Antidiabetic Medications and Risk of Cancer

NCT07628556 — Completed, 74799 participants, University of Pecs

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RegistryNCT07628556
StatusCompleted
Study typeObservational
Enrollment74799 (Actual)
SponsorUniversity of Pecs (Other)
ConditionsCancer
InterventionsMetformin, sulphonylurea, DPP-4 inhibitor, GLP-1 Receptor Agonists, SGLT-2 inhibitor, insulin, MET + SU, MET + DPP-4 inhibitor, MET + GLP-1RA, MET + SGLT2i, MET + INS (Drug)
Datesstart 2025-03-15, primary completion 2025-12-30, completion 2025-12-30, first posted 2026-06-05, last updated 2026-06-05
Locations1 site in Hungary

Related Papers Related Patents Related Grants Related Experts
All trials for Cancer All trials of Metformin All trials of sulphonylurea

-Summary

A retrospective analysis was conducted based on data of the National Health Insurance Fund in Hungary. Overall cancer risk and site-specific cancer risks were analysed in a target trial emulation design when comparing all available antidiabetic therapies to MET and monotherapies and primary combination therapies against each other. The model used in the analysis was corrected for age, gender, co-morbidities, selected cardiovascular medications and inpatient and outpatient visits.

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+Arms and interventions

ArmTypeInterventionsDescription
Type 2 diabetes mellitusDrug: Metformin; Drug: sulphonylurea; Drug: DPP-4 inhibitor; Drug: GLP-1 Receptor Agonists; Drug: SGLT-2 inhibitor; Drug: insulin; Drug: MET + SU; Drug: MET + DPP-4 inhibitor; Drug: MET + GLP-1RA; Drug: MET + SGLT2i; Drug: MET + INS
  • Metformin (Drug): Metformin monotherapy
  • sulphonylurea (Drug): SU monotherapy
  • DPP-4 inhibitor (Drug): DPP-4 inhibitor monotherapy
  • GLP-1 Receptor Agonists (Drug): GLP-1 Receptor Agonist monotherapy
  • SGLT-2 inhibitor (Drug): SGLT-2 inhibitor monotherapy
  • insulin (Drug): Insulin monotherapy
  • MET + SU (Drug): MET + SU combination
  • MET + DPP-4 inhibitor (Drug): MET + DPP-4 inhibitor combination
  • MET + GLP-1RA (Drug): MET + GLP-1RA combination
  • MET + SGLT2i (Drug): MET + SGLT2i combination
  • MET + INS (Drug): MET + insulin combination

+Outcome measures

Primary outcomes

  • Overall cancer risk [2016-2022]

Other outcomes

  • Risk of lung cancer [2016-2022]
  • Risk of colorectal cancer [2016-2022]
  • Risk of pancreas cancer [2016-2022]
  • Risk of urinary cancer [2016-2022]
  • Risk of breast cancer [2016-2022]
  • Risk of prostate cancer [2016-2022]
  • Risk of hematological cancer [2016-2022]
  • Risk of upper GI cancer [2016-2022]
  • Risk of liver cancer [2016-2022]
  • Risk of ovarian cancer [2016-2022]
  • Risk of other types of cancer [2016-2022]

+Eligibility

Sex: All, ages: 19 Years to any

Inclusion Criteria:

* Type 2 diabetes mellitus
* Antidiabetic medication initiators

Exclusion Criteria:

* Antidiabetic prescription in the previous 5 years
* Recent pancreatectomy (previous or subsequent 90 days after inclusion)

+Locations (1)

FacilityCityCountryStatus
PécsPécsHungary

+Investigators

  • György Rokszin, M.D., Ph.D., Study chair