Type 2 & other diabetes

Impact of sodium-glucose cotransporter-2 inhibitors on ovarian cancer risk in patients with type 2 diabetes mellitus: A multi-institutional TriNetX study

Diabetes Res Clin PractPublished Retrospective cohort study

Main finding · Ovarian cancerResult — go to the resultHazard ratio 0.758 95 % CI 0.596–0.965

Authors' conclusion

Our study suggests that SGLT2i may be associated with lower risk of ovarian cancer in T2DM patients. These findings highlight the need for further investigation into the underlying mechanisms.

Study context

Population
Patients with T2D, TriNetX network, January 2013–December 2023Propensity score matching (PSM) cohort
Participants
92,090 vs 92,090
Exposure
SGLT2i vs DPP-4i
  • SGLT2in = 92,090
  • DPP4in = 92,090reference
Outcome
Incidence of ovarian cancer
Methodological detailsmulti-institutional, new-user design, active comparator, propensity-score matched
  • Multi-institutional
  • New-user design
  • Active comparator
  • Propensity-score matched

Main finding

Ovarian cancer

Hazard ratio

0.758

95 % CI 0.596–0.965

SGLT2ivs DPP4i
HR 0.758 (95 % CI 0.596–0.965)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95 % CI)
Ovarian cancer, white patients (subgroup)0.667 (0.485–0.917)

Ovarian cancer, white patients (subgroup)

Subgroup analyses revealed a consistent trend across various populations

Original publication

Impact of sodium-glucose cotransporter-2 inhibitors on ovarian cancer risk in patients with type 2 diabetes mellitus: A multi-institutional TriNetX study. Diabetes Res Clin Pract. Published 18 March 2025. doi:10.1016/j.diabres.2025.112109

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