Drugs not yet approved for medical use are easily accessible online to cheating athletes.
An experimental drug that mimics the effect
of steroids, such as testosterone, without many of the harmful side effects is
freely available online, according to new research. A group from the German
Sport University Cologne in Germany detected the compound in a product called
Andarine, available online for $100 and labeled as green tea extracts and face
moisturizer. The research appears in the current issue of the journal Drug
Testing and Analysis.
Known as selective androgen receptor
modulators, or SARMs, the drugs are being developed for diseases such as muscle-wasting and osteoporosis. The World
Anti-Doping Agency, an international, independent organization based in
Lausanne, Switzerland, that coordinates anti-doping regulations across sports,
banned the drugs last year, before any of them were approved
for medical use, in recognition of the molecules' potential allure to sports
dopers, and athletes' willingness to take even experimental compounds. Since then, the agency has quietly been working with scientists across the globe to develop new tests to detect illegal use of the compounds.
According to a previous TR article on sports doping,
These drugs represent "a whole new horizon for anabolic therapies, and the
potential for abuse will be exceedingly high," says William Evans, director of the Nutrition, Metabolism, and
Exercise Laboratory at the University of Arkansas for Medical Sciences.
SARMs work similarly to testosterone but in a more targeted
way. "They are effective by binding to the steroid receptor in only
specific tissue, like muscle," says Evans, who is also a scientific
advisor to GTx, a company
developing the drugs. "They are not steroid drugs, but they produce the
anabolic effect of the steroids." GTx, based in Memphis, TN, has shown in
a clinical trial that one compound being developed for muscle wasting and bone
loss can significantly boost lean muscle mass in older people.
According to a press release from the journal,
Mario Thevis, Ph.D., and colleagues, analyzed the advertised
substance using state-of-the-art mass spectrometric approaches with high
resolution/high accuracy (tandem) mass spectrometry. "One unit (30 mL) was
purchased online and delivered in a box labeled to contain face moisturizer and
green tea extract. The sealed bottle did not declare any content and no further
documents accompanied package," said Dr. Thevis. He went on to explain
that LC-MS(/MS) analysis of this solution revealed the presence of S-4 at
approximately 150 mg/mL with equal amounts in each container, yielding a total
of 4.5 g of the SARM. The active ingredient was identified and characterized by
a) its elemental composition (as determined by high resolution/high accuracy
mass spectrometry, b) comparison to synthesized reference material regarding
retention time and product ion mass spectrum, and c) elucidation of its mass
spectrometric behavior. Besides the detection of the active ingredient S-4, a
significant amount of byproduct was observed.
"Major
concerns result from these findings," explained Dr. Thevis. "This
product with considerable anabolic properties is readily available without
sufficient research on its undesirable effects; this is especially significant
where uncontrolled dosing is applied and drug impurities with unknown effects
are present in considerable amounts as observed in the studied material."
The
issue was recently addressed at the Conference of Parties to the International
Convention against Doping in Sport, held October 26-28, 2009 at the United
Nations Educational, Scientific and Cultural Organization's (UNESCO)
headquarters in Paris. WADA President John Fahey said that government agencies
will need to adopt laws and regulations to combat the trafficking and supply of
illegal substances in order to rid sport of doping.
The
ease of purchasing SARMs as a performance-enhancing drug supports the need to
make early implementation of screening for emerging therapeutic compounds a
routine part of sports drug testing. "Our study demonstrates once more
that the misuse of therapeutics without clinical approval by athletes cannot be
dismissed," Dr. Thevis concludes.
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