This paper focuses on the estimation of distributional treatment effects in randomized experiments that use covariate-adaptive randomization (CAR). These include designs such as Efron's biased-coin design and stratified block randomization, where participants are first grouped into strata based on baseline covariates and assigned treatments within each stratum to ensure balance across groups. In practice, datasets often contain additional covariates beyond the strata indicators. We propose a flexible distribution regression framework that leverages off-the-shelf machine learning methods to incorporate these additional covariates, enhancing the precision of distributional treatment effect estimates. We establish the asymptotic distribution of the proposed estimator and introduce a valid inference procedure. Furthermore, we derive the semiparametric efficiency bound for distributional treatment effects under CAR and demonstrate that our regression-adjusted estimator attains this bound. Simulation studies and analyses of real-world datasets highlight the practical advantages of our method.

We study the estimation of distributional treatment effects in randomized experiments with imperfect compliance. When participants do not adhere to their assigned treatments, we leverage treatment assignment as an instrumental variable to identify the local distributional treatment effect—the difference in outcome distributions between treatment and control groups for the subpopulation of compliers. We propose a regression-adjusted estimator based on a distribution regression framework with Neyman-orthogonal moment conditions, enabling robustness and flexibility with high-dimensional covariates. Our approach accommodates continuous, discrete, and mixed discrete-continuous outcomes, and applies under a broad class of covariate-adaptive randomization schemes, including stratified block designs and simple random sampling. We derive the estimator’s asymptotic distribution and show that it achieves the semiparametric efficiency bound. Simulation results demonstrate favorable finite-sample performance, and we demonstrate the method’s practical relevance in an application to the Oregon Health Insurance Experiment.

We propose a novel regression adjustment method designed for estimating distributional treatment effect parameters in randomized experiments. Randomized experiments have been extensively used to estimate treatment effects in various scientific fields. However, to gain deeper insights, it is essential to estimate distributional treatment effects rather than relying solely on average effects. Our approach incorporates pre-treatment covariates into a distributional regression framework, utilizing machine learning techniques to improve the precision of distributional treatment effect estimators. The proposed approach can be readily implemented with off-the-shelf machine learning methods and remains valid as long as the nuisance components are reasonably well estimated. Also, we establish the asymptotic properties of the proposed estimator and present a uniformly valid inference method. Through simulation results and real data analysis, we demonstrate the effectiveness of integrating machine learning techniques in reducing the variance of distributional treatment effect estimators in finite samples.