Type 2 & other diabetes

Glucagon-like peptide-1 receptor agonists and the risk of obesity-related cancers: a systematic review and meta-analysis

Diabetes Res Clin PractPublished Systematic review and meta-analysis of observational studies and randomised controlled trials

Pooled result · Overall obesity-related cancersResult — go to the resultRelative risk 0.70 95% CI 0.54–0.89

Authors' conclusion

GLP-1RA use is associated with a lower risk of several obesity-related cancers. Prospective studies are required to validate these findings and clarify underlying mechanisms.

Study context

Population
Adults (≥18 years) with T2D and/or obesity; searches of Embase, PubMed and CENTRAL to 20 November 2025
Participants
3,960,974 adults24 studies
Comparison
GLP-1 RA use vs no use
Outcome
Obesity-related cancers (uterine, esophageal, thyroid, gastric, colorectal, liver, gallbladder, pancreatic, breast, ovarian, kidney cancers, cholangiocarcinoma, meningioma, multiple myeloma)
Follow-up
Within ten years

Pooled result

Overall obesity-related cancers

Relative risk

0.70

95% CI 0.54–0.89

GLP-1RAvs No GLP-1RA
RR 0.70 (95% CI 0.54–0.89)

As reported in the abstract

Further pooled results

Individual obesity-related cancers

Reduced risks for hepatocellular carcinoma, colorectal, pancreatic, endometrial, esophageal, gallbladder, ovarian cancers and multiple myeloma
No significant association for thyroid cancer

Original publication

Glucagon-like peptide-1 receptor agonists and the risk of obesity-related cancers: a systematic review and meta-analysis. Diabetes Res Clin Pract. Published 19 February 2026. doi:10.1016/j.diabres.2026.113158

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