Table 1 Characteristics of included randomized controlled trials.

From: Dipeptidyl peptidase-4 inhibitors and cancer risk in patients with type 2 diabetes: a meta-analysis of randomized clinical trials

Study

NCT code

Comparison drug(s)

No. of patients

Trial duration (weeks)

Males/Females

Mean Age (years)

HbA1c (%)

BMI (kg/m2)

DM duration (years)

Cancer type

DPP-4i

Control

Sitagliptin

NCT01590771

NCT01590771

Placebo

249

249

24

249/249

57

8.55

NA

NA

Cervix carcinoma

NCT01189890

NCT01189890

Glimepiride

241

239

30

202/278

70.7

7.78

29.7

8.69

Colon cancer, Malignant melanoma, Prostate cancer

NCT01076088

NCT01076088

Placebo

120

127

24

161/86

52.7

8.86

25.7

1.1

Renal cancer

NCT00420511

NCT00420511

Placebo

10

11

48

14/7

60.9

6.1

32.7

3

Renal cancer

NCT01076075

NCT01076075

Placebo/Pioglitazone

210

212

24

193/229

54.9

8.4

28.5

7.75

Prostate cancer

Arjona 2013

NCT00509262

Glipizide

210

212

54

170/252

64.2

7.8

26.76

10.4

Breast cancer, Leukemia, Lung cancer, Pancreatic cancer

Green 2015

NCT00790205

Placebo

7332

7339

5 years

10374/4297

65.5

7.2

30.2

11.6

Gastric cancer, Colon cancer, Salivary gland neoplasm, Cervix carcinoma, Bladder cancer, Bone cancer, Breast cancer, Pancreatic cancer, Prostate cancer, Rectal cancer, Renal cancer, Bronchial carcinoma, Lung cancer, Thyroid cancer, Ovarian cancer, Endometrial cancer, Gallbladder cancer, Hepatic cancer, Bile duct cancer, Laryngeal cancer, Anal cancer, Leukemia, Lymphoma, Lip carcinoma

NCT00885352

NCT00885352

Placebo

157

156

26

195/118

56

8.8

29.9

9.8

Basal cell carcinoma

NCT00509236

NCT00509236

Glipizide

64

65

54

77/52

59.5

7.8

26.8

17.5

Prostate cancer

NCT00095056

NCT00095056

Placebo

65

26

54

47/44

67.9

7.7

26.6

13.5

Colon cancer, Pancreatic cancer, Prostate cancer, Skin cancer

NCT00395343

NCT00395343

Placebo

322

319

24

326/315

57.8

8.7

31

12.5

Breast cancer, Rectal cancer

NCT00722371

NCT00722371

Pioglitazone

231

230

54

249/212

52.03

8.8

31.3

4.1

Bladder cancer, Breast cancer, Malignant melanoma, Skin cancer

NCT00337610

NCT00337610

Placebo

96

94

30

88/102

54.8

9.2

30.2

NA

Pancreatic cancer, Colon cancer, Lymphoma

NCT01177384

NCT01177384

Placebo

191

189

24

194/186

57.1

8.08

NA

NA

Breast cancer, Thymoma

NCT00305604

NCT00305604

Placebo

102

104

24

97/109

71.9

7.8

30.95

7.1

Basal cell carcinoma, Colon cancer, Malignant melanoma, Skin cancer

NCT00701090

NCT00701090

Glimepiride

516

519

30

563/472

56.3

7.5

30

6.8

Basal cell carcinoma, Lung cancer, Pancreatic cancer

NCT00449930

NCT00449930

Metformin

528

522

24

484/566

56

7.3

30.8

2.4

Lung cancer, Malignant melanoma

NCT00637273

NCT00637273

Pioglitazone

166

165

26

165/166

52.6

8.5

32

5.5

Thyroid cancer

NCT01137812

NCT01137812

Canagliflozin

378

377

52

422/333

56.5

8.1

31.6

9.6

Cervix carcinoma, Lung cancer, Oesophageal cancer, Uterine cancer

NCT01098539

NCT01098539

Albiglutide

246

249

52

266/229

63.3

NA

NA

NA

Brain cancer, Breast cancer, Malignant melanoma, Prostate cancer, Renal cancer

Aschner 2012

NCT00751114

Insulin glargine

253

227

24

246/234

53.6

8.5

31.09

4.5

Prostate cancer

NCT00106704

NCT00106704

Placebo/Pioglitazone

222

219

54

234/207

56

8.34

31

8.8

Lung cancer, Skin cancer

NCT00881530

NCT00881530

Metformin

56

56

78

57/55

57.55

8.09

29.3

NA

Breast cancer, Cervix carcinoma

NCT00482729

NCT00482729

Metformin

625

621

44

709/537

49.7

9.87

33.3

3.3

Colon cancer, Endometrial cancer, Laryngeal cancer, Lung cancer, Malignant melanoma, Renal cancer, Ovarian cancer, Prostate cancer

