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Thyroid NodulePhase 4ESPTTNNCT06423235

Efficacy and Safety of Prunella Oral Liquid in the Treatment of Thyroid Nodules

A Phase 4 study testing regular dose of JiRui® Prunella oral liquid and 2x regular dose of JiRui® Prunella oral liquid in people with Thyroid Nodule, run by Xintian Pharmaceutical at 22 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

A multicenter, prospective, randomized, double-blind, placebo-controlled clinical trial was designed to evaluate the efficacy and safety of Prunella oral liquid in patients with benign thyroid nodules, which belongs to the post-marketing reevaluation clinical study. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Thyroid Nodule
What is being tested?
regular dose of JiRui® Prunella oral liquid and 2x regular dose of JiRui® Prunella oral liquid
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
234 participants
Where
22 sitesChina
Study dates
30 Jul 2024to 30 Jul 2028
Phase
Phase 4
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years old ≤65 years old;
  • Thyroid ultrasonography found thyroid nodules, may be accompanied by goiter, and the nodules meet the following conditions: 1) single nodules, or dominant nodules in multiple nodules (the largest diameter of the second largest nodules does not exceed 50% of the largest nodules), 2) solid nodules, 3) the longest diameter of nodules ≥1cm and < 3cm, 4) C-TIRADS 3~4A nodules;
  • Patients who met the puncture indications were confirmed by fine needle aspiration biopsy (FNAB) as benign nodules (Bethesda Class II);
  • Serum TSH, free thyroid hormone (FT3, FT4) levels were normal, anti-thyroglobulin (TgAb) and anti-thyroid peroxidase (TPOAb) antibody titers were normal;
  • Meet the diagnostic criteria of thyroid nodules in TCM;
  • Sign the informed consent.

Who cannot join

  • Exclude the patients with Deficiency of Yang syndrome, and the following two conditions can be diagnosed: Shortness of breath, abdominal pain and diarrhea, diarrhea with undigested food, Insufficiency with chills, exhaustion and lethargy, pale tongue and white fur, deep and weak pulse
  • Those who have reproductive needs during pregnancy, lactation and within the last 12 months;
  • Patients with high possibility of thyroid cancer indicated by ultrasonic signs and malignant confirmed by fine needle biopsy;
  • Patients who meet the indications for thyroid nodule surgery, such as local compression symptoms obviously related to the nodule, the tumor is located behind the sternum or in the mediastinum, or strongly require surgery due to appearance or ideological concerns affecting normal life;
  • Patients who have taken prunella preparations or other similar Chinese medicines to treat the disease within the past 1 month; Patients using glucocorticoids in the last 3 months;
  • Patients who have had or plan to take thyroid hormone, iodine compound, or antithyroid drug therapy during the study period;
Show all 12Show fewer
  • Patients who have previously or plan to undergo ablation, neck radiation, surgery and other non-drug treatments during the study period;
  • Patients with parathyroid tumor (PTA), medullary thyroid cancer (MTC) or other malignant tumors, or patients with serious cardiovascular disease, liver and kidney disease, osteoporosis, or patients with a history of mental illness;
  • Patients with a family history of thyroid cancer or thyroid cancer syndrome;
  • Laboratory test index ALT, AST > 1.5 times the upper limit of reference value or blood creatinine (Scr) > the upper limit of reference value;
  • Persons who are known to be allergic to the investigational drug or its ingredients;
  • Other patients determined by the investigator to be unsuitable for participation in the study.

Trial locations and contacts

22 sites in 1 country. Contact the study team or a site near you to ask about taking part.

