New trial aims to solve the mystery of cancers with unknown origins
NCT ID NCT07366008
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is for people with Cancer of Unknown Primary (CUP), where doctors can't find where the cancer started. The goal is to use advanced genetic tests on tumor samples to identify the cancer's origin. This information may help doctors choose more effective treatments and improve survival. About 350 participants will provide biopsies, blood, and stool samples for analysis.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 350 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2033
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * ECOG PS 0-2. * Life expectancy minimum 3 months. * Radiologically verified metastatic disease (CT thorax/abdomen/pelvis) with no radiological signs of primary tumor. * Histologically verified metastatic disease of unknown primary. Morphological and immunohistochemical findings suggesting a possible, but not definitive, origo is eligible. * Eligible histologies include adenocarcinoma, squamous cell carcinoma, poorly and undifferentiated carcinoma and undifferentiated neoplasms. * Clinically relevant endoscopic examinations have been performed as indicated by clinical, radiological and pathological findings, without identification of a primary tumor. * Clinically relevant supplementary radiological examinations have been performed as indicated by clinical, radiological and pathological findings, with no radiological signs of primary tumor (e.g. PET/CT, mammography/MR mammae). * Metastatic lesion available for biopsy. Protocol deviation may be allowed if lesion is not technically available for biopsy. For patients with metastatic lesion technically available for biopsy, the patient must be deemed medically fit to undergo a metastatic biopsy, as assessed by the investigator. * Capable of giving signed informed consent as described in Appendix 1, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol. Exclusion Criteria: * Patients with any clinically significant medical or psychiatric condition which, in the opinion of the treating physician, makes it undesirable for the patient to participate in the study or which could jeopardize compliance with study requirements. * Psychological, familial, sociological or geographical condition(s) potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial * Patient not able to give an informed consent or comply with study regulations as deemed by study investigator.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
6 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Akershus University Hospital
Oslo, Norway
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Haukeland University Hospital
Bergen, 5021, Norway
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Oslo University Hospital
Oslo, Norway
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St Olavs Hospital
Trondheim, Norway
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Stavanger University Hospital
Stavanger, Norway
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University Hospital of North-Norway
Tromsø, Norway
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Rare cancer hope: genetic tests may match patients to better treatments
- Immunotherapy drug tested for mysterious cancers
- New hope for mystery cancers: immunotherapy shows promise
- New scan could solve mystery of hidden cancer origins
- Gene-Guided therapy may outperform chemo for mysterious cancers