NCT00086502

NCT00086502

Placebo

175

178

24

196/157

56.2

8

31.5

6.1

Lung cancer

NCT00532935

NCT00532935

Pioglitazone

261

256

32

277/240

52.3

8.9

29.8

3.3

Basal cell carcinoma, Colon cancer, Renal cancer

NCT01046110

NCT01046110

Insulin degludec

222

225

26

262/185

55.7

8.9

NA

NA

Bladder cancer

NCT02008682

NCT02008682

Liraglutide

184

183

26

219/148

51.5

8.12

27.24

5.27

Thyroid cancer,Thymoma

Ahren 2014

NCT00838903

Placebo/Metformin

302

101

104

189/214

54.8

8.1

32.6

6

Thyroid cancer, Breast cancer, Lung cancer, Malignant melanoma, Prostate cancer, Rectal cancer, Renal cancer

NCT00094770

NCT00094770

Glipizide

588

584

104

694/478

56.7

7.7

31.2

6.35

Basal cell carcinoma, Bladder cancer, Breast cancer, Colon cancer, Lymphoma, Gastric cancer, Hepatic cancer, Malignant melanoma, Bone cancer, Oesophageal cancer, Prostate cancer, Rectal cancer, Renal cancer, Skin cancer, Uterine cancer

Pratley 2012

NCT00700817

Liraglutide

219

221

52

236/204

55

8.4

32.9

6.4

Pancreatic cancer, Renal cancer, Bile duct cancer, Breast cancer, Colon cancer

NCT00289848

NCT00289848

Placebo

352

178

28

306/224

50.9

8.74

25

2

Ovarian cancer

NCT00813995

NCT00813995

Placebo

197

198

24

200/195

54.6

8.5

25.3

6.85

Colon cancer, Lip carcinoma

NCT00094757

NCT00094757

Placebo/Pioglitazone

205

110

54

179/136

54.85

8

32

4.6

Breast cancer, Bone cancer, Pancreatic cancer, Thyroid cancer, Uterine cancer

NCT01519674

NCT01519674

Metformin

195

194

24

205/184

55.84

8.4

29.4

NA

Pancreatic cancer, Thyroid cancer

NCT00086515

NCT00086515

Placebo/Glipizide

464

237

104

400/301

54.5

8

NA

6.2

Lymphoma, Basal cell carcinoma, Bladder cancer, Breast cancer, Renal cancer, Thyroid cancer, Hepatic cancer, Lung cancer, Ovarian cancer, Pancreatic cancer, Thyroid cancer, Skin cancer

NCT01907854

NCT01907854

Liraglutide

204

202

27

242/164

56.4

8.3

NA

NA

Bladder cancer

Weinstock 2015

NCT00734474

Dulaglutide

315

304

104

297/322

53.7

8.1

31.21

7.1

Breast cancer, Colon cancer, Gastric cancer, Laryngeal cancer, Prostate cancer,Thyroid cancer, Uterine cancer

Saxagliptin

NCT00327015

NCT00327015

Metformin

335

328

24

332/331

51.96

9.5

30.2

1.7

Pancreatic cancer

NCT00121641

NCT00121641

Placebo

106

95

24

101/100

53.91

7.95

31.65

2.41

Colon cancer, Cervix carcinoma, Malignant melanoma, Renal cancer

NCT00316082

NCT00316082

Placebo

71

74

24

72/73

54.9

NA

NA

NA

Uterine cancer, Pancreatic cancer, Hepatic cancer

NCT00121667

NCT00121667

Placebo/Metformin

191

179

24

199/171

54.72

8.1

31.4

6.5

Breast cancer, Uterine cancer

NCT00295633

NCT00295633

Placebo

186

184

24

174/196

52.34

8.3

30.05

5.15

Colon cancer

NCT00575588

NCT00575588

Glipizide

428

430

104

444/414

57.55

7.7

31.4

5.4

Bladder cancer, Colon cancer, Salivary gland neoplasm, Leukemia, Thyroid cancer, Bladder cancer, Bronchial carcinoma, Lung cancer, Malignant melanoma, Renal cancer, Breast cancer

NCT00757588

NCT00757588

Placebo/Insulin

304

151

24

188/267

57.2

8.7

32.3

11.9

Breast cancer, Pituitary tumor, Uterine cancer, Pancreatic cancer, Prostate cancer

NCT01128153

NCT01128153

Placebo

129

128

24

154/103

57

8.28

29.2

NA

Laryngeal cancer

Schernthaner 2015

NCT01006603

Glimepiride

360

360

52

445/275

72.6

7.6

29.6

7.6

Breast cancer, Basal cell carcinoma, Bladder cancer, Colon cancer, Hepatic cancer, Lung cancer, Pancreatic cancer, Prostate cancer, Salivary gland neoplasm

