Evidence map›Paper›PMID 40116494›Full record

ArticleCancer medicine2025

The Influence of Performance Status, Inflammation, and Nutrition on the Impact of SGLT2 Inhibitors on Cancer Outcomes.

Diego Rivas-Otero, Tomás González-Vidal, Pablo Agüeria-Cabal, Guillermo Ramos-Ruiz, Paula Jimenez-Fonseca, Carmen Lambert, Pedro Pujante Alarcón, Edelmiro Menéndez Torre, Miguel García-Villarino, Elías Delgado Álvarez

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Diego Rivas-OteroDepartment of Endocrinology and Nutrition, Central University Hospital of Asturias/University of Oviedo, Oviedo, Spain.ORCID https://orcid.org/0000-0001-6119-8848
Tomás González-VidalDepartment of Endocrinology and Nutrition, Central University Hospital of Asturias/University of Oviedo, Oviedo, Spain.
Pablo Agüeria-CabalDepartment of Endocrinology and Nutrition, Central University Hospital of Asturias/University of Oviedo, Oviedo, Spain.
Guillermo Ramos-RuizDepartment of Endocrinology and Nutrition, Central University Hospital of Asturias/University of Oviedo, Oviedo, Spain.
Paula Jimenez-FonsecaDepartment of Medical Oncology, Central University Hospital of Asturias, Oviedo, Spain.ORCID https://orcid.org/0000-0003-4592-3813
Carmen LambertEndocrinology, Nutrition, Diabetes and Obesity (ENDO) Group, Health Research Institute of Principality of Asturias/Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain.
Pedro Pujante AlarcónDepartment of Endocrinology and Nutrition, Central University Hospital of Asturias/University of Oviedo, Oviedo, Spain.
Edelmiro Menéndez TorreDepartment of Endocrinology and Nutrition, Central University Hospital of Asturias/University of Oviedo, Oviedo, Spain.
Miguel García-VillarinoEndocrinology, Nutrition, Diabetes and Obesity (ENDO) Group, Health Research Institute of Principality of Asturias/Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain.ORCID https://orcid.org/0000-0002-0186-2804
Elías Delgado ÁlvarezDepartment of Endocrinology and Nutrition, Central University Hospital of Asturias/University of Oviedo, Oviedo, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSodium-glucose-linked transporter 2 inhibitors (SGLT2i) may have antitumor effects. Previous studies analyzing their role in mortality and progression did not account for potential confounders, including cancer treatment, performance status, inflammatory markers, and nutritional status. This study aims to evaluate the impact of SGLT2i treatment on mortality and progression while considering these potential confounders.

methodsA retrospective cohort study was conducted. A total of 526 patients with cancer (302 women, mean age 64 years, range 40-79 years) were divided into two cohorts based on whether they were taking SGLT2i at the time of their cancer diagnosis and followed for 1 year or until death. All patients on SGLT2i were taking these drugs at standard clinical doses. Additional data collected included basic demographic variables, metabolic and lifestyle characteristics, cancer treatment received, performance status, inflammatory markers, and nutritional status. The primary endpoints were mortality and progression.

resultsPatients taking SGLT2i at the time of cancer diagnosis (n = 41) were more likely to have type 2 diabetes, to be male, to be ever-smokers, and to be older than patients not taking SGLT2i. In univariate analyses, SGLT2i treatment at the time of cancer diagnosis was not associated with mortality or cancer progression. Instead, mortality and cancer progression were positively associated with a diagnosis of T2D, male sex, older age, heavy alcohol drinking, ever-smoker status, poor performance status, increased inflammation, malnutrition, tumor site, cancer stage, and lack of cancer treatment. After adjusting for these potential confounders, SGLT2i treatment was not significantly associated with mortality or cancer progression.

conclusionsOur results suggest that the impact of SGLT2i treatment on cancer outcomes is limited under standard clinical dosing conditions.

Indexed as

Diabetes Mellitus, Type 2InflammationNeoplasmsNutritional StatusSodium-Glucose Transporter 2 InhibitorsAdultAgedDisease ProgressionFemaleHumansMaleMiddle AgedRetrospective StudiesSodium-Glucose Transporter 2 InhibitorscancermortalityprogressionSGLT2SGLT2 inhibitors

Identifiers

PMID40116494
PMCPMC11926916

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.