Statistics
|May 28, 2026
Summary
New ensemble methods improve Conditional Average Treatment Effect (CATE) estimation. The Stacked X-Learner and Consensus Based Averaging (CBA) show robust performance across diverse clinical trial scenarios, outperforming existing approaches.
Area of Science:
- Statistics
- Biostatistics
- Machine Learning
Background:
- Estimating Conditional Average Treatment Effects (CATE) is vital for analyzing treatment effect heterogeneity in clinical trials.
- Existing CATE estimation methods, such as causal forests and meta-learners, exhibit limitations and struggle in various scenarios.
Purpose of the Study:
- To develop robust ensemble methods for CATE estimation that enhance prediction stability and performance.
- To address the limitations of current CATE estimators in real-world, uncertain data-generating processes.
Main Methods:
- Proposed two novel ensemble methods: Stacked X-Learner (using X-Learner with model stacking) and Consensus Based Averaging (CBA).
- Evaluated method performance across diverse scenarios varying in complexity, sample size, and underlying mechanisms, including a PD-L1 inhibition pathway model.
Main Results:
- Both proposed ensemble methods demonstrated strong performance across a wide range of tested scenarios.
- The Stacked X-Learner showed superior performance compared to other ensemble methods like R-Stacking and Causal-Stacking.
Conclusions:
- The Stacked X-Learner and CBA offer more reliable and stable CATE estimation than existing methods.
- These ensemble approaches are effective in diverse clinical trial settings, improving the understanding of treatment effect heterogeneity.
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