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Updated: May 25, 2026

Receptor Autoradiography Protocol for the Localized Visualization of Angiotensin II Receptors
Published on: June 7, 2016
Critical review of cancer risk associated with angiotensin receptor blocker therapy
Grégoire Wuerzner1, Michel Burnier, Bernard Waeber
1Service of Nephrology and Hypertension Consultation, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Abstract:
The role of drugs in new cancer occurrence and cancer-related death is a major concern. Recently, a meta-analysis raised the possibility that angiotensin receptor blockers (ARBs) might have an adverse effect on patients. This generated a significant debate until the publication of two further meta-analyses, neither of which demonstrated an increased risk of new cancer occurrence or cancer-related death with the use of ARBs in patients with hypertension, heart failure, and/or nephropathy. This illustrates that the results of meta-analyses should be interpreted cautiously and critically as bias, such as selection bias, might lead to erroneous conclusions. Overall, the bulk of evidence today indicates that ARBs are not associated with increased cancer risk.
Insights
Angiotensin receptor blockers (ARBs) are not linked to increased cancer risk. Recent studies and meta-analyses confirm ARBs do not raise the likelihood of new cancer diagnoses or cancer-related deaths in patients.
Area of Science:
- Cardiovascular Pharmacology
- Oncology
- Evidence-Based Medicine
Background:
- The potential link between angiotensin receptor blockers (ARBs) and cancer risk is a significant concern in patient care.
- A prior meta-analysis suggested ARBs might increase cancer occurrence and related mortality, sparking considerable debate.
Purpose of the Study:
- To critically evaluate the association between ARBs and cancer risk.
- To address the conflicting findings from initial meta-analyses regarding ARBs and oncological outcomes.
Main Methods:
- Review and synthesis of multiple meta-analyses examining ARB use.
- Critical assessment of potential biases, such as selection bias, in meta-analytic studies.
Main Results:
- Two subsequent meta-analyses found no increased risk of new cancer occurrence with ARB use.
- These studies also indicated no elevated risk of cancer-related death in patients taking ARBs for hypertension, heart failure, or nephropathy.
- The evidence suggests initial concerns may have stemmed from biased interpretations of meta-analytic data.
Conclusions:
- ARBs are not associated with an increased risk of cancer.
- Results from meta-analyses must be interpreted with caution due to potential biases.
- Current evidence supports the safety of ARBs concerning cancer risk.
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