Actively Recruiting

Age: 16Years +
All Genders
NCT06695494

Enabling Genomic Testing in Cancer of Unknown Primary

Led by The Christie NHS Foundation Trust · Updated on 2026-03-25

100

Participants Needed

6

Research Sites

171 weeks

Total Duration

On this page

Sponsors

T

The Christie NHS Foundation Trust

Lead Sponsor

N

National Institute for Health Research, United Kingdom

Collaborating Sponsor

AI-Summary

What this Trial Is About

Cancer of Unknown Primary (CUP) is where cancer cells are found in the body but the place the cancer began is not known. It is the 6th leading cause of cancer death in the UK and the prognosis is poor with a median survival of 6-9 months. There is a higher than average incidence of CUP in the North West (NW) of England (population of 7.4 million). Precision medicine has transformed treatment strategies in known tumour types, however in CUP there remains an urgent need to better understand CUP molecular characteristics to establish potential roles for novel therapeutic strategies. Treatment options remain limited due to difficulties in determining the primary site of the tumour and the lack of access to validated biomarkers. Access to good-quality tissue for molecular profiling remains a huge challenge in CUP. The emergence of liquid biopsies (sequence DNA in a blood test) as a source of biomarkers is also gaining rapid ground and this study aims to explore the potential utility of liquid biopsies in CUP.

CONDITIONS

Official Title

Enabling Genomic Testing in Cancer of Unknown Primary

Who Can Participate

Age: 16Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 16 years or over
  • Provided written informed consent according to ICH/GCP and national regulations
  • ECOG Performance status of 0 to 2
  • Confirmed diagnosis of Cancer of Unknown Primary following ESMO guidelines, including local pathology reports and multidisciplinary team confirmation
  • Availability of archival tumour histological report
  • Willingness to provide blood samples on up to two occasions during the study
Not Eligible

You will not qualify if you...

  • Immunohistochemistry profile indicating a definitive primary cancer with specific treatment
  • Known positive status for HIV, Hepatitis B, or Hepatitis C
  • Unable to provide fully informed written consent
  • Any medical, psychological, familial, or social condition that may interfere with study compliance and follow-up
  • Bleeding disorders unless anticoagulation can be safely managed for blood sampling
  • Conditions that increase risks related to blood sampling for the patient or investigator

AI-Screening

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Trial Site Locations

Total: 6 locations

1

The Christie NHS Foundation Trust

Manchester, Greater Manchester, United Kingdom, M20 4BX

Actively Recruiting

2

The Clatterbridge Cancer Centre NHS Foundation Trust

Liverpool, Merseyside, United Kingdom

Actively Recruiting

3

Blackpool Teaching Hospitals NHS Foundation Trust

Blackpool, United Kingdom

Actively Recruiting

4

Northern Care Alliance NHS Foundation Trust

Manchester, United Kingdom

Actively Recruiting

5

University Hospitals of Morecambe Bay NHS Trust

Morecambe, United Kingdom

Actively Recruiting

6

Lancashire Teaching Hospitals NHS Foundation Trust

Preston, United Kingdom

Actively Recruiting

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Research Team

E

EGG CUP Study Team

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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