Type 2 & other diabetes

GLP ‐1 receptor agonists and the risk for cancer: A meta‐analysis of randomized controlled trials

Diabetes Obes MetabPublished Systematic review and meta-analysis of randomised trials

Pooled result · Overall cancerResult — go to the resultMH-OR 1.05 95% CI 0.98–1.13

Authors' conclusion

GLP-1 RA do not appear to produce an effect on most malignancies in clinical trials. A reduction of very close obesity-associated cancers seems possible, whereas a risk signal for thyroid cancer was observed, prompting the need for further specific studies. On the other hand, the small increase observed in colorectal cancer in shorter-term trials may be the effect of a disproportionate increase in diagnostic procedures in the GLP-1 RA arm, because of the suspicion raised by common side effects of GLP-1 RA.

Study context

Population
RCTs of GLP-1 RA for diabetes and/or obesity, lasting at least 52 weeks50 trials
Comparison
GLP-1 RA vs any comparators
Outcome
Incidence of overall cancers and single malignancies
Methodological detailstrials lasting at least 52 weeks
  • Trials lasting at least 52 weeks

Pooled result

Overall cancer

MH-OR

1.05

95% CI 0.98–1.13

GLP-1RAvs Comparators
MH-OR 1.05 (95% CI 0.98–1.13)

As reported in the abstract

Further pooled results

OutcomeMH-OR
Uterine cancer, trials in subjects with obesity0.24 (95% CI 0.06–0.94)
Uterine cancer, trials aimed at diabetes treatment0.92 (CI 0.58–1.47)
Thyroid cancerIncreased risk · more evident in longer-term trials1.55 (CI 1.05–2.27)
Colorectal cancerIncreased risk · significant only in shorter-term trials1.27 (CI 1.03–1.57)

Other cancers

No significant difference in risk for any other cancer

Original publication

GLP ‐1 receptor agonists and the risk for cancer: A meta‐analysis of randomized controlled trials. Diabetes Obes Metab. Published 29 May 2025. doi:10.1111/dom.16489

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.