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This refers to a Phase 1 crossover clinical trial conducted by Solvay Pharmaceuticals (later acquired by Abbott) comparing the thiazolidinedione (TZD) antidiabetic agents pioglitazone and rosiglitazone against a placebo. The study was designed as a single-center, open, randomized, 3-period crossover trial in 12 healthy male volunteers to evaluate the effects of single oral doses (45 mg pioglitazone and 8 mg rosiglitazone) on urinary sodium excretion and renal sodium handling. Both active drugs are small molecule agonists of the peroxisome proliferator-activated receptor-gamma (PPAR-gamma), which improve insulin sensitivity and glycemic control in patients with type 2 diabetes mellitus. The trial specifically investigated the methodological effects of these agents on sodium balance, addressing the clinical observation of fluid retention and edema associated with TZD therapy.
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