Steroid Report

Spiropent (Promeco) clenbuterol hydrochloride

I am disappointed by the mainstream media coverage of Olympic swimmer Jessica Hardy’s failed drug test for clenbuterol (an asthma medication).

NBC was apparently the first news organization to identify the banned substance as clenbuterol. They did not elaborate on the drug other than to identify it as a “stimulant” which was of course very misleading.

Clenbuterol was not identified as an asthma medication. It was not revealed that numerous other Olympic swimmers are permitted to use similar asthma drugs as long as they have a therapeutic use exemption (TUE). In all fairness to Jessica Hardy, this information should be provided at the outset to provide the appropriate context for any story about her positive test.

Washington Post Staff Writer Amy Shipley regularly writes about doping in sports, so I was very disappointed that Shipley failed to specifically identify clenbuterol as an asthma medication. She did not mention that other Olympic swimmers are allowed to use similar asthma drugs. In fact, there was not a single instance of the word ‘asthma’ in her 600+ word article. 

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Swimmer Jessica Hardy tests positive for clenbuterol

U.S. Olympic swimmer Jessica Hardy tested positive for the asthma medication Clenbuterol in both A and B samples at the U.S. Olympic Trials in Omaha, Nebraska on July 1st and July 4, 2008. Clenbuterol is a bronchodilator belonging to a class of drugs known as beta-2 adrenergic agonists or long-acting beta-2 adrenergic agonist (LABA) . Clenbuterol is similar to Albuterol and Salmeterol which are also LABAs.

It is well-known that a high percentage of elite swimmers have exercise-induced asthma. It is also known that most asthmatic swimmers competing in the Olympics have therapeutic use exemptions (TUEs) to use beta-2 agonists like albuterol, formoterol, salbutamol, salmeterol and terbutaline for therapeutic purposes.

The amazing swimmer Dara Torres makes no secret of her use of albuterol and formoterol; these are two different beta-2 agonists (LABAs). She probably tests positive for these substances on a regular basis too since United States Anti-Doping Agency (USADA) tests her frequently due to her participation in Project Believe.

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John Fahey drinks a drug that is on the WADA banned substance list

Roche Pharmaceuticals quickly rejected claims that Roche planted secret molecule in Mircera which allowed for detection of the CERA class drug at the 2008 Tour de France. John Fahey, WADA president, told the Australian Broadcasting Company about the addition of the molecule that made it easy for drug testers to detect use of the performance enhancing drug.

Roche Pharmaceuticals spokesperson, Martina Rupp, strongly denied the addition of any special molecule to Mircera in an email response made within hours of Fahey statements.

“The information that a special molecule has been added to Mircera is wrong,” Rupp said in an e-mail.

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Switzerland Roche Pharmaceuticals

John Fahey, president of the World Anti-Doping Agency (WADA), has revealed they are cooperating with Roche Pharmaceuticals to secretly add a “traceable molecule” to drugs likely to have performance enhancing effects in athletes. This was how AFLD was able to detect the previously-undetectable Mircera (CERA) in Riccardo Ricco’s sample at the 2008 Tour de France. Roche manufacures at least two PEDs used by cyclists - Mircera and NeoRecormon. Drug-tested athletes have been given notice to avoid using products manufactured by Roche Pharmaceuticals.

It seems that WADA is no longer interested in developing anti-doping tests that actually detect performance enhancing drugs (PEDs); this is understandable since serious flaws in their anti-doping tests are revealed again and again. Instead, WADA apparently believes the future of anti-doping efforts lies in anti-doping agencies cooperation with pharmaceutical companies to secretly add “traceable molecules” and “trojan molecules” (”Ricco caught by secret doping molecule: WADA chief,” July 23).

In the development of that particular substance, close cooperation occurred between WADA and the pharmaceutical company Roche Pharmaceuticals so that there was a molecule placed in the substance well in advance that was always going to be able to be detected once a test was taken,” Mr Fahey said.

Wow. I wonder what is more deplorable - athletes using performance enhancing drugs OR multi-national pharmaceutical companies secretly adding traceable molecules to consumer products and intentionally hiding this ingredient by failing to disclose it on the label?

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Riccardo Ricco anti-dopage

Widespread doping continues in cycling despite recent proclamations by Olivier Rabin, the science director for World Anti-Doping Agency (WADA), and Pierre Bordry, the head of the French Anti-Doping Agency (AFLD), that they are practically on the verge of eliminating doping from cycling.

The testosterone doping test is flawed. The EPO test is flawed in more ways than one. Peptide hormones such as human growth hormone (HGH) and insulin-like growth factor (IGF-1) are currently undetectable. And this does not begin to address other current and emerging synthetic blood boosting techniques being used by cyclists.

It seems that anti-doping agencies are happy to assert that they are winning the war on doping while neglecting issues such as biogeneric/biosimilar erythropoietin (EPO) stimulating proteins (ESPs); blood oxygen carriers: perfluorocarbon emulsions (PFCEs) and hemoglobin based oxygen carriers (HBOCs); hydroxyethylstarch (HES/HAES); and before long, if not already, EPO-mimetic peptide (EMPs).

