Evidence map›Paper›PMID 40943127›Full record

ArticleInternational journal of molecular sciences2025

The Preventive Effects of GLP-1 Receptor Agonists and SGLT2 Inhibitors on Cancer Metastasis: A Network Meta-Analysis of 67 Randomized Controlled Trials.

Chih-Wei Hsu, Bing-Syuan Zeng, Chih-Sung Liang, Bing-Yan Zeng, Chao-Ming Hung, Brendon Stubbs, Yen-Wen Chen, Wei-Te Lei, Jiann-Jy Chen, Po-Huang Chen and 3 more

Abstract readNetwork Meta-Analysis
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Metabolic Modulation in Cancer Care: The Potential Role of Glucagon-Like Peptide-1 Receptor Agonists.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
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

13 authors.

Chih-Wei HsuDepartment of Psychiatry, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.ORCID 0000-0002-8650-4060
Bing-Syuan ZengDepartment of Internal Medicine, E-Da Cancer Hospital, I-Shou University, Kaohsiung 824, Taiwan.
Chih-Sung LiangDepartment of Psychiatry, Beitou Branch, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 112, Taiwan.ORCID 0000-0003-1138-5586
Bing-Yan ZengInstitute of Biomedical Sciences, National Sun Yat-sen University, Kaohsiung 804, Taiwan.
Chao-Ming HungDivision of General Surgery, Department of Surgery, E-Da Cancer Hospital, I-Shou University, Kaohsiung 824, Taiwan.
Brendon StubbsDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London WC2R 2LS, UK.
Yen-Wen ChenProspect Clinic for Otorhinolaryngology & Neurology, Kaohsiung 811, Taiwan.
Wei-Te LeiSection of Immunology, Rheumatology, and Allergy Department of Pediatrics, Hsinchu Munipical MacKay Children's Hospital, Hsinchu 300, Taiwan.
Jiann-Jy ChenProspect Clinic for Otorhinolaryngology & Neurology, Kaohsiung 811, Taiwan.
Po-Huang ChenDivision of Hematology and Oncology, Department of Internal Medicine, Tri-Service General Hospital, School of Medicine, National Defense Medical University, Taipei 114, Taiwan.ORCID 0000-0002-0280-6417
Kuan-Pin SuDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London WC2R 2LS, UK.ORCID 0000-0002-4501-2502
Tien-Yu ChenDepartment of Psychiatry, Tri-Service General Hospital, Taipei 114, Taiwan.ORCID 0000-0001-8462-1311
Ping-Tao TsengInstitute of Biomedical Sciences, National Sun Yat-sen University, Kaohsiung 804, Taiwan.ORCID 0000-0001-5761-7800

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastatic cancer, characterized by poor survival outcomes and grim prognosis, represents the final stage of malignancy. The current evidence regarding the prophylactic effects of glucagon-like peptide-1 (GLP-1) receptor agonists and sodium-glucose cotransporter 2 (SGLT2) inhibitors on metastatic cancer remains largely unexamined. With a confirmatory approach based on the Cochrane recommendation, we conducted a frequentist-based network meta-analysis (NMA) of randomized controlled trials (RCTs) evaluating such medications. The primary outcome was the incidence of metastatic cancer, while secondary outcomes included safety profiles assessed through dropout rates. The findings were reaffirmed by sensitivity analysis with a Bayesian-based NMA. This NMA of 207,606 participants from 67 RCTs revealed that only efpeglenatide demonstrated a statistically significant reduction in metastatic cancer events compared to controls (odds ratio = 0.26, 95% confidence intervals = 0.09 to 0.70,

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsNeoplasm MetastasisNeoplasmsSodium-Glucose Transporter 2 InhibitorsHumansRandomized Controlled Trials as TopicGlucagon-Like Peptide-1 Receptor AgonistsSodium-Glucose Transporter 2 InhibitorscancerGLP-1 receptor agonistmalignancymetastasisnetwork meta-analysisSGLT2 inhibitor

Identifiers

PMID40943127
PMCPMC12428495

What OpenQuestion holds

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Registered trials

None linked

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.