ClinicalTrials.gg
Not yet recruitingNCT07340177Updated Jan 14, 2026

Xiaojin Pill/Neixiao Luoli Pill for the Treatment of Thyroid Nodules

A Phase 4 interventional study of Xiaojin Pill and Neixiao Luoli Pill in Thyroid Nodules, sponsored by Zhejiang Provincial People's Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-01-14.

Sponsored by Zhejiang Provincial People's Hospital · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn whether Xiaojin Pill or Neixiao Luoli Pill can safely treat thyroid nodules in adults aged 18 to 65 years with benign or low-risk thyroid nodules. The main questions it aims to answer are:

  • Does treatment with Xiaojin Pill or Neixiao Luoli Pill lower the size of thyroid nodules compared with lifestyle intervention alone?
  • Do Xiaojin Pill or Neixiao Luoli Pill improve thyroid nodule-related symptoms and ultrasound findings while remaining safe to use?

Researchers will compare lifestyle intervention plus Xiaojin Pill, lifestyle intervention plus Neixiao Luoli Pill, and lifestyle intervention alone to see if adding Xiaojin Pill or Neixiao Luoli Pill works better than lifestyle intervention by itself.

Participants will:

  • Be randomly assigned to one of the three study groups;
  • Receive lifestyle intervention guidance throughout the study;
  • Take Xiaojin Pill, Neixiao Luoli Pill, or no study medicine for 12 weeks, depending on their group;
  • Attend follow-up visits that include thyroid ultrasound exams, blood tests to check thyroid function and safety, and symptom assessments.
Read the detailed description

This study is designed to evaluate the clinical value of adding traditional Chinese medicine to standard lifestyle intervention for the management of benign or low-risk thyroid nodules.

The trial adopts a randomized, parallel-group design conducted across multiple clinical centers. After screening and baseline assessments, eligible participants are allocated to one of three management strategies: lifestyle intervention alone or lifestyle intervention combined with one of two commonly used traditional Chinese patent medicines. The study is conducted in an open-label manner, reflecting real-world clinical practice.

All participants receive standardized lifestyle guidance throughout the study period. Participants assigned to the intervention groups additionally receive oral herbal medication for a fixed treatment duration. Clinical assessments are performed at predefined time points to monitor structural changes of thyroid nodules, functional status of the thyroid gland, symptom evolution, and treatment safety.

Thyroid ultrasound examinations are performed using standardized measurement procedures to ensure consistency across centers. Safety is continuously monitored through clinical evaluation and routine laboratory testing during the treatment and follow-up periods.

The results of this study are expected to provide evidence regarding the role of traditional Chinese medicine as an adjunct to lifestyle management in patients with thyroid nodules under active surveillance.

02

Conditions studied

  • Thyroid Nodules

Browse trials for

Keywords

  • Thyroid nodule
03

In context

Thyroid Nodule

207 studies on the registry are indexed under Thyroid Nodule; 64 are open to participants now.

This study's planned enrollment of 108 is above the median of 75 across 121 interventional studies indexed under Thyroid Nodule.

Browse Thyroid Nodule studies →

Lead sponsor

Zhejiang Provincial People's Hospital is the lead sponsor of 62 studies on the registry; 42 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Adults aged 18 to 65 years.
  • Diagnosed with single or multiple thyroid nodules confirmed by high-resolution ultrasound, with at least one measurable nodule.
  • Thyroid nodules meeting one of the following criteria:
  • ACR TI-RADS category 3 with a maximum nodule diameter ≥ 1.0 cm; or
  • ACR TI-RADS category 4 or 5 nodules evaluated by fine-needle aspiration and assessed as low-risk papillary thyroid carcinoma, suitable for active surveillance, with patient consent.
  • Normal thyroid function at baseline, defined as thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), and free thyroxine (FT4) within the reference range.
  • Traditional Chinese medicine (TCM) syndrome differentiation consistent with liver qi stagnation, blood stasis, or phlegm-dampness syndrome.
  • Willing and able to provide written .