22 sites in 1 country

China22 sites, 22 recruiting
  • Second Hospital of Army Military Medical University

    Chongqing, Chongqing Municipality

    Hongting Zheng

    Recruiting
  • The Second Hospital of Dalian Medical University

    Dalian, Liaoning

    Recruiting
  • People's Hospital of Guangdong Province

    Guangzhou, Guangdong

    (020)83827812

    Haixia Guan

    Recruiting
  • Zhejiang Province Hospital of Integrated Chinese and Western Medicine

    Hangzhou, Zhejiang

    Xin Mu

    Recruiting
  • First People's Hospital of Yunnan Province

    Kunming, Yunnan

    Heng Su

    Recruiting
  • The First Hospital of Kunming Medical University

    Kunming, Yunnan

    0871-65324888

    Yushan Xu

    Recruiting
  • Jiangsu Province Hospital of Integrated Chinese and Western Medicine

    Nanjing, Jiangsu

    Chao Liu

    Recruiting
  • The First Hospital of Qingdao University

    Qingdao, Shandong

    Jie Zhu

    Yangang Wang

    Recruiting
  • Ruijin Hospital Luwan Branch, Shanghai Jiao Tong University School of Medicine

    Shanghai, Shanghai Municipality

    02163864050-510905

    Dongjie Shen

    Recruiting
  • Shanghai 10th People's Hospital

    Shanghai, Shanghai Municipality

    Shen Qu

    Recruiting
  • Shanghai First People's Hospital

    Shanghai, Shanghai Municipality

    Yongde Peng

    Recruiting
  • Shanghai Pudong Zhoupu Hospital

    Shanghai, Shanghai Municipality

    Jin'an Zhang

    Recruiting
  • The First Hospital of China Medical University

    Shenyang, Liaoning, 200032

    Yuqing Li, +86 15140139773

    Zhongyan Shan

    Recruiting
  • Hospital of Liaoning University of Chinese Medicine

    Shenyang, Liaoning

    82961387

    Tianshu Gao

    Recruiting
  • People's Hospital of Liaoning Province

    Shenyang, Liaoning

    024-24016001

    Binhong Wen

    Recruiting
  • Shenzhen Hospital of Peking University

    Shenzhen, Guangdong

    Fan Zhang

    Recruiting
  • Shunde Hospital of Southern Medical University

    Shunde, Guangdong

    0757-22318000

    Jie Shen

    Recruiting
  • Weifang People's Hospital

    Weifang, Shandong

    963360

    Haixia Liu

    Recruiting
  • Weihai Hospital

    Weihai, Shandong

    0631-5287120

    Yachao Yang

    Recruiting
  • Wuhan First Hospital

    Wuhan, Hubei

    Mingsong Gao

    Recruiting
  • Xiamen Hospital of Traditional Chinese Medicine

    Xiamen, Fujian

    Tianchi Hu

    Recruiting
  • Xuzhou Medical University Hospital

    Xuzhou, Jiangsu

    Hongwei Lin

    Recruiting

Other trials in China

About this study

Official title: Efficacy and Safety of Prunella Oral Liquid in the Treatment of Thyroid Nodules: a Multicenter, Prospective, Randomized, Double-blind, Placebo-controlled Study

A multicenter, prospective, randomized, double-blind, placebo-controlled clinical trial was designed to evaluate the efficacy and safety of Prunella oral liquid in patients with benign thyroid nodules, which belongs to the post-marketing reevaluation clinical study.

In this study, 234 subjects will be enrolled by competitive enrollment at several research centers across China. The main inclusion criteria are:

Read more

① Thyroid ultrasound examination found thyroid nodules, can be accompanied by goiter, and the nodules meet the following conditions: 1) There were dominant nodules in single or multiple nodules (the largest diameter of the second largest nodules was not more than 50% of the largest nodules), 2) solid nodules, 3) the longest diameter of nodules was ≥1cm and < 3cm, 4) C-TIRADS 3~4A nodules.

② Patients who met the puncture indication were confirmed by fine needle aspiration biopsy (FNAB) as benign nodules (Bethesda II).

③ Levels of TSH, FT3 and FT4 were normal, and the antibody titers of TgAb and TPOAb were normal.

Eligible subjects will be randomly assigned on a 1:1:2:2 scale to: Group A (placebo conventional dose group, 10 mL/times, 2 times/day), group B (placebo 2x dose group, 10ml/times, 2 times/day), group C (conventional dose group of Prunella oral liquid), group D (Prunella oral liquid 2x dose group). All subjects will receive the treatment for 9 months and follow up at 3rd, 6th, 9th and 12th month.

