Type 2 & other diabetes

Association of SGLT2 inhibitors with incident cancer

Diabetes MetabPublished Retrospective cohort study

Main finding · Incident cancerResult — go to the resultHazard ratio 0.80 95 % CI 0.70–0.91

Authors' conclusion

Our investigation using nationwide real-world data demonstrated the potential advantage of SGLT2i over DPP4i in reducing the development of cancer in individuals with diabetes.

Study context

Population
Individuals with diabetes newly prescribed SGLT2i or DPP-4i, large-scale epidemiological databasepropensity-matched, analysed
Participants
26,823 individuals
Exposure
SGLT2i vs DPP-4i
  • SGLT2in = 8,941
  • DPP4in = 17,882reference
Outcome
Incidence of cancer
Follow-up
Mean 2.0 ± 1.6 years
Methodological details1:2 propensity score matching, large-scale epidemiological database
  • 1:2 propensity score matching
  • Large-scale epidemiological database

Main finding

Incident cancer

Hazard ratio

0.80

95 % CI 0.70–0.91

SGLT2ivs DPP4i
HR 0.80 (95 % CI 0.70–0.91)

As reported in the abstract

Individuals who developed cancer (total)
1,076

Observational data: associations, not effects.

Further findings

OutcomeHR (95 % CI)
Colorectal cancer0.71 (0.50–0.998)
Cancer, sensitivity analysis: overlap weighting0.79 (0.66–0.94)
OutcomeEstimate
Cancer, sensitivity analysis: inverse probability of treatment weighting0.75 (95 % CI 0.65–0.86)
Cancer, sensitivity analysis: induction period settings0.78 (95 % CI 0.65–0.93)

Cancer risk among individual SGLT2is

Risk of cancer comparable among individual SGLT2is
P-value of 0.1738

Original publication

Association of SGLT2 inhibitors with incident cancer. Diabetes Metab. Published 24 October 2024. doi:10.1016/j.diabet.2024.101585

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