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. 2021 Nov 17;22(22):12409. doi: 10.3390/ijms222212409

Table 1.

Clinical trials investigating the impact of antidiabetic therapy in T2DM patients on CRC risk or survival of patients with CRC.

Publication Antidiabetic Therapy N of Patients Follow-Up Results
Schiel et al. (2005) [194] Insulin 147 patients with T2DM114
patients with T1DM
10 years Increased incidence of colon and rectum cancer.
Home et al.
(2010) [190]
ADOPT trial
Metformin
Rosiglitazone
Glyburide
1454 patients with T2DM on metformin
1456 patients with T2DM on rosiglitazone
1441 patients with T2DM on glyburide
4 years Number of patients who developed CRC in glyburide group was higher than in metformin and rosiglitazone groups. No obvious advantage of metformin or rosiglitazone.
Home et al.
(2010) [190]
RECORD
trial
Sulfonylurea
Metformin
Rosiglitazone
1122 patients with T2DM on sulfonylurea and added metformin
1103 patients with T2DM on sulfonylurea and added rosiglitazone
1105 patients with T2DM on metformin and added sulfonylurea
1117 patients with T2DM on metformin and added rosiglitazone
5.5 years Number of patients who developed gastrointestinal cancers was higher in the groups receiving sulfonylurea as background or add-on therapy.
Nauck et al.
(2018) [191]
Liraglutide 4668 patients with T2DM on liraglutide
4672 patients with T2DM on placebo
3.8 years No difference in colon or rectum cancer incidence in liraglutide and placebo group.
Singh et al.
(2016) [192]
Metformin 115 patients with CRC and T2DM on adjuvant chemotherapy and metformin
152 patients with CRC and T2DM on adjuvant chemotherapy without use of metformin
6.5 years No difference in disease-free survival, overall survival and time to recurrence between patients on metformin and without use of metformin.
Vernieri et al. (2019) [193] Metformin 76 patients with CRC and T2DM on adjuvant chemotherapy and metformin
44 patients with CRC and T2DM on adjuvant chemotherapy without use of metformin
60.4 months No difference in overall survival and relapse-free survival between patients on metformin and without use of metformin