The primary efficacy endpoint of this study was the rate of change in thyroid nodule volume from baseline at 9 months of treatment. The rate of change in thyroid nodule volume from baseline at 3 and 6 months of treatment was a secondary efficacy endpoint. Other secondary efficacy endpoints included maximum thyroid nodule diameter, number of thyroid nodules, proportion of patients with reduced thyroid nodule volume or ≥50% from baseline, thyroid volume, thyroid function (serum TSH, FT3, FT4, thyroid egg levels (Tg), thyroid antibody levels (TgAb, TPOAb), quality of life evaluation (SF-36), etc. Safety endpoints included incidence of AE/ serious adverse events (SAE), causality, and outcomes. Incidence of AE/SAE leading to discontinuation. Changes in safety laboratory test values from baseline.

Conditions
Thyroid Nodule
Being tested
regular dose of JiRui® Prunella oral liquid, 2x regular dose of JiRui® Prunella oral liquid, regular dose of placebo, 2x regular dose of placebo
Medical subject headings
Thyroid Nodule

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • regular dose of JiRui® Prunella oral liquidDrug

    Take 10ml twice a day

  • 2x regular dose of JiRui® Prunella oral liquidDrug

    Take 20ml twice a day

  • regular dose of placeboDrug

    Take 10ml twice a day

  • 2x regular dose of placeboDrug

    Take 20ml twice a day

Study groups in NCT06423235
Study groupRoleWhat they receive
placebo regular dose groupPlacebo comparatorNot described
Receives: Drug: regular dose of placebo
placebo 2x regular dose groupPlacebo comparatorNot described
Receives: Drug: 2x regular dose of placebo
regular dose group of Prunella oral liquid groupActive comparatorNot described
Receives: Drug: regular dose of JiRui® Prunella oral liquid
2x regular dose group of Prunella oral liquid groupActive comparatorNot described
Receives: Drug: 2x regular dose of JiRui® Prunella oral liquid

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of change in thyroid nodule volume from baseline at 9 months of treatment.

    Measured: 270 ± 14 days

Secondary outcomes (40)
  1. Rate of change in thyroid nodule volume from baseline at 3 months of treatment.

    Measured: 90 ± 7 days.

  2. Rate of change in thyroid nodule volume from baseline at 6 months of treatment.

    Measured: 180 ± 10 days.

  3. Rate of change in thyroid nodule volume from baseline at 12 months of treatment.

    Measured: 360 ± 14 days.

