Original Investigation

Survival and Recurrence With GLP-1 Receptor Agonists in Breast Cancer

JAMA Network Open 10.1001/jamanetworkopen.2026.12133

May 11, 2026 at 11:00 AM EDT

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Is there a potential benefit associated with the use of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in female breast cancer survival and cancer recurrence among patients with obesity or with type 2 diabetes (T2D)?In this cohort study using propensity score–matched data from 841 831 patients with breast cancer, GLP-1 RA use vs nonuse was significantly associated with improved survival and reduced recurrence among patients with obesity. Similar benefits were seen among patients with T2D when compared with other antidiabetic medications.This study suggests that GLP-1 RAs may offer protective benefits beyond glycemic and weight control, potentially improving survival and recurrence risk in some female patients with breast cancer.

Corresponding Author: Bernard F. Fuemmeler, PhD, MPH, Massey Comprehensive Cancer Center, 830 E Main St, Box 980212, Richmond, VA 23286 (bernard.fuemmeler@vcuhealth.org).

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