A phase 2 liver trial where the add-on drug didn't help — and the base drug quietly did
Read the Sunday Brief →

Study wrapper · #889

Cancer risk of glucagon-like peptide-1 receptor agonists for obesity: comparison with bariatric surgery and other weight-loss drugs.

Bitar ER, Besir K, Cummins KC, et al. Journal of gastrointestinal surgery. 2026.

Editor's note

This large TriNetX cohort compared semaglutide and tirzepatide users against bariatric surgery and other weight-loss drugs, finding therapeutic-dose use associated with lower colorectal and pancreatic cancer incidence and no increased cancer risk. Both tracked peptides are genuine subjects. As a retrospective, propensity-matched study it supports safety reassurance but cannot prove causation, and any-dose effects were not significant.

Plain-language abstract

In a large retrospective cohort of nondiabetic adults with obesity, therapeutic-dose semaglutide or tirzepatide use was associated with lower rates of colorectal and pancreatic cancer than bariatric surgery, with no signal of increased cancer risk.