Type 2 & other diabetes

Association between glucagon-like peptide-1 receptor agonists and colorectal cancer survival: A population-based cohort study

Diabetes MetabPublished Retrospective cohort study

Main finding · All-cause mortalityResult — go to the resultHazard ratio 0.58 95% CI 0.45–0.76

Authors' conclusion

In this real-world cohort of diabetic patients treated for colorectal cancer, GLP1-RA therapy was associated with a significant improvement in overall survival. These findings support the continued use of GLP1-RA agents in this population and may provide reassurance to clinicians and patients regarding the safety and potential benefit of these agents following a colorectal cancer diagnosis.

Study context

Population
Adults with T2D diagnosed with colorectal cancer between 2010 and 2025matched cohort
Participants
751 vs 751
Exposure
GLP-1 RA use vs other oral antidiabetic drugs
  • GLP1-RAn = 751
  • non-GLP1-RAn = 751reference
Outcome
Overall survival
Methodological detailspropensity-score matched, TriNetX global health records network
  • Propensity-score matched
  • TriNetX global health records network

Main finding

All-cause mortality · median follow-up 731 days (GLP1-RA) and 779 days (non-GLP1-RA)

Hazard ratio

0.58

95% CI 0.45–0.76

P < 0.001

By group

GLP1-RAvs non-GLP1-RA
HR 0.58 (95% CI 0.45–0.76); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

Metastasis-free survival (secondary outcome) · propensity score matched

HR for metastasis 0.60 (0.40–0.87) · P = 0.01

Safety

OutcomeHR (95% CI)P value
MACEDid not differ significantly0.84 (0.66–1.06)P = 0.16

Original publication

Association between glucagon-like peptide-1 receptor agonists and colorectal cancer survival: A population-based cohort study. Diabetes Metab. Published 16 January 2026. doi:10.1016/j.diabet.2026.101734

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