PaCIFiC-CUP Classifies Cancer of Unknown Primary

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
SponsorSun Yat-sen University

About this trial

This study aims to initially utilize machine learning on pan-cancer DNA methylation data from public databases to construct a DNA methylation classification model (PaCIFiC-CUP, pan-cancer integrated fingerprinting classifier of CUP) for diagnosing various types of cancer, particularly the primary site of cancer of unknown primary. The goal is to achieve diagnosis of cancer pathology type by analyzing the DNA methylation patterns of cancer specimens, thereby guiding subsequent precision treatment for cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

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).

The diagnosis was confirmed at the participating institution and the patient had received systemic therapy.

Complete clinical, pathological, and follow-up data for the patients can be obtained.

Disqualifiers

Pregnant or lactating female patients.

Tumor tissue sample size is too small (tumor tissue accounts for <70% in the biopsy or slice tissue).

Organ transplant or history of non-autologous (allogeneic) bone marrow or stem cell transplantation.

History of previous tumors, with the current condition being a recurrent tumor.

Trial population

The study population consists of patients diagnosed with CUP who meet the inclusion and exclusion criteria.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

120 Participants
are grouped into 2 trial groups
Group A: Site-Specific Therapy Group
Group B: Empirical Therapy Group

Trial outcomes

Primary outcomes

1

Overall Survival

Overall survival refers to the length of time that a person lives after being diagnosed with cancer of unknown primary, without regard to any specific cause of death.

Time frame
From date of diagnosis until the date of death from any cause, assessed up to 24 months

Secondary outcomes

1

Progression-Free Survival

Progression-Free Survival refers to the length of time during which a patient with cancer of unknown primary remains alive without any signs or symptoms of disease progression

Time frame
From date of diagnosis until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Sun Yat-sen University

Lead sponsor

First People's Hospital of Foshan

Collaborator

Third Affiliated Hospital, Sun Yat-Sen University

Collaborator

The First Affiliated Hospital of Anhui Medical University

Collaborator

Anhui Provincial Cancer Hospital

Collaborator

Dongguan People's Hospital

Collaborator

Beijing Tongren Hospital

Collaborator

Anhui Provincial Hospital

Collaborator

Peking University Third Hospital

Collaborator

Henan Cancer Hospital

Collaborator

Ganzhou Cancer Hospital

Collaborator

Guangzhou Chest Hospital.

Collaborator

First Affiliated Hospital of Jinan University

Collaborator

Peking University Shenzhen Hospital

Collaborator

Affiliated Cancer Hospital & Institute of Guangzhou Medical University

Collaborator