ClinicalTrials.gg
Active, not recruitingNCT07933588EVEREST-HN-3Updated Nov 12, 2026

EVEREST-HN-3: Linkage of National Data Sets for Suspected Head-and-neck Cancer Referrals

An observational study in Head and Neck Cancer, sponsored by Royal Marsden NHS Foundation Trust. Active, not recruiting at 2 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Royal Marsden NHS Foundation Trust · Observational

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
125,000
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 18 studies in Head and Neck Neoplasms by Royal Marsden NHS Foundation Trust — 6 open to participants now, 7 under way, none of them phase 3. Head and Neck Neoplasms · Royal Marsden NHS Foundation Trust.

Planned enrollment
2nd of 12
125,000 · median 208
Started
2026
with 1 other
Observational
12 of 18
6 open now
Registered
18th of 18
by date

Among the 18 studies in Head and Neck Neoplasms by Royal Marsden NHS Foundation Trust, this one is the 2nd largest by planned enrollment of the 12 observational ones that give a count, is one of 2 that started in 2026, is one of 12 observational ones, and was the 18th registered.

Head and Neck Neoplasms

2,713 studies on the registry are indexed under Head and Neck Neoplasms; 596 are open to participants now.

Browse Head and Neck Neoplasms studies →

Open to participants now

6 of the 18 studies in Head and Neck Neoplasms by Royal Marsden NHS Foundation Trust are open now, in 1 country. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 6 open studies →

Where they have run

Who these studies take

Of the 453 Head and Neck Neoplasms studies recruiting now, 345 (76%) set no upper age limit and 51 (11%) stop at 75 or younger; 21 take children under 18; 27 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The goal of this observational study is to get a better understanding which patient characteristics, available in routinely collected data, are associated with the probability that patients referred because of suspected head-and-neck cancer will receive a head-and-neck cancer diagnosis.

Participants will not be recruited specifically for this study. Instead, we will be using routinely-collected national electronic health records linked at patient level, including the National Cancer Waiting Times Monitoring Data (CWT), the National Cancer Registration Data set (NCRD), the Radiotherapy Data set (RTDS), the Systemic Anti-Cancer Therapy Data set (SACT) and the Hospital Episode Statistics.

The main questions it aims to answer are:

  1. To describe the patients who are referred with a suspected head-and-neck cancer diagnosis and those who have a confirmed diagnosis.
  2. To create a typology of the diagnostic pathway across the country (e.g., comparing 21 regions reflecting the Cancer Alliances).
  3. To explore differences among the 21 National Health Service Cancer Alliances in the referral rates of patients with suspected head-and-neck cancer and the number of referred patients in whom a cancer can be diagnosed.
  4. To develop a prognostic model that can predict the probability that referred patients will receive a head-and-neck cancer diagnosis.
  5. To evaluate the value of Hospital Episode Statistics (HES), National Cancer Registration Data (NCRD), Radiotherapy Data Set (RTDS) and Systemic Anti-Cancer Therapy (SACT) data to monitor referral pathways for patients with suspected head-and-neck cancer.
  6. To develop a health economic model of the diagnostic and treatment pathways of referrals for suspected head-and-neck cancer.
  7. To assess hospital care costs across the diagnostic and treatment pathways for head and neck cancer.
03

Conditions studied

  • Head and Neck Cancer
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All patients referred for suspected head-and-neck cancer (according to Cancer Waiting Times [CWT] data) or diagnosed with head-and-neck cancer (according to National Cancer Registration data) during the study period (01 April 2013 to most recent available, with CWT data available from 01 April 2018).

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Referred for suspected head-and-neck cancer (according to Cancer Waiting Times data).
  • Diagnosed with head-and-neck cancer (according to National Cancer Registration data) based on International Classification of Diseases 10th Edition (ICD10) codes: oral cavity (C00, C03-C06), tongue (C01-C02), pharynx (C09-C10, C12-C14), nose (C30-C31), larynx (C32), skin (C43 - C44), and thyroid (C73).

Exclusion criteria

Exclusion Criteria:

  • None
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
125,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients referred for suspected head and neck cancer in Cancer Waiting Times

    All patients referred for suspected head-and-neck cancer according to the Cancer Waiting Times dataset (01 April 2018 to most recent available) will be included. The cohort definition is based on International Classification of Diseases 10th Edition (ICD-10) codes, defining site-specific cancers in oral cavity, tongue, pharynx, and larynx (C00-C14; C30-C32; C43.0 - C43.4; C44.3; C44.4; C73.0; C76.0; C77.0).

  • Pateints with recorded head and neck cancer diagnosis in National Cancer Registrations Data

    All patients with a confirmed head-and-neck cancer diagnosis between 1 January 2018 and 31 December 2024 according to the National Cancer Registry will be included. The cohort definition is based on International Classification of Diseases 10th Edition (ICD-10) codes, defining site-specific cancers in oral cavity, tongue, pharynx, and larynx (C00-C14; C30-C32; C43.0 - C43.4; C44.3; C44.4; C73.0; C76.0; C77.0).

06

What researchers measure

Primary outcomes

  1. To describe the patients who are referred with a suspected head-and-neck cancer diagnosis and those who have a confirmed diagnosis

    Time frame: Point of diagnosis, on average 62 days

Secondary outcomes

  1. To create a typology of the diagnostic pathway across the country (e.g., comparing 21 regions reflecting the Cancer Alliances)

    Time frame: Point of diagnosis, on average 62 days

  2. To explore differences among the 21 NHS Cancer Alliances in the referral rates of patients with suspected head-and-neck cancer and the number of referred patients in whom a cancer can be diagnosed.

    Time frame: Point of diagnosis, on average 62 days

  3. To develop a prognostic model that can predict the probability that referred patients will receive a head-and-neck cancer diagnosis.

    Time frame: Point of diagnosis, on average 62 days

  4. To evaluate the value of HES, NCRD, RTDS and SACT to monitor referral pathways for patients with suspected head-and-neck cancer.

    Time frame: Point of diagnosis, on average 62 days

  5. To develop a health economic model of the diagnostic and treatment pathway of referrals for suspected head-and-neck cancer

    Time frame: Through study completion, an average of 5 years

  6. To assess hospital care costs across the diagnostic and treatment pathways for HN cancer.

    Time frame: Through study completion, an average of 5 years

07

Study locations

2 sites
08

References and documents

Individual participant data

Plan to share: No — The linked data sets will be stored and accessed within the NHS England Secure Data Environment (SDE) with access limited to approved members of the research team. Access to the data is governed and controlled by NHS England.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2026 (actual). Primary completion is estimated for Aug 2028, 23 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 29, 2026
First posted
Nov 12, 2026
StartActual
Sep 1, 2026
Primary completionEst.
Aug 31, 2028
CompletionEst.
Aug 31, 2028
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07933588
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Sep 1, 2026
Primary completion
Aug 31, 2028 (estimated)
Completion
Aug 31, 2028 (estimated)
Last update
Nov 12, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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