ORPHA:631251
Cancer of unknown primary site
Also known as: CUP · Carcinoma of unknown primary · Carcinoma of unknown primary origin · Metastases without primary tumor
Publications
3,821
Trials
67
Interventional, condition-specific
Researchers
1,395
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0858997
- UMLS:C0027667
- NCIT:C8566
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
2/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
3,821 matched papers (2,362 in last 10 years) Source
- Phenotype characterisedNot checked
Not yet enriched from Monarch / HPO
- Animal modelNot checked
Not yet enriched from Monarch / Alliance
- Orphan designationNot checked
FDA/EMA orphan-drug designation not enriched yet
- Interventional trialPresent
67 matched on ClinicalTrials.gov (13 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
Not enriched in this build — Monarch phenotype joins were not run for this record.
Animal models (Monarch / Alliance)
Not enriched in this build.
Literature
Is anyone studying this?
3,821
3,821 papers have been published on this condition. That is a real research literature — still far smaller than common diseases (breast cancer: over 700,000 papers). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.
3,821 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 41 (publications denominator n=5449).
2,362 in the last 10 years · low confidence
Phrase hits: 3,821 · MeSH hits: 0
Who's working on it?
1,395
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Naing A4 papers · 2026
Department of Investigational Cancer Therapeutics, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Papers in Europe PMC - 02Bakshi JB3 papers · 2025
Department of Otorhinolaryngology and Head-Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Papers in Europe PMC - 03Chettuvatti K3 papers · 2025
Department of Otorhinolaryngology and Head-Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Papers in Europe PMC - 04Kim J3 papers · 2026
Department of Pathology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.
Papers in Europe PMC - 05Panda NK3 papers · 2025
Department of Otorhinolaryngology and Head-Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Papers in Europe PMC - 06Raghav K3 papers · 2026
Department of Gastrointestinal Medical Oncology, University of Texas M.D. Anderson Cancer Center, Houston.
Papers in Europe PMC - 07Stephen B3 papers · 2026
Department of Investigational Cancer Therapeutics, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Papers in Europe PMC - 08Subbiah V3 papers · 2026
Department of Investigational Cancer Therapeutics, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Papers in Europe PMC - 09Topf MC3 papers · 2026
Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Papers in Europe PMC - 10Wheatley-Price P3 papers · 2026
Cancer Therapeutics Program, Ottawa Hospital Research Institute, Ottawa, ON K1H 8L6, Canada.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
67
interventional trials for this specific condition
67 interventional trials matched this specific condition name; 13 currently recruiting in our sample.
Data as of 27 July 2026
67 interventional trials — more than 73% of diseases in the trials denominator have none at all (5114 of 7003; this disease is at the 97.8th percentile).
low confidence · 97.8th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
67 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT06636734·RECRUITING·Lovastatin and Pembrolizumab for the Treatment of Patients With Recurrent or Metastatic Head and Neck Cancer, LAPP Trial
Conditions: Clinical Stage IV HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8 · Human Papillomavirus-Related Neck Squamous Cell Carcinoma of Unknown Primary · Metastatic Head and Neck Squamous Cell Carcinoma · Metastatic Hypopharyngeal Squamous Cell Carcinoma·Matched via name phrase
- NCT04754321·RECRUITING·Combining Immunotherapy Salvage Surgery & IORT Tx Persistent/Recurrent Head & Neck Cancer
Conditions: Head and Neck Carcinoma of Unknown Primary · Locally Recurrent Head and Neck Squamous Cell Carcinoma · Recurrent Laryngeal Squamous Cell Carcinoma · Recurrent Oral Cavity Squamous Cell Carcinoma·Matched via name phrase
- NCT06662058·RECRUITING·Remote Audiometry to Monitor for Treatment-Related Hearing Loss in Patients With H&N SCC Receiving Cisplatin and/or Radiation
Conditions: Clinical Stage IV HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8 · Cutaneous Squamous Cell Carcinoma of the Head and Neck · Head and Neck Carcinoma of Unknown Primary · Head and Neck Squamous Cell Carcinoma·Matched via name phrase
- NCT05172245·RECRUITING·Testing the Addition of Ipatasertib to Usual Chemotherapy and Radiation for Head and Neck Cancer