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EPO molecule

A BBC investigation suggests that most athletes who use recombinant human erythropoietin (EPO) continue to get away with it. The investigative article reveals several reasons why the EPO test is failing. But the BBC revealed that the biggest problem is not the ineffectiveness of the existing EPO tests used by the World Anti-Doping Agency (WADA). It is a lack of testing for variants of EPO.

Athletes are using various “biosimilar” EPO agents for which WADA has not yet developed a detection method. WADA’s ballyhooed test for the previously undetectable Mircera (pegylated EPO) was an admission that the already flawed existing EPO test was unable to detect variants of EPO; the announcement of the new CERA (Mircera) test at the 2008 Tour de France was considered a major victory.

There are also dozens of “copycat” or “biosimilar” versions of EPO. These are variants of EPO that are produced by different methods or exist as slightly different biological forms of EPO e.g. darbepoetin alfa, epoetin alfa, epoetin beta, epoetin gamma, epoetin delta, epoetin epsilon, epoetin zeta, epoetin theta, epoetin kappa, epoetin omega. The existence of biosimilar versions of EPO is a major problem for drug testers

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Spanish doctor Marcos Maynar steroid expert

Spanish doctor Marcos Maynar Mariño sent an email offering comprehensive urinalysis and steroid profiling at 50 euros per athlete to as many as ten professional cycling teams including Gerolsteiner, Milram, CSC and Columbia . Maynar offered to provide a complete analysis consistent with the same control methods used by the International Cycling Union (UCI). The services would be conducted by the Laboratory of Analytical Chemistry at the Faculty of Sciences at the Universidad de Extremadura in Cáceres, Spain (”Dos médicos españoles, acusados de dopar,” July 20).

According to the German television station ARD, Spanish doctor Marcos Maynar offered these services as for internal testing allowing athletes to monitor their doping to ensure that their use of performance enhancing drugs would not be detected by doping controls at the 2008 Tour de France and other pro cycling events. Maynar responded to the allegations that he aided and abetted doping by suggesting that ARD had ulterior motives stemming from bitterness over disgraced cyclist Jan Ullrich (”Marcos Maynar niega que quiera favorecer el dopaje,” July 21).

“Since Jan Ullrich’s tested positive, the Germans have wanted to shit on the Spaniards.”

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2008 Tour de France 

The French National Anti-Doping Agency (AFLD) has been utlizing a secret new anti-doping test for a previously undetectable performance-enhancing drug during the 2008 Tour de France. Rumors about a test for Mircera started circulating when cyclist Riccardo Ricco failed his doping protocol. The World Anti-Doping Agency (WADA) quickly confirmed the rumors.

WADA gave notice to cyclists competing at the 2008 Tour de France that they were now able to detect the performance enhancing drug Mircera (methoxy polyethylene glycol-epoetin beta), a third generation version of erythropoietin (EPO) belonging to the category of drugs known as Continuous Erythropoeitin Receptor Activators (CERA).

Doping experts concerned with the fairness of the doping protocols administered by WADA-accredited labs were quick to raise questions about the new CERA doping detection methods

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Tour de France winners accused of doping

Rant’s Daniel Rosen asked the question “Will it ever be possible to have a Tour de France… that is completely free of doping?” I would answer that with a definitive no - not now, not ever. Professional cycling is an extreme sport that is practically synonymous with doping.

Steroid and doping expert Dr. John Hoberman of the University of Texas wrote an article about the Festina scandal at the 1998 Tour de France for me almost ten years ago. Hoberman thought that the public had finally accepted that the Tour de France during a “definitive outing of the Tour as a virtual pharmacy on wheels.”

The Tour debacle has finally made it acceptable to say in public and without provocation what many have known for a long time, namely, that long-distance cycling has been the most consistently drug-soaked sport of the twentieth century. 

Unfortunately, we still have not come to terms with an acknowledgement of the scope of doping in cycling. We continue to entertain incredulous stories that doping in the sport is limited to certain generations of riders or specific geographical areas. We still believe in fairy tales that tell us a dope-free Tour de France is possible. It is not. So what should be done about doping in cycling? Read the rest of this entry »

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Spanish flag

The desperation in professional cycling is increasing as commentators try to explain away the pervasive doping problems in the sport. At the onset of the 2008 Tour de France, the doping problem was characterized as a generational issue. The “old cycling” versus “new cycling” story was bolstered when 37-year old Miguel Beltran tested positive for erythropoietin (EPO). Beltran represented the old school generation that was to blame for systematic doping in the sport. The story offered hope for a clean drug-free sport with the emergence of several young, talented riders that represented “new cycling.” (”Riccò case a setback for ‘new cycling’,” July 17)

Faith in the new generation of cycling was shattered when Riccardo Ricco tested positive for EPO and the new CERA drug Mircera.  How could the story of “new cycling” explain why the 24-year old leader of the best young rider competition was doping just the same as the old generation of cycling? The old generation could no longer be blamed for the scourge of doping in cycling. Cycling needed a new story!

The Scotsman was happy to provide a new story to preserve the integrity of the Tour: Blame the country of Spain for doping problems in cycling! If Spain were eliminated from world maps, the Tour de France would apparently be a very clean sport. How did the Scotsman arrive at this conclusion? Read the rest of this entry »

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