GLP-1 receptor agonists and risk of hepatocellular carcinoma and all-cause mortality in patients with MASLD and type 2 diabetes: a propensity score–matched population-based cohort study

Aug 13, 2025Diabetes research and clinical practice

GLP-1 receptor drugs and the risk of liver cancer and death in people with fatty liver disease and type 2 diabetes

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Abstract

GLP-1 receptor agonist use is associated with a 64% lower risk of developing hepatocellular carcinoma in patients with metabolic dysfunction-associated steatotic liver disease and type 2 diabetes mellitus.

  • Use of GLP-1 receptor agonists was linked to a reduced risk of hepatocellular carcinoma (HCC) in a retrospective cohort study.
  • The study included 152,329 patients diagnosed with both metabolic dysfunction-associated steatotic liver disease and type 2 diabetes mellitus.
  • GLP-1 receptor agonist use was also associated with a significant reduction in all-cause mortality.
  • Adjusted hazard ratios indicated a 0.64 risk for HCC and a 0.37 risk for all-cause mortality among users compared to non-users.
  • Robustness of these findings was supported by various subgroup and sensitivity analyses.

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