Conditions: Clinical Stage II HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8 · Clinical Stage III HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8 · Head and Neck Carcinoma of Unknown Primary · Locally Advanced Head and Neck Squamous Cell Carcinoma·Matched via name phrase
- NCT06589804·RECRUITING·Testing the Addition of Anti-Cancer Drug, Cetuximab, to Standard of Care Treatment (Pembrolizumab) for Returning or Spreading Head and Neck Cancer After Previous Treatment
Conditions: Metastatic Head and Neck Squamous Cell Carcinoma · Metastatic Hypopharyngeal Squamous Cell Carcinoma · Metastatic Laryngeal Squamous Cell Carcinoma · Metastatic Oral Cavity Squamous Cell Carcinoma·Matched via name phrase
- NCT07434180·NOT YET RECRUITING·Phase II Trial of Lu-177 FAP-2286 in Patients With Carcinoma of Unknown Primary
Conditions: Cancer of Unknown Primary·Matched via name phrase
- NCT06644716·RECRUITING·[18F]F-FAPI PET-CT to Identify Carcinoma of Unknown Primary Origin
Conditions: Cancer of Unknown Primary·Matched via name phrase
- NCT06868433·RECRUITING·TMV Vaccine Therapy Alone and With Pembrolizumab for the Treatment of Recurrent and/or Metastatic Head and Neck Squamous Cell Cancer
Conditions: Clinical Stage IV HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8 · Metastatic Head and Neck Squamous Cell Carcinoma · Metastatic Hypopharyngeal Squamous Cell Carcinoma · Metastatic Laryngeal Squamous Cell Carcinoma·Matched via name phrase
- NCT06995508·RECRUITING·Olanzapine for Managing Anorexia in Head and Neck Cancer Patients Undergoing Chemoradiation, MACRO Trial
Conditions: Cancer-Associated Anorexia · Head and Neck Squamous Cell Carcinoma · Neck Squamous Cell Carcinoma of Unknown Primary·Matched via name phrase
- NCT04475640·RECRUITING·Cancer Genetic Testing in Ethnic Populations
Conditions: Breast Carcinoma · Carcinoma of Unknown Primary · Central Nervous System Carcinoma · Digestive System Carcinoma·Matched via name phrase
- NCT04504604·RECRUITING·TCF-001 TRACK (Target Rare Cancer Knowledge) Study
Conditions: Rare Cancers · Cholangiocarcinoma · Cancer of Unknown Primary Site·Matched via name phrase
- NCT07366008·NOT YET RECRUITING·The NorCUP Trial: Improving Prognosis and Personalized Treatment in Cancer of Unknown Primary (CUP)
Conditions: Cancer of Unknown Primary Site·Matched via name phrase
- NCT07283939·RECRUITING·Studying the PAGODA Algorithm for Chemotherapy Dose Changes to Prevent Unplanned Treatment Delays
Conditions: Ampulla of Vater Carcinoma · Appendix Carcinoma · Carcinoma of Unknown Primary With Gastrointestinal Profile · Colon Carcinoma·Matched via name phrase
Observational and natural-history studies
9 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT03010150·RECRUITING·Blood Tests and Questionnaires in Studying Adherence to Preventative Swallowing Exercises in Participants With Metastatic Head and Neck Cancer
Conditions: Carcinoma of Unknown Primary · Clinical Stage I HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8 · Clinical Stage II HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8 · Clinical Stage III HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8·Matched via name phrase
- NCT03740503·RECRUITING·Genomic Investigation of Unusual Responders
Conditions: Cancer · Breast Cancer · Non-small Cell Lung Cancer · Colorectal Cancer·Matched via name phrase
- NCT07372963·NOT YET RECRUITING·18F-FAPI PET in Cancers of Unknown Primary Site
Conditions: Cancer of Unknown Primary Site·Matched via name phrase
Where to find support
We do not yet link condition-specific patient organisations. These umbrella groups support undiagnosed and ultra-rare families:
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Cancer of unknown primary site" OR "Cancer of the unknown primary site" OR "Carcinoma of unknown primary" OR "Carcinoma of the unknown primary" OR "Carcinoma of unknown primary origin" OR "Carcinoma of the unknown primary origin" OR "Metastases without primary tumor"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Cancer of unknown primary site" OR "Cancer of the unknown primary site" OR "Carcinoma of unknown primary" OR "Carcinoma of the unknown primary" OR "Carcinoma of unknown primary origin" OR "Carcinoma of the unknown primary origin" OR "Metastases without primary tumor"
Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 67 interventional · 9 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: CUP
Confidence reasoning
- Preferred label is multi-word and distinctive
- 1 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
- Publication count (3821) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-27T19:26:59.583Z
