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OncoMatch/Clinical Trials/NCT06423235

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

Is NCT06423235 recruiting? Yes, currently enrolling (May 2026). This Phase 4 trial studies multiple treatments including regular dose of JiRui® Prunella oral liquid and 2x regular dose of JiRui® Prunella oral liquid for thyroid nodule.

Phase 4RecruitingXintian PharmaceuticalNCT06423235Data as of May 2026

Treatment: regular dose of JiRui® Prunella oral liquid · 2x regular dose of JiRui® Prunella oral liquidA 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: 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.

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Extracted eligibility criteria

Prior therapy

Cannot have received: prunella preparations or similar Chinese medicines

Patients who have taken prunella preparations or other similar Chinese medicines to treat the disease within the past 1 month

Cannot have received: glucocorticoids

Patients using glucocorticoids in the last 3 months

Cannot have received: thyroid hormone

Patients who have had or plan to take thyroid hormone...during the study period

Cannot have received: iodine compound

Patients who have had or plan to take...iodine compound...during the study period

Cannot have received: antithyroid drug

Patients who have had or plan to take...antithyroid drug therapy during the study period

Cannot have received: ablation, neck radiation, surgery, and other non-drug treatments

Patients who have previously or plan to undergo ablation, neck radiation, surgery and other non-drug treatments during the study period

Lab requirements

Kidney function

blood creatinine (scr) ≤ the upper limit of reference value

Liver function

alt, ast ≤ 1.5 times the upper limit of reference value

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