Status:

COMPLETED

Carcinoma of Unknown Primary (CUP): a Comparison Across Tissue and Liquid Biomarkers

Lead Sponsor:

The Christie NHS Foundation Trust

Collaborating Sponsors:

Hoffmann-La Roche

Concr

Conditions:

Cancer of Unknown Primary Site

Eligibility:

All Genders

16+ years

Brief Summary

Patients with Carcinoma of Unknown Primary (CUP) have widespread cancer at diagnosis however the specific site of origin cannot be found, despite significant testing, making it difficult to treat. CUP...

Eligibility Criteria

Inclusion

  • Aged 16 years or over
  • Written informed consent according to ICH/GCP and national regulations
  • ECOG Performance status 0-2
  • Confirmed diagnosis of CUP as per the ESMO guidelines (described above). Patients must have;
  • The local pathology reports confirming compatibility with CUP diagnosis and the associated slides used for the diagnosis
  • Discussion at a local CUP MDT confirming diagnosis
  • Accessible tumour that can be safely biopsied using radiological techniques. Biopsy may be undertaken as standard of care (surplus tissue sample to be used for this protocol), or maximum of one fresh biopsy specifically for purposes of the protocol. Subjects with inaccessible tumours for biopsy specimens but with a confirmed CUP diagnosis, may be enrolled without a biopsy upon consultation and agreement by the sponsor
  • Availability of archival tumour sample, slides and histological report
  • Willingness to provide blood samples on up to three occasions during the course of the study

Exclusion

  • Patient with an immunohistochemistry profile that provides a definitive clinical indication of a primary cancer with a specific treatment
  • Known HIV, Hepatitis B, C positive, or COVID-19 positive, due to the difficulties in handling high-risk specimens
  • Patients who are unable to provide fully informed written consent
  • Presence of any medical, psychological, familial or sociological condition that, in the investigator's opinion, will hamper compliance with the study protocol and follow-up schedule
  • Bleeding diathesis (patients' on anticoagulation are permitted to enter the trial if anticoagulation can be safely managed to enable fresh tumour biopsies and blood sampling)
  • Conditions in which research biopsies or blood sampling may increase risk of complications for the patients and/or investigator

Key Trial Info

Start Date :

June 9 2021

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

June 28 2024

Estimated Enrollment :

117 Patients enrolled

Trial Details

Trial ID

NCT04750109

Start Date

June 9 2021

End Date

June 28 2024

Last Update

October 10 2024

Active Locations (7)

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Page 1 of 2 (7 locations)

1

UCL Cancer Institute

London, London, United Kingdom, WC1E 6BT

2

Royal United Hospitals Bath NHS Foundation Trust

Bath, United Kingdom, BA1 3NG

3

Velindre Cancer Centre

Cardiff, United Kingdom, CF14 2TL

4

Edinburgh Cancer Centre

Edinburgh, United Kingdom, EH4 2XR