This commentary takes up Pearl's welcome challenge to clearly articulate the scientific value of principal stratification estimands that we and colleagues have investigated, in the area of randomized placebo-controlled preventive vaccine efficacy trials, especially trials of HIV vaccines. After briefly arguing that certain principal stratification estimands for studying vaccine effects on post-infection outcomes are of genuine scientific interest, the bulk of our commentary argues that the “causal effect predictiveness” (CEP) principal stratification estimand for evaluating immune biomarkers as surrogate endpoints is not of ultimate scientific interest, because it evaluates surrogacy restricted to the setting of a particular vaccine efficacy trial, but is nevertheless useful for guiding the selection of primary immune biomarker endpoints in Phase I/II vaccine trials and for facilitating assessment of transportability/bridging surrogacy.

Ed. by Hubbard, Alan E. / van der Laan, Mark J.
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Most Downloaded Articles
- An Introduction to Causal Inference by Pearl, Judea
- Meta-Analysis of Observational Studies with Unmeasured Confounders by McCandless, Lawrence C.
- Accuracy of Conventional and Marginal Structural Cox Model Estimators: A Simulation Study by Xiao, Yongling/ Abrahamowicz, Michal and Moodie, Erica E. M.
- Evaluating treatment effectiveness in patient subgroups: a comparison of propensity score methods with an automated matching approach by Radice, Rosalba/ Ramsahai, Roland/ Grieve, Richard/ Kreif, Noemi/ Sadique, Zia and Sekhon, Jasjeet S.
- A Refreshing Account of Principal Stratification by Mealli, Fabrizia and Mattei, Alessandra
Commentary on "Principal Stratification -- a Goal or a Tool?" by Judea Pearl
Peter B. Gilbert / Michael G. Hudgens / Julian Wolfson
1Fred Hutchinson Cancer Research Center & University of Washington
1University of North Carolina at Chapel Hill
1University of Minnesota, Twin Cities
Citation Information: The International Journal of Biostatistics. Volume 7, Issue 1, Pages 1–15, ISSN (Online) 1557-4679, DOI: 10.2202/1557-4679.1341, September 2011
Publication History:
- Published Online:
- 2011-09-20
Keywords: principal stratification; causal inference; vaccine trial


















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