Evidence mapPaperPMID 41301540Full record

SynthesisBiomolecules2025

Divergent Risks of Hematologic Malignancies Associated with GLP-1 Receptor Agonists and SGLT2 Inhibitors: Preliminary Findings from a Pilot Network Meta-Analysis.

Pao-Yen Lin, Bing-Yan Zeng, Chih-Wei Hsu, Mein-Woei Suen, Chao-Ming Hung, Brendon Stubbs, Yen-Wen Chen, Tien-Yu Chen, Wei-Te Lei, Jiann-Jy Chen and 4 more

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Biomolecules, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

14 authors.

Pao-Yen LinDepartment of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.ORCID 0000-0002-1394-4567
Bing-Yan ZengInstitute of Biomedical Sciences, National Sun Yat-sen University, Kaohsiung 804, Taiwan.
Chih-Wei HsuDepartment of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.ORCID 0000-0002-8650-4060
Mein-Woei SuenDepartment of Psychology, College of Medical and Health Science, Asia University, Taichung 413, Taiwan.ORCID 0000-0002-3991-0322
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.
Tien-Yu ChenDepartment of Psychiatry, Tri-Service General Hospital, National Defense Medical University, Taipei 114, Taiwan.ORCID 0000-0001-8462-1311
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.
Bing-Syuan ZengDepartment of Internal Medicine, E-Da Cancer Hospital, I-Shou University, Kaohsiung 824, Taiwan.
Kuan-Pin SuDepartment of Psychology, College of Medical and Health Science, Asia University, Taichung 413, Taiwan.ORCID 0000-0002-4501-2502
Chih-Sung LiangDepartment of Psychiatry, Beitou Branch, Tri-Service General Hospital, School of Medicine, National Defense Medical University, Taipei 112, Taiwan.ORCID 0000-0003-1138-5586
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

backgroundAlthough glucagon-like peptide-1 (GLP-1) receptor agonists and sodium-glucose cotransporter 2 (SGLT2) inhibitors have gained attention for their broad therapeutic effects, their influence on hematologic malignancy remains underexplored. Given the high mortality associated with hematologic cancers, clarifying the impact of these agents on such malignancies is essential.

objectivesThis pilot network meta-analysis (NMA) aimed to assess the comparative risk of hematologic malignancies-including lymphoma, leukemia, and myeloma-associated with various GLP-1 receptor agonists and SGLT2 inhibitors.

methodsFollowing Cochrane-recommended confirmatory methods, we systematically searched multiple databases for randomized controlled trials (RCTs) published through 4 December 2024. The primary outcome was the incidence of overall hematologic malignancies. A frequentist random-effects NMA via the netmeta package was conducted, with additional validation through Bayesian NMA for solely sensitivity analyses.

resultsFifty-five RCTs (

conclusionsOur preliminary findings reveal distinct and agent-specific effects of GLP-1 receptor agonists on hematologic malignancy risk. While dulaglutide may elevate the risk, tirzepatide appears protective, particularly against lymphoma. These results call for further long-term mechanistic studies to clarify causality and underlying pathways.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsHematologic NeoplasmsSodium-Glucose Transporter 2 InhibitorsGlucagon-Like PeptidesHumansImmunoglobulin Fc FragmentsPilot ProjectsRandomized Controlled Trials as TopicRecombinant Fusion ProteinsdulaglutideGlucagon-Like Peptide-1 Receptor AgonistsGlucagon-Like PeptidesImmunoglobulin Fc FragmentsRecombinant Fusion ProteinsSodium-Glucose Transporter 2 InhibitorsGLP-1 receptor agonisthematologyleukemialymphomamalignancymyelomanetwork meta-analysisSGLT2 inhibitor

Identifiers

PMID41301540
PMCPMC12650725

What Socratic 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 Socratic graph.