Evidence map›Paper›PMID 42477427›Full record

ArticleBritish journal of cancer2026

A prospective national precision medicine trial evaluating the feasibility of blood-based molecular profiling in patients with Cancer of Unknown Primary (CUP-COMP).

Alicia-Marie Conway, Matthew Robinson, Matthew Concannon, Sally Clive, Tania Tillett, Kai-Keen Shiu, Louise Medley, Sonali Dasgupta, Eliyaz Ahmed, Kelly Warrington and 11 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in British journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04750109 (Carcinoma of Unknown Primary), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04750109 completednot on this map

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

TypeobservationalSponsorThe Christie NHS Foundation TrustRan2021 to 2024Enrolled117ConditionsCancer of Unknown Primary Site
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Alicia-Marie Conway *Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0003-2635-8206
Matthew Robinson *Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0002-6303-7121
Matthew ConcannonThe Christie NHS Foundation Trust, Manchester, UK.ORCID http://orcid.org/0000-0001-8777-4786
Sally CliveEdinburgh Cancer Centre, The University of Edinburgh, Western General Hospital, Edinburgh, UK.ORCID http://orcid.org/0000-0002-5709-0364
Tania TillettRoyal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Kai-Keen ShiuUniversity College London & University College London Hospitals NHS Foundation Trust, London, UK.
Louise MedleyTorbay and South Devon NHS Foundation Trust, Torquay, UK.
Sonali DasguptaVelindre University NHS Trust, Cardiff, UK.
Eliyaz AhmedThe Clatterbridge Cancer Centre, Liverpool, UK.
Kelly WarringtonRoche Products Limited, Welwyn Garden City, UK.
Usman MahmoodThe Christie NHS Foundation Trust, Manchester, UK.
Zoulikha ZairThe Christie NHS Foundation Trust, Manchester, UK.
Tess GillhamThe Christie NHS Foundation Trust, Manchester, UK.
Aaron DavisTorbay and South Devon NHS Foundation Trust, Torquay, UK.
Julie-Anne ScottNorthern Ireland Cancer Centre, Belfast, UK.
Alison TaylorThe Clatterbridge Cancer Centre, Liverpool, UK.
Mark StaresEdinburgh Cancer Centre, The University of Edinburgh, Western General Hospital, Edinburgh, UK.ORCID http://orcid.org/0000-0002-5943-8440
Claire MitchellThe Christie NHS Foundation Trust, Manchester, UK.
Pedro OlivieraThe Christie NHS Foundation Trust, Manchester, UK.
George J BurghelManchester Centre for Genomic Medicine and North West genomic laboratory Hub, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Natalie CookDivision of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK. Natalie.cook17@nhs.net.ORCID http://orcid.org/0000-0003-2606-1082

Funding

Innovate UK 50074
6 · The paper itself

Abstract

backgroundCancer of Unknown Primary (CUP) is an aggressive malignancy with poor patient outcomes. For most patients, the primary site remains elusive, limiting therapeutic options to non-specific chemotherapy. The CUP-COMP study (NCT04750109) assessed the feasibility of integrating molecular profiling with a National Molecular Tumour Board (MTB) into the treatment pathway of patients with CUP.

methodsPatients with histologically confirmed CUP were recruited from seven UK sites. Blood- and/or tissue-based molecular profiling was performed with results interpreted via an MTB identifying potentially actionable alterations (PAA). Retrospective tissue and blood alteration analysis assessed concordance and utility.

results113/117 patients recruited between June 2021 and February 2023 completed 12 months of follow-up. Of 115 patients with successful molecular profiling, blood-based profiling was more successful (93%) than tissue-based (61%). The MTB identified PAAs in 63% (73/115), with 26% (31/117) treated using a precision medicine (PM) approach. Primary tumours were subsequently confirmed/suspected in 41 patients. Median overall survival (OS) was 9.5 months. Detecting a PAA in blood was impacted by tumour fraction (33% of patients had a tumour fraction <1%). DISCUSSION: CUP-COMP demonstrates liquid biopsies are highly feasible in CUP. While tissue profiling remains preferable, blood-based profiling offers a timely viable alternative to tissue, especially in selected patients.

Indexed as

Biomarkers, TumorNeoplasms, Unknown PrimaryPrecision MedicineAdultAgedAged, 80 and overFeasibility StudiesFemaleGene Expression ProfilingHumansMaleMiddle AgedProspective StudiesBiomarkers, Tumor

Identifiers

PMID42477427
PMCPMC13642309

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