Type 2 & other diabetes

Sodium-glucose cotransporter-2 inhibitors and cancer outcomes: A systematic review and meta-analysis of randomized controlled trials

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

Pooled result · Overall cancerResult — go to the resultRelative risk 1.03 95% CI 0.96–1.10

Authors' conclusion

SGLT2 inhibitors are not associated with an increased risk of cancer outcomes, providing reassuring data regarding previous safety concerns.

Study context

Population
Adults in RCTs of SGLT2 inhibitors with ≥48 weeks follow-up; PubMed, Embase and CENTRAL searched up to June 20th, 2022
Participants
116,375 adults76 RCTs
Comparison
SGLT2 inhibitors vs comparator
Outcome
Overall risk of cancer
Methodological detailsRoB 2.0 risk of bias, GRADE quality of evidence, trial sequential analysis, minimum follow-up 48 weeks, Overall risk of bias was low
  • RoB 2.0 risk of bias
  • GRADE quality of evidence
  • Trial sequential analysis
  • Minimum follow-up 48 weeks
  • Overall risk of bias was low

Pooled result

Overall cancer

Relative risk

1.03

95% CI 0.96–1.10

SGLT2 inhibitorsvs comparator
RR 1.03 (95% CI 0.96–1.10)

As reported in the abstract

Further pooled results

Cancer mortality

RR (95% CI)
SGLT2 inhibitors0.99 (0.85–1.16)

Breast cancer

RR (95% CI)
SGLT2 inhibitorsLikely little to no difference1.01 (0.77–1.32)

Bladder cancer

RR (95% CI)
SGLT2 inhibitorsLikely little to no difference0.93 (0.71–1.21)

Trial sequential analysis

Sample size sufficient to avoid missing alternative results

Original publication

Sodium-glucose cotransporter-2 inhibitors and cancer outcomes: A systematic review and meta-analysis of randomized controlled trials. Diabetes Res Clin Pract. Published 13 March 2023. doi:10.1016/j.diabres.2023.110621

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