Exclusion criteria

Exclusion Criteria:

  • Thyroid nodules confirmed as malignant or follicular neoplasms requiring surgical intervention, or assessed by the investigator as unsuitable for active surveillance.
  • Presence of hyperthyroidism or hypothyroidism, defined as abnormal TSH, FT3, or FT4 levels.
  • History of severe cardiovascular, hepatic, renal, hematologic, psychiatric, diseases, or other .
  • Pregnant or breastfeeding women, or women planning pregnancy during the study period.
  • Known allergy or to Xiaojin Pill, Neixiao Luoli Pill, placebo components, or any ingredients of the study medications.
  • Receipt of thyroid-related surgery, radiofrequency ablation, laser ablation, radioactive iodine therapy, or other treatments that may affect thyroid nodules within 3 months prior to enrollment.
  • Current use of medications known to affect thyroid function or thyroid nodules, such as amiodarone or lithium.
  • Poor treatment compliance or inability to complete follow-up as judged by the investigator.
  • Participation in another clinical trial during the study period.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
108 participants (estimated)

Study arms

  • Experimental
    Lifestyle Intervention + Xiaojin Pill

    Participants receive lifestyle intervention combined with oral Xiaojin Pill for the management of thyroid nodules.

    Drug: Xiaojin Pill · Behavioral: Lifestyle Intervention

  • Experimental
    Lifestyle Intervention + Neixiao Luoli Pill

    Participants receive lifestyle intervention combined with oral Neixiao Luoli Pill for the management of thyroid nodules.

    Drug: Neixiao Luoli Pill · Behavioral: Lifestyle Intervention

  • Active comparator
    Lifestyle Intervention Alone

    Participants receive lifestyle intervention alone without study medication.

    Behavioral: Lifestyle Intervention

Interventions

  • DrugXiaojin Pill

    Xiaojin Pill is a traditional Chinese patent medicine administered orally at a dose of 3 g twice daily for 12 weeks.

    Also known as: Xiaojin Wan

  • DrugNeixiao Luoli Pill

    Neixiao Luoli Pill is a traditional Chinese patent medicine administered orally at a dose of 9 g twice daily for 12 weeks.

    Also known as: Neixiao Luoli Wan

  • BehavioralLifestyle Intervention

    Lifestyle intervention includes stress management, emotional regulation, healthy diet, balanced iodine intake, avoidance of smoking and alcohol, adequate rest, and reduction of radiation exposure.

06

What researchers measure

Primary outcomes

  1. Percentage Change in Thyroid Nodule Volume

    Time frame: Baseline and Week 12

Secondary outcomes

  1. Change in Thyroid Nodule-Related Symptom Score Assessed by Visual Analog Scale (VAS)

    Thyroid nodule-related symptoms include neck discomfort, swallowing difficulty, pressure sensation, and voice changes, assessed using a visual analog scale (VAS), with higher scores indicating more severe symptoms.

    Time frame: Baseline and Week 12

  2. Change in Number of Thyroid Nodules

    Time frame: Baseline and Week 12

  3. Change in Thyroid Nodule Ultrasound Characteristics Assessed by Standardized Ultrasound Examination

    Thyroid nodule ultrasound characteristics include nodule shape, margin, echogenicity, calcification, and intranodular vascularity, assessed using standardized thyroid ultrasound examination.

    Time frame: Baseline and Week 12

  4. Change in Thyroid Function Tests (Serum TSH, FT3, and FT4)

    Thyroid function is assessed by measuring serum levels of thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), and free thyroxine (FT4).

    Time frame: Baseline and Week 12

  5. Number of Participants with Adverse Events

    Adverse events are recorded throughout the study period and include all unfavorable medical occurrences, regardless of their relationship to the study interventions.

    Time frame: Baseline through Week 12

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07340177
Lead sponsor
Zhejiang Provincial People's Hospital
Responsible party
zhengchuanming (Principal Investigator, Zhejiang Provincial People's Hospital) — Principal investigator
First posted
Jan 14, 2026
Start date
Mar 2026 (estimated)
Primary completion
Jun 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Jan 14, 2026

Study contacts

Yuqun Zeng
Contact
zengyuqun401@163.com
+86-15058153877
Chuanming Zheng
principal investigator · Zhejiang Provincial People's Hospital
Yuqun Zeng
study chair · zhejiang provincial People's Hospitial

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion