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Trial Title: PaCIFiC-CUP Classifies Cancer of Unknown Primary

NCT ID: NCT06140992

Condition: Unknown Primary Tumors
DNA Methylation

Conditions: Official terms:
Neoplasms, Unknown Primary

Conditions: Keywords:
Unknown Primary Tumors
DNA methylation
Large Language Model
Pan-cancer

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Cross-Sectional

Summary: 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.

Criteria for eligibility:

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

Sampling method: Non-Probability Sample
Criteria:
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.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Sun Yat-sen university cancer center

Address:
City: Guangzhou
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Yiyang Zhang

Phone: +8615652797092
Email: zhangyy@sysucc.org.cn

Start date: July 1, 2023

Completion date: December 31, 2025

Lead sponsor:
Agency: Sun Yat-sen University
Agency class: Other

Collaborator:
Agency: First People's Hospital of Foshan
Agency class: Other

Collaborator:
Agency: Third Affiliated Hospital, Sun Yat-Sen University
Agency class: Other

Collaborator:
Agency: The First Affiliated Hospital of Anhui Medical University
Agency class: Other

Collaborator:
Agency: Anhui Provincial Cancer Hospital
Agency class: Other

Collaborator:
Agency: Dongguan People's Hospital
Agency class: Other

Collaborator:
Agency: Beijing Tongren Hospital
Agency class: Other

Collaborator:
Agency: Anhui Provincial Hospital
Agency class: Other

Collaborator:
Agency: Peking University Third Hospital
Agency class: Other

Collaborator:
Agency: Henan Cancer Hospital
Agency class: Other

Collaborator:
Agency: Ganzhou Cancer Hospital
Agency class: Other

Collaborator:
Agency: Guangzhou Chest Hospital.
Agency class: Other

Collaborator:
Agency: First Affiliated Hospital of Jinan University
Agency class: Other

Collaborator:
Agency: Peking University Shenzhen Hospital
Agency class: Other

Collaborator:
Agency: Affiliated Cancer Hospital & Institute of Guangzhou Medical University
Agency class: Other

Source: Sun Yat-sen University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06140992

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