NCT00313313

NCT00313313

Placebo/Glyburide

253

267

24

233/287

54.96

8.45

29

6.8

Thyroid cancer

NCT01006590

NCT01006590

Metformin

147

139

24

164/122

58.7

7.8

31.7

6.5

Prostate cancer, Tongue cancer

Leiter 2016

NCT01107886

Placebo

8280

8212

2.9 years

11037/5455

65

8

31.1

10.3

Thyroid cancer, Bladder cancer, Breast cancer, Bronchial carcinoma, Cervix carcinoma, Colon cancer,Gastric cancer, Hepatic cancer, Lung cancer, Lymphoma, Ovarian cancer, Prostate cancer, Pancreatic cancer, Oesophageal cancer, Endometrial cancer, Leukemia, Lymphoma, Laryngeal cancer, Skin cancer, Vascular neoplasm, Bile duct cancer, Gallbladder cancer, Hodgkin’s disease, Malignant melanoma, Testis cancer, Bone cancer, Lip carcinoma, Haemangioma, Brain cancer, Rectal cancer, Renal cancer, Uterine cancer

NCT00374907

NCT00374907

Placebo/Metformin

20

16

116

14/22

55.5

NA

33.01

NA

Colon cancer

Alogliptin

White 2013

NCT00968708

Placebo

2701

2679

41 months

3651/1738

61

7.2

28.7

7.2

Colon cancer, Prostate cancer, Breast cancer, Bladder cancer, Gastric cancer, Renal cancer, Lung cancer

NCT00286468

NCT00286468

Placebo

198

99

26

150/147

56.7

8.11

30

7.6

Basal cell carcinoma, Bladder cancer

NCT00286442

NCT00286442

Placebo

213

104

26

151/166

55.33

7.93

32

6

Endometrial cancer, Prostate cancer

NCT00856284

NCT00856284

Glipizide

878

869

104

881/866

55.4

7.61

31.2

5.45

Breast cancer, Basal cell carcinoma, Colon cancer, Bladder cancer, Endometrial cancer,Lymphoma, Ovarian cancer, Renal cancer, Lung cancer

NCT00286429

NCT00286429

Placebo

129

130

26

106/153

55.4

9.3

32.4

12.8

Cervix carcinoma

NCT01263496

NCT01263496

Voglibose

97

83

40

131/49

NA

NA

NA

NA

Pancreatic cancer, Breast cancer

NCT00395512

NCT00395512

Pioglitazone

164

163

26

166/161

52.1

8.78

31.47

3.14

Colon cancer

NCT00707993

NCT00707993

Glipizide

222

219

52

198/243

69.9

NA

29.79

6.1

Breast cancer, Cervix carcinoma

NCT00432276

NCT00432276

Metformin

404

399

52

414/389

55.1

8.15

31.55

7.16

Colon cancer

Mita 2016

NA

OAD

172

169

2 years

199/142

64.6

7.25

24.75

8.6

Thyroid cancer, Prostate cancer, Cholangioma

Linagliptin

NCT01084005

NCT01084005

Placebo

162

79

24

165/76

74.9

7.78

29.67

NA

Lung cancer, Malignant melanoma, Prostate cancer

NCT01087502

NCT01087502

Placebo/Glimepiride

113

122

52

149/86

66.6

8.05

32.09

NA

Bladder cancer, Lung cancer, Basal cell carcinoma, Colon cancer, Prostate cancer

NCT01734785

NCT01734785

Placebo

606

110

24

NA

NA

NA

NA

NA

Colon cancer, Basal cell carcinoma, Bladder cancer

Bajaj 2014

NCT00996658

Placebo

183

89

24

132/140

53.79

8.42

28.27

NA

Colon cancer

NCT00954447

NCT00954447

Placebo

631

630

52

658/603

60

8.3

31

8.3

Bile duct cancer, Colon cancer, Gastric cancer, Hepatic cancer, Lung cancer, Ovarian cancer, Renal cancer, Uterine cancer

NCT00798161

NCT00798161

Placebo

142

72

24

116/98

56.03

8.69

28.84

NA

Breast cancer

Gallwitz 2012

NCT00622284

Glimepiride

776

775

2 years

933/618

59.8

7.7

30.25

5

Breast cancer, Bronchial carcinoma, Colon cancer, Endometrial cancer, Laryngeal cancer, Hepatic cancer, Bone cancer, Ovarian cancer, Pancreatic cancer, Prostate cancer, Rectal cancer, Renal cancer, Lung cancer, Thyroid cancer, Vulval cancer

NCT01215097

NCT01215097

Placebo

205

100

24

152/153

55.5

7.99

25.6

NA

Gastric cancer

NCT00621140

NCT00621140

Placebo

336

167

24

243/260

55.7

8

29.05

NA

Breast cancer, Lymphoma

NCT00654381

NCT00654381

Placebo

159

80

52

395/166

60

NA

NA

NA

Gastric cancer, Prostate cancer

Barnett 2012

NCT00740051

Placebo/Glimepiride

151

76

52

88/139

56.5

8.1

29.5

NA

Colon cancer

  1. NA, not available; NCT: national clinical trial; DPP4i: dipeptidyl peptidase-4 inhibitors; OAD: oral antidiabetes drug (excluding other DPP-4 inhibitors, GLP-1 analogs, and insulin).