DNA fingerprinting could solve the mystery of unknown primary cancers
NCT ID NCT06140992
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing a new tool that uses DNA methylation patterns to figure out where a cancer started when doctors can't find the original tumor. Researchers will analyze tissue samples from 120 people with cancer of unknown primary. If it works, this could help guide more personalized treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- DNA methylation classifier (PaCIFiC-CUP)
- What this could lead to
- If successful, this could provide a new way to pinpoint the origin of hard-to-identify cancers, helping doctors choose more effective treatments.
- What could go wrong
- This is an early-stage study with only 120 participants, so results may not apply to everyone. The classifier may not work for all cancer types or could be inaccurate.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2023
- Expected to finish
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Dec 2026
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.
Who is studied
The study population consists of patients diagnosed with CUP who meet the inclusion and exclusion criteria.
- Ages
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18 to 80 years
- 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: 1. The patient specimens were obtained from the Sun Yat-sen University Cancer Center and affiliated cooperating centers, with written consent from the patients authorizing the use of the specimens for research purposes. 2. Following standard assessments (medical history, physical examination, complete blood count, biochemistry, computed tomography scans of the neck, chest, abdomen, and pelvis, targeted evaluations of all symptomatic areas, pathology, and immunohistochemistry), the diagnosis was determined as a primary site unknown tumor (including adenocarcinoma, squamous cell carcinoma, undifferentiated carcinoma, neuroendocrine carcinoma, sarcoma, etc). 3. The diagnosis was confirmed at the participating institution and the patient had received systemic therapy. 4. Complete clinical, pathological, and follow-up data for the patients can be obtained. 5. ECOG performance status score: 0-2 points. Exclusion Criteria: 1. Pregnant or lactating female patients. 2. Tumor tissue sample size is too small (tumor tissue accounts for \<70% in the biopsy or slice tissue). 3. Organ transplant or history of non-autologous (allogeneic) bone marrow or stem cell transplantation. 4. History of previous tumors, with the current condition being a recurrent tumor. 5. Hematological malignancies (excluding lymphoma). 6. Other diseases that may severely impact patient survival, such as severe cardiovascular or cerebrovascular diseases, sepsis, severe trauma or burns, etc.
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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
1 site. 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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Sun Yat-sen university cancer center
RECRUITINGGuangzhou, Guangdong, 510060, China
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