  4. The change value of the maximum diameter of thyroid nodules from baseline at 3 months of treatment.

    Measured: 90 ± 7 days

  5. The change value of the maximum diameter of thyroid nodules from baseline at 6 months of treatment.

    Measured: 180 ± 10 days

  6. The change value of the maximum diameter of thyroid nodules from baseline at 9 months of treatment.

    Measured: 270 ± 14 days

  7. The change value of the maximum diameter of thyroid nodules from baseline at 12 months of treatment.

    Measured: 360 ± 14 days

  8. Proportion of patients with reduced thyroid nodule volume from baseline at 3 months of treatment.

    Measured: 90 ± 7 days

  9. Proportion of patients with reduced thyroid nodule volume from baseline at 6 months of treatment.

    Measured: 180 ± 10 days

  10. Proportion of patients with reduced thyroid nodule volume from baseline at 9 months of treatment.

    Measured: 270 ± 14 days

  11. Proportion of patients with reduced thyroid nodule volume from baseline at 12 months of treatment.

    Measured: 360 ± 14 days

  12. Proportion of patients with reduced thyroid nodule volume ≥50% from baseline at 3 months of treatment.

    Measured: 90 ± 7 days

  13. The proportion of patients with reduced thyroid nodule volume ≥50% from baseline at 6 months of treatment.

    Measured: 180 ± 10 days

  14. Proportion of patients with reduced thyroid nodule volume ≥50% from baseline at 9 months of treatment.

    Measured: 270 ± 14 days

  15. Proportion of patients with reduced thyroid nodule volume ≥50% from baseline at 12 months of treatment.

    Measured: 360 ± 14 days

  16. Changes in the number of thyroid nodules from baseline at the 3 months of treatment.

    Measured: 90 ± 7 days

  17. Changes in the number of thyroid nodules from baseline at the 6 months of treatment.

    Measured: 180 ± 10 days

  18. Changes in the number of thyroid nodules from baseline at the 9 months of treatment.

    Measured: 270 ± 14 days

  19. Changes in the number of thyroid nodules from baseline at the 12 months of treatment.

    Measured: 360 ± 14 days

  20. Proportion of patients with thyroid nodule progression (greater than 50% in volume or greater than 20% in at least 2 diameters from baseline) at 3 months of treatment.

    Measured: 90 ± 7 days

  21. Proportion of patients with thyroid nodule progression (greater than 50% in volume or greater than 20% in at least 2 diameters from baseline) at 6 months of treatment.

    Measured: 180 ± 10 days

  22. Proportion of patients with thyroid nodule progression (greater than 50% in volume or greater than 20% in at least 2 diameters from baseline) at 9 months of treatment.

    Measured: 270 ± 14 days

  23. Proportion of patients with thyroid nodule progression (greater than 50% in volume or greater than 20% in at least 2 diameters from baseline) at 12 months of treatment.

    Measured: 360 ± 14 days

  24. Rate of change in thyroid volume from baseline at 3 months of treatment.

    Measured: 90 ± 7 days

  25. Rate of change in thyroid volume from baseline at 6 months of treatment.

    Measured: 180 ± 10 days

  26. Rate of change in thyroid volume from baseline at 9 months of treatment.

    Measured: 270 ± 14 days

  27. Rate of change in thyroid volume from baseline at 12 months of treatment.

    Measured: 360 ± 14 days

  28. Changes in serum TSH, FT3 and FT4 from baseline at the months of treatment.

    Measured: 90 ± 7 days

  29. Changes in serum TSH, FT3 and FT4 from baseline at the months of treatment.

    Measured: 180 ± 10 days

  30. Changes in serum TSH, FT3 and FT4 from baseline at 9 months of treatment.

    Measured: 270 ± 14 days

  31. Changes in serum TSH, FT3 and FT4 from baseline at 12 months of treatment.

    Measured: 360 ± 14 days

  32. Changes in Tg, TgAb and TPOAb levels from baseline at the 6th month of treatment.

    Measured: 180 ± 10 days

  33. Proportion of patients with normal thyroid function at 3 months of treatment.

    Measured: 90 ± 7 days

  34. Proportion of patients with normal thyroid function at 6 months of treatment.

    Measured: 180 ± 10 days

  35. Proportion of patients with normal thyroid function at 9 months of treatment.

    Measured: 270 ± 14 days

  36. Proportion of patients with normal thyroid function at 12 months of treatment.

    Measured: 360 ± 14 days

  37. Subjects' quality of life scores (SF-36) at 3 months of treatment.

    Measured: 90 ± 7 days

  38. Subjects' quality of life scores (SF-36) at 6 months of treatment.

    Measured: 180 ± 10 days

  39. Subjects' quality of life scores (SF-36) at 9 months of treatment.

    Measured: 270 ± 14 days

  40. Subjects' quality of life scores (SF-36) at 12 months of treatment.

    Measured: 360 ± 14 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 May 2024
  2. Study start30 Jul 2024
  3. Primary completion30 Jul 2025
  4. Study completion30 Jul 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
234 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06423235
Sponsor's protocol ID
XK-22-A-002-YJ-002
Acronym
ESPTTN
Status last verified
Mar 2026
First submitted
7 Apr 2024
Last updated
24 Mar 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing regular dose of JiRui® Prunella oral liquid and 2x regular dose of JiRui® Prunella oral liquid in people with Thyroid Nodule, run by Xintian Pharmaceutical at 22 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 24 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Wenjing Ji (+86 18365572279, yx-jiwj@xtyyoa.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of change in thyroid nodule volume from baseline at 9 months of treatment. (time frame: 270 ± 14 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Mar 2026.

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